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Health Assessment Final Nursing, NUR2092 Health Assessment Final Exam Q&A
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Health Assessment Final Nursing, NUR2092 Health Assessment Final Exam Q&A
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Health AssessmentFinal Nursing,
NUR2092 Health
Assessment Final
Exam Q&A
Denning [Date] [Course title]
,The nurse is preparing to conduct a health history. Explain this to the patient. - Answer: Answer- The
purpose of a health history is to provide a database of subjective information about the patient's past
and current health history. You might say to the patient, "I will be asking you questions about your past
and present health." This information will help the provider along with the physical exam (objective
data) to develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses, which of these statements would be
correct? The patient: - Answer: Provided consistent information and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's
best response? - Answer: "Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be the
nurse's appropriate response to the woman's statement? - Answer: "How would you say the pain
affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this
information? - Answer: "Describe what happens (or the reaction) to you when you take Penicillin."
The nurse is taking a family history. Important diseases or problems about which the patient should be
specifically asked include: - Answer: Mental illness.
The review of systems provides the nurse with... - Answer: Information regarding health promotion
practices, the information helps to evaluate the past and present health state of each body system, to
obtain any data that may have been omitted in the section about present illness, and to evaluate health
promotion and teaching opportunities.
Which of these statements represents subjective data the nurse obtained from the patient regarding the
patient's skin? - Answer: Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and is concerned about health
promotion activities. Which of these questions would be appropriate to use to assess health promotion
activities for this patient? - Answer: "Do you perform testicular self-examinations?"
,Functional Assessment-- What information would you ask if the patient's leg was in a cast? - Answer: A
functional assessment includes the activities of daily living and the person's ability to take care of their
needs. This area will help to formulate a nursing diagnosis. This could be present to the patient in a
standardized form and will include data on the lifestyle and type of living environment. (Page 57) self-
esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources,
spiritual resources, coping and stress management, personal habits, environmental hazards, violence
questions, and occupational health questions. If a patient had a cast on their leg, appropriate questions
would include how they transfer to bed, another chair, bathing technique, coping with the situation,
support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason
why? - Answer: Alcohol can interact with all medications and make some diseases worse.
Describe a genogram. - Answer: Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family. Usually 3 generations- parents, grandparents, siblings. Also
highlight the health of close family members and more details such as communicable disease,
environmental hazards (smoke), tobacco use, and alcohol use. Any additional information includes the
family history.
The nurse is obtaining health history on an 87-year-old woman. Which of the following areas of
questioning would be most useful at this time? - Answer: Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the names of the medication he is taking
or why he is taking them. An appropriate response from the nurse would be.. - Answer: Would you have
a family member bring in your medications please?
The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke.
Which of these questions would be most important to ask? - Answer: "Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these statements reflects a description of
the setting of his symptoms? - Answer: "This pain happens every time I sit down to use the computer."
In performing a breast examination, the nurse knows that examining the upper outer quadrant of the
breast is especially important. The reason why is... - Answer: This is the location for most breast tumors.
, In performing an assessment of a woman's elixir lymph system, the nurse should assess which of these
nodes? - Answer: Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into the axillary nodes. There
are groups of axillary nodes central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much". She states it
must be from a lack of exercise. What explanation should the nurse offer her? After menopause: -
Answer: The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in
sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which of
the following describes the nurse's best course of action? - Answer: Explain that this is the result of
hormonal changes (testosterone) and recommend a visit to their provider.
During a breast health interview, a patient states that she has noticed pain in her left breast. The nurse's
most appropriate response to this would be: - Answer: To seek more specific information about the
pain, such as: When did you first notice it? Is the pain localized or all over? Is it painful to touch? Is the
pain in relation to your menstrual cycle? Is the pain associated with activity or exercise?
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on her
breast for approximately 2 weeks. In trying to find the cause of the rash, which questions would be
important for the nurse to ask? - Answer: Where did the rash first appear- on the nipple, areola, or the
surrounding skin? When did you first notice this?
During an annual physical examination, a 43-year-old patient states that she does not perform monthly
breast self-examinations (BSEs). She tells the nurse that she believes that mammograms "do a much
better job than I ever could to find a lump." The nurse should explain to her that: - Answer: Breast self-
exams may detect lumps that appear between mammograms
List risk factors for breast cancer - Answer: History of breast cancer - family history—first-degree
relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited mutation)
Age
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