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Health Assessment Exam 1 Questions With Correct Answers 2024/2025
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1. What are the primary frameworks used in conducting a health assessment? Select
all that apply.
a. Analytical
b. Gordon's
c.Functional systems
d. Head to toe
e. Body systems: c. Functional systems
d. Head to toe
e. Body systems
2. What are the components of the SBAR? Select all that apply. a.
Assessment
b. Situation
c. Recommendation
d. Biophysical test results
e. Referral: a. Assessment
b. Situation
c. Recommendation
3. Why is it important for a new nurse, working on a step-down unit, to know the
standards of care for the facility in which the nurse is working?
a. Standards of care tell the nurse how to get a good evaluation
b.Standards of care dictate how to handle clients who have experienced
trauma
c. Standards of care often set the time frame for assessing the clients on the unit
d. Standards of care instruct the nurse how to assess for a cardiac event: c.
Standards of care often set the time frame for assessing the clients on the unit 4. An adult
client is brought to the ED by ambulance and is anxious and very short of breath.
While the nurse is completing the emergency assessment, the client stops breathing.
What is the first action of the nurse?
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a. Ensure that the client is safe
b. Open the client's airway
c. Begin CPR
d. If the client is injured protect the cervical spine: b. Open the client's airway 5.
While assessing a patient, the nurse notes that the patient is more quiet and
subdued after a visit from her sister. The nurse would note this under what facet
of the assessment process?
a. social
b. emotional
c. mental
d. spiritual: b. emotional
6. Before beginning a health assessment with a patient, the nurse reviews Healthy
People 2020 because:
a. It lists specific interventions to address most patient health problems.
b. It helps determine the patient's plan of care.
c. It serves as a guide for the health assessment.
d. It identifies risk factors, health issues, and diseases.: d. It identifies risk factors,
health issues, and diseases.
7. Which of the following statements best conveys the rationale for health promotion
in a school setting?
a. Children younger than 13 years are some of the most common consumers of
acute health care services.
b. Healthy child development is a critical health determinant because of its
implications for lifelong health.
c. Health promotion in a school setting can yield improved health outcomes for
the student's siblings and parents.
d. Children contract numerous communicable diseases in the school environ-
ment.: b. Healthy child development is a critical health determinant because of its
implications for lifelong health.
8. Which of the following is an example of a recent trend in nursing roles?
a. Using auscultation to examine heart sounds
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b. Using palpation to assess the abdomen of a pregnant woman c.Performing visual
inspection of a client's eyes to detect illness d.Gathering forensic evidence for a
legal proceeding: d.Gathering forensic evidence for a legal proceeding 9. The nurse
who provides care at an ambulatory clinic is preparing to meet a client and
perform a comprehensive health assessment. Which of the following actions
should the nurse perform first?
a. Obtain basic biographic data.
b. Validate information with the client.
c. Consult clinical resources explaining the client's diagnosis.
d. Review the client's medical record.: d. Review the client's medical record.
10. The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse
should begin by assessing which of the following?
a. The client's learning style
b. The client's motivation for change
c. The client's prognosis for recovery
d. The client's medical comorbidities: b. The client's motivation for change
11. A nurse who provides care in a hospital setting is creating a plan of nursing care
for a client who has a diagnosis of chronic renal failure. The nurse's plan specifies
frequent ongoing assessments. The frequency of these nursing assessments should be
primarily determined by what variable? a. The client's age
b. The nurse's potential for liability
c.The client's acuity
d. The unit's protocols: c.The client's acuity
12. The RN is implementing which level of intervention when administering
immunizations at a pediatric clinic?
a. Primary
b. Tertiary
c. Holistic
d. Secondary: a. Primary
13. What is the primary function of the health care team?
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a. To work together to obtain maximum coverage
b. To decide the best overall care
c. To develop an individual focus for each member
d. To guide the patient's care throughout times of crisis: b. To decide the best overall
care
14. When assisting a patient with health promotion, what must the nurse also
nurture?
a. Knowledge of the Healthy People 2020 indicators
b. Family communication
c. School/work attendance
d. A healthy environment: d. A healthy environment
15. A medical examination differs from a comprehensive nursing examination in
that the medical examination focuses primarily on the client's
a. developmental history.
b. physiologic status.
c. level of functioning.
d. holistic wellness status.: b. physiologic status.
16. An assessment of a client who already has a complete recorded database in the
system and returns to the health care agency with a specific health concern is
referred to as a(n)
a. ongoing or partial assessment.
b. initial comprehensive assessment.
c. focused or problem-oriented assessment.
d. emergency assessment.: c. focused or problem-oriented assessment.
17. A patient has just been diagnosed with diabetes. What would be the most
appropriate nursing diagnosis for this patient?
a. Ineffective coping
b. Nutrition: less than body requirements
c. Knowledge deficit
d. Acute pain: c. Knowledge deficit