Test Bank for Health Assessment
for Nursing Practice Questions
with Correct Answers
1. Which patients are contraindicated for rectal temperature readings -
ANSWER Patients with increased HR
2. Preferred method of taking infants and small children's temperatures -
ANSWER Rectal
3. Pulse deficit - ANSWER - Difference between apical peripheral pulse
4. Pulse amplitude scale - ANSWER 0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
5. Which pulses are assessed during a routine physical assessment? -
ANSWER a) Apical
b) Radial
c) Dorsalis pedis
d) Posterior tibialis
6. Normal heart rate in resting adult - ANSWER 60 to 100 bpm
,7. Well trained athletes heart rate - ANSWER Heart rate less than 60 bpm
8. When is it normal for someone to have a rapid heart rate over 100 bpm -
ANSWER Someone with anxiety and right after exercise
9. Eupnea - ANSWER Normal RR, rhythm and depth
10.Normal SPO2 value - ANSWER 95-100%
11.What level is poor oxygenation - ANSWER below 90%
12.Systolic BP - ANSWER Maximum pressure on the artery during ventricular
contraction
13.Diastolic BP - ANSWER Resting pressure during ventricular filling
14.Pulse pressure - ANSWER Difference between systolic and diastolic
15.Stroke volume - ANSWER Amount of blood ejected with each beat
16.How does age affect BP - ANSWER BP increases with age
17.What BP is pre hypertensive? - ANSWER Sustained BP over 120/80
,18.What extremities should you avoid taking a BP in - ANSWER Extremities
with IV lines, invasive lines, history of mastectomy/lymph node issues
19.Orthostatic hypertension - ANSWER - Decreased BP with change in
position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
20.Precautions in someone with orthostatic hypertension - ANSWER - change
positions slowly
- falls risk
- assist back to bed if symptomatic
21.Gallbladder referred pain - ANSWER The shoulder
22.Kidney referred pain - ANSWER The lower back
23.Acute pain - ANSWER - Less than 6 mos
24.Chronic pain - ANSWER - pain lasting longer than 6 months
- Hard to treat
, 25.Elderly and pain - ANSWER - No evidence exists to suggest that older
individuals perceive pain to a lesser degree or that sensitivity is diminished
26.Infants and pain - ANSWER - Do not have adequate number of inhibitory
neurotransmitters, so thought to be more sensitive to pain (premies > full-
term)
27.What is most reliable indicator of pain - ANSWER Subjective report
28.Pain rating scale - ANSWER - scale 0 to 10
- Pain rating scales can indicate a baseline intensity, track changes, and
give some degree of evaluation to a treatment modality
- Reflect pain intensity
- Older adults may prefer the descriptor scale that asks patients to
indicate their pain by using selected pain term words
29.Verbal descriptor scales - ANSWER have the patient use words to describe
pain
30.Visual analog scales - ANSWER have the patient mark the intensity of the
pain on a horizontal line from "no pain" to "worst pain"
31.Should pain be discounted when objective, physical evidence is not found -
ANSWER NO
32.Epidermis - ANSWER - Protection
- Avascular
- Contains Keratin
- Top layer of the skin
for Nursing Practice Questions
with Correct Answers
1. Which patients are contraindicated for rectal temperature readings -
ANSWER Patients with increased HR
2. Preferred method of taking infants and small children's temperatures -
ANSWER Rectal
3. Pulse deficit - ANSWER - Difference between apical peripheral pulse
4. Pulse amplitude scale - ANSWER 0 = no pulse
1 = diminished, weak
2 = normal and expected
3 = full or strong
4 = bounding
5. Which pulses are assessed during a routine physical assessment? -
ANSWER a) Apical
b) Radial
c) Dorsalis pedis
d) Posterior tibialis
6. Normal heart rate in resting adult - ANSWER 60 to 100 bpm
,7. Well trained athletes heart rate - ANSWER Heart rate less than 60 bpm
8. When is it normal for someone to have a rapid heart rate over 100 bpm -
ANSWER Someone with anxiety and right after exercise
9. Eupnea - ANSWER Normal RR, rhythm and depth
10.Normal SPO2 value - ANSWER 95-100%
11.What level is poor oxygenation - ANSWER below 90%
12.Systolic BP - ANSWER Maximum pressure on the artery during ventricular
contraction
13.Diastolic BP - ANSWER Resting pressure during ventricular filling
14.Pulse pressure - ANSWER Difference between systolic and diastolic
15.Stroke volume - ANSWER Amount of blood ejected with each beat
16.How does age affect BP - ANSWER BP increases with age
17.What BP is pre hypertensive? - ANSWER Sustained BP over 120/80
,18.What extremities should you avoid taking a BP in - ANSWER Extremities
with IV lines, invasive lines, history of mastectomy/lymph node issues
19.Orthostatic hypertension - ANSWER - Decreased BP with change in
position
- Drop in SBP of 25 mmHg or DBP of 10 mmHG
- Symptoms
1) Dizziness
2) Weakness
3) Blurred vision
4) Syncope
5) Changes in BP/HR
- Causes
1) Hypovolemia
2) Impaired vasoconstriction
3) Medications
20.Precautions in someone with orthostatic hypertension - ANSWER - change
positions slowly
- falls risk
- assist back to bed if symptomatic
21.Gallbladder referred pain - ANSWER The shoulder
22.Kidney referred pain - ANSWER The lower back
23.Acute pain - ANSWER - Less than 6 mos
24.Chronic pain - ANSWER - pain lasting longer than 6 months
- Hard to treat
, 25.Elderly and pain - ANSWER - No evidence exists to suggest that older
individuals perceive pain to a lesser degree or that sensitivity is diminished
26.Infants and pain - ANSWER - Do not have adequate number of inhibitory
neurotransmitters, so thought to be more sensitive to pain (premies > full-
term)
27.What is most reliable indicator of pain - ANSWER Subjective report
28.Pain rating scale - ANSWER - scale 0 to 10
- Pain rating scales can indicate a baseline intensity, track changes, and
give some degree of evaluation to a treatment modality
- Reflect pain intensity
- Older adults may prefer the descriptor scale that asks patients to
indicate their pain by using selected pain term words
29.Verbal descriptor scales - ANSWER have the patient use words to describe
pain
30.Visual analog scales - ANSWER have the patient mark the intensity of the
pain on a horizontal line from "no pain" to "worst pain"
31.Should pain be discounted when objective, physical evidence is not found -
ANSWER NO
32.Epidermis - ANSWER - Protection
- Avascular
- Contains Keratin
- Top layer of the skin
