NUR 2092 HEALTH ASSESSMENT LEARNING
WORKBOOK 2026 HEAD TO TOE AND
SYSTEMS BASED ASSESSMENT SKILLS
◉ 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
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.
◉ 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.
WORKBOOK 2026 HEAD TO TOE AND
SYSTEMS BASED ASSESSMENT SKILLS
◉ 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
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.
◉ 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.
