Exam (elaborations)
HEALTH ASSESSMENT FINAL NURSING NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- Institution
HEALTH ASSESSMENT FINAL NURSING NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
[Show more]
Seller
Follow
Content preview
HEALTH ASSESSMENT FINAL NURSING NUR2092EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
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
Health Assessment Final Nursing NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,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.
Health Assessment Final Nursing NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,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
Health Assessment Final Nursing NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
, 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
During an examination of a woman, the nurse notices that her left breast is slightly larger than
her right breast. Which of these statements is true about this finding? - ANSWER -Asymmetry
isnot unusual, but the nurse should verify that this change is not new
During the physical examination, the nurse notices that a female patient has an inverted left
nipple. Which statement regarding this is most accurate? - ANSWER -Whether the inversion is a
recent change should be determined.
The nurse is performing a breast examination. Which of these statements best describes the
correct procedure to use when screening for nipple and skin retraction during a breast
examination? Have the woman: - ANSWER -Slowly lift her arms above her head, and note any
retraction or lag in movement.
Health Assessment Final Nursing NUR2092 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Lectphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now