NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
What is the purpose of the health history?
Provide the database of subjective data about Pt's health
What are the specific categories contained in the health history?
-demographics
-Reason for Seeking care
-Current medical Hx
-Past medical Hx (immunization, surgeries)
-Family Hx
-Medication reconciliation
-ROS
-Functional assessment
After completing an initial assessment on a client, the nurse has charted:
Vital signs: t-100.1 oral, Apical HR 98 irregular, RR 24 shallow, B/P 128/90, Pulse ox 90% on
RA
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
What type of data is this?
What are you worried about?
-This is Objective Data
-Worried about Respirations, Pulse Ox, Perfusion, Infection; overall pneumonia
During assessment of the lower extremities of a male client the nurse is unable to palpate the
dorsalis pedis pulse.
What action should the nurse take first?
a.Notify the Physician
b.Return in a few hours and reassess
c.Ask the client if this is "normal" for him
d.Reposition the fingers and assess again
D
An example of objective data obtained during the physical assessment includes:
Select all that apply
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
a.Sore throat
b.Audible wheeze
c.Headache
d.Tinnitus
e.Pressure ulcer rt. ankle
B, E
Name the four components of general survey.
PBMB
-Physical appearance
-Body structure
-Mobility
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
-Behavior
A mother is at the clinic with her 2-year-old son and states “he won’t go to sleep at night and
during the day he has several fits. I get so upset when this happens.”
The nurse’s best verbal response should be:
a.“Go on, I’m listening
b.“Tell me what you mean by fits.”
c.“Yes, it can be upsetting when a child has a fit.”
d.“Don’t be upset when he has a fit, all 2-year-olds have fits.”
B
-Clarification; Assisting the Narrative
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
What is the purpose of the health history?
Provide the database of subjective data about Pt's health
What are the specific categories contained in the health history?
-demographics
-Reason for Seeking care
-Current medical Hx
-Past medical Hx (immunization, surgeries)
-Family Hx
-Medication reconciliation
-ROS
-Functional assessment
After completing an initial assessment on a client, the nurse has charted:
Vital signs: t-100.1 oral, Apical HR 98 irregular, RR 24 shallow, B/P 128/90, Pulse ox 90% on
RA
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
What type of data is this?
What are you worried about?
-This is Objective Data
-Worried about Respirations, Pulse Ox, Perfusion, Infection; overall pneumonia
During assessment of the lower extremities of a male client the nurse is unable to palpate the
dorsalis pedis pulse.
What action should the nurse take first?
a.Notify the Physician
b.Return in a few hours and reassess
c.Ask the client if this is "normal" for him
d.Reposition the fingers and assess again
D
An example of objective data obtained during the physical assessment includes:
Select all that apply
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
a.Sore throat
b.Audible wheeze
c.Headache
d.Tinnitus
e.Pressure ulcer rt. ankle
B, E
Name the four components of general survey.
PBMB
-Physical appearance
-Body structure
-Mobility
, NR 304 / NR304 Final Exam V1 (Latest
Update) Health Assessment II
| Questions and Answers | Grade A | 100%
Correct – Chamberlain
-Behavior
A mother is at the clinic with her 2-year-old son and states “he won’t go to sleep at night and
during the day he has several fits. I get so upset when this happens.”
The nurse’s best verbal response should be:
a.“Go on, I’m listening
b.“Tell me what you mean by fits.”
c.“Yes, it can be upsetting when a child has a fit.”
d.“Don’t be upset when he has a fit, all 2-year-olds have fits.”
B
-Clarification; Assisting the Narrative
