NUR-210 EXAM 1 QUESTIONS WITH
VERIFIED ANSWERS
When recording the client's chief concerns during the health history, it is
recommended that the interviewer do which of the following? - Answer-Quote the
client's words.
During the interview, the client states, "Is today the 12th? My wife died 2 months ago
today." Which of the following responses would be most appropriate? - Answer-"How
does that make you feel right now?"
Which type of question is asked first by the nurse in order to attain a full description
of the client's symptoms and to generate and test diagnostic hypotheses? - Answer-
open-ended questions to encourage the client to tell his or her story
The nurse is beginning the review of systems with a client. Which approach would
ensure that all major body systems are included in this assessment? - Answer-head
to toe
The nurse is preparing to interview a client with a documented history of mental
illness. Which question should the nurse use to begin this interview? - Answer-"Have
you ever had a problem with mental or emotional illness?"
The nurse is assessing a client with unexplained lesions noted on the client's back.
The nurse is going to palpate the area of the lesions. What type of palpation should
the nurse use? - Answer-light
A nurse performs an admission assessment on a client admitted with chest pain. The
nurse knows that using the bell of the stethoscope is appropriate to auscultate for
which type of sounds? - Answer-Heart murmur
The nurse is conducting a physical examination of the abdomen. What is the nurse's
best action to ensure she can hear bowel sounds? - Answer-Reduce all
environmental noise.
What can the nurse assess using percussion? - Answer-Borders of the heart
A female client is told that she needs a pelvic exam and Papanicolaou (Pap) smear.
She says "Absolutely not! There's no way I'll let you do that to me!" Which response
by the nurse would be most appropriate? - Answer-Explain the importance of the
pelvic exam and Pap smear, but respect the client's wishes and omit the exam.
What included in personal protective equipment? Select all that apply. - Answer-1.
Gloves
2. Gown
3. Mouth, nose, eye protection
,During the physical examination of your patient you auscultate the sound of the
patient's breathing. What area of the patient are you assessing? - Answer-Lungs
While examining a client, the nurse plans to palpate temperature of the skin by using
the - Answer-dorsal surface of the hand.
A nurse in the community is completing a manual blood pressure assessment.
Which action should the nurse take to ensure the assessment is accurate? - Answer-
Turn down the television volume.
The nurse is preparing to perform the physical examination of an older adult client
who will begin rehabilitation from an ischemic stroke. Which nursing action would be
most appropriate? - Answer-Try to minimize position changes.
Which of the following techniques are used in a physical assessment? Select all that
apply. - Answer-1. Inspection
2. Palpation
3. Auscultation
A nurse recognizes that it is best to begin the objective data collection with which
procedure? - Answer-Measure the client's vital signs, height, and weight
The nurse is planning to assess for the presence of lower pitch sounds when
examining a patient's heart. Which item of equipment would the nurse use to make
this assessment? - Answer-Bell of a stethoscope
A nurse needs to obtain a pulse on a client. Which physical assessment technique
should the nurse use? - Answer-Light palpation
A nurse is preparing to perform a genital examination of a female client. Which of the
following positions should the nurse place the client in? - Answer-Lithotomy
During a comprehensive assessment, the primary technique used by the nurse
throughout the examination is - Answer-inspection.
You should use the bell of the stethoscope when auscultating what type of sounds? -
Answer-Low-frequency sounds
The nurse is preparing to auscultate sounds that have a lower pitch. Which
equipment should be used to complete this assessment? - Answer-stethoscope bell
When assessing the temperature of the feet of an older client with diabetes, the
nurse would use which part of the hand to obtain the most accurate information? -
Answer-Dorsal hand surface
Which action by a nurse is appropriate before beginning a physical examination of a
client? - Answer-Wash hands before examination in the examination room
A nurse is preparing perform a physical examination of an obese client who is
beginning a diet and exercise program. The physician would like to establish a
,baseline percent body fat measurement for the client so that the client's progress in
reducing body fat can be tracked over time. Which piece of equipment should the
nurse anticipate needing for this purpose? - Answer-Skinfold calipers
A client with an inability to read billboards while driving arrives at the health care
facility for an eye examination. Which piece of equipment should the nurse use to
check the client's distant vision? - Answer-Snellen chart
After the physical examination of a client, a nurse disposes of the used gloves. The
nurse has not come in contact with any body fluids or excretion, mucous
membranes, nonintact skin, or wound dressings. The nurse's hands do not appear to
be visibly soiled. What hand hygiene should the nurse perform? - Answer-Application
of an alcohol-based hand rub
The nurse is preparing the examination room before assessing a client. What is the
purpose for a clean folded sheet on the examination table? - Answer-use as a drape
The nurse selects a tuning fork to use when assessing a client. Which body system
is the nurse most likely assessing? - Answer-peripheral vascular
A client is experiencing weakness of the left side of the body. Which piece of
equipment should the nurse use to determine if the client's neurologic system is
intact? - Answer-reflex hammer
What condition are clients who are frequently hospitalized, as well as nurses, more
often diagnosed with than the general population? - Answer-Latex allergy
When performing a physical assessment on an older adult client, what should the
nurse consider offering this client? - Answer-An extra blanket
How does a nurse best facilitate the nursing health assessment? - Answer-Asking
the appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the
standards of care for the facility in which the nurse is working? - Answer-Standards
of care often set the time frame for assessing the clients on the unit
A nurse is gathering data from a client during a health assessment. Which
assessment finding should the nurse document as objective data? - Answer-The
client's range of motion in her right arm
A nurse recommends that a client come back once every 3 months in the coming
year to have his cholesterol checked, to make sure he is maintaining a healthy level.
Which type of assessment is the nurse proposing? - Answer-Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - Answer-Reassess previously detected problems
, A client comes to the health care provider's office for a visit. The client has been
seen in this office on occasion for the past 5 years and arrives today complaining of
a fever and sore throat. Which type of assessment would the nurse most likely
perform? - Answer-Focused assessment
The RN is implementing which level of intervention when administering
immunizations at a pediatric clinic? - Answer-Primary
A patient is brought to the emergency department by ambulance after a motor
vehicle accident. What would be given the highest priority by the staff triaging the
patient? - Answer-Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - Answer-"I'm going to
assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client,
"You feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - Answer-Restatement
During an interview, the patient begins to talk about the frequency of being abused
by a spouse. What can the nurse do at this time to acknowledge the sensitivity of the
information the patient is providing? - Answer-Stop documenting in order to maintain
eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - Answer-sensory deficits
A client complains of knee pain on the nurse's arrival in the room. What should the
nurse's first sentence be after greeting the client? - Answer-"Could you please
describe what happened?"
A client scheduled for surgery tells the nurse that he is very anxious about the
surgery. What is an appropriate action by the nurse when interacting with this client?
- Answer-Provide simple and organized information.
A client admitted to the health care facility for new onset of abdominal pain
expresses to the nurse that she was treated for gastroesophageal reflux disease in
the past. In which section of the comprehensive health assessment should the nurse
document this information? - Answer-Personal health history
A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks
him where exactly the pain is, and he points to a spot on the lateral, posterior upper
arm. The nurse has seen similar cases in other clients and recognizes that is likely
from prolonged work at a computer, particularly using a mouse. Which of the
following is the most effective use of inferring that the nurse might implement in this
VERIFIED ANSWERS
When recording the client's chief concerns during the health history, it is
recommended that the interviewer do which of the following? - Answer-Quote the
client's words.
During the interview, the client states, "Is today the 12th? My wife died 2 months ago
today." Which of the following responses would be most appropriate? - Answer-"How
does that make you feel right now?"
Which type of question is asked first by the nurse in order to attain a full description
of the client's symptoms and to generate and test diagnostic hypotheses? - Answer-
open-ended questions to encourage the client to tell his or her story
The nurse is beginning the review of systems with a client. Which approach would
ensure that all major body systems are included in this assessment? - Answer-head
to toe
The nurse is preparing to interview a client with a documented history of mental
illness. Which question should the nurse use to begin this interview? - Answer-"Have
you ever had a problem with mental or emotional illness?"
The nurse is assessing a client with unexplained lesions noted on the client's back.
The nurse is going to palpate the area of the lesions. What type of palpation should
the nurse use? - Answer-light
A nurse performs an admission assessment on a client admitted with chest pain. The
nurse knows that using the bell of the stethoscope is appropriate to auscultate for
which type of sounds? - Answer-Heart murmur
The nurse is conducting a physical examination of the abdomen. What is the nurse's
best action to ensure she can hear bowel sounds? - Answer-Reduce all
environmental noise.
What can the nurse assess using percussion? - Answer-Borders of the heart
A female client is told that she needs a pelvic exam and Papanicolaou (Pap) smear.
She says "Absolutely not! There's no way I'll let you do that to me!" Which response
by the nurse would be most appropriate? - Answer-Explain the importance of the
pelvic exam and Pap smear, but respect the client's wishes and omit the exam.
What included in personal protective equipment? Select all that apply. - Answer-1.
Gloves
2. Gown
3. Mouth, nose, eye protection
,During the physical examination of your patient you auscultate the sound of the
patient's breathing. What area of the patient are you assessing? - Answer-Lungs
While examining a client, the nurse plans to palpate temperature of the skin by using
the - Answer-dorsal surface of the hand.
A nurse in the community is completing a manual blood pressure assessment.
Which action should the nurse take to ensure the assessment is accurate? - Answer-
Turn down the television volume.
The nurse is preparing to perform the physical examination of an older adult client
who will begin rehabilitation from an ischemic stroke. Which nursing action would be
most appropriate? - Answer-Try to minimize position changes.
Which of the following techniques are used in a physical assessment? Select all that
apply. - Answer-1. Inspection
2. Palpation
3. Auscultation
A nurse recognizes that it is best to begin the objective data collection with which
procedure? - Answer-Measure the client's vital signs, height, and weight
The nurse is planning to assess for the presence of lower pitch sounds when
examining a patient's heart. Which item of equipment would the nurse use to make
this assessment? - Answer-Bell of a stethoscope
A nurse needs to obtain a pulse on a client. Which physical assessment technique
should the nurse use? - Answer-Light palpation
A nurse is preparing to perform a genital examination of a female client. Which of the
following positions should the nurse place the client in? - Answer-Lithotomy
During a comprehensive assessment, the primary technique used by the nurse
throughout the examination is - Answer-inspection.
You should use the bell of the stethoscope when auscultating what type of sounds? -
Answer-Low-frequency sounds
The nurse is preparing to auscultate sounds that have a lower pitch. Which
equipment should be used to complete this assessment? - Answer-stethoscope bell
When assessing the temperature of the feet of an older client with diabetes, the
nurse would use which part of the hand to obtain the most accurate information? -
Answer-Dorsal hand surface
Which action by a nurse is appropriate before beginning a physical examination of a
client? - Answer-Wash hands before examination in the examination room
A nurse is preparing perform a physical examination of an obese client who is
beginning a diet and exercise program. The physician would like to establish a
,baseline percent body fat measurement for the client so that the client's progress in
reducing body fat can be tracked over time. Which piece of equipment should the
nurse anticipate needing for this purpose? - Answer-Skinfold calipers
A client with an inability to read billboards while driving arrives at the health care
facility for an eye examination. Which piece of equipment should the nurse use to
check the client's distant vision? - Answer-Snellen chart
After the physical examination of a client, a nurse disposes of the used gloves. The
nurse has not come in contact with any body fluids or excretion, mucous
membranes, nonintact skin, or wound dressings. The nurse's hands do not appear to
be visibly soiled. What hand hygiene should the nurse perform? - Answer-Application
of an alcohol-based hand rub
The nurse is preparing the examination room before assessing a client. What is the
purpose for a clean folded sheet on the examination table? - Answer-use as a drape
The nurse selects a tuning fork to use when assessing a client. Which body system
is the nurse most likely assessing? - Answer-peripheral vascular
A client is experiencing weakness of the left side of the body. Which piece of
equipment should the nurse use to determine if the client's neurologic system is
intact? - Answer-reflex hammer
What condition are clients who are frequently hospitalized, as well as nurses, more
often diagnosed with than the general population? - Answer-Latex allergy
When performing a physical assessment on an older adult client, what should the
nurse consider offering this client? - Answer-An extra blanket
How does a nurse best facilitate the nursing health assessment? - Answer-Asking
the appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the
standards of care for the facility in which the nurse is working? - Answer-Standards
of care often set the time frame for assessing the clients on the unit
A nurse is gathering data from a client during a health assessment. Which
assessment finding should the nurse document as objective data? - Answer-The
client's range of motion in her right arm
A nurse recommends that a client come back once every 3 months in the coming
year to have his cholesterol checked, to make sure he is maintaining a healthy level.
Which type of assessment is the nurse proposing? - Answer-Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - Answer-Reassess previously detected problems
, A client comes to the health care provider's office for a visit. The client has been
seen in this office on occasion for the past 5 years and arrives today complaining of
a fever and sore throat. Which type of assessment would the nurse most likely
perform? - Answer-Focused assessment
The RN is implementing which level of intervention when administering
immunizations at a pediatric clinic? - Answer-Primary
A patient is brought to the emergency department by ambulance after a motor
vehicle accident. What would be given the highest priority by the staff triaging the
patient? - Answer-Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - Answer-"I'm going to
assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client,
"You feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - Answer-Restatement
During an interview, the patient begins to talk about the frequency of being abused
by a spouse. What can the nurse do at this time to acknowledge the sensitivity of the
information the patient is providing? - Answer-Stop documenting in order to maintain
eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - Answer-sensory deficits
A client complains of knee pain on the nurse's arrival in the room. What should the
nurse's first sentence be after greeting the client? - Answer-"Could you please
describe what happened?"
A client scheduled for surgery tells the nurse that he is very anxious about the
surgery. What is an appropriate action by the nurse when interacting with this client?
- Answer-Provide simple and organized information.
A client admitted to the health care facility for new onset of abdominal pain
expresses to the nurse that she was treated for gastroesophageal reflux disease in
the past. In which section of the comprehensive health assessment should the nurse
document this information? - Answer-Personal health history
A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks
him where exactly the pain is, and he points to a spot on the lateral, posterior upper
arm. The nurse has seen similar cases in other clients and recognizes that is likely
from prolonged work at a computer, particularly using a mouse. Which of the
following is the most effective use of inferring that the nurse might implement in this
