NUR 101 Health Assessment - Midterm
Exam
A health assessment is a set of questions concerning personal behaviors, risks, life
changing events, health objectives and priorities, and general health that patients
answer. Furthermore, systematic screening and assessment tools are commonly
employed in primary care clinics to assist the health care team and the patient in
developing a treatment plan. Health assessment data can also aid the health-care team
in determining the needs of the patient group as a whole The length and extent of health
exams can vary. Which of the following statements is false?
SELECT ALL THAT APPLY - correct answerThe communication of health assessment
and clinical data will span a myriad of interactivities possibilities only
A nurse auscultates a client's lungs and hears fine crackles. What is an appropriate
action by the nurse? - correct answerInstruct the client to cough forcefully
A nurse inquired of the patient, "What were you doing previous to the onset of pain?" A
question of this sort is posed to determine: - correct answerPrecipitating factors
A nurse is inspecting the patient's ears with an otoscope. Which of the following findings
would be considered abnormal? - correct answerPerforation of the tympanic membrane
A nurse is reviewing the medical record of a male client to be admitted to the nursing
unit and notes documentation of reticular skin lesions. The nurse expects that these
lesions will appear to be: - correct answerNetlike appearance
A patient arrives at the health care facility The patient you're evaluating is suffering from
tension headaches. When questioned, what do you think is the most likely source of his
headaches? - correct answerHis recent caffeine abstinence
A patient complains of chest pain. Which question is pertinent to ask to gain additional
information? - correct answer"What does the pain feel like?"
A patient complains of shortness of breath and needing to sleep on three pillows at
night to breathe comfortably. What symptoms during the nurses assessment will
indicate that the reason for this patient's dyspnea is attributable to heart illness rather
than respiratory disease? - correct answerBilateral peripheral edema
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex
indicates that. - correct answerA. The eye converges to focus on the light
B. Light is reflected at the same spot in both eyes
C. The eye focuses the image in the center of the pupil
D. Constriction of both pupils occurs in response to bright light
, Answer: D
A patient reports leg discomfort. Which question should I ask to obtain more
information? - correct answer"How do you feel about your pain?"
A postoperative care unit nurse is evaluating the quality of the A 45-year-old patient
describes discomfort in the foot that goes up the calf and adds, "My right foot feels like
it's on fire." The pain began yesterday, and the patient has no history of injuries or falls.
What aspects of pain evaluation did the patient report? - correct answerLocation,
Quality, and Onset
A SKIN ASSESSMENT captures the patient's general physical condition, based on
careful inspection and palpation of the skin and documentation of the nurse's findings.
Which of the following is not a primary skin lesion: - correct answerExcoriation
A thorough skin assessment gives the examiner important information about potentially
serious diseases, especially in older adults who are vulnerable to skin breakdown.
Which of the following purpuric lesions, is a tiny punctate hemorrhage that is typically 1-
3 mm, round/ discrete and caused by bleeding from superficial arteries? - correct
answerPetechiae
A thorough social and environmental health history can be just as informative as the
physical examination and clinical diagnostics in the diagnosis and prompt treatment of
illness. The nurse questions the reliability of the history provided by the patient. One
method to verify the information within the context of the interview is to: - correct
answerreview previous medical records.
All except one is False about risk factors regarding visual acuity assessment? - correct
answerA. Functional ability of a patient with a visual deficit will be further compromised
if the patient also has hearing problems.
B. Inquire about leisure activities during which the patient may incur an ocular injury
C. Examine the patient's regular elimination pattern to see if there is a risk of
constipation in patients who have had sensorineural surgical operations
D. Workplace eye safety precautions, such as the usage of goggles or safety glasses,
are now required by law
Answer: C. Examine the patient's regular elimination pattern to see if there is a risk of
constipation in patients who have had sensorineural surgical operations
An important physical examination technique used by the healthcare providers, where
he or she will listen to the patient's heart, lungs, neck or abdomen, to identify if any
problems are present Auscultation is often performed by using a stethoscope Nurse 2 is
Exam
A health assessment is a set of questions concerning personal behaviors, risks, life
changing events, health objectives and priorities, and general health that patients
answer. Furthermore, systematic screening and assessment tools are commonly
employed in primary care clinics to assist the health care team and the patient in
developing a treatment plan. Health assessment data can also aid the health-care team
in determining the needs of the patient group as a whole The length and extent of health
exams can vary. Which of the following statements is false?
SELECT ALL THAT APPLY - correct answerThe communication of health assessment
and clinical data will span a myriad of interactivities possibilities only
A nurse auscultates a client's lungs and hears fine crackles. What is an appropriate
action by the nurse? - correct answerInstruct the client to cough forcefully
A nurse inquired of the patient, "What were you doing previous to the onset of pain?" A
question of this sort is posed to determine: - correct answerPrecipitating factors
A nurse is inspecting the patient's ears with an otoscope. Which of the following findings
would be considered abnormal? - correct answerPerforation of the tympanic membrane
A nurse is reviewing the medical record of a male client to be admitted to the nursing
unit and notes documentation of reticular skin lesions. The nurse expects that these
lesions will appear to be: - correct answerNetlike appearance
A patient arrives at the health care facility The patient you're evaluating is suffering from
tension headaches. When questioned, what do you think is the most likely source of his
headaches? - correct answerHis recent caffeine abstinence
A patient complains of chest pain. Which question is pertinent to ask to gain additional
information? - correct answer"What does the pain feel like?"
A patient complains of shortness of breath and needing to sleep on three pillows at
night to breathe comfortably. What symptoms during the nurses assessment will
indicate that the reason for this patient's dyspnea is attributable to heart illness rather
than respiratory disease? - correct answerBilateral peripheral edema
A patient has a normal pupillary light reflex. The nurse recognizes that this reflex
indicates that. - correct answerA. The eye converges to focus on the light
B. Light is reflected at the same spot in both eyes
C. The eye focuses the image in the center of the pupil
D. Constriction of both pupils occurs in response to bright light
, Answer: D
A patient reports leg discomfort. Which question should I ask to obtain more
information? - correct answer"How do you feel about your pain?"
A postoperative care unit nurse is evaluating the quality of the A 45-year-old patient
describes discomfort in the foot that goes up the calf and adds, "My right foot feels like
it's on fire." The pain began yesterday, and the patient has no history of injuries or falls.
What aspects of pain evaluation did the patient report? - correct answerLocation,
Quality, and Onset
A SKIN ASSESSMENT captures the patient's general physical condition, based on
careful inspection and palpation of the skin and documentation of the nurse's findings.
Which of the following is not a primary skin lesion: - correct answerExcoriation
A thorough skin assessment gives the examiner important information about potentially
serious diseases, especially in older adults who are vulnerable to skin breakdown.
Which of the following purpuric lesions, is a tiny punctate hemorrhage that is typically 1-
3 mm, round/ discrete and caused by bleeding from superficial arteries? - correct
answerPetechiae
A thorough social and environmental health history can be just as informative as the
physical examination and clinical diagnostics in the diagnosis and prompt treatment of
illness. The nurse questions the reliability of the history provided by the patient. One
method to verify the information within the context of the interview is to: - correct
answerreview previous medical records.
All except one is False about risk factors regarding visual acuity assessment? - correct
answerA. Functional ability of a patient with a visual deficit will be further compromised
if the patient also has hearing problems.
B. Inquire about leisure activities during which the patient may incur an ocular injury
C. Examine the patient's regular elimination pattern to see if there is a risk of
constipation in patients who have had sensorineural surgical operations
D. Workplace eye safety precautions, such as the usage of goggles or safety glasses,
are now required by law
Answer: C. Examine the patient's regular elimination pattern to see if there is a risk of
constipation in patients who have had sensorineural surgical operations
An important physical examination technique used by the healthcare providers, where
he or she will listen to the patient's heart, lungs, neck or abdomen, to identify if any
problems are present Auscultation is often performed by using a stethoscope Nurse 2 is
