Nursing Fundamentals Head to Toe
Assessment Questions and Answers
1. The very first thing a nurse will assess when doing a head to toe examination is
what?
A. head
B. eyes
C. ears
D. general appearance
Correct answer- D. general appearance
2. When assessing a clients physical appearance a nurse will note which of the
following? (select all that apply)
A. clients age
B. clients gender
C. clients speech
D.Palpate maxillary and facial sinuses
Correct answer- a,b,c
3. When it comes to assessing the clients physical appearance which of the
following lists what a nurse would look for?
A. gender,age, ethnicity, dress, speech, level of conciousness
B.religion,age, ethnicity, dress, speech, level of conciousness
C. age, gender, ethnicity, dress, diet, speech, level of conciousness
D.gender,age, ethnicity, marital status, dress, speech, level of conciousness
Correct answer- A. gender,age, ethnicity, dress, speech, level of conciousness
4. Nurse Becky has her client come in and looks at the way he is dressed what is
she looking for?
A. that her client has a good fashion sense
B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of the
year
D. that her client's dress is appropriate for his gender, societal status, and
marital status
Correct answer- C. that her client's dress is appropriate for his gender,
age, and time of the year
, 5. What could the nurse assess based soley on the way the client walks into the
room?
A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture
Correct answer- D. gait and posture
6. Nurse Dave has his client come in and proceeds to ask him his name, his date of
birth, if he knows where he is, and what day of the week it is. In doing this Dave
is testing his clients what?
A. intelligence coeffient
B. level of conciousness
C. social and cognitive skills
D. physical and mental development
Correct answer- B. level of conciousness
7. A nurse should assess a client's level of conciousness to ensure they are
oriented how? (select all that apply)
A. oriented to time
B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above
Correct answer- E. all of the above
8. Which of the following would be considered normal observations regarding a
client's speech?
A. that it is rushed and garbbled
B. it is articulate and easy to understand
C. it is articulate but spoken in a language other than English
D. it is hapazard and sing-song like
Correct answer- b,c
9. Nurse George has just assessed his client's articulation, language, and other
aspects of his speech. In doing this which cranial nerves has he just assessed?
A. cranial nerves 4 and 5
B. cranial nerves 6 and 12
C. cranial nerves 9 and 12
D. cranial nerves 10 and 12
Correct answer- D. cranial nerves 10 and 12
Assessment Questions and Answers
1. The very first thing a nurse will assess when doing a head to toe examination is
what?
A. head
B. eyes
C. ears
D. general appearance
Correct answer- D. general appearance
2. When assessing a clients physical appearance a nurse will note which of the
following? (select all that apply)
A. clients age
B. clients gender
C. clients speech
D.Palpate maxillary and facial sinuses
Correct answer- a,b,c
3. When it comes to assessing the clients physical appearance which of the
following lists what a nurse would look for?
A. gender,age, ethnicity, dress, speech, level of conciousness
B.religion,age, ethnicity, dress, speech, level of conciousness
C. age, gender, ethnicity, dress, diet, speech, level of conciousness
D.gender,age, ethnicity, marital status, dress, speech, level of conciousness
Correct answer- A. gender,age, ethnicity, dress, speech, level of conciousness
4. Nurse Becky has her client come in and looks at the way he is dressed what is
she looking for?
A. that her client has a good fashion sense
B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of the
year
D. that her client's dress is appropriate for his gender, societal status, and
marital status
Correct answer- C. that her client's dress is appropriate for his gender,
age, and time of the year
, 5. What could the nurse assess based soley on the way the client walks into the
room?
A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture
Correct answer- D. gait and posture
6. Nurse Dave has his client come in and proceeds to ask him his name, his date of
birth, if he knows where he is, and what day of the week it is. In doing this Dave
is testing his clients what?
A. intelligence coeffient
B. level of conciousness
C. social and cognitive skills
D. physical and mental development
Correct answer- B. level of conciousness
7. A nurse should assess a client's level of conciousness to ensure they are
oriented how? (select all that apply)
A. oriented to time
B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above
Correct answer- E. all of the above
8. Which of the following would be considered normal observations regarding a
client's speech?
A. that it is rushed and garbbled
B. it is articulate and easy to understand
C. it is articulate but spoken in a language other than English
D. it is hapazard and sing-song like
Correct answer- b,c
9. Nurse George has just assessed his client's articulation, language, and other
aspects of his speech. In doing this which cranial nerves has he just assessed?
A. cranial nerves 4 and 5
B. cranial nerves 6 and 12
C. cranial nerves 9 and 12
D. cranial nerves 10 and 12
Correct answer- D. cranial nerves 10 and 12
