NURS 252: Assessment Test
Questions All Solved.
Joey has just been transferred to your unit after having surgery 3 days ago. What type of
assessment should be done:
A. Focused assessment
B. Emergency assessment
C. Comprehensive assessment - Answer A. Focused assessment
What is the purpose of a Health assessment? - Answer Provides information of patient's past
and current health, including strengths and coping skills
What are the components of Biographical data in the health history? - Answer Name
Address and phone number
Age and birth date
Birthplace
Gender
Marital status
Ethnocultural background
Occupation
Primary language
Source of information
Which of the following would be considered a primary source of information?
A Patient's chart
B Patient's physician
C Patient's family
D Patient him/herself - Answer D
Which is important to remember about Reason for Seeking care?
A. A medical diagnosis
B. The patient's chronic state
C. Using the patient's own words - Answer C
What does PQRST Stand for? - Answer P- provokes
,Q- quality or quantity
R- Region/ radiation
S- Severity/ setting
T- Timing (onset, duration, frequency)
U- Understanding
Why is it important to assess human violence?
A. Because of the high prevalence of physical abuse in children and women
B. Because all women are abused during pregnancy
C. Because all women are abused at sometime in their life
D. Because nurses are nosy and want to know - Answer A
Which is a reason for seeking care:
A Exacerbation of COPD
B "My leg pain is alleviated by rest"
C R/O MI
D "I feel shaky" - Answer D
Acute assessment of the Head, Neck, and Regional lymphatics would need to be done when? -
Answer Head injuries, nero injuries, head trauma, neck pain, paralysis, headache, lacerations,
hyperthyroidism,
What is included in subjective assessment? (theres an acronym) - Answer SAMPLE:
Signs and symptoms
Allergies
Medications
Personal (and family) medical history
Last visit to health care provider
Evaluation of functional assessment
What could be included in health promotion for the head, neck, and regional lymphatics? -
Answer - Injury prevention: helmets, spinal cord injury, elderly patients fall
- Thyroid health: minimize disease process
- Examine lymph nodes
, What should be included in the functional assessment of the head, neck, and regional
lymphatics? - Answer Headache, neck pain, limited neck movement, facial pain, lumps and
masses, hypo/hyperthyroidism
Joe comes into your clinic with the symptoms of cold intolerance, fatigue, weight gain, and
periorbital edema. What does he likely have? What other symptoms could support this finding -
Answer Hypothyroidism:
- hair loss/ brittle, decreased libido, menstral irregularity (females)
Sam comes into your clinic with the symptoms of fatigue, weight loss, clammy skin, and
palpations. What does she likely have? What other symptoms may support this? - Answer
Hyperthyroidism:
- heat intolerance, hair limp/fine, sweating, rapid pulse, buldging eyes, goiter
What kind of objective assessments are done during a head, neck, and regional lymphatic
exam? - Answer Inspection
Palpation: temporal arteries, thyroid, lymph nodes
Auscultation: thyroid for bruits
Which of these is irregular:
1. Anterior fontanel in a 12 month old
2. Anterior fontanel in a 25 month old
3. Posterior fontanel in a 1 month old
4. Posterior fontalel in a 2 month old - Answer 2. Anterior fontanel in a 25 month old
- Anterior fontanels disapear between 9 months and 2 years old
- Posterior fontanels disapear between 1-2 months old
Fontanels should normally be ____, if they are _____ the fontanel would be dipped, if they are
___ the fontanel would be raised - Answer - Normal= flat
- Dipped= dehydrated
- Raised= increased intracranial pressure
Which would be an abnormal finding:
1. lymph node soft
2. lymph node more than 1cm
3. Lymph not tender
4. Lymph node moves - Answer 2. Lymph node more than 1 cm
Questions All Solved.
Joey has just been transferred to your unit after having surgery 3 days ago. What type of
assessment should be done:
A. Focused assessment
B. Emergency assessment
C. Comprehensive assessment - Answer A. Focused assessment
What is the purpose of a Health assessment? - Answer Provides information of patient's past
and current health, including strengths and coping skills
What are the components of Biographical data in the health history? - Answer Name
Address and phone number
Age and birth date
Birthplace
Gender
Marital status
Ethnocultural background
Occupation
Primary language
Source of information
Which of the following would be considered a primary source of information?
A Patient's chart
B Patient's physician
C Patient's family
D Patient him/herself - Answer D
Which is important to remember about Reason for Seeking care?
A. A medical diagnosis
B. The patient's chronic state
C. Using the patient's own words - Answer C
What does PQRST Stand for? - Answer P- provokes
,Q- quality or quantity
R- Region/ radiation
S- Severity/ setting
T- Timing (onset, duration, frequency)
U- Understanding
Why is it important to assess human violence?
A. Because of the high prevalence of physical abuse in children and women
B. Because all women are abused during pregnancy
C. Because all women are abused at sometime in their life
D. Because nurses are nosy and want to know - Answer A
Which is a reason for seeking care:
A Exacerbation of COPD
B "My leg pain is alleviated by rest"
C R/O MI
D "I feel shaky" - Answer D
Acute assessment of the Head, Neck, and Regional lymphatics would need to be done when? -
Answer Head injuries, nero injuries, head trauma, neck pain, paralysis, headache, lacerations,
hyperthyroidism,
What is included in subjective assessment? (theres an acronym) - Answer SAMPLE:
Signs and symptoms
Allergies
Medications
Personal (and family) medical history
Last visit to health care provider
Evaluation of functional assessment
What could be included in health promotion for the head, neck, and regional lymphatics? -
Answer - Injury prevention: helmets, spinal cord injury, elderly patients fall
- Thyroid health: minimize disease process
- Examine lymph nodes
, What should be included in the functional assessment of the head, neck, and regional
lymphatics? - Answer Headache, neck pain, limited neck movement, facial pain, lumps and
masses, hypo/hyperthyroidism
Joe comes into your clinic with the symptoms of cold intolerance, fatigue, weight gain, and
periorbital edema. What does he likely have? What other symptoms could support this finding -
Answer Hypothyroidism:
- hair loss/ brittle, decreased libido, menstral irregularity (females)
Sam comes into your clinic with the symptoms of fatigue, weight loss, clammy skin, and
palpations. What does she likely have? What other symptoms may support this? - Answer
Hyperthyroidism:
- heat intolerance, hair limp/fine, sweating, rapid pulse, buldging eyes, goiter
What kind of objective assessments are done during a head, neck, and regional lymphatic
exam? - Answer Inspection
Palpation: temporal arteries, thyroid, lymph nodes
Auscultation: thyroid for bruits
Which of these is irregular:
1. Anterior fontanel in a 12 month old
2. Anterior fontanel in a 25 month old
3. Posterior fontanel in a 1 month old
4. Posterior fontalel in a 2 month old - Answer 2. Anterior fontanel in a 25 month old
- Anterior fontanels disapear between 9 months and 2 years old
- Posterior fontanels disapear between 1-2 months old
Fontanels should normally be ____, if they are _____ the fontanel would be dipped, if they are
___ the fontanel would be raised - Answer - Normal= flat
- Dipped= dehydrated
- Raised= increased intracranial pressure
Which would be an abnormal finding:
1. lymph node soft
2. lymph node more than 1cm
3. Lymph not tender
4. Lymph node moves - Answer 2. Lymph node more than 1 cm
