NUR 2407 HEALTH ASSESSMENTS QUESTIONS WITH ANSWER
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has
charted that his respirations are eupneic and his pulse is 58 beats per
minute. These types of data would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and
“feels hot.” These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base.
4. When listening to a patient’s breath sounds, the nurse is unsure of a
sound that is heard. The nurse’s next action should be to:
a. Validate the data by asking a coworker to listen to the breath
sounds.
5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses,
without a background of skills and experience from which to draw,
are more likely to make their decisions using:
a. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice
(EBP). Which statement best reflects EBP?
a. EBP emphasizes the use of best evidence with the clinician’s
experience.
8. The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority
problem?
a. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in
mind that second-level priority problems include which of these
aspects?
a. Abnormal laboratory values
10.Which critical thinking skill helps the nurse see relationships among
the data?
a. Clustering related cues
1
,11.The nurse knows that developing appropriate nursing interventions for
a patient relies on the appropriateness of the __________ diagnosis.
a. Nursing
12.The nursing process is a sequential method of problem solving that
nurses use and includes which steps?
a. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well
lately, and is having difficulty breathing. How should the nurse
prioritize these problems?
a. Breathing, pain, and sleep
14.Which of these would be formulated by a nurse using diagnostic
reasoning?
a. Diagnostic hypothesis
15.Barriers to incorporating EBP include:
a. Nurses’ lack of research skills in evaluating the quality of
research studies.
16.What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Assessment
17. During a staff meeting, nurses discuss the problems with accessing
research studies to incorporate evidence-based clinical decision
making into their practice. Which suggestion by the nurse manager
would best help these problems?
a. Teach the nurses how to conduct electronic searches for
research studies.
18. When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
a. Holistic health views the mind, body, and spirit as
interdependent.
19. The nurse recognizes that the concept of prevention in describing
health is essential because:
a. Prevention places the emphasis on the link between health and
personal behavior.
20.The nurse is performing a physical assessment on a newly admitted
patient. An example of objective information obtained during the
physical assessment includes the:
a. 2 5 cm scar on the right lower forearm.
2
,21. A visiting nurse is making an initial home visit for a patient who has
many chronic medical problems. Which type of data base is most
appropriate to collect in this setting?
a. A follow-up data base to evaluate changes at appropriate
intervals
b. An episodic data base because of the continuing, complex
medical problems of this patient
c. A complete health data base because of the nurse’s primary
responsibility for monitoring the patient’s health
d. An emergency data base because of the need to collect
information and make accurate diagnoses rapidly
22. Which situation is most appropriate during which the nurse performs
a focused or problem-centered history?
a. Patient is admitted to the hospital for surgery the following day.
b. Patient in an outpatient clinic has cold and influenza-like
symptoms.
23.A patient is at the clinic to have her blood pressure checked. She has
been coming to the clinic weekly since she changed medications 2
months ago. The nurse should:
a. Collect a follow-up data base and then check her blood
pressure.
24.A patient is brought by ambulance to the emergency department with
multiple traumas received in an automobile accident. He is alert and
cooperative, but his injuries are quite severe. How would the nurse
proceed with data collection?
a. Simultaneously ask history questions while performing the
examination and initiating life-saving measures.
25.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. Provide culturally sensitive and appropriate care.
26. In the health promotion model, the focus of the health professional
includes:
a. Helping the consumer choose a healthier lifestyle.
27. The nurse has implemented several planned interventions to address
the nursing diagnosis of acute pain. Which would be the next
appropriate action?
a. Evaluate the individual’s condition, and compare actual
outcomes with expected outcomes.
28.Which statement
3
, 29. describes a proficient nurse? A proficient nurse is one who:
a. Understands a patient situation as a whole rather than a list of
tasks and recognizes the long-term goals for the patient.
1. The nurse is reviewing data collected after an assessment. Of the data
listed below, which would be considered related cues that would be
clustered together during data analysis?
2. .
a. Inspiratory wheezes noted in left lower lobes
b. Nonproductive cough
c. Patient reports dyspnea upon exertion
d. Rate of respirations 16 breaths per minute
3. Put the following patient situations in order according to the level of
priority.
a. .A teenager who was stung by a bee during a soccer match is
having trouble breathing.
b. An older adult with a urinary tract infection is also showing
signs of confusion and agitation.
c. A patient newly diagnosed with type 2 diabetes mellitus does
not know how to check his own blood glucose levels with a
glucometer
1. The nurse is preparing to conduct a health history. Which of
these statements best describes the purpose of a health history?
a. To provide a database of subjective information about the
patient’s past and current health
2. When the nurse is evaluating the reliability of a patient’s
responses, which of these statements would be
3. ? The patient:
a. Provided consistent information and therefore is reliable.
4. 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 who states that he has been
having “black stools” for the past 24 hours.
5. A patient tells the nurse that she has had abdominal pain for the
past week. What would be the nurse’s best response?
a. “Can you point to where it hurts?”
4
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has
charted that his respirations are eupneic and his pulse is 58 beats per
minute. These types of data would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and
“feels hot.” These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base.
4. When listening to a patient’s breath sounds, the nurse is unsure of a
sound that is heard. The nurse’s next action should be to:
a. Validate the data by asking a coworker to listen to the breath
sounds.
5. The nurse is conducting a class for new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses,
without a background of skills and experience from which to draw,
are more likely to make their decisions using:
a. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice
(EBP). Which statement best reflects EBP?
a. EBP emphasizes the use of best evidence with the clinician’s
experience.
8. The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority
problem?
a. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in
mind that second-level priority problems include which of these
aspects?
a. Abnormal laboratory values
10.Which critical thinking skill helps the nurse see relationships among
the data?
a. Clustering related cues
1
,11.The nurse knows that developing appropriate nursing interventions for
a patient relies on the appropriateness of the __________ diagnosis.
a. Nursing
12.The nursing process is a sequential method of problem solving that
nurses use and includes which steps?
a. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well
lately, and is having difficulty breathing. How should the nurse
prioritize these problems?
a. Breathing, pain, and sleep
14.Which of these would be formulated by a nurse using diagnostic
reasoning?
a. Diagnostic hypothesis
15.Barriers to incorporating EBP include:
a. Nurses’ lack of research skills in evaluating the quality of
research studies.
16.What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Assessment
17. During a staff meeting, nurses discuss the problems with accessing
research studies to incorporate evidence-based clinical decision
making into their practice. Which suggestion by the nurse manager
would best help these problems?
a. Teach the nurses how to conduct electronic searches for
research studies.
18. When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
a. Holistic health views the mind, body, and spirit as
interdependent.
19. The nurse recognizes that the concept of prevention in describing
health is essential because:
a. Prevention places the emphasis on the link between health and
personal behavior.
20.The nurse is performing a physical assessment on a newly admitted
patient. An example of objective information obtained during the
physical assessment includes the:
a. 2 5 cm scar on the right lower forearm.
2
,21. A visiting nurse is making an initial home visit for a patient who has
many chronic medical problems. Which type of data base is most
appropriate to collect in this setting?
a. A follow-up data base to evaluate changes at appropriate
intervals
b. An episodic data base because of the continuing, complex
medical problems of this patient
c. A complete health data base because of the nurse’s primary
responsibility for monitoring the patient’s health
d. An emergency data base because of the need to collect
information and make accurate diagnoses rapidly
22. Which situation is most appropriate during which the nurse performs
a focused or problem-centered history?
a. Patient is admitted to the hospital for surgery the following day.
b. Patient in an outpatient clinic has cold and influenza-like
symptoms.
23.A patient is at the clinic to have her blood pressure checked. She has
been coming to the clinic weekly since she changed medications 2
months ago. The nurse should:
a. Collect a follow-up data base and then check her blood
pressure.
24.A patient is brought by ambulance to the emergency department with
multiple traumas received in an automobile accident. He is alert and
cooperative, but his injuries are quite severe. How would the nurse
proceed with data collection?
a. Simultaneously ask history questions while performing the
examination and initiating life-saving measures.
25.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. Provide culturally sensitive and appropriate care.
26. In the health promotion model, the focus of the health professional
includes:
a. Helping the consumer choose a healthier lifestyle.
27. The nurse has implemented several planned interventions to address
the nursing diagnosis of acute pain. Which would be the next
appropriate action?
a. Evaluate the individual’s condition, and compare actual
outcomes with expected outcomes.
28.Which statement
3
, 29. describes a proficient nurse? A proficient nurse is one who:
a. Understands a patient situation as a whole rather than a list of
tasks and recognizes the long-term goals for the patient.
1. The nurse is reviewing data collected after an assessment. Of the data
listed below, which would be considered related cues that would be
clustered together during data analysis?
2. .
a. Inspiratory wheezes noted in left lower lobes
b. Nonproductive cough
c. Patient reports dyspnea upon exertion
d. Rate of respirations 16 breaths per minute
3. Put the following patient situations in order according to the level of
priority.
a. .A teenager who was stung by a bee during a soccer match is
having trouble breathing.
b. An older adult with a urinary tract infection is also showing
signs of confusion and agitation.
c. A patient newly diagnosed with type 2 diabetes mellitus does
not know how to check his own blood glucose levels with a
glucometer
1. The nurse is preparing to conduct a health history. Which of
these statements best describes the purpose of a health history?
a. To provide a database of subjective information about the
patient’s past and current health
2. When the nurse is evaluating the reliability of a patient’s
responses, which of these statements would be
3. ? The patient:
a. Provided consistent information and therefore is reliable.
4. 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 who states that he has been
having “black stools” for the past 24 hours.
5. A patient tells the nurse that she has had abdominal pain for the
past week. What would be the nurse’s best response?
a. “Can you point to where it hurts?”
4
