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Nursing assessment Exam questions with Marking Scheme

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The purpose of bed bathing is to promote relaxation and sleep as well as to reduce body temperature. a) True b) False 2. Type of Assessment where you need to use your sight and smell to check specific body areas for normal color, shape, and consistency. a) Inspection b) Auscultation c...

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  • October 22, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
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  • nursing assessment exam questions with marking sc

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Name
Nursing assessment Exam questions with
Marking Scheme
Class
Total questions: 101
Worksheet time: 1hrs 7mins
Date




1. The purpose of bed bathing is to promote relaxation and sleep as well as to reduce body temperature.

a) True b) False


2. Type of Assessment where you need to use your sight and smell to check specific body areas for
normal color, shape, and consistency.

a) Inspection b) Auscultation

c) Palpation d) Percussion


3. Medical equipment needed to assess the eyes of the patient.

a) Gloves b) Stethoscope

c) Penlight d) Tongue depressor


4. This is a position where patients with difficulty of breathing are often placed as it allows maximum chest
expansion.

a) Low fowlers position b) Orthopneic position

c) Reverse Trendelenburg d) Lithotomy position


5. To correctly and comfortably position the patient in lateral position, support pillows are not needed.

a) False b) True


6. The most accurate and useful method to measure body temperature is

a) Oral b) Temporal

c) Axillary d) Rectal

,7. The health care worker responsible for taking vital signs is the

a) Charge nurse b) Housekeeping

c) Physician d) Nursing assistant


8. Blood pressure us usually measured over the

a) Carotid artery b) Temporal artery

c) Radial artery d) Brachial artery


9. The blood pressure cuff should be applied

a) Four centimeters above the elbow b) Two inches above the elbow

c) One inch above the elbow d) Three inches above the elbow


10. Secondary vital signs includes

a) Level of consciousness and pain b) Level of consciousness, pain, blood glucose
monitoring

c) Level of consciousnes d) Level of consciousness, pain, blood glucose,
pupillary assessment


11. The primary responsibility of a nursing assistant includes

a) Performing surgeries b) Diagnosing conditions

c) Taking vital signs d) Administering medications


12. Which of the following is a common method for assessing a patient's pulse?

a) Inspection b) Auscultation

c) Palpation d) Percussion


13. The correct way to measure a patient's respiratory rate is to

a) Use a stethoscope to listen to the lungs b) Count the number of breaths for 30 seconds
and multiply by 2

c) Count the number of breaths for 1 minute d) Count the number of breaths for 15 seconds
and multiply by 4

, 14. A nurse completes the following steps during her shift of care. Which are the steps of nursing
assessment? (Select all that apply.)

a) The review of patient data in the medical b) Analyzing a set of signs revealing lower leg
record weakness and unsteady gait with a pattern of
mobility alteration

c) Conducting an interview of a family caregiver d) Confirming a patient’s self-report of abdominal
pain by inspecting the abdomen

e) Reporting results of an ongoing assessment to
a nurse working the next scheduled shift


15. Match the assessment activity on the top with the type of assessment on the bottom


1. Assessment conducted at beginning of a nurse’s shift
2. Review of a patient’s chief complaint
3. Completion of admitting history at time of patient admission to a hospital
4. Completion of the Long Term Care Minimum Data Set during an elderly patient admission to a
nursing home


A. Problem focused
B. Comprehensive

Ans.


16. A nurse initiates a brief interview with a patient who has come to the medical clinic because of self-
reported hoarseness, sore throat, and chest congestion. The nurse observes that the patient has a
slumped posture and is using intercostal muscles to breathe. The nurse auscultates the patient’s lungs
and hears crackles in the left lower lobe. The patient’s respiratory rate is 20 per minute compared with
an average of 16 per minute during previous clinic visits. The patient tells the nurse, “It is hard for me
to get a breath.” Which of the following data sets are examples of subjective data? (Select all that
apply.)

a) Heart rate of 20 per minute and chest b) Patient report of sore throat and hoarseness
congestion

c) Slumped posture and previous respiratory rate d) Patient statement, “It’s hard for me to get a
of 16 per minute breath”

e) Lung sounds revealing crackles and use of
intercostal muscles to breathe

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