NR 302 HEALTH ASSESSMENT EXAM 1 NCLEX QUESTIONS AND ANSWERS GRADED A

lOMoARcPSD| NR 302 HEALTH ASSESSMENT EXAM 1 NCLEX QUESTIONS AND ANSWERS GRADED A 1. Which of the following is an example of objective data? a. Alert and oriented b. Dizziness c. An earache d. A sore throat 2. When completing a health assessment, which of the following actions most demonstrates cultural competence? a. Ask about use of traditional, herbal, or folk remedies. b. Measure height and weight in a private room. c. Ask about family history of diseases. d. Make sure the blood pressure cuff fits appropriately. 3. An example of an open-ended question or statement is a. “On a scale of 1 to 10, how would you rate your pain?” b. “Tell me about your pain.” c. “I can see that you are quite uncomfortable.” d. “You are upset about the level of pain, right?” 4. The nurse questions the reliability of the history provided by the patient. One method to verify information within the context of the interview is to a. Review previous medical records. b. Ask the patient if there is someone who could verify the information. c. Call a family member to confirm information. d. Rephrase the same questions later in the interview. 5. The “review of systems” in the health history is a. An evaluation of past and present health state of each body system. b. A documentation of the problem as perceived by the patient. c. A record of objective findings. d. A short statement of general health status. 6. Although a full mental status examination may not be required for every patient, the health care provider must address the four main components during a health history and physical examination. The four components are a. Memory, attention, content, and perceptions. b. Language, orientation, attention, and abstract reasoning. c. Appearance, behavior, cognition, and though processes. d. Mood, affect, consciousness, and orientation. 7. What is an advantage for using SBAR during staff communication? a. It improves verbal communication and reduces medical errors. b. It provides complete patient health history. c. It focuses on a comprehensive physical examination. d. It avoids making recommendations. 8. Which finding would require immediate action by the nurse if found during the physical assessment? a. Systolic blood pressure of 132 mmHg b. Heart rate of 60 beats per minute c. Oxygen saturation of 88% d. Respirations of 20 9. The nurse is calling the health care provider about a patient’s changing condition. Which of the following would be included in the SBAR communication? a. Situation, background, assessment, and recommendation. b. Subjective information, background, assessment, and revisions needed. c. Situation, background, all vitals, and review of orders. d. Summary, better plan, accurate diagnosis, and rights. 10. Deep palpation is used to a. Identify abdominal contents b. Evaluate surface characteristics c. Elicit deep tendon reflexes d. Determine the density of a structure 11. The general survey consists of four distinct areas. These areas include a. Mental status, speech, behavior, and mood and affect. b. Gait, range of motion, mental status, and behavior. c. Level of consciousness, personal hygiene, mental status, and physical condition. d. Physical appearance, body structure, mobility, and behavior. 12. The nurse is completing a general survey assessing the level of consciousness of a person. Which of the following findings are expected in this assessment? a. Patient appears drowsy and is having difficulty answering questions. b. No signs of acute distress are present c. Patient is alert and oriented to person, place, time, and situation. d. Facial features symmetric with movement. 13. An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is a. Tachycardia b. Bradycardia c. Weak and thready d. Sinus dysrhythmia 14. Which of the following is the most reliable indicator for chronic pain? a. Magnetic resonance imaging (MRI) results b. Patient self-report c. Tissue enzyme levels d. Blood drug levels