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Physical Assessment Final Review PrepU –Qs & As
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Physical Assessment Final Review PrepU –Qs & AsWhich of the following client situations would the nurse interpret as requiring
an emergency assessment? ✔️Ans -A client who took a drug
overdose
A nurse is admitting a client, having completed the health history, and is now
doing a physical assessment. The physical assessment will provide what type
of data? ✔️Ans -Objective
When answering questions about health during a presentation at a women's
club luncheon, the nurse emphasizes that prevention of disease is
multifaceted but is connected directly to ✔️Ans -a healthy lifestyle
A young Hispanic woman brings her baby into the clinic for immunizations.
What type of disease-prevention strategy is this? ✔️Ans -Primary
prevention
The nurse is reviewing a client's health history and physical examination.
Which of the following would the nurse identify as subjective data? Select all
that apply. ✔️Ans --"I feel so tired sometimes"
-Client complains of a headache
-"My father died of a heart attack"
In partnership with the client, the nurse identifies a priority health goal for
this client is smoking cessation. The nurse and client discuss possible
interventions to assist the client in achieving this goal. In which phase of the
nursing process are the nurse and patient participating? ✔️Ans -
Planning
A new RN tells her preceptor that she has always had trouble remembering all
the steps of the nursing process. The preceptor tells the new grad that an easy
way is to think about the anagram ✔️Ans -ADPIE
The nurse has completed a plan of care for a client having a total knee
replacement. In order to develop goals which are realistic for the client, what
should the nurse do prior to implementing the plan? ✔️Ans -Ask
the client for opinions and willingness to proceed with the interventions.
,The nurse is determining a priority problem that would be appropriate for a
client with heart failure. Which problem would have the highest priority for
the client? ✔️Ans -Weight gain of 3 pounds (1.5 kilograms) over 1-
2 days
The experienced nurse understands that active listening is the key element
when interviewing a patient. ✔️Ans -True
An elderly female client is accompanied by her daughter on a visit to the
health care facility. The nurse observes that the client is doing quite well,
except for the use of a hearing aid. How can the nurse best facilitate the
interview process with this client? ✔️Ans -Speak slowly and
clearly, using straightforward language
The nurse is asking the patient about the health of her parents, siblings, and
grandparents. This is part of the health history and is done for what reason?
✔️Ans -To identify diseases for which the patient may be at risk
Which is an example of subjective data from a primary source?
✔️Ans -The patient states, "My chest hurts and my left arm feels numb."
The nurse takes a patient's family history to identify diseases for which she is
at risk. A common tool used by nurses to understand family patterns is what?
✔️Ans -genogram
When recording the client's chief concerns during the health history, it is
recommended that the interviewer do which of the following?
✔️Ans -Quote the client's words.
Care that considers the patient's body, mind, and spirit is which type of
nursing care? ✔️Ans -holistic care
A nurse is preparing to conduct an initial interview on a patient from a
different culture. Which of the following is important for the nurse to consider
before beginning the interview? ✔️Ans -verbal and nonverbal
communication
, The nurse is assessing the seven attributes of a client's symptom using the
mnemonic OLD CART. In which section of the comprehensive health history
will the nurse document this information? ✔️Ans -History of
present illness
A nursing assistant working in a small rural hospital, states to the charge
nurse, "The Jewish patient in room 124 says that they are not able to eat the
food because it is not kosher. That is ridiculous. There is nothing wrong with
this food, I eat it!" What is the best response by the nurse? ✔️Ans
-"It is important that we are culturally sensitive to other beliefs. Let's see how
we can accommodate the patient's food preferences."
A patient comes to the Emergency Department with bruises on her upper and
lower body and appears to be withdrawn. The injuries do not appear
consistent with the explanations for them. The patient's boyfriend refuses to
leave the examination room and is overly protective of her. The nurse
suspects: ✔️Ans -Human violence
A nurse educator is leading a group of nurses in exercises aimed at improving
cultural competence. Which of the following would the educator use to best
describe an aspect of the term "culture"? ✔️Ans -It is shared
through norms for behaviors, values, and beliefs.
The nurse is performing a health history on a patient with mild chest pain
who came to the Emergency Department. When asked about his allergies, the
patient states that he is allergic to codeine for pain. The nurse asks if that is
the only allergy and then proceeds with the rest of the assessment. What other
information should the nurse obtain when a patient states an allergy?
✔️Ans -What type of reaction did the patient experience?
The student nurse is studying therapeutic communication and realizes that it
is an important aspect of collecting a health history. When gathering
information about the patient's current illness, the student nurse understands
that she should use which technique? ✔️Ans -Asking open-ended
questions
The nurse is taking a health history on a newly admitted patient. When the
nurse asks, "How would you describe yourself?" the nurse is assessing which
of the following? ✔️Ans -self-perception/self-concept
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