NUR2092 Health Assessment Final Exam -Questions with Correct
Answers/ Verified
The nurse is preparing to conduct a health history. Explain this to the patient. - ✔️✔️Answer- The
purpose of a health history is to provide a database of subjective information about the patient's
past and current health history. You might say to the patient, "I will be asking you questions about
your past and present health." This information will help the provider along with the physical exam
(objective data) to develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses, which of these statements would be
correct? The patient: - ✔️✔️Provided consistent information and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the past week. What would be the
nurse's best response? - ✔️✔️"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be
the nurse's appropriate response to the woman's statement? - ✔️✔️"How would you say the pain
affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to
this information? - ✔️✔️"Describe what happens (or the reaction) to you when you take Penicillin."
The nurse is taking a family history. Important diseases or problems about which the patient should
be specifically asked include: - ✔️✔️Mental illness.
The review of systems provides the nurse with... - ✔️✔️Information regarding health promotion
practices, the information helps to evaluate the past and present health state of each body system,
to obtain any data that may have been omitted in the section about present illness, and to evaluate
health promotion and teaching opportunities.
Which of these statements represents subjective data the nurse obtained from the patient regarding
the patient's skin? - ✔️✔️Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and is concerned about health
promotion activities. Which of these questions would be appropriate to use to assess health
promotion activities for this patient? - ✔️✔️"Do you perform testicular self-examinations?"
,Functional Assessment-- What information would you ask if the patient's leg was in a cast? - ✔️✔️A
functional assessment includes the activities of daily living and the person's ability to take care of
their needs. This area will help to formulate a nursing diagnosis. This could be present to the patient
in a standardized form and will include data on the lifestyle and type of living environment. (Page 57)
self-esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress management, personal habits,
environmental hazards, violence questions, and occupational health questions. If a patient had a
cast on their leg, appropriate questions would include how they transfer to bed, another chair,
bathing technique, coping with the situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the
reason why? - ✔️✔️Alcohol can interact with all medications and make some diseases worse.
Describe a genogram. - ✔️✔️Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family. Usually 3 generations- parents, grandparents, siblings.
Also highlight the health of close family members and more details such as communicable disease,
environmental hazards (smoke), tobacco use, and alcohol use. Any additional information includes
the family history.
The nurse is obtaining health history on an 87-year-old woman. Which of the following areas of
questioning would be most useful at this time? - ✔️✔️Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the names of the medication he is
taking or why he is taking them. An appropriate response from the nurse would be.. - ✔️✔️Would
you have a family member bring in your medications please?
The nurse is performing a functional assessment on an 82-year-old patient who recently had a
stroke. Which of these questions would be most important to ask? - ✔️✔️"Are you able to dress
yourself?"
A patient is describing his symptoms to the nurse. Which of these statements reflects a description
of the setting of his symptoms? - ✔️✔️"This pain happens every time I sit down to use the
computer."
In performing a breast examination, the nurse knows that examining the upper outer quadrant of
the breast is especially important. The reason why is... - ✔️✔️This is the location for most breast
tumors.
,In performing an assessment of a woman's elixir lymph system, the nurse should assess which of
these nodes? - ✔️✔️Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into the axillary nodes.
There are groups of axillary nodes central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much". She states
it must be from a lack of exercise. What explanation should the nurse offer her? After menopause: -
✔️✔️The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting
in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which
of the following describes the nurse's best course of action? - ✔️✔️Explain that this is the result of
hormonal changes (testosterone) and recommend a visit to their provider.
During a breast health interview, a patient states that she has noticed pain in her left breast. The
nurse's most appropriate response to this would be: - ✔️✔️To seek more specific information
about the pain, such as: When did you first notice it? Is the pain localized or all over? Is it painful to
touch? Is the pain in relation to your menstrual cycle? Is the pain associated with activity or
exercise?
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on
her breast for approximately 2 weeks. In trying to find the cause of the rash, which questions would
be important for the nurse to ask? - ✔️✔️Where did the rash first appear- on the nipple, areola, or
the surrounding skin? When did you first notice this?
During an annual physical examination, a 43-year-old patient states that she does not perform
monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms
"do a much better job than I ever could to find a lump." The nurse should explain to her that: -
✔️✔️Breast self-exams may detect lumps that appear between mammograms
List risk factors for breast cancer - ✔️✔️History of breast cancer - family history—first-degree
relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited mutation)
Age
, During an examination of a woman, the nurse notices that her left breast is slightly larger than her
right breast. Which of these statements is true about this finding? - ✔️✔️Asymmetry isnot unusual,
but the nurse should verify that this change is not new
During the physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate? - ✔️✔️Whether the inversion is a recent change
should be determined.
The nurse is performing a breast examination. Which of these statements best describes the correct
procedure to use when screening for nipple and skin retraction during a breast examination? Have
the woman: - ✔️✔️Slowly lift her arms above her head, and note any retraction or lag in
movement.
The nurse is palpating a female patient's breasts during an examination. Which of these positions is
most likely to make significant lumps more distinct during breast palpation? - ✔️✔️Supine with the
arms raised over the head
The nurse is conducting a class on BSE. Which of these statements indicates the proper BSE
technique? - ✔️✔️The best time to perform a BSE is 4 to 7 days after the first day of the menstrual
period.
The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct -
✔️✔️"BSE on a monthly basis will help you become familiar with your own breasts and feel their
normal variations."
A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is
concerned about changes in her breasts that she has noticed over the past 5 years. She states that
her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat
and flabby." The nurse's best reply would be: - ✔️✔️The decrease in hormones after menopause
causes atrophy of the glandular tissue in the breast and is a normal process of aging.
A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast
lump in her right breast for years. Recently, it has begun to change in consistency and is becoming
harder. She reports that 5 years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in the right upper outer
quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and non-tender, with
borders that are not well defined. The nurse replies: - ✔️✔️Because of the change in consistency of
the lump, it should be further evaluated by the physician.
Answers/ Verified
The nurse is preparing to conduct a health history. Explain this to the patient. - ✔️✔️Answer- The
purpose of a health history is to provide a database of subjective information about the patient's
past and current health history. You might say to the patient, "I will be asking you questions about
your past and present health." This information will help the provider along with the physical exam
(objective data) to develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses, which of these statements would be
correct? The patient: - ✔️✔️Provided consistent information and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the past week. What would be the
nurse's best response? - ✔️✔️"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be
the nurse's appropriate response to the woman's statement? - ✔️✔️"How would you say the pain
affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to
this information? - ✔️✔️"Describe what happens (or the reaction) to you when you take Penicillin."
The nurse is taking a family history. Important diseases or problems about which the patient should
be specifically asked include: - ✔️✔️Mental illness.
The review of systems provides the nurse with... - ✔️✔️Information regarding health promotion
practices, the information helps to evaluate the past and present health state of each body system,
to obtain any data that may have been omitted in the section about present illness, and to evaluate
health promotion and teaching opportunities.
Which of these statements represents subjective data the nurse obtained from the patient regarding
the patient's skin? - ✔️✔️Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and is concerned about health
promotion activities. Which of these questions would be appropriate to use to assess health
promotion activities for this patient? - ✔️✔️"Do you perform testicular self-examinations?"
,Functional Assessment-- What information would you ask if the patient's leg was in a cast? - ✔️✔️A
functional assessment includes the activities of daily living and the person's ability to take care of
their needs. This area will help to formulate a nursing diagnosis. This could be present to the patient
in a standardized form and will include data on the lifestyle and type of living environment. (Page 57)
self-esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress management, personal habits,
environmental hazards, violence questions, and occupational health questions. If a patient had a
cast on their leg, appropriate questions would include how they transfer to bed, another chair,
bathing technique, coping with the situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the
reason why? - ✔️✔️Alcohol can interact with all medications and make some diseases worse.
Describe a genogram. - ✔️✔️Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family. Usually 3 generations- parents, grandparents, siblings.
Also highlight the health of close family members and more details such as communicable disease,
environmental hazards (smoke), tobacco use, and alcohol use. Any additional information includes
the family history.
The nurse is obtaining health history on an 87-year-old woman. Which of the following areas of
questioning would be most useful at this time? - ✔️✔️Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the names of the medication he is
taking or why he is taking them. An appropriate response from the nurse would be.. - ✔️✔️Would
you have a family member bring in your medications please?
The nurse is performing a functional assessment on an 82-year-old patient who recently had a
stroke. Which of these questions would be most important to ask? - ✔️✔️"Are you able to dress
yourself?"
A patient is describing his symptoms to the nurse. Which of these statements reflects a description
of the setting of his symptoms? - ✔️✔️"This pain happens every time I sit down to use the
computer."
In performing a breast examination, the nurse knows that examining the upper outer quadrant of
the breast is especially important. The reason why is... - ✔️✔️This is the location for most breast
tumors.
,In performing an assessment of a woman's elixir lymph system, the nurse should assess which of
these nodes? - ✔️✔️Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into the axillary nodes.
There are groups of axillary nodes central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much". She states
it must be from a lack of exercise. What explanation should the nurse offer her? After menopause: -
✔️✔️The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting
in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he has bilateral gynecomastia. Which
of the following describes the nurse's best course of action? - ✔️✔️Explain that this is the result of
hormonal changes (testosterone) and recommend a visit to their provider.
During a breast health interview, a patient states that she has noticed pain in her left breast. The
nurse's most appropriate response to this would be: - ✔️✔️To seek more specific information
about the pain, such as: When did you first notice it? Is the pain localized or all over? Is it painful to
touch? Is the pain in relation to your menstrual cycle? Is the pain associated with activity or
exercise?
During a physical examination, a 45-year-old woman states that she has had a crusty, itchy rash on
her breast for approximately 2 weeks. In trying to find the cause of the rash, which questions would
be important for the nurse to ask? - ✔️✔️Where did the rash first appear- on the nipple, areola, or
the surrounding skin? When did you first notice this?
During an annual physical examination, a 43-year-old patient states that she does not perform
monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms
"do a much better job than I ever could to find a lump." The nurse should explain to her that: -
✔️✔️Breast self-exams may detect lumps that appear between mammograms
List risk factors for breast cancer - ✔️✔️History of breast cancer - family history—first-degree
relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2 (inherited mutation)
Age
, During an examination of a woman, the nurse notices that her left breast is slightly larger than her
right breast. Which of these statements is true about this finding? - ✔️✔️Asymmetry isnot unusual,
but the nurse should verify that this change is not new
During the physical examination, the nurse notices that a female patient has an inverted left nipple.
Which statement regarding this is most accurate? - ✔️✔️Whether the inversion is a recent change
should be determined.
The nurse is performing a breast examination. Which of these statements best describes the correct
procedure to use when screening for nipple and skin retraction during a breast examination? Have
the woman: - ✔️✔️Slowly lift her arms above her head, and note any retraction or lag in
movement.
The nurse is palpating a female patient's breasts during an examination. Which of these positions is
most likely to make significant lumps more distinct during breast palpation? - ✔️✔️Supine with the
arms raised over the head
The nurse is conducting a class on BSE. Which of these statements indicates the proper BSE
technique? - ✔️✔️The best time to perform a BSE is 4 to 7 days after the first day of the menstrual
period.
The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct -
✔️✔️"BSE on a monthly basis will help you become familiar with your own breasts and feel their
normal variations."
A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is
concerned about changes in her breasts that she has noticed over the past 5 years. She states that
her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat
and flabby." The nurse's best reply would be: - ✔️✔️The decrease in hormones after menopause
causes atrophy of the glandular tissue in the breast and is a normal process of aging.
A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast
lump in her right breast for years. Recently, it has begun to change in consistency and is becoming
harder. She reports that 5 years ago her physician evaluated the lump and determined that it "was
nothing to worry about." The examination validates the presence of a mass in the right upper outer
quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and non-tender, with
borders that are not well defined. The nurse replies: - ✔️✔️Because of the change in consistency of
the lump, it should be further evaluated by the physician.
