Study online at https://quizlet.com/_3j8sh8
Health Assessment - Exam 1 Questions With Correct Answers
2024/2025 A+ Graded 100% Verified
1. A patient is admitted to the medical-surgical unit with a diagnosis of
hypertension. The nurse is using the nursing process to develop the plan of care.
Which steps should the nurse incorporate?
A. Assessment, treatment, planning, evaluation, discharge, follow-up
B. Admission, assessment, diagnosis, treatment, discharge planning
C. Admission, diagnosis, treatment, evaluation, discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation,
evaluation: D. Assessment, diagnosis, outcome identification, planning,
implementation, evaluation
The nursing process is a method of problem solving that includes assessment, diagnosis,
outcome identification, planning, implementation, and evaluation. The nurse must
analyze and interpret these data before initiating a plan of care.
2. The nurse is incorporating the principles of the quality and safety competencies
from the Institute of Medicine (IOM) recommendations into the health assessment
of a patient in the long-term care setting. What principles should the nurse
consider? Select all that apply:
A. Use evidence to support interventions.
B. Evaluate the plan of care.
C. Use a step-by-step approach to problem solving.
D. Use technologies and informatics in delivering care.
E. Place the patient at the center of care.
F. Include other disciplines in the plan of care.: A, D, E, F
Use Evidence to support interventions
Use technologies and informatics in delivering care
Place the patient at the center of care
Include other disciplines in care
The Institute of Medicine identified five core competencies as essential for health care
professionals to demonstrate how to respond effectively to patient care needs: provide
, Health Assessment - Exam 1
Study online at https://quizlet.com/_3j8sh8
patient-centered care, work in interdisciplinary teams, use evidence-based practice, apply
quality improvements, and use informatics.
3. The student nurse is preparing to assess a patient in the hospital clinical setting.
Which components best describe the concept of health assessment? Select all that
apply:
A. Collection of objective data
B. Collection of subjective data
C. Collection of data and identification of nursing diagnosis
D. Planning and evaluation of data
E. Analysis of data
F. Physical exam
G. Documentation of data: A, B, F, G
Collection of objective data
Collection of subjective data
Physical exam
Documentation of Data
Components of health assessment include conducting a health history (the collection of
subjective data), performing a physical examination (the collection of objective data), and
documenting the findings.
4. The nurse is documenting the findings from the health assessment. Which
example of data documentation reflects the opinion of the nurse?
A. The patient is uncooperative and unfriendly.
B. The patient avoids eye contact.
C. The patient states, "I do not want to get out of bed."
D. The patient states, "I am very angry.": A. The patient is uncooperative and
unfriendly
Nurses must record data accurately, concisely, and without bias or opinion. In this
example, the nurse is offering an opinion, which may contain bias.
5. The nurse is assessing a patient for the first time in the outpatient diabetic clinic.
A ____________ type of health assessment would be most appropriate for this visit?
, Health Assessment - Exam 1
Study online at https://quizlet.com/_3j8sh8
A. Focused assessment
B. Episodic follow-up assessment
C. Shift assessment
D. Comprehensive health assessment: D. Comprehensive health assessment
The type of health assessment performed by the nurse is also driven by patient need. A
comprehensive health assessment involves a detailed history and physical examination
performed at the onset of care in a primary care setting or upon admission to a hospital or
long-term care facility.
6. A patient complains of a cough for 4 days unrelieved with position changes. The
nurse interprets this as a symptom and documents the finding under
____________on the patient's chart.
A. The nursing care plan
B. Assessment
C. History
D. Vital signs: C. History
A symptom is something described by the patient and considered subjective; therefore it
would be documented under "History."
7. The nurse is administering an influenza (flu) shot to a patient in a retail health
setting. Of which level of prevention is this an example?
A. Primary
B. Secondary
C. Post secondary
D. Tertiary: A. Primary Prevention
Vaccinations protect from disease and are considered primary prevention.
8. A patient tells the nurse that he has had a headache and nausea for 3 days. Which
type of assessment should the nurse perform?
A. Focused assessment
B. Episodic follow-up assessment
C. Shift assessment
, Health Assessment - Exam 1
Study online at https://quizlet.com/_3j8sh8
D. Comprehensive health assessment: A. focused assessment
The type of health assessment performed by the nurse is also driven by patient need. A
focused assessment involves a history and examination that are limited to a specific
problem or complaint.
9. The nurse is conducting a data analysis on objective information obtained during
the health history. What should be included? Select all that apply
A. Vital signs
B. Pain assessment
C. Review of symptoms
D. Surgical history
E. Social history
F. Heart murmur: A. Vital signs
F. Heart murmur
Pain assessment, review of symptoms, surgical history, and social history are considered
subjective data.
10. The _______ refers to the circumstances or situations related to the health care
delivery. This may be related to the setting or environment; it might relate to
physical, psychological, or socioeconomic circumstances involving patients, or the
expertise of the nurse.
A. Body systems assessment
B. Nursing process
C. Health promotion interventions
D. Context of care: D. context of care
11. A 52-year-old male patient is admitted to the hospital with a new diagnosis of
rectal cancer. The nurse conducts which type of assessment on his admission?
A. A comprehensive assessment
B. A problem-based health assessment
C. An episodic assessment
D. A screening assessment for colorectal cancer: A. A comprehensive assessment
12. The formation of a plan of care is initiated with: