Nursing Fundamentals Head to Toe Assessment
Questions Graded A+
The very first thing a nurse will assess when doing a head-to-toe examination is what?
A. head
B. eyes
C. ears
D. general appearance - Answer D. general appearance
When assessing a client physical appearance, a nurse will note which of the following? (Select all that
apply)
A. clients age
B. client’s gender
C. client’s speech
Palpate maxillary and facial sinuses - Answer a,b,c
When it comes to assessing the clients physical appearance which of the following lists what a nurse
would look for?
A. gender, age, ethnicity, dress, speech, level of consciousness
B. religion, age, ethnicity, dress, speech, level of consciousness
C. age, gender, ethnicity, dress, diet, speech, level of consciousness
D.gender, age, ethnicity, marital status, dress, speech, level of consciousness - Answer A. gender, age,
ethnicity, dress, speech, level of consciousness
Nurse Becky has her client come in and looks at the way he is dressed what is she looking for?
A. that her client has a good fashion sense
, B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of the year
D. that her client's dress is appropriate for his gender, societal status, and marital status - Answer C. that
her client's dress is appropriate for his gender, age, and time of the year
What could the nurse assess based soley on the way the client walks into the room?
A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture - Answer D. gait and posture
Nurse Dave has his client come in and proceeds to ask him his name, his date of birth, if he knows where
he is, and what day of the week it is. In doing this Dave is testing his clients what?
A. intelligence coeffient
B. level of consciousness
C. social and cognitive skills
D. physical and mental development - Answer B. level of consciousness
A nurse should assess a client's level of consciousness to ensure they are oriented how? (select all that
apply)
A. oriented to time
B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above - Answer E. all of the above
Which of the following would be considered normal observations regarding a client's speech?
Questions Graded A+
The very first thing a nurse will assess when doing a head-to-toe examination is what?
A. head
B. eyes
C. ears
D. general appearance - Answer D. general appearance
When assessing a client physical appearance, a nurse will note which of the following? (Select all that
apply)
A. clients age
B. client’s gender
C. client’s speech
Palpate maxillary and facial sinuses - Answer a,b,c
When it comes to assessing the clients physical appearance which of the following lists what a nurse
would look for?
A. gender, age, ethnicity, dress, speech, level of consciousness
B. religion, age, ethnicity, dress, speech, level of consciousness
C. age, gender, ethnicity, dress, diet, speech, level of consciousness
D.gender, age, ethnicity, marital status, dress, speech, level of consciousness - Answer A. gender, age,
ethnicity, dress, speech, level of consciousness
Nurse Becky has her client come in and looks at the way he is dressed what is she looking for?
A. that her client has a good fashion sense
, B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of the year
D. that her client's dress is appropriate for his gender, societal status, and marital status - Answer C. that
her client's dress is appropriate for his gender, age, and time of the year
What could the nurse assess based soley on the way the client walks into the room?
A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture - Answer D. gait and posture
Nurse Dave has his client come in and proceeds to ask him his name, his date of birth, if he knows where
he is, and what day of the week it is. In doing this Dave is testing his clients what?
A. intelligence coeffient
B. level of consciousness
C. social and cognitive skills
D. physical and mental development - Answer B. level of consciousness
A nurse should assess a client's level of consciousness to ensure they are oriented how? (select all that
apply)
A. oriented to time
B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above - Answer E. all of the above
Which of the following would be considered normal observations regarding a client's speech?
