OVER 130 QUESTIONS WITH 100% CORRECT
ANSWERS
1. The nurse is preparing to conduct a health history. Explain this to the
patient.
i. Answer: The purpose of a health history is to provide a database
of subjective information about the patient's past and current
health history. You might say to the patient, "I will be asking you
questions about your past and present health." This information
will help the provider along with the physical exam (objective
data) to develop a diagnosis or health status.
2. The nurse is evaluating the reliability of a patient's responses, which of
these statements would be correct? The patient:
i. Provided consistent information and therefore is reliable
3. A patient tells the nurse that she has had abdominal pain for the past
week. What would be the nurse's best response?
i. "Can you point to where it hurts?"
4. Describe a genogram.
i. 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.
5. 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? Current
health promotion activities.
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,6. 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?
i. Would you have a family member bring in your medications please?
7. 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?
i. "Are you able to dress yourself?"
8. A patient is describing his symptoms to the nurse. Which of these
statements reflects a description of the setting of his symptoms? "This
pain happens every time I sit down to use the computer."
9. During a physical examination, a 45-year-old woman states that she has had a
crusty, itchy rash on her breast for approximately 2 weeks. In trying to find the
cause of the rash, which questions would be important for the nurse to ask?
i. Where did the rash first appear- on the nipple, areola, or the
surrounding skin? When did you first notice this?
10.During an annual physical examination, a 43-year-old patient states that she
does not perform monthly breast self-examinations (BSEs). She tells the nurse
that she believes that mammograms "do a much better job than I ever could
to find a lump." The nurse should explain to her that:
i. Breast self-exams may detect lumps that appear between mammograms
11.List risk factors for breast cancer
12.History of breast cancer - family history—first-degree relative
13.Medications such as estrogen and progestin combined
14.Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited
mutation)
15.Age
16.During an examination of a woman, the nurse notices that her left breast is
slightly larger than her right breast. Which of these statements is true about
this finding?
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, i. Asymmetry is not unusual, but the nurse should verify that this
change is not new
17.During the physical examination, the nurse notices that a female patient has
an inverted left nipple. Which statement regarding this is most accurate?
i. Whether the inversion is a recent change should be determined.
18.The nurse is performing a breast examination. Which of these statements best
describes the correct procedure to use when screening for nipple and skin
retraction during a breast examination? Have the woman:
i. Slowly lift her arms above her head, and note any retraction
or lag in movement.
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, NUR 2092 / NUR2092 HEALTH ASSESSMENT
FINAL EXAM. LATEST OVER 130 QUESTIONS
WITH 100% CORRECT ANSWERS
19.The nurse is palpating a female patient's breasts during an examination.
Which of these positions is most likely to make significant lumps more
distinct during breast palpation?
i. Supine with the arms raised over the head
20.The nurse is conducting a class on BSE. Which of these statements
indicates the proper BSE technique?
i. The best time to perform a BSE is 4 to 7 days after the first day
of the menstrual period.
21.The nurse is preparing to teach a woman about BSE. Which statement by the
nurse is correct?
i. "BSE on a monthly basis will help you become familiar with
your own breasts and feel their normal variations."
22.A 55-year-old postmenopausal woman is being seen in the clinic for her
annual examination. She is concerned about changes in her breasts that she
has noticed over the past 5 years. She states that her breasts have decreased
in size and that the elasticity has changed so that her breasts seem "flat and
flabby." The nurse's best reply would be:
i. The decrease in hormones after menopause causes atrophy
of the glandular tissue in the breast and is a normal process
of aging.
23.In performing a breast examination, the nurse knows that examining the upper
outer quadrant of the breast is especially important. The reason why is...
i. This is the location for most breast tumors.
NUR 2092 / NUR2092 HEALTH ASSESSMENT
FINAL EXAM. LATEST OVER 130 QUESTIONS
WITH 100% CORRECT ANSWERS