Holistic Health Final Exam with 100%
Verified Answers
The nurse is administering a Mini‐Cog test to an older adult woman. When asked
to draw a clock showing the time of 10:45, the patient drew a clock with the
numbers out of order and with an incorrect time. This result indicates which
finding? - ✅✅ Cognitive impairment
The nurse is preparing to perform a physical assessment. Which statement is true
about the physical assessment? The inspection phase: - ✅✅ Takes time and
reveals a surprising amount of information.
Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
Palpation
Inspection
Percussion
Auscultation - ✅✅ Palpation
A 6‐month‐old infant has been brought to the well‐child clinic for a check‐up.
What does the nurse do first when beginning the examination?- ✅✅ Auscultate
the lungs and heart while the infant is still sleeping.
The nurse is examining a 2‐year‐old child and asks, "May I listen to your heart
now?" Which critique of the nurse's technique is most accurate?
Asking questions enhances the child's autonomy
Asking the child for permission helps develop a sense of trust
This question is an appropriate statement because children at this age like to have
choices
Children at this age like to say, "No." The examiner should not offer a choice when
no choice is available - ✅✅ Children at this age like to say, "No." The examiner
should not offer a choice when no choice is available
The nurse is preparing to examine a 4‐year‐old child. Which action is
appropriate for this age group?
Explain the procedures in detail to alleviate the child's anxiety.
Give the child feedback and reassurance during the examination.
, Do not ask the child to remove his or her clothes because children at this age are
usually very private.
Perform an examination of the ear, nose, and throat first, and then examine the
thorax and abdomen. - ✅✅ Give the child feedback and reassurance during the
examination.
The nurse is assessing an 80‐year‐old male patient. Which assessment findings
would be considered normal?- ✅✅ Presence of kyphosis and flexion in the knees
and hips
The nurse is preparing to measure the length, weight, chest, and head
circumference of a 6‐month‐old infant. Which measurement technique is
correct?
- ✅✅ Measuring the chest circumference at the nipple line with a tape measure
The nurse is examining a patient who is complaining of "feeling cold." Which is a
mechanism of heat loss in the body?- ✅✅ B) Radiation
When evaluating the temperature of older adults, the nurse should remember which
aspect about an older adult's body temperature?- ✅✅ The body temperature of
the older adult is lower than that of a younger adult.
Which technique is correct when the nurse is assessing the radial pulse of a
patient? The pulse is counted for:- ✅✅ 1 minute, if the rhythm is irregular.
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." This
type of data would be:
Objective
Reflective
Subjective
Introspective - ✅✅ Subjective
Which critical thinking skill helps the nurse see relationships among the data?
Validation
Clustering related cues
Identifying gaps in data
Distinguishing relevant from irrelevant - ✅✅ Clustering related cues
Verified Answers
The nurse is administering a Mini‐Cog test to an older adult woman. When asked
to draw a clock showing the time of 10:45, the patient drew a clock with the
numbers out of order and with an incorrect time. This result indicates which
finding? - ✅✅ Cognitive impairment
The nurse is preparing to perform a physical assessment. Which statement is true
about the physical assessment? The inspection phase: - ✅✅ Takes time and
reveals a surprising amount of information.
Which of these techniques uses the sense of touch to assess texture, temperature,
moisture, and swelling when the nurse is assessing a patient?
Palpation
Inspection
Percussion
Auscultation - ✅✅ Palpation
A 6‐month‐old infant has been brought to the well‐child clinic for a check‐up.
What does the nurse do first when beginning the examination?- ✅✅ Auscultate
the lungs and heart while the infant is still sleeping.
The nurse is examining a 2‐year‐old child and asks, "May I listen to your heart
now?" Which critique of the nurse's technique is most accurate?
Asking questions enhances the child's autonomy
Asking the child for permission helps develop a sense of trust
This question is an appropriate statement because children at this age like to have
choices
Children at this age like to say, "No." The examiner should not offer a choice when
no choice is available - ✅✅ Children at this age like to say, "No." The examiner
should not offer a choice when no choice is available
The nurse is preparing to examine a 4‐year‐old child. Which action is
appropriate for this age group?
Explain the procedures in detail to alleviate the child's anxiety.
Give the child feedback and reassurance during the examination.
, Do not ask the child to remove his or her clothes because children at this age are
usually very private.
Perform an examination of the ear, nose, and throat first, and then examine the
thorax and abdomen. - ✅✅ Give the child feedback and reassurance during the
examination.
The nurse is assessing an 80‐year‐old male patient. Which assessment findings
would be considered normal?- ✅✅ Presence of kyphosis and flexion in the knees
and hips
The nurse is preparing to measure the length, weight, chest, and head
circumference of a 6‐month‐old infant. Which measurement technique is
correct?
- ✅✅ Measuring the chest circumference at the nipple line with a tape measure
The nurse is examining a patient who is complaining of "feeling cold." Which is a
mechanism of heat loss in the body?- ✅✅ B) Radiation
When evaluating the temperature of older adults, the nurse should remember which
aspect about an older adult's body temperature?- ✅✅ The body temperature of
the older adult is lower than that of a younger adult.
Which technique is correct when the nurse is assessing the radial pulse of a
patient? The pulse is counted for:- ✅✅ 1 minute, if the rhythm is irregular.
A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." This
type of data would be:
Objective
Reflective
Subjective
Introspective - ✅✅ Subjective
Which critical thinking skill helps the nurse see relationships among the data?
Validation
Clustering related cues
Identifying gaps in data
Distinguishing relevant from irrelevant - ✅✅ Clustering related cues
