Health Assessment and Physical
Examination Questions and Answers
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List the five nursing purposes for performing a physical
assessment. (5) Ans: a. Gather baseline data about the patient's
health status
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b. Support or refute subjective data obtained in the nursing
history
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c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health
status and management
e. Evaluate the outcomes of care
List the principles related to the nurse performing daily
physical examinations. (4) Ans: a. A head-to-toe assessment is
required daily
b. Reassessment is performed when the patient's condition
changes as it improves or worsens
c. The environment, equipment, and patient are properly
prepared
d. Safety for confused patients should be a priority
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Proper preparation for examination should include: (5) Ans: a.
Infection control
b. Environment
c. Equipment
d. Physical preparation of the patient
e. Psychological preparation of the patient
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List seven variations in the nurse's individual style that are
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appropriate when examining children. (7) Ans: a. Gather all or
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part of the histories of infants and children from parents
b. Perform the examination in a nonthreatening are and
provide time for play
c. Offer support to the parents during the examination and do
not pass judgment
d. Call children by their first names and address their parents
as Mr. and Mrs.
e. Use open-ended questions to allow parents to share more
information
f. Treat adolescents as adults
g. Provide confidentiality for adolescents; speak alone with
them
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List seven variations in the nurse's individual style that are
appropriate wen examining older adults. (7) Ans: a. Do not
stereotype about aging patients's level of cognition
b. Be sensitive to sensory or physical limitations (more time)
c. Adequate space is needed
d. use patience, allow for pauses, and observe for details
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e. Certain types of information may be stressful to give
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f. Perform the examination near bathroom facilities
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g. Be alert for signs of increasing fatigue
Identify the principles to follow to keep an examination well
organized. (7) Ans: a. Compare both sides for symmetry
b. If a patient is ill, first assess the systems of the body part
most at risk
c. Offer rest periods if the patient becomes fatigued
d. Perform painful procedures near the end of the examination
e. Record assessments in specific terms in the record
f. Use common and accepted medical terms and abbreviations
g. Record quick notes during the examination to avoid delays
Define inspection. Ans: Looking, listening, and smelling to
distinguish normal from abnormal findings