NUR 211 FINAL EXAM HEALTH ASSESSMENT.

Final exam


Question 1
1.5 out of 1.5 points



When assessing a 2-3 year old child, what is important to consider?

Answers: Assess least invasive to most invasive.

Start with examining the ears and mouth.

Make sure to examine the child lying on the exam table.

It’s easier to examine the child if the parent is not in the room.



Question 2
0 out of 1.5 points




The nurse notes an audible, crunching/grating sound on the client’s
knee while climbing the stairs. Choose the best term.

Answers Crepitus
:

Bulge sign

Ballottemen
t

Inversion

Question 3

1.5 out of 1.5 points

,The nurse palpates the left upper quadrant of abdomen with the knowledge that which organs
are located in that area?

Answers Liver and gallbladder.
:

Pancreas and spleen

Large intestine and liver

Left ureter and
gallbladder



Question 4
1.5 out of 1.5 points




Identify which reflex is being tested in this picture.




Answers Plantar
:

Patellar

Triceps

Achille’s

, Question 5
1.5 out of 1.5 points




The clinic nurse assesses the skin of a white client with a diagnosis of psoriasis. The nurse
understands that which characteristic is associated with this skin disorder?

Answers Clear, thin nail beds
:

Red-purple raised areas

Oily skin and no episodes of pruritus

Silvery-white scaly patches on the scalp, elbows, knees, and sacral regions

Question 6
1.5 out of 1.5 points




"When testing stool for occult blood, the nurse is aware that a false-positive result may occur
with:"

Answers a large amount of red meat within the last 3 days.
:

absent bile

increased fat content

increased ingestion of fruit

Question 7
1.5 out of 1.5 points

, The nurse is preparing to complete a musculoskeletal examination on a client. Which two
assessment techniques would the nurse plan to use during this exam?

Answers Inspection and percussion
:

Percussion and palpation

Auscultation and percussion

Inspection and palpation

Question 8
1.5 out of 1.5 points




While assessing edema on a client’s lower leg, the nurse notices a deep imprint of his fingers
where the leg was palpated which takes several minutes to resolve. How would the nurse
document this finding?

Answers No edema
:

1+ edema

3+ edema

4+ edema

Question 9
1.5 out of 1.5 points




The nurse is performing an assessment on an older client having difficulty sleeping at night.
Which statement indicates that teaching about improving sleep is necessary?

Answers: "I drink hot chocolate before bed"