Health Assessment Quiz Evolve Updated
2023/2024 Correct Questions and Answers
A client comes to the clinic with a report of fever and a recent exposure to someone who was
diagnosed with meningitis. Which nursing assessment should be completed during the initial
examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability.
A) Level of consciousness
The nurse is assessing the posterior pharynx during a physical examination. Which technique should
the nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow.
A) Press the tongue down one side at a time with a tongue depressor.
Which findings can the nurse determine by palpating a client's skin? (Select all that apply.)
A) Pruritus.
B) Diaphoresis.
C) Pallor.
D) Jaundice.
E) Scaling.
B) Diaphoresis.
E) Scaling.
The nurse is completing a physical assessment of a client who feel from a tree. The client's abdomen
is soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the
nurse implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen.
C) Percuss the splenic area as the client takes a deep breath
Which information should the nurse obtain to identify the client's self-perception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition.
B) Health history.
Which action should the registered nurse (RN) implement to complete an assessment for a client
while using an interpreter?
A) Ask closed-ended questions with the assistance of the interpreter.
B) Maintain eye contact with the client while listening to the translation.
C) Instruct interpreter to answer questions from interpreter's point of view.
D) Protect the client's privacy by asking a limited number of questions.
B) Maintain eye contact with the client while listening to the translation.
, When performing range of motion exercises on the joints of an older adult client, the nurse notes that
joint range is greater with passive ranging than with active ranging. A goniometer indicates that this
difference is as much as 15% in some joints. How should this finding be documented?
A) Normal.
B) Expected in older adults.
C) Minor deviation.
D) Abnormal.
D) Abnormal.
A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse
to use to get information about the client's nutritional intake?
A) 24-hour dietary recall
B) Food diary.
C) Intake and output record.
D) Lab information (albumin, pre-albumin).
A) 24-hour dietary recall
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of
greatest concern to the nurse when obtaining the health history from this client?
A) Administration of rubeola vaccine at age 7.
B) Removal of gallbladder 5 years ago.
C) Family history of colon cancer on mother's side.
D) Family history of hypertension on father's side.
C) Family history of colon cancer on mother's side
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas
test when the client's right knee is brought toward the chest?
A) The left leg internally rotates.
B) The left leg rises off of the table.
C) The left leg remains on the table.
D) The left leg externally rotates.
C) The left leg remains on the table.
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom.
The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin
this procedure?
A) Lying.
B) Sitting.
C) Leaning.
D) Standing.
A) Lying
The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place
the stethoscope diaphragm to listen for this condition?
A) 2nd intercostal space along the right sternal border.
B) 2nd intercostal space along the left sternal border.
C) 3rd intercostal space on the right midclavicular line.
D) 5th intercostal space on the left midclavicular line.
A) 2nd intercostal space along the right sternal border.
2023/2024 Correct Questions and Answers
A client comes to the clinic with a report of fever and a recent exposure to someone who was
diagnosed with meningitis. Which nursing assessment should be completed during the initial
examination of this client?
A) Level of consciousness.
B) Gait characteristics.
C) Presence of trauma.
D) Bladder control ability.
A) Level of consciousness
The nurse is assessing the posterior pharynx during a physical examination. Which technique should
the nurse use?
A) Press the tongue down one side at a time with a tongue depressor.
B) Ask the client to open the mouth and say "ah."
C) Listen for hoarseness after asking the client to speak.
D) Palpate the neck and ask the client to swallow.
A) Press the tongue down one side at a time with a tongue depressor.
Which findings can the nurse determine by palpating a client's skin? (Select all that apply.)
A) Pruritus.
B) Diaphoresis.
C) Pallor.
D) Jaundice.
E) Scaling.
B) Diaphoresis.
E) Scaling.
The nurse is completing a physical assessment of a client who feel from a tree. The client's abdomen
is soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the
nurse implement when evaluating the client's spleen?
A) Elevate head of bed 30 degrees to percuss the spleen.
B) Palpate the splenic borders before percussing.
C) Percuss the splenic area as the client takes a deep breath.
D) Place client in a Trendelenburg position to isolate the spleen.
C) Percuss the splenic area as the client takes a deep breath
Which information should the nurse obtain to identify the client's self-perception of health status?
A) Vital signs.
B) Health history.
C) Informed consent.
D) Genetic predisposition.
B) Health history.
Which action should the registered nurse (RN) implement to complete an assessment for a client
while using an interpreter?
A) Ask closed-ended questions with the assistance of the interpreter.
B) Maintain eye contact with the client while listening to the translation.
C) Instruct interpreter to answer questions from interpreter's point of view.
D) Protect the client's privacy by asking a limited number of questions.
B) Maintain eye contact with the client while listening to the translation.
, When performing range of motion exercises on the joints of an older adult client, the nurse notes that
joint range is greater with passive ranging than with active ranging. A goniometer indicates that this
difference is as much as 15% in some joints. How should this finding be documented?
A) Normal.
B) Expected in older adults.
C) Minor deviation.
D) Abnormal.
D) Abnormal.
A nurse is completing a nutritional assessment with a client. What is the easiest method for the nurse
to use to get information about the client's nutritional intake?
A) 24-hour dietary recall
B) Food diary.
C) Intake and output record.
D) Lab information (albumin, pre-albumin).
A) 24-hour dietary recall
A client is in the clinic and is reporting lower abdominal pain and constipation. Which information is of
greatest concern to the nurse when obtaining the health history from this client?
A) Administration of rubeola vaccine at age 7.
B) Removal of gallbladder 5 years ago.
C) Family history of colon cancer on mother's side.
D) Family history of hypertension on father's side.
C) Family history of colon cancer on mother's side
The nurse is assessing a client for a hip flexion contracture. Which finding indicates a negative Thomas
test when the client's right knee is brought toward the chest?
A) The left leg internally rotates.
B) The left leg rises off of the table.
C) The left leg remains on the table.
D) The left leg externally rotates.
C) The left leg remains on the table.
A client has just returned from the recovery room and asks to get out of bed to go to the bathroom.
The nurse decides to obtain orthostatic vital signs first. How will the nurse position the client to begin
this procedure?
A) Lying.
B) Sitting.
C) Leaning.
D) Standing.
A) Lying
The nurse is assessing a client who has a history of aortic regurgitation. Where should the nurse place
the stethoscope diaphragm to listen for this condition?
A) 2nd intercostal space along the right sternal border.
B) 2nd intercostal space along the left sternal border.
C) 3rd intercostal space on the right midclavicular line.
D) 5th intercostal space on the left midclavicular line.
A) 2nd intercostal space along the right sternal border.
