NUR 101 Health Assessment - Exam 1
_________ is genetic in origin and includes physical characteristics such as skin color,
bone structure, eye color, and hair color.
A. Culture
B. Religion
C. Spirituality
D. Race - correct answerD. Race
Race is genetic in origin and includes physical characteristics such as skin color, bone
structure, eye color, and hair color.
__________ refers to differences in gender, age, culture, race, ethnicity, religion, sexual
orientation, physical or mental disabilities, and social and economic status.
A. Discrimination
B. Spirituality
C. Culture sensitivity
D. Diversity - correct answerD. Diversity
Diversity refers to differences in gender, age, culture, race, ethnicity, religion, sexual
orientation, physical or mental disabilities, and social and economic status.
8._________ pain is associated with feeling pain when a limb has been amputated.
A. Phantom pain
B. Psychotic pain
C. Chronic pain
D. Invisible pain - correct answerA. Phantom pain
This occurs most often in individuals who experienced pain in the appendage or limb
before the amputation.
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 - correct answerA. A comprehensive
assessment
A patient comes to the clinic for a skin check. Which finding by the nurse indicates a
need to further investigate a lesion?
A. The lesion is dark brown.
B. The lesion has been present for 20 years.
C. The lesion bleeds easily when it is touched.
D. The lesion is slightly raised and circumscribed. - correct answerC. The lesion bleeds
easily when it is touched.
A lesion that bleeds easily could be malignant.
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 - correct answerC. History
A symptom is something described by the patient and considered subjective; therefore it
would be documented under "History."
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
- correct answerD. 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.
A patient is complaining of difficulty hearing. Which structure of the ear stimulates the
acoustic nerve?
,A. The tympanic membrane
B. The ossicle
C. The organ of Corti
D. The tragus - correct answerB. The ossicle
Three tiny bones make up the ossicle. This structure transmits sound.
A patient is concerned because the dermatologist diagnosed macules all over the skin.
The patient asks the nurse what could be causing this? The nurse's best response is:
A. "Macules need to be watched closely for signs of skin cancer."
B. "Macules are warts and should be removed."
C. "Macules are freckles are considered normal on the skin."
C. "You have an infection and will need an antibiotic." - correct answerC. "Macules are
freckles are considered normal on the skin."
Another name for macules is freckles. Freckles are considered normal and benign.
A patient reports painful urination for 2 days. The urine
is pink tinged and cloudy. What type of data does this
information represent?
A. Subjective data
B. Objective data
C. Subjective and objective data
D. Secondary source data - correct answerC. Subjective and objective data
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
D. Comprehensive health assessment - correct answerA. 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.
According to the food plan, what represents one serving from the bread, cereal, and
grain products group?
A. 1 cup cooked rice
, B. 6 soda crackers
C. 1 hamburger bun
D. 1 slice of bread - correct answerD. 1 slice of bread
D. One slice of bread represents one serving from this group.
A. One-half cup cooked rice represents one serving from this group.
B. Three to four crackers represent one serving from this group.
C. One hamburger bun represents two servings from this group.
After the nurse has completed the interview, a symptom analysis is performed to derive
appropriate interventions. What is the best description of symptom analysis?
A. A way to document a comprehensive interview
B. A method of collecting data about a patient's past medical history
C. A systematic collection of subjective data related to the patient's chief complaint
D. Interview data collected through the use of an interpreter - correct answerC. A
systematic collection of subjective data related to the patient's chief complaint
This process can be used with any complaint a patient may have.
An adult patient is being assessed in the outpatient clinic secondary to a recent weight
loss. Why is the weight of an adult patient measured routinely during a physical
assessment?
A. It allows assessment of body fat content.
B. A change in body weight can be indicative of health problems.
C. Fat deposits in specific locations can be identified.
D. It identifies patients who exercise and those who do not exercise. - correct answerB.
A change in body weight can be indicative of health problems.
This is especially true with a sudden, excessive weight gain or loss.
An elderly African-American woman with traditional beliefs has been admitted to an
inpatient care unit. A culturally sensitive nurse should:
A. Perform a physical examination
B. Recognize and accept different beliefs about health
C. Identify high-risk patients for various diseases
D. Apply statistical trends of various ethnic and cultural groups - correct answerB.
Recognize and accept different beliefs about health
_________ is genetic in origin and includes physical characteristics such as skin color,
bone structure, eye color, and hair color.
A. Culture
B. Religion
C. Spirituality
D. Race - correct answerD. Race
Race is genetic in origin and includes physical characteristics such as skin color, bone
structure, eye color, and hair color.
__________ refers to differences in gender, age, culture, race, ethnicity, religion, sexual
orientation, physical or mental disabilities, and social and economic status.
A. Discrimination
B. Spirituality
C. Culture sensitivity
D. Diversity - correct answerD. Diversity
Diversity refers to differences in gender, age, culture, race, ethnicity, religion, sexual
orientation, physical or mental disabilities, and social and economic status.
8._________ pain is associated with feeling pain when a limb has been amputated.
A. Phantom pain
B. Psychotic pain
C. Chronic pain
D. Invisible pain - correct answerA. Phantom pain
This occurs most often in individuals who experienced pain in the appendage or limb
before the amputation.
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 - correct answerA. A comprehensive
assessment
A patient comes to the clinic for a skin check. Which finding by the nurse indicates a
need to further investigate a lesion?
A. The lesion is dark brown.
B. The lesion has been present for 20 years.
C. The lesion bleeds easily when it is touched.
D. The lesion is slightly raised and circumscribed. - correct answerC. The lesion bleeds
easily when it is touched.
A lesion that bleeds easily could be malignant.
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 - correct answerC. History
A symptom is something described by the patient and considered subjective; therefore it
would be documented under "History."
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
- correct answerD. 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.
A patient is complaining of difficulty hearing. Which structure of the ear stimulates the
acoustic nerve?
,A. The tympanic membrane
B. The ossicle
C. The organ of Corti
D. The tragus - correct answerB. The ossicle
Three tiny bones make up the ossicle. This structure transmits sound.
A patient is concerned because the dermatologist diagnosed macules all over the skin.
The patient asks the nurse what could be causing this? The nurse's best response is:
A. "Macules need to be watched closely for signs of skin cancer."
B. "Macules are warts and should be removed."
C. "Macules are freckles are considered normal on the skin."
C. "You have an infection and will need an antibiotic." - correct answerC. "Macules are
freckles are considered normal on the skin."
Another name for macules is freckles. Freckles are considered normal and benign.
A patient reports painful urination for 2 days. The urine
is pink tinged and cloudy. What type of data does this
information represent?
A. Subjective data
B. Objective data
C. Subjective and objective data
D. Secondary source data - correct answerC. Subjective and objective data
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
D. Comprehensive health assessment - correct answerA. 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.
According to the food plan, what represents one serving from the bread, cereal, and
grain products group?
A. 1 cup cooked rice
, B. 6 soda crackers
C. 1 hamburger bun
D. 1 slice of bread - correct answerD. 1 slice of bread
D. One slice of bread represents one serving from this group.
A. One-half cup cooked rice represents one serving from this group.
B. Three to four crackers represent one serving from this group.
C. One hamburger bun represents two servings from this group.
After the nurse has completed the interview, a symptom analysis is performed to derive
appropriate interventions. What is the best description of symptom analysis?
A. A way to document a comprehensive interview
B. A method of collecting data about a patient's past medical history
C. A systematic collection of subjective data related to the patient's chief complaint
D. Interview data collected through the use of an interpreter - correct answerC. A
systematic collection of subjective data related to the patient's chief complaint
This process can be used with any complaint a patient may have.
An adult patient is being assessed in the outpatient clinic secondary to a recent weight
loss. Why is the weight of an adult patient measured routinely during a physical
assessment?
A. It allows assessment of body fat content.
B. A change in body weight can be indicative of health problems.
C. Fat deposits in specific locations can be identified.
D. It identifies patients who exercise and those who do not exercise. - correct answerB.
A change in body weight can be indicative of health problems.
This is especially true with a sudden, excessive weight gain or loss.
An elderly African-American woman with traditional beliefs has been admitted to an
inpatient care unit. A culturally sensitive nurse should:
A. Perform a physical examination
B. Recognize and accept different beliefs about health
C. Identify high-risk patients for various diseases
D. Apply statistical trends of various ethnic and cultural groups - correct answerB.
Recognize and accept different beliefs about health
