NURS 307: Health and Physical Assessment
Exam 1 With correct answers
A nurse is performing a pre-admission assessment on a client and employs the
use of nonverbal and verbal communication. Which of the following actions
demonstrates the use of a nonverbal communication technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintaining an arm's length between self and client
D. Stating name and providing credentials upon entering the client's room -
CORRECT ANSWERS ✔✔Maintaining an arm's length between self and client
A nurse is preparing to irrigate a client's leg wound. Which of the following
pieces of PPE should the nurse wear while performing this task? (Select All
that Apply)
Gown
Gloves
Goggles
N95 Mask
Surgical Cap - CORRECT ANSWERS ✔✔Gown, Gloves, Goggles
A nurse has performed preoperative care on a client and is transferring the
client to the surgical holding area when the client states, "I have changed my
,mind. I do not want to have this surgery." Which of the following ethical
principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity - CORRECT ANSWERS ✔✔Autonomy
A nurse is preparing to perform a physical examination on a client. Which of
the following interventions should the nurse perform to ensure client privacy?
A. Close the examination room door but do not pull the curtain in the
examination room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder and bowel before the
physical examination begins
D. Do not expose any more of the client's body than required at a time -
CORRECT ANSWERS ✔✔Do not expose any more of the client's body than
required at a time
A nurse is assisting a client with ambulating around the nurses' station. Which
of the following steps of the nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning - CORRECT ANSWERS ✔✔Implementation
,A nurse is documenting their assessment and documents that the client states,
"I have a dry cough every morning when I wake up." Which of the following
types of data is the nurse documenting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory - CORRECT ANSWERS ✔✔Subjective
A nurse is caring for a client who is crying and appears upset after receiving
news that they will need to have a surgical procedure. Which of the following
actions should the nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation - CORRECT
ANSWERS ✔✔Show interest in the client's feelings by acknowledging that
they are upset
A nurse is preparing to assess a newly admitted client. Which of the following
pieces of equipment does the nurse need to begin the inspection part of the
physical examination? (Select All That Apply).
Electrocardiogram monitor
Doppler
Penlight
Tape Measure
, Tonge Depressor - CORRECT ANSWERS ✔✔Penlight, Tape Measure, Tongue
Depressor
A nurse is performing auscultation during a client's physical assessment.
Which of the following tools should the nurse use for this part of the
assessment?
A. Tongue Depressor
B. Penlight
C. Reflex Hammer
D. Stethoscope - CORRECT ANSWERS ✔✔Stethoscope
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process
should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning - CORRECT ANSWERS ✔✔Assessment
A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following findings is the nurse assessing during
palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
C. Heart sounds, lung sounds, and bowel sounds
Exam 1 With correct answers
A nurse is performing a pre-admission assessment on a client and employs the
use of nonverbal and verbal communication. Which of the following actions
demonstrates the use of a nonverbal communication technique by the nurse?
A. Asking the client to clarify a statement
B. Asking the client open-ended questions
C. Maintaining an arm's length between self and client
D. Stating name and providing credentials upon entering the client's room -
CORRECT ANSWERS ✔✔Maintaining an arm's length between self and client
A nurse is preparing to irrigate a client's leg wound. Which of the following
pieces of PPE should the nurse wear while performing this task? (Select All
that Apply)
Gown
Gloves
Goggles
N95 Mask
Surgical Cap - CORRECT ANSWERS ✔✔Gown, Gloves, Goggles
A nurse has performed preoperative care on a client and is transferring the
client to the surgical holding area when the client states, "I have changed my
,mind. I do not want to have this surgery." Which of the following ethical
principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity - CORRECT ANSWERS ✔✔Autonomy
A nurse is preparing to perform a physical examination on a client. Which of
the following interventions should the nurse perform to ensure client privacy?
A. Close the examination room door but do not pull the curtain in the
examination room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder and bowel before the
physical examination begins
D. Do not expose any more of the client's body than required at a time -
CORRECT ANSWERS ✔✔Do not expose any more of the client's body than
required at a time
A nurse is assisting a client with ambulating around the nurses' station. Which
of the following steps of the nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning - CORRECT ANSWERS ✔✔Implementation
,A nurse is documenting their assessment and documents that the client states,
"I have a dry cough every morning when I wake up." Which of the following
types of data is the nurse documenting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory - CORRECT ANSWERS ✔✔Subjective
A nurse is caring for a client who is crying and appears upset after receiving
news that they will need to have a surgical procedure. Which of the following
actions should the nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation - CORRECT
ANSWERS ✔✔Show interest in the client's feelings by acknowledging that
they are upset
A nurse is preparing to assess a newly admitted client. Which of the following
pieces of equipment does the nurse need to begin the inspection part of the
physical examination? (Select All That Apply).
Electrocardiogram monitor
Doppler
Penlight
Tape Measure
, Tonge Depressor - CORRECT ANSWERS ✔✔Penlight, Tape Measure, Tongue
Depressor
A nurse is performing auscultation during a client's physical assessment.
Which of the following tools should the nurse use for this part of the
assessment?
A. Tongue Depressor
B. Penlight
C. Reflex Hammer
D. Stethoscope - CORRECT ANSWERS ✔✔Stethoscope
A nurse in the emergency department has received report on a child who has a
laceration to the right calf. Which of the following steps of the nursing process
should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning - CORRECT ANSWERS ✔✔Assessment
A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following findings is the nurse assessing during
palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
C. Heart sounds, lung sounds, and bowel sounds
