NR302 HEALTH ASSESSMENT ACTUAL FINAL EXAM |COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
A nurse enters a patients room stating "I am here to do your admission assessment. This will take
about 30 minutes." Which of the following must be added to cover all aspects of the interview
contract? - (answer)A statement regarding confidentiality and the expectations of each person
You are a nurse conducting an interview with a patient. During the interview process, you will
use several techniques to obtain information from your patient. Active listening is one technique
that you will use. What does active listening not include? - (answer)Taking detailed notes during
the interview
You recently received a new patient and are reviewing the chart. When reading the medical
record, you see the following notation. Patient states "I have had a cold for about a week, and I
am having difficulty breathing." This is an example of - (answer)A reason for seeking care
During the assessment process, you are told your patient has no medical history and is not taking
any medications. However, you have reason to question the reliability of the information
provided. What would be the next step to verify information? - (answer)Rephrase the same
questions later in the interview
While interviewing a new patient, you will conduct a current and past medical history, family
history, review of systems and physical examination to gather data. What is the best description
of review of systems as a part of the health history? - (answer)The evaluation of the past and
present health state of each body system
You will conduct a complete health history and physical assessment for a new patient to
complete the admission process. Which would be included in the database for a new patient
admission to a surgical unit? - (answer)Subjective findings, Objective findings, Data from
patients medical record
,Which is the nurse doing when using the interviewing technique of active listening? -
(answer)Determining the content and feeling of the clients message
You perform the initial assessment on a patient who does not speak english. Based on your
understanding of linguistic competence, which action would present as a barrier to effective
communication? - (answer)Providing the patient with a paper and pencil so they can write down
the answers
A Nurse must conduct a focused interview to complete an admission history. Which interviewing
technique should the nurse use? - (answer)Direct questions
An adult client's vital signs are: oral temperature 99, pulse 88 bpm, respirations 16, bp is 182/100
which of the following vital signs should be a concern? - (answer)Blood pressure
A nurse is collecting data from a client for an admission nursing history. Which question by the
nurse is the best to open the discussion? - (answer)What brought you to the hospital?
A nurse is interviewing a client at the change of a shift. Which client statement reflects subjective
data? Select all that apply. - (answer)My pain feels like a 5, When i lift my head i feel like
vomiting
During a patient visit to an audiologist, the patient complains of left ear pain. Utilizing an
otoscope, which of the following is a normal finding when viewing the tympanic membrane with
the otoscope? - (answer)A glistening pearly gray transparent surface
An older patient is admitted to your medical surgical unit complaining of loss of appetite for two
weeks. During assessment you find significant tenting of the skin over his forearm. Which of the
following explains this finding? - (answer)Loss of adipose tissue and elasticity.
The nurse is planning to use an otoscope to view the tympanic membrane of a 12 month old
infant. Which action should the nurse include when performing the examination? - (answer)Note
,the color of the tympanic membrane, Pull the pinna down and back to properly align the ear
canal, Select the smallest otoscope tip that will allow visualization
The nurse is caring for the client with the pressure ulcer illustrated. Which stage should the nurse
document? - (answer)Stage 3
Which method of examination is being used when the nurse's hands are used to assess the
temperature of a client's skin? - (answer)Palpation
A nurse is assessing the skin of an older client. Which condition is of MOST concern to the
nurse? - (answer)Tenting of the skin
A nurse is assessing the client for possible scabies, which common site should the nurse assess
first?
https://media.discordapp.net/attachments/343978101421637634/988118542585057350/Screen_S
hot_2022-06-19_at_12.30.12_PM.png - (answer)Site D
A nurse in the emergency department is engaging in initial assessment of a client. Which
assessment takes priority? - (answer)Airway clearance
An adult client's vital signs are: temperature 99, pulse 88 regular, respirations 16, blood pressure
182/100 Which of the following vital signs should be a concern? - (answer)Blood pressure
A client with a primary health care provider's prescription for bedrest constantly lies on the right
lateral position. Which bony prominence should the nurse assess as the highest risk for
development of a pressure ulcer?
https://media.discordapp.net/attachments/343978101421637634/988118844323266640/Screen_S
hot_2022-06-19_at_12.31.25_PM.png - (answer)Site B
A nurse is assessing the oxygen status of a dark-skinned client. Where should the nurse assess for
cyanosis in this client? - (answer)Oral mucous membranes
, Which human response identified by the nurse is an example of objective data? Select all that
apply - (answer)Irregular radial pulse of 50 bpm, Temperature of 99f, Bradypnea, Vomiting,
Wheezing on expiration
When conducting an assessment of the skin, hair and nails, you notice the nail bed angle of your
patient is unusual. It does not appear to be the normal 160 angle. Flattening of the angle between
the nail and its base is - (answer)Described as clubbing
You are testing a patient for visual acuity. Visual acuity is assessed with which of the items listed
below? - (answer)Snellen eye chart
A nurse concludes that a client's elevated temperature, pulse and respirations are significant.
Which step of the nursing process is being used when the nurse comes to this conclusion? -
(answer)Analysis
The retinal structures viewed through the ophthalmoscope are: - (answer)optic disc, vessels,
macula, background
"Positive consensual light reflex" means... - (answer)simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - (answer)cataract
Eye emergency - (answer)sudden change in vision
Visual acuity is assessed with: - (answer)Snellen eye chart
The cover test is used to assess for: - (answer)muscle weakness
When using the ophthalmoscope, you would: - (answer)remove your own glasses and approach
the patient's left eye with your left eye
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
A nurse enters a patients room stating "I am here to do your admission assessment. This will take
about 30 minutes." Which of the following must be added to cover all aspects of the interview
contract? - (answer)A statement regarding confidentiality and the expectations of each person
You are a nurse conducting an interview with a patient. During the interview process, you will
use several techniques to obtain information from your patient. Active listening is one technique
that you will use. What does active listening not include? - (answer)Taking detailed notes during
the interview
You recently received a new patient and are reviewing the chart. When reading the medical
record, you see the following notation. Patient states "I have had a cold for about a week, and I
am having difficulty breathing." This is an example of - (answer)A reason for seeking care
During the assessment process, you are told your patient has no medical history and is not taking
any medications. However, you have reason to question the reliability of the information
provided. What would be the next step to verify information? - (answer)Rephrase the same
questions later in the interview
While interviewing a new patient, you will conduct a current and past medical history, family
history, review of systems and physical examination to gather data. What is the best description
of review of systems as a part of the health history? - (answer)The evaluation of the past and
present health state of each body system
You will conduct a complete health history and physical assessment for a new patient to
complete the admission process. Which would be included in the database for a new patient
admission to a surgical unit? - (answer)Subjective findings, Objective findings, Data from
patients medical record
,Which is the nurse doing when using the interviewing technique of active listening? -
(answer)Determining the content and feeling of the clients message
You perform the initial assessment on a patient who does not speak english. Based on your
understanding of linguistic competence, which action would present as a barrier to effective
communication? - (answer)Providing the patient with a paper and pencil so they can write down
the answers
A Nurse must conduct a focused interview to complete an admission history. Which interviewing
technique should the nurse use? - (answer)Direct questions
An adult client's vital signs are: oral temperature 99, pulse 88 bpm, respirations 16, bp is 182/100
which of the following vital signs should be a concern? - (answer)Blood pressure
A nurse is collecting data from a client for an admission nursing history. Which question by the
nurse is the best to open the discussion? - (answer)What brought you to the hospital?
A nurse is interviewing a client at the change of a shift. Which client statement reflects subjective
data? Select all that apply. - (answer)My pain feels like a 5, When i lift my head i feel like
vomiting
During a patient visit to an audiologist, the patient complains of left ear pain. Utilizing an
otoscope, which of the following is a normal finding when viewing the tympanic membrane with
the otoscope? - (answer)A glistening pearly gray transparent surface
An older patient is admitted to your medical surgical unit complaining of loss of appetite for two
weeks. During assessment you find significant tenting of the skin over his forearm. Which of the
following explains this finding? - (answer)Loss of adipose tissue and elasticity.
The nurse is planning to use an otoscope to view the tympanic membrane of a 12 month old
infant. Which action should the nurse include when performing the examination? - (answer)Note
,the color of the tympanic membrane, Pull the pinna down and back to properly align the ear
canal, Select the smallest otoscope tip that will allow visualization
The nurse is caring for the client with the pressure ulcer illustrated. Which stage should the nurse
document? - (answer)Stage 3
Which method of examination is being used when the nurse's hands are used to assess the
temperature of a client's skin? - (answer)Palpation
A nurse is assessing the skin of an older client. Which condition is of MOST concern to the
nurse? - (answer)Tenting of the skin
A nurse is assessing the client for possible scabies, which common site should the nurse assess
first?
https://media.discordapp.net/attachments/343978101421637634/988118542585057350/Screen_S
hot_2022-06-19_at_12.30.12_PM.png - (answer)Site D
A nurse in the emergency department is engaging in initial assessment of a client. Which
assessment takes priority? - (answer)Airway clearance
An adult client's vital signs are: temperature 99, pulse 88 regular, respirations 16, blood pressure
182/100 Which of the following vital signs should be a concern? - (answer)Blood pressure
A client with a primary health care provider's prescription for bedrest constantly lies on the right
lateral position. Which bony prominence should the nurse assess as the highest risk for
development of a pressure ulcer?
https://media.discordapp.net/attachments/343978101421637634/988118844323266640/Screen_S
hot_2022-06-19_at_12.31.25_PM.png - (answer)Site B
A nurse is assessing the oxygen status of a dark-skinned client. Where should the nurse assess for
cyanosis in this client? - (answer)Oral mucous membranes
, Which human response identified by the nurse is an example of objective data? Select all that
apply - (answer)Irregular radial pulse of 50 bpm, Temperature of 99f, Bradypnea, Vomiting,
Wheezing on expiration
When conducting an assessment of the skin, hair and nails, you notice the nail bed angle of your
patient is unusual. It does not appear to be the normal 160 angle. Flattening of the angle between
the nail and its base is - (answer)Described as clubbing
You are testing a patient for visual acuity. Visual acuity is assessed with which of the items listed
below? - (answer)Snellen eye chart
A nurse concludes that a client's elevated temperature, pulse and respirations are significant.
Which step of the nursing process is being used when the nurse comes to this conclusion? -
(answer)Analysis
The retinal structures viewed through the ophthalmoscope are: - (answer)optic disc, vessels,
macula, background
"Positive consensual light reflex" means... - (answer)simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - (answer)cataract
Eye emergency - (answer)sudden change in vision
Visual acuity is assessed with: - (answer)Snellen eye chart
The cover test is used to assess for: - (answer)muscle weakness
When using the ophthalmoscope, you would: - (answer)remove your own glasses and approach
the patient's left eye with your left eye
