NSG 101 Unit Exam 1: Health Assessment – Nursing Fundamentals Review Questions and Study
Guide
A. Appearance and behavior
B. Measurement of vital signs.
C. Observing specific body systems.
D. Conducting a detailed health history.
(A) - correct answer ✔✔The nurse prepares to conduct a general survey on an adult patient.
Which assessment is performed first while the nurse initiates the nurse-patient relationship?
A. 4, 2, 3, 1
B. 1, 2, 3, 4
C. 3, 2, 4, 1
D. 2, 3, 4, 1
(D) - correct answer ✔✔The nurse is performing an abdominal assessment on a patient. In what
order does the nurse perform the steps?
1. Percussion
2. Inspection
3. Auscultation
4. Palpation
A. Rhonchi
B. Coarse crackles
C. Sibilant wheeze
D. Pleural friction rub
, (B) - correct answer ✔✔While auscultating the adult patient's lungs, the nurse hears loud,
bubbly sounds during inspiration that did not disappear after the patient coughed. Which
finding should the nurse document from the lung assessment?
A. Nodule
B. Macule
C. Wheal
D. Pustule
(C) - correct answer ✔✔During assessment of the skin, the nurse assesses a lesion on the arm
of the patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm. What
type of lesion does the patient have?
A. Auscultation of an apical heart rate of 76
B. Absence of bowel sounds on abdominal assessment
C. Respiratory rate of 8 breaths/min
D. Palpation of dorsalis pedis pulses with strength of +2
(C) - correct answer ✔✔The nurse is assessing a patient who returned 1 hour ago from surgery
for an abdominal hysterectomy. Which assessment finding would require immediate follow-up?
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computer tomography (CT) colonoscopy every 5 years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."
Guide
A. Appearance and behavior
B. Measurement of vital signs.
C. Observing specific body systems.
D. Conducting a detailed health history.
(A) - correct answer ✔✔The nurse prepares to conduct a general survey on an adult patient.
Which assessment is performed first while the nurse initiates the nurse-patient relationship?
A. 4, 2, 3, 1
B. 1, 2, 3, 4
C. 3, 2, 4, 1
D. 2, 3, 4, 1
(D) - correct answer ✔✔The nurse is performing an abdominal assessment on a patient. In what
order does the nurse perform the steps?
1. Percussion
2. Inspection
3. Auscultation
4. Palpation
A. Rhonchi
B. Coarse crackles
C. Sibilant wheeze
D. Pleural friction rub
, (B) - correct answer ✔✔While auscultating the adult patient's lungs, the nurse hears loud,
bubbly sounds during inspiration that did not disappear after the patient coughed. Which
finding should the nurse document from the lung assessment?
A. Nodule
B. Macule
C. Wheal
D. Pustule
(C) - correct answer ✔✔During assessment of the skin, the nurse assesses a lesion on the arm
of the patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm. What
type of lesion does the patient have?
A. Auscultation of an apical heart rate of 76
B. Absence of bowel sounds on abdominal assessment
C. Respiratory rate of 8 breaths/min
D. Palpation of dorsalis pedis pulses with strength of +2
(C) - correct answer ✔✔The nurse is assessing a patient who returned 1 hour ago from surgery
for an abdominal hysterectomy. Which assessment finding would require immediate follow-up?
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computer tomography (CT) colonoscopy every 5 years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."
