Health Assessment exam 1 practice
questions
After completing an initial assessment of a patient, the nurse has charted that
his respirations are eugenic and his pulse is 58 beats per minute. These types
of data would be:
a. Objective
b. Reflective
✅✅
c. Subjective
d. Introspective - -a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be:
a. objective
b. reflective
✅✅
c. subjective
d. Introspective - -c. subjective
The patients record, laboratory studies, objective data, and subjective data
combine to form the:
a. data base
b. Admitting data
✅✅
c. Financial statement
d. discharge summary - -a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to:
a. immediately notify the patients physician
b. document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
✅✅
d. assess again in 20 minutes to note whether the sound is still present -
-c. validate the data by asking a coworker to listen to the breath sounds
The nurse is conducting a class for a new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using:
a. Intuition
b. a set of rules
✅✅
c. articles in journals
d. Advice from supervisors - -b. a set of rules
,Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a. Intuition
b. the nursing process
✅✅
c. clinical knowledge
d. diagnostic reasoning - -a. intuition
The nurse is reviewing information about EBP. Which statement best reflects
EBP?
a. EBP relies on tradition for support of best practices
b. EBP is simply the use of best practice techniques for the treatment of
patients
✅✅
c. EBP emphasizes the use of best evidence with the clinicians experience
d. the patients own preferences are not important with EBP - -c. EBP
emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic teaching
✅✅
c. Individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress - -d.
individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that
second level priority problems include which of these aspects?
a. low self-esteem
b. lack of knowledge
✅✅
c. Abnormal laboratory values
d. severely abnormal vital signs - -c. abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
✅✅
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant - -b. clustering related cues
The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the ______ diagnosis.
a. Nursing
b. medical
✅✅
c. admission
d. collaborative - -a. nursing
,The nursing process is a sequential method of problem solving that nurses
use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow up
b. admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
✅✅
d. assessment, diagnosis, outcome identification, planning, implementation,
and evaluation - -d. assessment, diagnosis, outcome identification,
planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and
is having difficulty breathing. How should the nurse prioritize these problems?
a. breathing, pain, and sleep
b. breathing, sleep, and pain
✅✅
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing - -a. breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
a. nursing diagnosis
b. Medical diagnosis
✅✅
c. diagnostic hypothesis
d. Diagnostic assessment - -c. diagnostic hypothesis
Barriers to incorporating EBP include:
a. nurses lack of research skills in evaluating the quality of research studies
b. lack of significant research studies
✅✅
c. Insufficient clinical skills of nurses
d. inadequate physical assessment skills - -a. nurses lack of research
skills in evaluating the quality of research studies
The nurse is preparing to conduct a health history. Which of these statements
best describes the purpose of a health history?
a. to provide an opportunity for interaction between the patient and the nurse
b. to provide a form for obtaining the patients biographic information
c. to document the normal and abnormal findings of a physical assessment
✅✅
d. to provide a database of subjective information about the patients past and
current health - -d. to provide a database of subjective information about
the patients past and current health
When the nurse is evaluating the reliability of a patients responses, which of
these statements would be correct? the patient:
a. has a history of drug abuse and therefore is not reliable
b. provided consistent information and therefore is reliable
c. Smiled throughout interview and therefore is assumed reliable
, ✅✅
d. would not answer questions concerning stress and therefore is not reliable -
-b. provided consistent information and therefore is reliable
A 59 year old patient tells the nurse that he has ulcerative colitis. He has been
having black stools for the last 24 hours. How would the nurse best document
his reason for seeking care?
a. J.m is a 59 year old man seeking treatment for ulcerative colitis
b. j.m came into the clinic complaining of having black stools for the past 24
hours
c. j.m is a 59 year old man who states that he has ulcerative colitis and wants it
checked
✅✅
d. j.m is a 59 year old man who states that he has been having black stools for
the past 24 hours - -d. j.m is a 59 year old man who states that he has
been having black stools for the past 24 hours
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the nurses best response?
a. can you point to where it hurts
b. well talk more about that later in the interview
✅✅
c. what have you had to eat in the last 24 hours
d. have you ever had any surgeries on your abdomen - -a. can you point
to where it hurts
A 29 year old woman tells the nurse that she has excruciating pain in her back.
Which would be the nurses appropriate response to the woman statement?
a. how does your family react to your pain
b. the pain must be terrible. you probably pinched a nerve
c. I've had back pain myself, and it can be excruciating
✅✅
d. how would you say the pain affects your ability to do your daily activities -
-d. how would you say the pain affects your ability to do your daily
activities
In recording the childhood illnesses of a patient who denies having had any,
which note by the nurse would be most accurate?
a. patient denies usual childhood illnesses
b. patient states he was a very healthy child
c. Patient states his sister had measles, but he didn't
✅✅
d. patient denies measles, mumps, rubella, chickenpox, pertussis, and strep
throat - -d. patient denies measles, mumps, rubella, chickenpox,
pertussis, and strep throat
A female patient tells the nurse that she has had six pregnancies, with four live
births at term and two spontaneous abortions. Her four children are still living.
How would the nurse record this information?
questions
After completing an initial assessment of a patient, the nurse has charted that
his respirations are eugenic and his pulse is 58 beats per minute. These types
of data would be:
a. Objective
b. Reflective
✅✅
c. Subjective
d. Introspective - -a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be:
a. objective
b. reflective
✅✅
c. subjective
d. Introspective - -c. subjective
The patients record, laboratory studies, objective data, and subjective data
combine to form the:
a. data base
b. Admitting data
✅✅
c. Financial statement
d. discharge summary - -a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to:
a. immediately notify the patients physician
b. document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
✅✅
d. assess again in 20 minutes to note whether the sound is still present -
-c. validate the data by asking a coworker to listen to the breath sounds
The nurse is conducting a class for a new graduate nurses. During the
teaching session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using:
a. Intuition
b. a set of rules
✅✅
c. articles in journals
d. Advice from supervisors - -b. a set of rules
,Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a. Intuition
b. the nursing process
✅✅
c. clinical knowledge
d. diagnostic reasoning - -a. intuition
The nurse is reviewing information about EBP. Which statement best reflects
EBP?
a. EBP relies on tradition for support of best practices
b. EBP is simply the use of best practice techniques for the treatment of
patients
✅✅
c. EBP emphasizes the use of best evidence with the clinicians experience
d. the patients own preferences are not important with EBP - -c. EBP
emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic teaching
✅✅
c. Individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress - -d.
individual with shortness of breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that
second level priority problems include which of these aspects?
a. low self-esteem
b. lack of knowledge
✅✅
c. Abnormal laboratory values
d. severely abnormal vital signs - -c. abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
✅✅
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant - -b. clustering related cues
The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the ______ diagnosis.
a. Nursing
b. medical
✅✅
c. admission
d. collaborative - -a. nursing
,The nursing process is a sequential method of problem solving that nurses
use and includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow up
b. admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
✅✅
d. assessment, diagnosis, outcome identification, planning, implementation,
and evaluation - -d. assessment, diagnosis, outcome identification,
planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and
is having difficulty breathing. How should the nurse prioritize these problems?
a. breathing, pain, and sleep
b. breathing, sleep, and pain
✅✅
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing - -a. breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
a. nursing diagnosis
b. Medical diagnosis
✅✅
c. diagnostic hypothesis
d. Diagnostic assessment - -c. diagnostic hypothesis
Barriers to incorporating EBP include:
a. nurses lack of research skills in evaluating the quality of research studies
b. lack of significant research studies
✅✅
c. Insufficient clinical skills of nurses
d. inadequate physical assessment skills - -a. nurses lack of research
skills in evaluating the quality of research studies
The nurse is preparing to conduct a health history. Which of these statements
best describes the purpose of a health history?
a. to provide an opportunity for interaction between the patient and the nurse
b. to provide a form for obtaining the patients biographic information
c. to document the normal and abnormal findings of a physical assessment
✅✅
d. to provide a database of subjective information about the patients past and
current health - -d. to provide a database of subjective information about
the patients past and current health
When the nurse is evaluating the reliability of a patients responses, which of
these statements would be correct? the patient:
a. has a history of drug abuse and therefore is not reliable
b. provided consistent information and therefore is reliable
c. Smiled throughout interview and therefore is assumed reliable
, ✅✅
d. would not answer questions concerning stress and therefore is not reliable -
-b. provided consistent information and therefore is reliable
A 59 year old patient tells the nurse that he has ulcerative colitis. He has been
having black stools for the last 24 hours. How would the nurse best document
his reason for seeking care?
a. J.m is a 59 year old man seeking treatment for ulcerative colitis
b. j.m came into the clinic complaining of having black stools for the past 24
hours
c. j.m is a 59 year old man who states that he has ulcerative colitis and wants it
checked
✅✅
d. j.m is a 59 year old man who states that he has been having black stools for
the past 24 hours - -d. j.m is a 59 year old man who states that he has
been having black stools for the past 24 hours
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the nurses best response?
a. can you point to where it hurts
b. well talk more about that later in the interview
✅✅
c. what have you had to eat in the last 24 hours
d. have you ever had any surgeries on your abdomen - -a. can you point
to where it hurts
A 29 year old woman tells the nurse that she has excruciating pain in her back.
Which would be the nurses appropriate response to the woman statement?
a. how does your family react to your pain
b. the pain must be terrible. you probably pinched a nerve
c. I've had back pain myself, and it can be excruciating
✅✅
d. how would you say the pain affects your ability to do your daily activities -
-d. how would you say the pain affects your ability to do your daily
activities
In recording the childhood illnesses of a patient who denies having had any,
which note by the nurse would be most accurate?
a. patient denies usual childhood illnesses
b. patient states he was a very healthy child
c. Patient states his sister had measles, but he didn't
✅✅
d. patient denies measles, mumps, rubella, chickenpox, pertussis, and strep
throat - -d. patient denies measles, mumps, rubella, chickenpox,
pertussis, and strep throat
A female patient tells the nurse that she has had six pregnancies, with four live
births at term and two spontaneous abortions. Her four children are still living.
How would the nurse record this information?
