EAQ - Health and Physical Assessment
questions well answered to pass
Which is the sequence of techniques used while assessing the abdomen? - correct
answer ✔✔1. Inspection
2. Auscultation
3. Percussion
4. Palpation
Which physical skin finding indicates opioid abuse? - correct answer ✔✔Needle
marks
Which action by the nurse would prevent aspiration when administering
medications through a nasogastric tube? - correct answer ✔✔Verifying placement
of the nasogastric tube
The client would be placed in the high Fowler position. The head of the bed would
be elevated 60 to 90 degrees. It is important to check residual capacity before
administering medications or feedings via nasogastric tube, however, the gastric
contents would be returned to prevent dangerous alterations in fluid and
electrolyte values.
Which clinical finding would the nurse anticipate when admitting a client with an
extracellular fluid volume excess? - correct answer ✔✔Distended jugular veins
, Because of fluid overload in the intravascular space, the neck veins become visibly
distended.
Which are the benefits of using standard formal nursing diagnostic statements? -
correct answer ✔✔1. Fosters development of nursing knowledge
2. Provides precise definition of the client's problem
3. Distinguishes the nurse's role from that of other care providers
When nurses are conducting health assessment interviews with older clients,
which step would be included? - correct answer ✔✔Spend time in several short
sessions to elicit more complete information from the clients
Spending time in several short sessions reduces client fatigue and compensates
for a shortened attention span, which is common in the older adult
Which action would the nurse take upon entering an examination room for
assessment of a confused client? - correct answer ✔✔Plan a focused physical
assessment
The nurse would not rush through an assessment because of confusion. The nurse
would not skip the assessment because of confusion. The nurse would never leave
a confused client unattended.
Which related factor is appropriate for a nursing diagnosis? - correct answer
✔✔Trauma of incision
The related factor or etiology of a nursing diagnosis is always within the nursing
domain. The nurse must ensure that the related factor is a condition that
questions well answered to pass
Which is the sequence of techniques used while assessing the abdomen? - correct
answer ✔✔1. Inspection
2. Auscultation
3. Percussion
4. Palpation
Which physical skin finding indicates opioid abuse? - correct answer ✔✔Needle
marks
Which action by the nurse would prevent aspiration when administering
medications through a nasogastric tube? - correct answer ✔✔Verifying placement
of the nasogastric tube
The client would be placed in the high Fowler position. The head of the bed would
be elevated 60 to 90 degrees. It is important to check residual capacity before
administering medications or feedings via nasogastric tube, however, the gastric
contents would be returned to prevent dangerous alterations in fluid and
electrolyte values.
Which clinical finding would the nurse anticipate when admitting a client with an
extracellular fluid volume excess? - correct answer ✔✔Distended jugular veins
, Because of fluid overload in the intravascular space, the neck veins become visibly
distended.
Which are the benefits of using standard formal nursing diagnostic statements? -
correct answer ✔✔1. Fosters development of nursing knowledge
2. Provides precise definition of the client's problem
3. Distinguishes the nurse's role from that of other care providers
When nurses are conducting health assessment interviews with older clients,
which step would be included? - correct answer ✔✔Spend time in several short
sessions to elicit more complete information from the clients
Spending time in several short sessions reduces client fatigue and compensates
for a shortened attention span, which is common in the older adult
Which action would the nurse take upon entering an examination room for
assessment of a confused client? - correct answer ✔✔Plan a focused physical
assessment
The nurse would not rush through an assessment because of confusion. The nurse
would not skip the assessment because of confusion. The nurse would never leave
a confused client unattended.
Which related factor is appropriate for a nursing diagnosis? - correct answer
✔✔Trauma of incision
The related factor or etiology of a nursing diagnosis is always within the nursing
domain. The nurse must ensure that the related factor is a condition that
