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Exam 1 Health Assessment (Nclex Practice Questions) 2024
( A+ Graded 100% Verified)
1. Which of the following is an example of objective data?
Dizziness
An earache
Alert and oriented
A sore throat: Alert and oriented
2. Which of the following is an example of subjective data?
Bruising on the lower leg
Blood glucose 126 md/dL
HR of 76 BPM
Pain rated at 7 out of 10: Pain rated at 7 out of 10
3. A patient seeks care for "debilitating headaches that cause excessive
absences at work." On further exploration, the nurse asks, what makes the
headaches worse? With this question, the nurse is seeking information about?
The patients perception of pain Relieving factors, The nature or character of the
headache ,Aggravating factors: Aggravating factors
4. The "Review of Systems" in the health history is
A record of objective findings
An evaluation of past and present health state of each body system
A documentation of the problem as perceived by the patient
A short statement of general health status: An evaluation of past and present health
state of each body system
5. Which of the following is a normal average value for a patients temperature
measured using an oral thermometer?
34.9 C
38 C
37 C
35 C: 37 C
6. An example of a primary lesion is
, Exam 1 Health Assessment (Nclex Practice Questions)
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Ulcer
Erosion
Urticaria
Port wine stain: Urticaria
7. Functions of the skin include Production of vitamin C Secretion of a drying
substance called sebum Production of new cells by melanocytes
Temperature regulation: Temperature regulation
8. The home health care nurse is caring for a patient with cancer who is complaining
of acute pain. The most appropriate determination of the client's pain should
include which assessment? Nonverbal cues from the patient The nurses impression
of the clients pain Pain relief after appropriate nursing intervention The clients pain
rating: The client's pain rating
9. To ensure the most accurate blood pressure reading for your patient in the
clinic, it is best to do which of the following? (Select all that apply)
Measure the BP after resting at least 5 mins
Measure BP at 1 and 5 minutes for comparison
Ask the patient to recall the BP at their last visit and get an average of the BP
Measure the BP after walking 1 flight of stairs o show endurance factor: Measure BP
after resting at least 5 minutes
10. Using the ABCDE to screen moles is helpful in assessment. It is important to
remember that the A stands for which of the following?
Asymmetry
Atypical cells
Adhesions
Adventitious: Asymmetry
11. When testing for muscle strength, the examiner should
Observe muscles for the degree of contraction when the individual lifts a heavy
object
Measure the degree of forces that it takes to overcome joint flexion or extension
Apply an opposing force when the individual puts a joint in flexion or extension
Estimate the degree of flexion and extension in each joint: Apply an opposing force
when the individuals puts a joint in flexion or extension