Intro to Health Assessment 3.0 Test
A nurse is performing a preadmission assessment on a client and employs the use of
nonverbal and verbal communication. Which of the following actions demonstrates the
use of a nonverbal communication technique by the nurse? - answer Maintaining an
arm's length between self and client
A nurse is caring for a client who is crying and appears upset after receiving news that
they will need to have a surgical procedure. Which of the following actions should the
nurse take to display empathy towards the client? - answerShow interest in the client's
feelings by acknowledging that they are upset.
A nurse is preparing to perform palpation on a client during a physical assessment.
Which of the following findings is the nurse assessing during palpation? - answerSkin
temperature, moisture, or unexpected findings
A nurse has just received report on a newly admitted client who speaks a different
language than the nurse. Which of the following actions should the nurse take to assist
with effective communication with the client during the initial assessment process? -
answerRequest assistance from an interpreter during the assessment.
FLAG
A nurse has performed preoperative care on a client and is transferring the client to the
surgical holding area when the client states, "I have changed my mind. I do not want to
have this surgery." Which of the following ethical principles is the client using? -
answerAutonomy
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process should
the nurse perform first? - answerAssessment
A nurse is preparing to assess a newly admitted client. Which of the following pieces of
equipment does the nurse need to begin the inspection part of the physical
examination? (Select all that apply.) - answerTape measure
Tongue depressor
Penlight
A nurse is assisting a client with ambulating around the nurses' station. Which of the
following steps of the nursing process is the nurse performing? - answerImplementation
A nurse is performing a preadmission assessment on a client and employs the use of
nonverbal and verbal communication. Which of the following actions demonstrates the
use of a nonverbal communication technique by the nurse? - answer Maintaining an
arm's length between self and client
A nurse is caring for a client who is crying and appears upset after receiving news that
they will need to have a surgical procedure. Which of the following actions should the
nurse take to display empathy towards the client? - answerShow interest in the client's
feelings by acknowledging that they are upset.
A nurse is preparing to perform palpation on a client during a physical assessment.
Which of the following findings is the nurse assessing during palpation? - answerSkin
temperature, moisture, or unexpected findings
A nurse has just received report on a newly admitted client who speaks a different
language than the nurse. Which of the following actions should the nurse take to assist
with effective communication with the client during the initial assessment process? -
answerRequest assistance from an interpreter during the assessment.
FLAG
A nurse has performed preoperative care on a client and is transferring the client to the
surgical holding area when the client states, "I have changed my mind. I do not want to
have this surgery." Which of the following ethical principles is the client using? -
answerAutonomy
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process should
the nurse perform first? - answerAssessment
A nurse is preparing to assess a newly admitted client. Which of the following pieces of
equipment does the nurse need to begin the inspection part of the physical
examination? (Select all that apply.) - answerTape measure
Tongue depressor
Penlight
A nurse is assisting a client with ambulating around the nurses' station. Which of the
following steps of the nursing process is the nurse performing? - answerImplementation
