Holistic Assessment Final Exam
Questions with Complete Solutions
(Latest 2025)
Clinical Tip - Correct Answers ✅-Before performing a
complete assessment, read your state's Nurse Practice Act to
determine your legal scope of practice (what you can legally
assess and diagnosis)
Patient Consent and Rights - Correct Answers ✅-respect
the client's desires and requests related to the physical
examination
- whether or not to have the examination is the client's
decision
- some health care providers ask the client to sign a consent
form
Assessing Client's Cognitive Abilities - Correct Answers ✅-
use the SLUMS examination
OR assess the patient's knowing of:
- orientation to person, time, and place
- concentration, ability to focus and follow direction
- recent memory
- remote memory
- recall of unrelated information in 5, 10, and 30 minute
periods
- abstract reasoning
- judgment
,Holistic Assessment Final Exam
Questions with Complete Solutions
(Latest 2025)
- visual perceptual and constructional ability
Saint Louis University Mental Status Exam (SLUMS) - Correct
Answers ✅-a score between 27 and 30 for clients with a
high school education and a score of 20-30 for clients without
high school educations are NORMAL-a score of 20-27 for
clients with a high school degree and a score of 14-19 for
clients without a high school degree indicate MCI (middle
cognitive impairment)-a score of 1-19 for clients with a high
school education and a score of 1-14 for clients without a
high school education indicates DEMENTIA
Equipment for general survey - Correct Answers ✅-
assessment documentation forms
- scale with height attachment
- flexible tape measures
- skin-fold calipers
- stethoscope and blood pressure cuff
- thermometers
- watch with a second hand
Equipment for hair, skin, and nails assessment - Correct
Answers ✅-gloves
-mirror
-magnifying glass
, Holistic Assessment Final Exam
Questions with Complete Solutions
(Latest 2025)
-penlight
-ruler with centimeter markings
-skin marking pen
Equipment for Head and Neck Assessment - Correct
Answers ✅-stethoscope
-small cup of water for client to drink
Equipment for Eye Assessment - Correct Answers ✅-cover
card
-newspaper print or Rosenbaum pocket screener
-opthalmoscope
-penlight
-snellen chart
Equipment for Ear Assessment - Correct Answers ✅-
otoscope
-tuning fork
-watch with second hand
Equipment for Thorax and Lung Assessment - Correct
Answers ✅-client gown and draping sheet
-gloves and mask (for nurse if client is actively coughing)
Questions with Complete Solutions
(Latest 2025)
Clinical Tip - Correct Answers ✅-Before performing a
complete assessment, read your state's Nurse Practice Act to
determine your legal scope of practice (what you can legally
assess and diagnosis)
Patient Consent and Rights - Correct Answers ✅-respect
the client's desires and requests related to the physical
examination
- whether or not to have the examination is the client's
decision
- some health care providers ask the client to sign a consent
form
Assessing Client's Cognitive Abilities - Correct Answers ✅-
use the SLUMS examination
OR assess the patient's knowing of:
- orientation to person, time, and place
- concentration, ability to focus and follow direction
- recent memory
- remote memory
- recall of unrelated information in 5, 10, and 30 minute
periods
- abstract reasoning
- judgment
,Holistic Assessment Final Exam
Questions with Complete Solutions
(Latest 2025)
- visual perceptual and constructional ability
Saint Louis University Mental Status Exam (SLUMS) - Correct
Answers ✅-a score between 27 and 30 for clients with a
high school education and a score of 20-30 for clients without
high school educations are NORMAL-a score of 20-27 for
clients with a high school degree and a score of 14-19 for
clients without a high school degree indicate MCI (middle
cognitive impairment)-a score of 1-19 for clients with a high
school education and a score of 1-14 for clients without a
high school education indicates DEMENTIA
Equipment for general survey - Correct Answers ✅-
assessment documentation forms
- scale with height attachment
- flexible tape measures
- skin-fold calipers
- stethoscope and blood pressure cuff
- thermometers
- watch with a second hand
Equipment for hair, skin, and nails assessment - Correct
Answers ✅-gloves
-mirror
-magnifying glass
, Holistic Assessment Final Exam
Questions with Complete Solutions
(Latest 2025)
-penlight
-ruler with centimeter markings
-skin marking pen
Equipment for Head and Neck Assessment - Correct
Answers ✅-stethoscope
-small cup of water for client to drink
Equipment for Eye Assessment - Correct Answers ✅-cover
card
-newspaper print or Rosenbaum pocket screener
-opthalmoscope
-penlight
-snellen chart
Equipment for Ear Assessment - Correct Answers ✅-
otoscope
-tuning fork
-watch with second hand
Equipment for Thorax and Lung Assessment - Correct
Answers ✅-client gown and draping sheet
-gloves and mask (for nurse if client is actively coughing)
