health assessment exam 1 practice 2024 questions w
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Health Assessment exam 1 practice
questions
A 1 month old infant has a head measurement of 34 cm and has a chest
circumference of 32 cm. Based on the interpretation of these findings, the
nurse would:
a. refer the infant to a physician for further evaluation
b. Consider these findings normal for a 1 month old infant
c. expect the chest circumference to be greater than the head circumference
✅✅
d. ask the parent to return in 2 weeks to reevaluate the head and chest
circumferences - -b. consider these findings normal for a 1 month old
infant
A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and
weight loss. The nurse determines that many of her complaints may be related
to erratic eating patterns, eating predominantly fast foods, and high caffeine
intake. In this situation, which is most appropriate when collecting current
dietary intake information?
a.
Scheduling a time for direct observation of the adolescent during meals
b.
Asking the patient for a 24-hour diet recall, and assuming it to be reflective of a
typical day for her
c.
Having the patient complete a food diary for 3 days, including 2 weekdays and
1 weekend day
d.
✅✅
Using the food frequency questionnaire to identify the amount of intake of
specific foods - -c.
Having the patient complete a food diary for 3 days, including 2 weekdays and
1 weekend day
A 2-year-old child has been brought to the clinic for a well-child checkup. The
best way for the nurse to begin the assessment is to:
a.
Ask the parent to place the child on the examining table.
b.
Have the parent remove all of the childs clothing before the examination.
c.
Allow the child to keep a security object such as a toy or blanket during the
examination.
d.
, ✅✅
Initially focus the interactions on the child, essentially ignoring the parent until
the childs trust has been obtained. - -c.
Allow the child to keep a security object such as a toy or blanket during the
examination.
A 21-year-old woman has been on a low-protein liquid diet for the past 2
months. She has had adequate intake of calories and appears well nourished.
After further assessment, what would the nurse expect to find?
a.
Poor skin turgor
b.
Decreased serum albumin
c.
Increased lymphocyte count
✅✅
d.
Triceps skinfold less than standard - -b.
Decreased serum albumin
A 29 year old woman tells the nurse that she has excruciating pain in her back.
Which would be the nurses appropriate response to the woman statement?
a. how does your family react to your pain
b. the pain must be terrible. you probably pinched a nerve
c. I've had back pain myself, and it can be excruciating
✅✅
d. how would you say the pain affects your ability to do your daily activities -
-d. how would you say the pain affects your ability to do your daily
activities
A 30-year-old woman has recently moved to the United States with her
husband. They are living with the womans sister until they can get a home of
their own. When company arrives to visit with the womans sister, the woman
feels suddenly shy and retreats to the back bedroom to hide until the company
leaves. She explains that her reaction to guests is simply because she does
not know how to speak perfect English. This woman could be experiencing:
a.
Culture shock.
b.
Cultural taboos.
c.
Cultural unfamiliarity.
✅✅
d.
Culture disorientation. - -a.
Culture shock.
,A 4 year old boy is brought to the emergency department by his mother. She
says he points to his stomach and says, it hurts so bad. Which pain
assessment tool would be the best choice when assessing this child's pain?
a. descriptor scale
b. Numeric rating scale
✅✅
c. Brief pain inventory
d. faces pain scale revised - -d. faces pain scale revised
A 4-month-old child is at the clinic for a well-baby check-up and
immunizations. Which of these actions is most appropriate when the nurse is
assessing an infants vital signs?
a.
The infants radial pulse should be palpated, and the nurse should notice any
fluctuations resulting from activity or exercise.
b.
The nurse should auscultate an apical rate for 1 minute and then assess for
any normal irregularities, such as sinus arrhythmia.
c.
The infants blood pressure should be assessed by using a stethoscope with a
large diaphragm piece to hear the soft muffled Korotkoff sounds.
d.
✅✅
The infants chest should be observed and the respiratory rate counted for 1
minute; the respiratory pattern may vary significantly. - -b.
The nurse should auscultate an apical rate for 1 minute and then assess for
any normal irregularities, such as sinus arrhythmia.
A 42-year-old patient of Asian descent is being seen at the clinic for an initial
examination. The nurse knows that including cultural information in his health
assessment is important to:
a.
Identify the cause of his illness.
b.
Make accurate disease diagnoses.
c.
Provide cultural health rights for the individual.
✅✅
d.
Provide culturally sensitive and appropriate care. - -d.
Provide culturally sensitive and appropriate care.
A 5-year-old boy is being admitted to the hospital to have his tonsils removed.
Which information should the nurse collect before this procedure?
a.
Childs birth weight
b.
, Age at which he crawled
c.
Whether the child has had the measles
✅✅-d.
d.
Childs reactions to previous hospitalizations -
Childs reactions to previous hospitalizations
A 50-year-old patient has been brought to the emergency department after a
housemate found that the patient could not get out of bed alone. He has lived
in a group home for years but for several months has not participated in the
activities and has stayed in his room. The nurse assesses for signs of
undernutrition, and an x-ray study reveals that he has osteomalacia, which is a
deficiency of:
a.
Iron.
b.
Riboflavin.
c.
Vitamin D and calcium.
✅✅
d.
Vitamin C. - -c.
Vitamin D and calcium.
A 50-year-old woman with elevated total cholesterol and triglyceride levels is
visiting the clinic to find out about her laboratory results. What would be
important for the nurse to include in patient teaching in relation to these tests?
a.
The risks of undernutrition should be included.
b.
Offer methods to reduce the stress in her life.
c.
Provide information regarding a diet low in saturated fat.
✅✅
d.
This condition is hereditary; she can do nothing to change the levels. - -c.
Provide information regarding a diet low in saturated fat.
A 59 year old patient tells the nurse that he has ulcerative colitis. He has been
having black stools for the last 24 hours. How would the nurse best document
his reason for seeking care?
a. J.m is a 59 year old man seeking treatment for ulcerative colitis
b. j.m came into the clinic complaining of having black stools for the past 24
hours
c. j.m is a 59 year old man who states that he has ulcerative colitis and wants it
checked
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