NURS 307. Health and Physical
Assessment Exam 1
A nurse is performing a pre-admission assessment on a client and employs the use of
nonverbal and verbal communication. Which of the following actions demonstrates the
use of a nonverbal communication technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintaining an arm's length between self and client
D. Stating name and providing credentials upon entering the client's room - answer
Maintaining an arm's length between self and client
A nurse is preparing to irrigate a client's leg wound. Which of the following pieces of
PPE should the nurse wear while performing this task? (Select All that Apply)
Gown
Gloves
Goggles
N95 Mask
Surgical Cap - answerGown, Gloves, Goggles
A nurse has performed preoperative care on a client and is transferring the client to the
surgical holding area when the client states, "I have changed my mind. I do not want to
have this surgery." Which of the following ethical principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity - answerAutonomy
A nurse is preparing to perform a physical examination on a client. Which of the
following interventions should the nurse perform to ensure client privacy?
A. Close the examination room door but do not pull the curtain in the examination room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder and bowel before the physical
examination begins
D. Do not expose any more of the client's body than required at a time - answerDo not
expose any more of the client's body than required at a time
A nurse is assisting a client with ambulating around the nurses' station. Which of the
following steps of the nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning - answerImplementation
,A nurse is documenting their assessment and documents that the client states, "I have
a dry cough every morning when I wake up." Which of the following types of data is the
nurse documenting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory - answerSubjective
A nurse is caring for a client who is crying and appears upset after receiving news that
they will need to have a surgical procedure. Which of the following actions should the
nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation - answerShow interest in
the client's feelings by acknowledging that they are upset
A nurse is preparing to assess a newly admitted client. Which of the following pieces of
equipment does the nurse need to begin the inspection part of the physical
examination? (Select All That Apply).
Electrocardiogram monitor
Doppler
Penlight
Tape Measure
Tonge Depressor - answerPenlight, Tape Measure, Tongue Depressor
A nurse is performing auscultation during a client's physical assessment. Which of the
following tools should the nurse use for this part of the assessment?
A. Tongue Depressor
B. Penlight
C. Reflex Hammer
D. Stethoscope - answerStethoscope
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process should
the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning - answerAssessment
A nurse is preparing to perform palpation on a client during a physical assessment.
Which of the following findings is the nurse assessing during palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
, C. Heart sounds, lung sounds, and bowel sounds
D. The client's cleanliness and grooming - answerSkin temperature, moisture, or
unexpected findings
A nurse is performing a physical assessment of a client who has reported abdominal
tenderness. Which of the following actions should the nurse take?
A. Use the soft end of a cotton swab over the client's abdomen
B. Auscultate the tender areas of the client's abdomen through clothing
C. Palpate the tender areas of the client's abdomen last
D. Use deep palpation when assessing the client's abdomen - answerPalpate the tender
areas of the client's abdomen last
A nurse has just received report on a newly admitted client who reports abdominal
tenderness in the lower right quadrant. Which of the following is the first step the nurse
should perform during the abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection - answerInspection
The nurse is completing documentation in a client's medical record. Which of the
following entries display proper documentation by the nurse?
A. The client is feeling better
B. The client's abdomen is soft and non-distended
C. The client's status is unchanged
D. The client appears in pain - answerThe client's abdomen is soft and non-distended
A nurse has just received report on a newly admitted client who speaks a different
language than the nurse. Which of the following actions should the nurse take to assist
with effective communication with the client during the initial assessment process?
A. Enlist the aid of the client's school-age child to interpret for the nurse and the client
B. Ask the client's best friend to interpret for the nurse and client
C. Use jokes and laughter to make the client feel more at ease
D. Request assistance from an interpreter during the assessment - answerRequest
assistance from an interpreter during the assessment
A nurse assesses a client's respiratory rate and notes that it is below the expected
reference range. The nurse should identify that which of the following findings can
decrease a client's respiratory rate?
A. The client has been a chronic smoker for 10 years
B. The client takes narcotic pain medication for chronic pain
C. The client reports anxiety due to being in the hospital
D. The client has a history of anemia - answerThe client takes a narcotic pain
medication for chronic pain
Assessment Exam 1
A nurse is performing a pre-admission assessment on a client and employs the use of
nonverbal and verbal communication. Which of the following actions demonstrates the
use of a nonverbal communication technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintaining an arm's length between self and client
D. Stating name and providing credentials upon entering the client's room - answer
Maintaining an arm's length between self and client
A nurse is preparing to irrigate a client's leg wound. Which of the following pieces of
PPE should the nurse wear while performing this task? (Select All that Apply)
Gown
Gloves
Goggles
N95 Mask
Surgical Cap - answerGown, Gloves, Goggles
A nurse has performed preoperative care on a client and is transferring the client to the
surgical holding area when the client states, "I have changed my mind. I do not want to
have this surgery." Which of the following ethical principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity - answerAutonomy
A nurse is preparing to perform a physical examination on a client. Which of the
following interventions should the nurse perform to ensure client privacy?
A. Close the examination room door but do not pull the curtain in the examination room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder and bowel before the physical
examination begins
D. Do not expose any more of the client's body than required at a time - answerDo not
expose any more of the client's body than required at a time
A nurse is assisting a client with ambulating around the nurses' station. Which of the
following steps of the nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning - answerImplementation
,A nurse is documenting their assessment and documents that the client states, "I have
a dry cough every morning when I wake up." Which of the following types of data is the
nurse documenting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory - answerSubjective
A nurse is caring for a client who is crying and appears upset after receiving news that
they will need to have a surgical procedure. Which of the following actions should the
nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation - answerShow interest in
the client's feelings by acknowledging that they are upset
A nurse is preparing to assess a newly admitted client. Which of the following pieces of
equipment does the nurse need to begin the inspection part of the physical
examination? (Select All That Apply).
Electrocardiogram monitor
Doppler
Penlight
Tape Measure
Tonge Depressor - answerPenlight, Tape Measure, Tongue Depressor
A nurse is performing auscultation during a client's physical assessment. Which of the
following tools should the nurse use for this part of the assessment?
A. Tongue Depressor
B. Penlight
C. Reflex Hammer
D. Stethoscope - answerStethoscope
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process should
the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning - answerAssessment
A nurse is preparing to perform palpation on a client during a physical assessment.
Which of the following findings is the nurse assessing during palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
, C. Heart sounds, lung sounds, and bowel sounds
D. The client's cleanliness and grooming - answerSkin temperature, moisture, or
unexpected findings
A nurse is performing a physical assessment of a client who has reported abdominal
tenderness. Which of the following actions should the nurse take?
A. Use the soft end of a cotton swab over the client's abdomen
B. Auscultate the tender areas of the client's abdomen through clothing
C. Palpate the tender areas of the client's abdomen last
D. Use deep palpation when assessing the client's abdomen - answerPalpate the tender
areas of the client's abdomen last
A nurse has just received report on a newly admitted client who reports abdominal
tenderness in the lower right quadrant. Which of the following is the first step the nurse
should perform during the abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection - answerInspection
The nurse is completing documentation in a client's medical record. Which of the
following entries display proper documentation by the nurse?
A. The client is feeling better
B. The client's abdomen is soft and non-distended
C. The client's status is unchanged
D. The client appears in pain - answerThe client's abdomen is soft and non-distended
A nurse has just received report on a newly admitted client who speaks a different
language than the nurse. Which of the following actions should the nurse take to assist
with effective communication with the client during the initial assessment process?
A. Enlist the aid of the client's school-age child to interpret for the nurse and the client
B. Ask the client's best friend to interpret for the nurse and client
C. Use jokes and laughter to make the client feel more at ease
D. Request assistance from an interpreter during the assessment - answerRequest
assistance from an interpreter during the assessment
A nurse assesses a client's respiratory rate and notes that it is below the expected
reference range. The nurse should identify that which of the following findings can
decrease a client's respiratory rate?
A. The client has been a chronic smoker for 10 years
B. The client takes narcotic pain medication for chronic pain
C. The client reports anxiety due to being in the hospital
D. The client has a history of anemia - answerThe client takes a narcotic pain
medication for chronic pain
