HEALTH ASSESSMENT IN NURSING TEST BANK EXAM WELL
UPDATED QESTIONS AND ANSWERS 100% CORRECT NEW EXAM
|2024/2025(GRADED A+)
Assessment - ANSWER-Collection of subjective and objective data
Diagnoses - ANSWER-Analysis of subjective and objective data to make a professional
nursing judgement
Planning - ANSWER-Developing a plan of nursing care and outcome criteria
Implementation - ANSWER-Carrying out the plan of care
Evaluation - ANSWER-Assessing whether outcome criteria have been met and revising
the plan of care if necessary
Nursing Diagnosis - ANSWER-Clinical judgement about individual, family or community
responses to actual or potential health problems and life processes
Subjective Data - ANSWER-Sensations or symptoms that can be verified only by the
client (ex. pain)
Objective Data - ANSWER-Findings directly observed or indirectly observed through
measurements (ex. body temperature)
Collaborative Problem - ANSWER-Physiologic complications that nurses monitor to
detect their onset or changes in status
Referral Problem - ANSWER-Problem that requires the attention or assistance of other
health care professionals
,A medical examination differs from a comprehensive nursing examination in that the
medical examination focuses primarily on the client's - ANSWER-Physiologic status
The result of a nursing assessment is the - ANSWER-Formulation of nursing diagnoses
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is - ANSWER-Continuous
When a client first enters the hospital for an elective surgical procedure, the nurse
should perform an assessment termed - ANSWER-Comprehensive
An ongoing or partial assessment of a client - ANSWER-Includes a brief reassessment of
the client's normal body system
The purpose of the comprehensive health assessment is to - ANSWER-Arrive at
conclusions about the client's health
The use of this type of question can keep a client interview from going off track -
ANSWER-Closed-ended
A nurse can clarify a client's statements by - ANSWER-Rephrasing the client's
statements
During what phase of the interview between a nurse and client do you collaborate to
identify problems and goals - ANSWER-Working phase
When dealing with a manipulative client it is important for the nurse to - ANSWER-
Provide structure and set limits
, The primary purpose of the health history is to - ANSWER-Identify risk factors to the
client and his or her significant others
Define the "COLDSPAA" accronym - ANSWER-Character, Onset, Location, Duration,
Severity, Pattern, Associated factors, how it Affects the client
Sim's position - ANSWER-Side-lying position used during the rectal examination
Sitting Position - ANSWER-Position used during much of the physical examination
including examination of the head, neck, lungs, chest, back, breast, axilla, heart, vital
signs, and upper extremities
Supine Position - ANSWER-Back-lying position used for examination of the abdomen
(with one small pillow under the head and another under the knees); this position also
allows easy access for palpation of peripheral pulses
Standing Position - ANSWER-Position used to examine male genitalia and to assess gait,
posture, and balance
Prone Position - ANSWER-Client lies on abdomen with head turned to the side; may be
used to assess back and mobility of hip joint
Lithotomy Position - ANSWER-Back-lying position with hips at edge of examining table
and feet supported in stirrups; used for examination of female genitalia, reproductive
tract, and rectum
What part of the examiner's hand is used to feel for fine discriminations: pulses, texture,
size, consistency, shape, and crepitus - ANSWER-Fingerpads
Part of the examiner's hand used to feel for vibration, thrills, or fremitus - ANSWER-
Ulnar surface or palm of hand
UPDATED QESTIONS AND ANSWERS 100% CORRECT NEW EXAM
|2024/2025(GRADED A+)
Assessment - ANSWER-Collection of subjective and objective data
Diagnoses - ANSWER-Analysis of subjective and objective data to make a professional
nursing judgement
Planning - ANSWER-Developing a plan of nursing care and outcome criteria
Implementation - ANSWER-Carrying out the plan of care
Evaluation - ANSWER-Assessing whether outcome criteria have been met and revising
the plan of care if necessary
Nursing Diagnosis - ANSWER-Clinical judgement about individual, family or community
responses to actual or potential health problems and life processes
Subjective Data - ANSWER-Sensations or symptoms that can be verified only by the
client (ex. pain)
Objective Data - ANSWER-Findings directly observed or indirectly observed through
measurements (ex. body temperature)
Collaborative Problem - ANSWER-Physiologic complications that nurses monitor to
detect their onset or changes in status
Referral Problem - ANSWER-Problem that requires the attention or assistance of other
health care professionals
,A medical examination differs from a comprehensive nursing examination in that the
medical examination focuses primarily on the client's - ANSWER-Physiologic status
The result of a nursing assessment is the - ANSWER-Formulation of nursing diagnoses
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is - ANSWER-Continuous
When a client first enters the hospital for an elective surgical procedure, the nurse
should perform an assessment termed - ANSWER-Comprehensive
An ongoing or partial assessment of a client - ANSWER-Includes a brief reassessment of
the client's normal body system
The purpose of the comprehensive health assessment is to - ANSWER-Arrive at
conclusions about the client's health
The use of this type of question can keep a client interview from going off track -
ANSWER-Closed-ended
A nurse can clarify a client's statements by - ANSWER-Rephrasing the client's
statements
During what phase of the interview between a nurse and client do you collaborate to
identify problems and goals - ANSWER-Working phase
When dealing with a manipulative client it is important for the nurse to - ANSWER-
Provide structure and set limits
, The primary purpose of the health history is to - ANSWER-Identify risk factors to the
client and his or her significant others
Define the "COLDSPAA" accronym - ANSWER-Character, Onset, Location, Duration,
Severity, Pattern, Associated factors, how it Affects the client
Sim's position - ANSWER-Side-lying position used during the rectal examination
Sitting Position - ANSWER-Position used during much of the physical examination
including examination of the head, neck, lungs, chest, back, breast, axilla, heart, vital
signs, and upper extremities
Supine Position - ANSWER-Back-lying position used for examination of the abdomen
(with one small pillow under the head and another under the knees); this position also
allows easy access for palpation of peripheral pulses
Standing Position - ANSWER-Position used to examine male genitalia and to assess gait,
posture, and balance
Prone Position - ANSWER-Client lies on abdomen with head turned to the side; may be
used to assess back and mobility of hip joint
Lithotomy Position - ANSWER-Back-lying position with hips at edge of examining table
and feet supported in stirrups; used for examination of female genitalia, reproductive
tract, and rectum
What part of the examiner's hand is used to feel for fine discriminations: pulses, texture,
size, consistency, shape, and crepitus - ANSWER-Fingerpads
Part of the examiner's hand used to feel for vibration, thrills, or fremitus - ANSWER-
Ulnar surface or palm of hand
