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Health Assessment Exam Pack Questions & Correct Answers/ Graded A+
Health Assessment Exam Pack Questions & Correct Answers/ Graded A+
[Show more]Health Assessment Exam Pack Questions & Correct Answers/ Graded A+
[Show more]what are the 6 steps of the nursing process? 
: 1. assessment 
2. diagnosis 
3. outcome identification 
4. planning 
5. implementation 
6. evaluation 
what is the standards of practice of nursing? 
: the nursing process 
what is assessment? 
: *collecting data 
2 
*using evidence based techniques...
Preview 4 out of 50 pages
Add to cartwhat are the 6 steps of the nursing process? 
: 1. assessment 
2. diagnosis 
3. outcome identification 
4. planning 
5. implementation 
6. evaluation 
what is the standards of practice of nursing? 
: the nursing process 
what is assessment? 
: *collecting data 
2 
*using evidence based techniques...
The ability to recognize a number or letter drawn on the palm with a blunt instrument is 
: graphesthesia 
Parathesia is defined as 
: abnormal sensation 
Bimanual palpation during the breast exam is 
: recommended for examination of large breasts 
Presbyopia refers to 
: far-sightedness 
2 
Inspect...
Preview 4 out of 38 pages
Add to cartThe ability to recognize a number or letter drawn on the palm with a blunt instrument is 
: graphesthesia 
Parathesia is defined as 
: abnormal sensation 
Bimanual palpation during the breast exam is 
: recommended for examination of large breasts 
Presbyopia refers to 
: far-sightedness 
2 
Inspect...
What are the different parts of The Nursing Process? 
: Assessment, Diagnosis/Analysis, Planning, Implementation, and Evaluation 
What happens in the "Assessment" portion of The Nursing Process? (This is the first step) 
: Nurse collects data, and health assessment data is characterized as either ...
Preview 4 out of 89 pages
Add to cartWhat are the different parts of The Nursing Process? 
: Assessment, Diagnosis/Analysis, Planning, Implementation, and Evaluation 
What happens in the "Assessment" portion of The Nursing Process? (This is the first step) 
: Nurse collects data, and health assessment data is characterized as either ...
XI Spinal Accessory 
: - shoulder movement 
- head rotation 
tests 
* head/neck rotation against resistance 
* shrug shoulder against resistance 
IX Glossopharyngeal 
: -sensations from throat, taste 
- swallowing 
* listen to voice quality, volume, characteristics, articulation of words 
X Vagus 
:...
Preview 3 out of 27 pages
Add to cartXI Spinal Accessory 
: - shoulder movement 
- head rotation 
tests 
* head/neck rotation against resistance 
* shrug shoulder against resistance 
IX Glossopharyngeal 
: -sensations from throat, taste 
- swallowing 
* listen to voice quality, volume, characteristics, articulation of words 
X Vagus 
:...
An elderly patient is admitted to the hospital. While performing a skin assessment, the nurse 
discovers bruises in various stages of healing all over the patient's body. Why is it important for the 
nurse to promptly document and report these findings? 
a.The patient may have been abused. 
b.The...
Preview 3 out of 21 pages
Add to cartAn elderly patient is admitted to the hospital. While performing a skin assessment, the nurse 
discovers bruises in various stages of healing all over the patient's body. Why is it important for the 
nurse to promptly document and report these findings? 
a.The patient may have been abused. 
b.The...
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and 
feet but it doesnt have an odor. The nurse knows that this condition could be related to: 
a. 
Eccrine glands. 
b. 
Apocrine glands. 
c. 
Disorder of the stratum corneum. 
d. 
Disorder of the stratu...
Preview 3 out of 28 pages
Add to cartThe nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and 
feet but it doesnt have an odor. The nurse knows that this condition could be related to: 
a. 
Eccrine glands. 
b. 
Apocrine glands. 
c. 
Disorder of the stratum corneum. 
d. 
Disorder of the stratu...
A nurse is introducing herself to a client as the first step of a comprehensive physical examination. 
Which of the following strategies should the nurse use with this client? (select all that apply) 
A. Address the client with the appropriate title and her last name. 
B. Use a mix of open- and clo...
Preview 3 out of 24 pages
Add to cartA nurse is introducing herself to a client as the first step of a comprehensive physical examination. 
Which of the following strategies should the nurse use with this client? (select all that apply) 
A. Address the client with the appropriate title and her last name. 
B. Use a mix of open- and clo...
A physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to 
reevaluate the area in 1 hour. The area of the body the nurse will assess is: 
a. Just above the diaphragm. 
b. Just lateral to the knee cap. 
c. At the level of the C7 vertebra. 
d. At the level of the ...
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Add to cartA physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to 
reevaluate the area in 1 hour. The area of the body the nurse will assess is: 
a. Just above the diaphragm. 
b. Just lateral to the knee cap. 
c. At the level of the C7 vertebra. 
d. At the level of the ...
During an interview, the nurse states, "You mentioned having shortness of breath. Tell me more 
about that." Which verbal skill is used with this statement? 
a.Reflection 
b.Facilitation 
c.Direct question 
d.Open-ended question 
: Answer: D 
The open-ended question asks for narrative information...
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Add to cartDuring an interview, the nurse states, "You mentioned having shortness of breath. Tell me more 
about that." Which verbal skill is used with this statement? 
a.Reflection 
b.Facilitation 
c.Direct question 
d.Open-ended question 
: Answer: D 
The open-ended question asks for narrative information...
. After completing an initial assessment of a patient, the nurse has charted that his respirations are 
eupneic and his pulse is 58 beats per minute. These types of data would be: 
A. objective 
B. reflective 
C. subjective 
D. Introspective 
: A 
A patient tells the nurse that he is very nervous,...
Preview 4 out of 34 pages
Add to cart. After completing an initial assessment of a patient, the nurse has charted that his respirations are 
eupneic and his pulse is 58 beats per minute. These types of data would be: 
A. objective 
B. reflective 
C. subjective 
D. Introspective 
: A 
A patient tells the nurse that he is very nervous,...
A palpable vibration increased with lobar pneumonia is also known as: 
A. Rhonchi 
B. Resonance 
C. Fremitus 
D. Crackles 
: C. Fremitus (key term is "palpable" 
Your patient is exhibiting rapid shallow breathing, with a respiratory rate >24 respirations per 
minute. Which of the following con...
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Add to cartA palpable vibration increased with lobar pneumonia is also known as: 
A. Rhonchi 
B. Resonance 
C. Fremitus 
D. Crackles 
: C. Fremitus (key term is "palpable" 
Your patient is exhibiting rapid shallow breathing, with a respiratory rate >24 respirations per 
minute. Which of the following con...
How do nurses assess a patient's pain? 
a. By assessing physiologic changes of the patient 
b. By understanding the sensory experience related to the amount of tissue damage 
c. By the patient's medical diagnosis or surgical procedure 
d. By asking the patient to rate the pain being experienced 
:...
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Add to cartHow do nurses assess a patient's pain? 
a. By assessing physiologic changes of the patient 
b. By understanding the sensory experience related to the amount of tissue damage 
c. By the patient's medical diagnosis or surgical procedure 
d. By asking the patient to rate the pain being experienced 
:...
An example of objective data is: 
a complaint of left knee pain. 
crepitation in the left knee joint. 
left knee has been swollen and hot for the past 3 days. 
a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and 
pain on passive range of motion. 
: ...
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Add to cartAn example of objective data is: 
a complaint of left knee pain. 
crepitation in the left knee joint. 
left knee has been swollen and hot for the past 3 days. 
a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and 
pain on passive range of motion. 
: ...
The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of 
the lungs. Which finding should be expected for this client? 
: Barrel chest 
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in 
the right upper qua...
Preview 3 out of 20 pages
Add to cartThe nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of 
the lungs. Which finding should be expected for this client? 
: Barrel chest 
The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in 
the right upper qua...
In which age group are milia an expected finding? 
A. Newborns 
B. Young children 
C. Adolescents 
D. Older adults 
: A 
On palpation of an older individual's skin, you observe "tenting." Which of the following would be 
most appropriate for you to do in regard to this condition? 
A. Have the in...
Preview 3 out of 25 pages
Add to cartIn which age group are milia an expected finding? 
A. Newborns 
B. Young children 
C. Adolescents 
D. Older adults 
: A 
On palpation of an older individual's skin, you observe "tenting." Which of the following would be 
most appropriate for you to do in regard to this condition? 
A. Have the in...
List five general principles of documentation that are based on CMS guidelines. 
: a. The medical record should be complete and legible. 
b. The documentation of each patient encounter should include the following: 
• Reason for the encounter and relevant history, physical examination findings, an...
Preview 4 out of 87 pages
Add to cartList five general principles of documentation that are based on CMS guidelines. 
: a. The medical record should be complete and legible. 
b. The documentation of each patient encounter should include the following: 
• Reason for the encounter and relevant history, physical examination findings, an...
Ch 13: 
Kyphosis of the spine is common with aging. To compensate, older adults will: 
A) increase their center of gravity. 
B) extend their heads and jaws forward. 
C) stiffen their gait. 
D) shuffle. 
: B) extend their heads and jaws forward. 
The older adult may show an increased anterior cervic...
Preview 4 out of 45 pages
Add to cartCh 13: 
Kyphosis of the spine is common with aging. To compensate, older adults will: 
A) increase their center of gravity. 
B) extend their heads and jaws forward. 
C) stiffen their gait. 
D) shuffle. 
: B) extend their heads and jaws forward. 
The older adult may show an increased anterior cervic...
A patient is being assessed for range of joint movement. The nurse asks him to move 
his arm in toward the center of his body. This movement is called: 
 ANSWER: adduction 
A patient tells the nurse that she is having a hard time bringing her hand to her mouth 
when she eats or tries to brush her ...
Preview 2 out of 12 pages
Add to cartA patient is being assessed for range of joint movement. The nurse asks him to move 
his arm in toward the center of his body. This movement is called: 
 ANSWER: adduction 
A patient tells the nurse that she is having a hard time bringing her hand to her mouth 
when she eats or tries to brush her ...
SOAP modified format 
 ANSWER: Subjective 
Objective 
Assessment 
Plan 
What color ink should be used when documenting on paper 
 ANSWER: Permanent black ink 
What is the correct order for vital signs 
 ANSWER: T, P, RR, BP, extremity, pt position, SPO2 
What should be at the top of every page of ...
Preview 4 out of 76 pages
Add to cartSOAP modified format 
 ANSWER: Subjective 
Objective 
Assessment 
Plan 
What color ink should be used when documenting on paper 
 ANSWER: Permanent black ink 
What is the correct order for vital signs 
 ANSWER: T, P, RR, BP, extremity, pt position, SPO2 
What should be at the top of every page of ...
1. In an interview, the nurse may find it necessary to take notes to aid his or her 
memory later. Which statement is true regarding note-taking? 
A) Note-taking may impede the nurse's observation of the patient's nonverbal 
behaviors. 
B) Note-taking allows the patient to continue at his or he...
Preview 4 out of 896 pages
Add to cart1. In an interview, the nurse may find it necessary to take notes to aid his or her 
memory later. Which statement is true regarding note-taking? 
A) Note-taking may impede the nurse's observation of the patient's nonverbal 
behaviors. 
B) Note-taking allows the patient to continue at his or he...
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