NUR 101 Health Assessment Final Exam:
Review Questions
A nurse is caring for a patient with an injury to Broca's area. Which finding would the
nurse expect to assess in this patient?
a.Difficulty speaking
b.Receptive aphasia
c.Visual disturbances
d.Emotional lability - correct answera.Difficulty speaking
A patient comes to the Emergency department (ED) complaining of chest pain. This
would be considered:
a.Secondary data
b.Objective data
c.Subjective data
d.Tertiary data - correct answerc.Subjective data
A patient has a barrel-shaped chest. A barrel - shaped chest is characterized by:
a.Anteroposterior to transverse (lateral) diameter of 2:1 and the elevation of the ribs.
b.Anteroposterior to transverse (lateral) diameter of 1:2 and an elliptic shape.
c.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational.
d.Anteroposterior to transverse (lateral) diameter of 3:7 and sloping backwards of the
ribs - correct answerc.Equal anteroposterior to transverse (lateral) diameter and the ribs
being horizational.
A patient is clenching the jaw closed to avoid taking a prescribed oral medication. The
nurse can use this observation to confirm the patient is demonstrating motor function of
which cranial nerve?
a.Facial
b.Glossopharyngeal
c.Trigeminal
d.Vagus - correct answerc.Trigeminal
A patient is complaining of "shortness of breath with movements" and this complaint is
validated by the nurse objectively. How would the nurse best document these findings?
a.Patient complains of "shortness of breath". No DOE observed.
b.Patient complains of mild "shortness of breath". + DOE noted by this RN.
c.Patient reports "shortness of breath with movements". + DOE observed by this RN.
, d.Patient reports "shortness of breath at rest". DOE was not noted by this RN. - correct
answerc.Patient reports "shortness of breath with movements". + DOE observed by this
RN.
A patient with a history of depression and manic episodes acknowledges suicidal
thinking over the past week and verbalized a plan. What are you most concerned about
initially in caring for this patient?
a.Mental health
b.Mental status
c.Neurologic function
d.Safety - correct answerd.Safety
A patient with a recent head injury is admitted to the emergency department. The
patient appears to be dazed. The nurse asks the patient, "Do you know where you are?"
Which of the following parameters is the nurse assessing?
a.Attention
b.Memory
c.Orientation
d.Mood and affect - correct answerc.Orientation
A patient's patellar reflex is normal for the right side but diminished on the left. Using the
scale for grading reflexes, how should the nurse document this finding?
a.Right knee+4; Left knee +3
b.Right knee +1; Left knee 0
c.Right knee +2; Left knee +1
d.Right knee +3; Left knee +2 - correct answerc.Right knee +2; Left knee +1
A risk factor for melanoma is:
a.Brown eyes
b.Darkly pigmented skin
c.Use of sunscreen products
d.Skin that freckles or burns before tanning - correct answerd.Skin that freckles or burns
before tanning
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a.The patient may have been abused.
b.The patient is elderly.
c.The patient may have peripheral vascular disease.
Review Questions
A nurse is caring for a patient with an injury to Broca's area. Which finding would the
nurse expect to assess in this patient?
a.Difficulty speaking
b.Receptive aphasia
c.Visual disturbances
d.Emotional lability - correct answera.Difficulty speaking
A patient comes to the Emergency department (ED) complaining of chest pain. This
would be considered:
a.Secondary data
b.Objective data
c.Subjective data
d.Tertiary data - correct answerc.Subjective data
A patient has a barrel-shaped chest. A barrel - shaped chest is characterized by:
a.Anteroposterior to transverse (lateral) diameter of 2:1 and the elevation of the ribs.
b.Anteroposterior to transverse (lateral) diameter of 1:2 and an elliptic shape.
c.Equal anteroposterior to transverse (lateral) diameter and the ribs being horizational.
d.Anteroposterior to transverse (lateral) diameter of 3:7 and sloping backwards of the
ribs - correct answerc.Equal anteroposterior to transverse (lateral) diameter and the ribs
being horizational.
A patient is clenching the jaw closed to avoid taking a prescribed oral medication. The
nurse can use this observation to confirm the patient is demonstrating motor function of
which cranial nerve?
a.Facial
b.Glossopharyngeal
c.Trigeminal
d.Vagus - correct answerc.Trigeminal
A patient is complaining of "shortness of breath with movements" and this complaint is
validated by the nurse objectively. How would the nurse best document these findings?
a.Patient complains of "shortness of breath". No DOE observed.
b.Patient complains of mild "shortness of breath". + DOE noted by this RN.
c.Patient reports "shortness of breath with movements". + DOE observed by this RN.
, d.Patient reports "shortness of breath at rest". DOE was not noted by this RN. - correct
answerc.Patient reports "shortness of breath with movements". + DOE observed by this
RN.
A patient with a history of depression and manic episodes acknowledges suicidal
thinking over the past week and verbalized a plan. What are you most concerned about
initially in caring for this patient?
a.Mental health
b.Mental status
c.Neurologic function
d.Safety - correct answerd.Safety
A patient with a recent head injury is admitted to the emergency department. The
patient appears to be dazed. The nurse asks the patient, "Do you know where you are?"
Which of the following parameters is the nurse assessing?
a.Attention
b.Memory
c.Orientation
d.Mood and affect - correct answerc.Orientation
A patient's patellar reflex is normal for the right side but diminished on the left. Using the
scale for grading reflexes, how should the nurse document this finding?
a.Right knee+4; Left knee +3
b.Right knee +1; Left knee 0
c.Right knee +2; Left knee +1
d.Right knee +3; Left knee +2 - correct answerc.Right knee +2; Left knee +1
A risk factor for melanoma is:
a.Brown eyes
b.Darkly pigmented skin
c.Use of sunscreen products
d.Skin that freckles or burns before tanning - correct answerd.Skin that freckles or burns
before tanning
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a.The patient may have been abused.
b.The patient is elderly.
c.The patient may have peripheral vascular disease.
