Health Assessment Exam {357 QUESTIONS AND ANSWERS}test bank questions and answers 100% verified
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Course
Health Assessment
Institution
Health Assessment
Health Assessment Exam {357 QUESTIONS AND
ANSWERS}test bank questions and answers 100% verified
Which scale is used to weight infants? - CORRECT ANSWER Platform
Which behavioral finding would alert the nurse to possible older-adult abuse? -
CORRECT ANSWER Physical and/or cognitive impairment
...
Health Assessment Exam {357 QUESTIONS AND
ANSWERS}test bank questions and answers 100% verified
Which scale is used to weight infants? - CORRECT ANSWER Platform
Which behavioral finding would alert the nurse to possible older-adult abuse? -
CORRECT ANSWER Physical and/or cognitive impairment
While assessing a victim of intimate partner violence, which common physical
indicator with the nurse anticipate?
Overmedicated
Undermedicated
Human bite marks
Pain while urinating - CORRECT ANSWER Human bite marks
Which physical assessment technique involves the use of a stethoscope? -
CORRECT ANSWER Auscultation
Which patient position promotes relaxation of abdominal muscles during a
physical examination? - CORRECT ANSWER Dorsal Recumbent
Which action made by a nurse during psychological preparation of a patient
before physical examination can limit the patient's communication ability? -
CORRECT ANSWER Exhibiting a quiet, formal behavior
Which position is preferred for performing a rectal examination on a patient? -
CORRECT ANSWER Sims'
Which action during palpation made by the new nurse would require correction by
the charge nurse?
Palpates tender areas first
Encourages the patient to take slow, deep breath's
Ask a patient to point to more sensitive areas
Warms hands before touching patient - CORRECT ANSWER Palpates tender areas
first
,Which information would the nurse include in a teaching session to new orienting
nurses about keeping a physical examination well organized? - CORRECT ANSWER
Carry out painful procedures of the end of the examination
Which criterion is being measured by the nurse is the Palmer surface of his or her
fingers (Finger pads) to palpate the skin? - CORRECT ANSWER Tenderness
Statement made by the nurse indicating a correct understanding of physical
examination positioning? - CORRECT ANSWER " while assessing a patient's heart,
I'll ask the patient to assume the lateral recumbent position "
The nurse would further assess for which condition when a patient's breath has a
sweet and fruity odor? - CORRECT ANSWER Diabetic acidosis
When the patient's urine smells of ammonia, which condition with the nurse
assess for? - CORRECT ANSWER Renal failure and urinary tract infection
Which information with the nurse she was a young mother to help her quickly
evaluate whether her child has a fever? - CORRECT ANSWER Place the back of
the hand against the child's forehead
Which scale would be used to weigh in obese patient who had extensive surgery
and is nonweightbearing for 24 hours? - CORRECT ANSWER Bed and chair
Which behavioral finding in children indicates possible abuse? - CORRECT
ANSWER Regressed behavior
the air passage extending from the throat and larynx to the main bronchi -
CORRECT ANSWER TRACHEA
the nurse is planning to assess an adult client's thyroid gland. the nurse should
plan to - CORRECT ANSWER APPROACH THE CLIENT POSTERIORLY
The nurse is preparing to assess the lymph nodes of an adult client. The nurse
should instruct the client to - CORRECT ANSWER SIT IN AN UPRIGHT POSITION
while assessing an older adult client's neck, the nurse observe that the client's
trachea is pulled to the left side. the nurse should: - CORRECT ANSWER REFER
THE CLIENT TO A PHYSICIAN FOR FURTHER EVALUATION
The nurse is preparing to assess the neck of an adult client. To inspect
movement of the client's thyroid gland, the nurse should ask the client to -
CORRECT ANSWER SWALLOW A SMALL SIP OF WATER
,while assessing the head and neck of an adult client, the client tells the nurse
that she has been experiencing sharp shooting facial pains that last fom 10 to 20
seconds but are occurring morefrequently. the nurse should refer the client for
possible - CORRECT ANSWER TRIGEMINAL NEURALGIA
a female client visits the clinic and tells the nurse that she frequently
experiences severe recurring headaches that sometimes last for several days
and are accompanied by nausea and vomiting. the nurse determines that the type
of head ache the client is describingis a - CORRECT ANSWER MIGRAINE
HEADACHE
an adult client visits the clinic and tells the nurse that she has had headaches
recently that are intense and stabbing and often occur in the late evening. the
nurse should suspect the presence of - CORRECT ANSWER TUMOR-RELATED
HEADACHE
the cranial nerve responsible for the contraction of the trapezius an
sternocleidomastoid muscles - CORRECT ANSWER CN XI
characterized by enlargement of the facial features (nose,ears) and the hands
and the feet - CORRECT ANSWER ACROMEGALY
stabbing pain; may be accompanied by tearing, eyelid drooping, reddened eye or
runny nose - CORRECT ANSWER CLUSTER HEADACHE
to inspect the clients cervical vertebrae, ask the client to - CORRECT ANSWER
flex the neck
how to palpate the trachea - CORRECT ANSWER Place your finger in the
sternal notch. Feel each
side of the notch and
palpate the tracheal rings
Recognize the signs of stroke - CORRECT ANSWER Face drooping
Arm weakness
Speech difficulties
, Time to call: Time loss is brain loss
may present with a moon
shaped face with reddened cheeks and
increased facial hair. - CORRECT ANSWER cushing syndrome
The nurse is assessing the patient for possible appendicitis. She is correct to
perform _________ to indicate a positive Psoas sign - CORRECT ANSWER Raising
the right leg from hip
the sigmoid colon is located in this area of the abdomen - CORRECT ANSWER left
lower quadrant
To palpate for tenderness of an adult client's appendix, the nurse should begin
the abdominal assessment at the client's - CORRECT ANSWER Right lower
quadrant
during the physical examination of an adult client, the nurse is preparing to
auscultate the client's abdomen. the nurse should do - CORRECT ANSWER use
the diaphragm of the stethoscope
it is a condition wherein the bowels protrude in the abdominal wall - CORRECT
ANSWER Hernia
the nurse is planning to assess the abdomen of an adult male client. Before the
nurse begins the assessment, the nurse should - CORRECT ANSWER ask the
client to empty his bladder
sounds added or superimposed over normal breath sounds and heard during
auscultation - CORRECT ANSWER Adventitious sounds
how to assess the chest expansion - CORRECT ANSWER Place your hands on the
posterior chest wall with your thumbs at the level of T9 or T10 and pressing
together a small skin fold. As the client takes a deep breath, observe the
movement of your thumbs
How to palpate for fremitus - CORRECT ANSWER use the ball or ulnar edge of one
hand to assess for fremitus (vibrations of air in the bronchial tubes transmitted to
the chest wall). As you move your hand to each area, ask the client to say
"ninety-nine." Assess all areas for
symmetry and intensity of vibration.
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