HA FINAL EXAM QUESTIONS AND ANSWERS
Reason for a patient assessment
Chief Complaint or Concern (CC)
The review of the systems provides the nurse with:
Patient information regarding health issues in body system not assessed in the HPI
The nurse is taking a family history. Important diseases or problems about which the
patient should be specifically asked which might put the patient at risk included:
Stroke
When assessing the intensity of a patient’s pain, which question by the nurse is most
appropriate?
" How much pain do you have"
During an admission assessment of a patient with severe dementia, the nurse assesses
for pain because the patient has recently had several falls. Which of these are
appropriate for the nurse to assess in a patient with dementia?
- Note whether the patient is calling out, groaning, or crying.
- observe the patient's body language for pacing and agitation.
The nurse is reviewing concepts of cultural aspects of pain. Which statement is true
regarding pain?
Just as patients vary in their perceptions of pain, so will they vary in their expressions of
pain.
The nurse is comparing the concepts of religion and spirituality. Which of the following is
an appropriate component of one's spirituality?
Personal effort made to find purpose and meaning in life.
You are planning to palpate the posterior chest of your patient. Which part of the
examiner's hand is best palpating vibration?
Ulnar surface
Reason for a patient assessment
Chief Complaint or Concern (CC)
The review of the systems provides the nurse with:
Patient information regarding health issues in body system not assessed in the HPI
The nurse is taking a family history. Important diseases or problems about which the
patient should be specifically asked which might put the patient at risk included:
Stroke
When assessing the intensity of a patient’s pain, which question by the nurse is most
appropriate?
" How much pain do you have"
During an admission assessment of a patient with severe dementia, the nurse assesses
for pain because the patient has recently had several falls. Which of these are
appropriate for the nurse to assess in a patient with dementia?
- Note whether the patient is calling out, groaning, or crying.
- observe the patient's body language for pacing and agitation.
The nurse is reviewing concepts of cultural aspects of pain. Which statement is true
regarding pain?
Just as patients vary in their perceptions of pain, so will they vary in their expressions of
pain.
The nurse is comparing the concepts of religion and spirituality. Which of the following is
an appropriate component of one's spirituality?
Personal effort made to find purpose and meaning in life.
You are planning to palpate the posterior chest of your patient. Which part of the
examiner's hand is best palpating vibration?
Ulnar surface
