Health Assessment Final Exam Testbank

Health Assessment Final Exam Testbank Health Assessment Final Questions ***We need to check answers that are underlined 1. (1) What type of data does the nurse collect during the interview portion of a comprehensive health assessment? Subjective 2. A nurse asks a student to describe the term abd. Borborygmi. The student’s response should include which of the following? Hyperactive bowel sounds. 3. A nurse is nearing the end of an interview. Which statements by the nurse is appropriate at this time? Is there anything else you would like to mention? 4. While conducting a cultural health assessment a nurse should include which of the following? Health-related beliefs 5. A nurse is admitting an adult male client who was transferred to a long-term care facility. The nurse should use closed-ended questions when assessing if the client? Took his medications this morning 6. Upon entering the client’s room, a nurse asks the client to turn down the volume of the TV. The nurse’s request was intended to: create a quiet environment 7. (7) A nurse is reviewing data collected after conducting a health assessment. Which of the following would be considered related cues that would be clustered together during data analysis? SATA: non-productive cough, respiratory rate of 16 breaths per minute, inspiratory wheezing noted in the left lower lobes 8. A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step? The client was found unconscious on the floor at home. 9. A nurse needs to obtain anthropometric measures of an 80 year old client. Which of the following statements is true regarding this situation? Ht. may decrease due to changes in bone density. 10. When conducting a focused assessment of an older adult, the nurse would assess the client’s: functional abilities 11. While assessing an adult client’s cardiovascular system, where should the nurse palpate for pulsations in the pulmonic area? Left second intercostal space 12. A client reports eating 3 servings a day every day for a week of the item below. How many total calories from fat did the client consume in 7 days. UNKNOWN 13. (13) When evaluating a client’s report of acute pain in the lower back, pain score = 8, a nurse should consider which of the following as the most likely source of pain? Kidney stones 14. A client arrives in the ED via ambulance with the following signs: ptosis of the left eye, increased left-sided nasolabial fold, and slurred speech. What priority level should the nurse identify for this client? First level priority 15. A nurse assesses 4 clients. Which client assessment will require the nurse to perform an immediate focused assessment? 3+ edema in the ankles 16. A nurse is educating a group of older adults about wt. Management using the BMI scale. Which of the following clients has a healthy BMI? 65 yo male w/ wt. Of 150 lbs and ht of 68 inches (Wt in lbs x 703) divided by (Square the ht in inches)= BMI 17. The client smoked 2 packs of cigarettes a day for 10 years and then 1 pack a day for 3 years. The nurse would calculate the smoking pack years as: 23 pack years 18. A 50 year old client is admitted to the ED following a motor vehicle accident. Chest x-ray reveals left-sided pneumothorax. Which of the following assessment findings would the nurse expect when examining this client?SATA: Tachycardia and cyanosis, hyperresonance on the left side of the chest, decreased breath sounds on the affected side 19. A nurse would anticipate hearing which type of breath sounds at the site indicated on the picture below? KNOW where you’d hear: bronchial, vesicular and bronchovesicular sounds adventitious (what those sounds are) 20. (20) While auscultating a client’s lungs, a nurse hears adventitious breath sounds at the bases. Which of the following would the nurse do first? Ask the client to cough and then listen again 21. Which of the following respiratory assessment findings is expected in a healthy adult client with no history of lung disease? Muffled voice sounds and symmetrical tactile fremitus. 22. A nurse suspects that a client has cholecystitis. Which of the following tests should the nurse perform to assess the client’s abdomen? Murphy’s sign 23. A client was admitted to the ED for a suspect