HEALTH ASSESSMENT-EXAM 1-PREP U EXAM
WITH CERTIFIED QUESTIONS AND ANSWERS
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the
client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial
assessment?
a) To collect subjective data related to the client's overall health
b) To evaluate whether outcomes of treatment are met
c) To determine any changes from the baseline data
d) To perform a rapid assessment for prompt treatment - AnsTo determine any changes from the
baseline data
Explanation:
Ongoing or partial assessments help to determine any major changes from the baseline data. The nurse
collects subjective data related to the client's overall health and conducts a comprehensive health
assessment during the initial comprehensive assessment to determine baseline data. The nurse makes a
rapid assessment for prompt treatment in life-threatening situations when an immediate diagnosis is
needed to provide prompt treatment (emergency assessment). Evaluation is done after an intervention
to determine whether the outcomes have been achieved.
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from an older
client who recently underwent amputation of her lower leg. Which skill will the nurse most need to
perform this assessment?
a) Sympathy
b) Inspection
c) Palpation
d) Empathy - AnsEmpathy
Explanation:
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be effective
in providing for the client's needs while remaining compassionately detached. Inspection and palpation
are skills that help the nurse in collecting objective data of the client's physical characteristics. Sympathy
,is a feeling that would make the nurse as emotionally distraught as the client; this hampers the ability of
the nurse to provide client care.
Choice Multiple question - Select all answer choices that apply.
The nurse is conducting a health assessment with a patient. What will the nurse do while completing
this health assessment? (Select all that apply.)
a) Complete the health history.
b) Conduct a physical examination.
c) Formulate a plan of care
d) Implement a plan of care.
e) Interpret findings. - Ans• Complete the health history.
• Conduct a physical examination.
Explanation:
The first part of the health assessment is the health history. The second part of the health assessment is
the physical examination. Interpreting findings, formulating a plan of care, and implementing a plan of
care are steps within the nursing process and not the health assessment.
A 72-year-old man had hip replacement surgery 2 days ago. The nurse enters the patient's room and
encourages him to use the incentive spirometer ten times every hour. What is this action an example
of?
a) Nursing assessment
b) Nursing evaluation
c) Nursing intervention
d) Nursing goal - AnsNursing intervention
Explanation:
Nursing interventions are used to monitor health status; prevent, resolve, or control a problem; assist
with ADLs; or promote optimum health and independence. Nursing goals are the patient's desired
outcomes. Nursing evaluation is deciding whether the nursing goals have been reached. Nursing
assessment is an overview of the patient's health status and current problems.
, The nurse is conducting a physical examination of a patient who is in the lying position. Place in order
the areas the nurse will assess when completing this examination.
a. Shins and ankles
b. Groin, hips, and knees
c. Breasts
d. Chest and thorax
e. Cardiovascular
a) c, e, b, d, a
b) c, d, e, b, a
c) d, b, a, e, c
d) d, e, b, a, c
e) a, c, b, d, e - Ansc, d, e, b, a
Explanation:
When conducting a head-to-toe assessment for a patient in the lying position, the nurse should begin
with the structures closest to the head and progress downward. The nurse will assess the breasts, the
chest and thorax, the cardiovascular system, the groin, hips, and knees, and then the shins and ankles.
A nurse collects data about a client's family health history. Which family members' health problems
should the nurse include when documenting this information in the database?
a) As many genetic relatives as the client can recall
b) Those with illnesses that resulted in death or disablement
c) Only the members with health problems that relate to the client's gender
d) Those with diseases that are known to have a genetic link - AnsAs many genetic relatives as the client
can recall
Explanation:
Both maternal and paternal genetic relatives are included in the family health history. Problems can
arise in families that are not genetically based but are manifest by virtue of exposure to lifestyle
practices. Parents, grandparents, aunts, uncles, and children are all included in this history. If the relative
is deceased, the cause of death and age of death of the relative is recorded.
WITH CERTIFIED QUESTIONS AND ANSWERS
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the
client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial
assessment?
a) To collect subjective data related to the client's overall health
b) To evaluate whether outcomes of treatment are met
c) To determine any changes from the baseline data
d) To perform a rapid assessment for prompt treatment - AnsTo determine any changes from the
baseline data
Explanation:
Ongoing or partial assessments help to determine any major changes from the baseline data. The nurse
collects subjective data related to the client's overall health and conducts a comprehensive health
assessment during the initial comprehensive assessment to determine baseline data. The nurse makes a
rapid assessment for prompt treatment in life-threatening situations when an immediate diagnosis is
needed to provide prompt treatment (emergency assessment). Evaluation is done after an intervention
to determine whether the outcomes have been achieved.
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from an older
client who recently underwent amputation of her lower leg. Which skill will the nurse most need to
perform this assessment?
a) Sympathy
b) Inspection
c) Palpation
d) Empathy - AnsEmpathy
Explanation:
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be effective
in providing for the client's needs while remaining compassionately detached. Inspection and palpation
are skills that help the nurse in collecting objective data of the client's physical characteristics. Sympathy
,is a feeling that would make the nurse as emotionally distraught as the client; this hampers the ability of
the nurse to provide client care.
Choice Multiple question - Select all answer choices that apply.
The nurse is conducting a health assessment with a patient. What will the nurse do while completing
this health assessment? (Select all that apply.)
a) Complete the health history.
b) Conduct a physical examination.
c) Formulate a plan of care
d) Implement a plan of care.
e) Interpret findings. - Ans• Complete the health history.
• Conduct a physical examination.
Explanation:
The first part of the health assessment is the health history. The second part of the health assessment is
the physical examination. Interpreting findings, formulating a plan of care, and implementing a plan of
care are steps within the nursing process and not the health assessment.
A 72-year-old man had hip replacement surgery 2 days ago. The nurse enters the patient's room and
encourages him to use the incentive spirometer ten times every hour. What is this action an example
of?
a) Nursing assessment
b) Nursing evaluation
c) Nursing intervention
d) Nursing goal - AnsNursing intervention
Explanation:
Nursing interventions are used to monitor health status; prevent, resolve, or control a problem; assist
with ADLs; or promote optimum health and independence. Nursing goals are the patient's desired
outcomes. Nursing evaluation is deciding whether the nursing goals have been reached. Nursing
assessment is an overview of the patient's health status and current problems.
, The nurse is conducting a physical examination of a patient who is in the lying position. Place in order
the areas the nurse will assess when completing this examination.
a. Shins and ankles
b. Groin, hips, and knees
c. Breasts
d. Chest and thorax
e. Cardiovascular
a) c, e, b, d, a
b) c, d, e, b, a
c) d, b, a, e, c
d) d, e, b, a, c
e) a, c, b, d, e - Ansc, d, e, b, a
Explanation:
When conducting a head-to-toe assessment for a patient in the lying position, the nurse should begin
with the structures closest to the head and progress downward. The nurse will assess the breasts, the
chest and thorax, the cardiovascular system, the groin, hips, and knees, and then the shins and ankles.
A nurse collects data about a client's family health history. Which family members' health problems
should the nurse include when documenting this information in the database?
a) As many genetic relatives as the client can recall
b) Those with illnesses that resulted in death or disablement
c) Only the members with health problems that relate to the client's gender
d) Those with diseases that are known to have a genetic link - AnsAs many genetic relatives as the client
can recall
Explanation:
Both maternal and paternal genetic relatives are included in the family health history. Problems can
arise in families that are not genetically based but are manifest by virtue of exposure to lifestyle
practices. Parents, grandparents, aunts, uncles, and children are all included in this history. If the relative
is deceased, the cause of death and age of death of the relative is recorded.
