H EALTH A SSESSMENT F INAL E XAM
1. What type of data does the nurse collect during the interview portion of a
comprehensive health assessment?
a. Subjective
b. Historical
c. Objective
d. Physical
2. A nurse asks a student to describe the term abdominal borborygmi. The
student's response should include which of the following?
a. Loud continual hum
b. Peritoneal friction rub
c. Hyperactive bowel sounds
d. Hypoactive bowel sounds
3. A nurse is nearing the end of an interview. Which statements by the nurse is
appropriate at this time?
a. “Did we forget something?”
b. “Is there anything else you would like to mention?”
c. “I need to go on to the next patient. I will be back.”
d. “While I am here, let's talk about your upcoming surgery.”
4. While conducting a cultural health assessment a nurse should include which
of the following?
a. Medical history
, b. Health-related beliefs
c. Chief complaint
d. Family history
5. A nurse is admitting an adult male client who was transferred to a long-term
care facility. The nurse should use closed-ended questions when assessing if
the client
a. Is eating a well-balanced diet
b. Took his medications this morning
c. How he completes his ADLs
d. About how he feels about the transfer
6. Upon entering the client's room, a nurse asks the client to turn down the
volume of the television. The nurse's request was intended to
a. Create a quiet environment
b. Control the client's behavior
c. Manipulate the client's responses
d. Uphold unit policy.
7. A nurse is reviewing data collected after conducting a health assessment.
Which of the following would be considered related cues that would be
clustered together during data analysis? Select all that apply.
a. Hypoactive bowel sounds
b. Nonproductive cough
c. Respiratory rate of 16 breaths per minute
d. Inspiratory wheezing noted in the left lower lobes
e. 2+ edema noted on the left hand
, 8. A nurse is planning to use the SBAR communication tool when calling a
provider. Which of the following statements should the nurse include in the
“B” step?
a. “The client should be seen by a neurologist.”
b. “The client is disoriented; pupils are slow to respond to light”
c. “There are no provider's prescriptions available”
d. “The client was found unconscious on the floor at home”
9. A nurse needs to obtain anthropometric measures of an 80 year old client.
Which of the following statements is true regarding this situation?
a. Increased muscle mass will affect the mid-calf circumference
measurements
b. Muscle atrophy will increase BMI
c. Height may decrease due to changes in bone density
d. Increased skin elasticity will affect the waist-hip ratio
10.When conducting a focused assessment of an older adult, the nurse would
assess the client's
a. Physical signs of aging
b. Immunological function
c. Functional abilities
d. History of chronic illness
11.While assessing an adult client's cardiovascular system, where should the
nurse palpate for pulsations in the pulmonic area?
a. Left second intercostal space
b. Right second intercostal space
c. Left fifth intercostal space
1. What type of data does the nurse collect during the interview portion of a
comprehensive health assessment?
a. Subjective
b. Historical
c. Objective
d. Physical
2. A nurse asks a student to describe the term abdominal borborygmi. The
student's response should include which of the following?
a. Loud continual hum
b. Peritoneal friction rub
c. Hyperactive bowel sounds
d. Hypoactive bowel sounds
3. A nurse is nearing the end of an interview. Which statements by the nurse is
appropriate at this time?
a. “Did we forget something?”
b. “Is there anything else you would like to mention?”
c. “I need to go on to the next patient. I will be back.”
d. “While I am here, let's talk about your upcoming surgery.”
4. While conducting a cultural health assessment a nurse should include which
of the following?
a. Medical history
, b. Health-related beliefs
c. Chief complaint
d. Family history
5. A nurse is admitting an adult male client who was transferred to a long-term
care facility. The nurse should use closed-ended questions when assessing if
the client
a. Is eating a well-balanced diet
b. Took his medications this morning
c. How he completes his ADLs
d. About how he feels about the transfer
6. Upon entering the client's room, a nurse asks the client to turn down the
volume of the television. The nurse's request was intended to
a. Create a quiet environment
b. Control the client's behavior
c. Manipulate the client's responses
d. Uphold unit policy.
7. A nurse is reviewing data collected after conducting a health assessment.
Which of the following would be considered related cues that would be
clustered together during data analysis? Select all that apply.
a. Hypoactive bowel sounds
b. Nonproductive cough
c. Respiratory rate of 16 breaths per minute
d. Inspiratory wheezing noted in the left lower lobes
e. 2+ edema noted on the left hand
, 8. A nurse is planning to use the SBAR communication tool when calling a
provider. Which of the following statements should the nurse include in the
“B” step?
a. “The client should be seen by a neurologist.”
b. “The client is disoriented; pupils are slow to respond to light”
c. “There are no provider's prescriptions available”
d. “The client was found unconscious on the floor at home”
9. A nurse needs to obtain anthropometric measures of an 80 year old client.
Which of the following statements is true regarding this situation?
a. Increased muscle mass will affect the mid-calf circumference
measurements
b. Muscle atrophy will increase BMI
c. Height may decrease due to changes in bone density
d. Increased skin elasticity will affect the waist-hip ratio
10.When conducting a focused assessment of an older adult, the nurse would
assess the client's
a. Physical signs of aging
b. Immunological function
c. Functional abilities
d. History of chronic illness
11.While assessing an adult client's cardiovascular system, where should the
nurse palpate for pulsations in the pulmonic area?
a. Left second intercostal space
b. Right second intercostal space
c. Left fifth intercostal space
