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Health Assessment Final Exam QUESTIONS WITH ANSWERS

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Health Assessment Final Exam QUESTIONS WITH ANSWERS

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Health Assessment Final Exam |\ |\ |\ |\




QUESTIONS WITH ANSWERS |\ |\




A nurse on a post-surgical unit is admitting a client following the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


client's cholecystectomy (gall bladder removal). What is the
|\ |\ |\ |\ |\ |\ |\ |\


overall purpose of assessment for this client?
|\ |\ |\ |\ |\ |\




a. Collecting accurate data
|\ |\ |\




b. Assisting the primary care provider
|\ |\ |\ |\ |\




c. Validating previous data
|\ |\ |\




d. Making clinical judgments - CORRECT ANSWERS ✔✔D) Making
|\ |\ |\ |\ |\ |\ |\ |\ |\


clinical judgments |\




A client has presented to the emergency department (ED) with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


complaints of abdominal pain. Which member of the care team
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


would most likely be responsible for collecting the subjective data
|\ |\ |\ |\ |\ |\ |\ |\ |\


on the client during the initial comprehensive assessment?
|\ |\ |\ |\ |\ |\ |\ |\




A) Gastroenterologist
|\




B) ED nurse|\ |\




C) Admissions clerk
|\ |\




D) Diagnostic technician - CORRECT ANSWERS ✔✔B) ED nurse
|\ |\ |\ |\ |\ |\ |\ |\




After teaching a group of students about the phases of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


nursing process, the instructor determines that the teaching was
|\ |\ |\ |\ |\ |\ |\ |\ |\


successful when the students identify which phase as being
|\ |\ |\ |\ |\ |\ |\ |\ |\


foundational to all other phases? |\ |\ |\ |\




A) Assessment
|\

,B) Planning
|\




C) Implementation
|\




D) Evaluation - CORRECT ANSWERS ✔✔A) Assessment
|\ |\ |\ |\ |\ |\




The nurse has completed the comprehensive health assessment
|\ |\ |\ |\ |\ |\ |\ |\


of a client who has been admitted for the treatment of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


community-acquired pneumonia. Following the completion of this |\ |\ |\ |\ |\ |\


assessment, the nurse periodically performs a partial
|\ |\ |\ |\ |\ |\ |\ |\


assessment primarily for which reason? |\ |\ |\ |\




A) Reassess previously detected problems
|\ |\ |\ |\




B) Provide information for the client's record
|\ |\ |\ |\ |\ |\




C) Address areas previously omitted
|\ |\ |\ |\




D) Determine the need for crisis intervention - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔A) Reassess previously detected problems
|\ |\ |\ |\ |\




A nurse is completing an assessment that will involve gathering
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


subjective and objective data. Which of the following assessment
|\ |\ |\ |\ |\ |\ |\ |\


techniques will best allow the nurse to collect objective data?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




A) Inspection
|\




B) Therapeutic communication
|\ |\




C) Interviewing
|\




D) Active listening - CORRECT ANSWERS ✔✔A) Inspection
|\ |\ |\ |\ |\ |\ |\




A nurse is providing feedback to a colleague after observing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


colleague's interview of a newly admitted client. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


following would the nurse identify as an example of a closed-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ended question or statement?
|\ |\ |\

,A) "Tell me about your relationship with your children?"
|\ |\ |\ |\ |\ |\ |\ |\




B) "Tell me what you eat in a normal day?"
|\ |\ |\ |\ |\ |\ |\ |\ |\




C) "Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\




D) "What is your typical day like?" - CORRECT ANSWERS ✔✔C)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


"Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\




A client has presented to the emergency department and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


having difficulty describing her vague sensation of physical
|\ |\ |\ |\ |\ |\ |\ |\


discomfort and unease. How can the nurse best elicit meaningful
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


assessment data about the nature of the client's complaint?|\ |\ |\ |\ |\ |\ |\ |\




A) Ignore the complaint for now and return to it later in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


assessment.
B) Provide a laundry list of descriptive words.
|\ |\ |\ |\ |\ |\ |\




C) Restate the question using simpler terms.
|\ |\ |\ |\ |\ |\




D) Wait in silence until the client can determine the correct
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


words. - CORRECT ANSWERS ✔✔B) Provide a laundry list of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


descriptive words. |\




During an assessment, the nurse determines that a client sees
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


more than one primary care provider and has obtained
|\ |\ |\ |\ |\ |\ |\ |\ |\


prescriptions from each provider. Which method would be most |\ |\ |\ |\ |\ |\ |\ |\ |\


appropriate to determine a client's current medication regimen?
|\ |\ |\ |\ |\ |\ |\




A) Ask the client to identify which medications taken every day.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




B) Ask the client to bring all the medications and supplements to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


an interview.
|\




C) Ask the caregiver whether the client is taking prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


medications.

, D) Ask the client about the use of any over-the-counter
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


medications. - CORRECT ANSWERS ✔✔B) Ask the client to bring |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


all the medications and supplements to an interview.
|\ |\ |\ |\ |\ |\ |\




A client has just been admitted to the postsurgical unit from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


postanesthetic recovery, and the nurse is in the introductory |\ |\ |\ |\ |\ |\ |\ |\ |\


phase of the client interview. Which of the following activities
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


should the nurse perform first? |\ |\ |\ |\




A) Collaborate with the client to identify problems.
|\ |\ |\ |\ |\ |\ |\




B) Explain the purpose of the interview.
|\ |\ |\ |\ |\ |\




C) Determine the client's vital signs.
|\ |\ |\ |\ |\




D) Obtain family health history data. - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


Explain the purpose of the interview. |\ |\ |\ |\ |\




The nurse is using the mnemonic "COLDSPA" to assess a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


complaint of lower abdominal pain. The nurse asks the client to|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


rate the pain on a scale of 0 to 10. The nurse is assessing which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


aspect of the complaint? |\ |\ |\




A) Character
|\




B) Onset |\




C) Severity
|\




D) Pattern - CORRECT ANSWERS ✔✔C) Severity
|\ |\ |\ |\ |\ |\




11. A nurse is admitting a new client to the subacute medical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


unit and is completing a comprehensive assessment. The nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\


appropriately applying standard precautions by performing which
|\ |\ |\ |\ |\ |\ |\


of the following actions?
|\ |\ |\ |\

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