HEALTH ASSESSMENT EXAM 2
210 QUESTIONS AND CORRECT
ANSWERS VERIFIED AND
ALREADY GRADED A+
During the neurological assessment of a "healthy" 35-year-old pt, the nurse
asks him to relax his muscles completely. The nurse then moves each
extremity through the full ROM. What would the nurse expect to find?
Mild, even resistance to movement
The nurse is testing the function of CN XI. What would best describe the
response the nurse would expect if the nerve is intact?
Moves the head and shoulders against resistance with equal
strength
-examine sternocleidomastoid and trapezius
A 70-year-old woman tells the nurse that every time she gets up in the
morning or after she's been sitting, she gets "really dizzy" and feels like she
is going to fall over. The nurse's best response would be:
You need to get up slowly when you have been lying or sitting
when the nurse is testing reflex, what is the expected response?
Extension of the forearm
,The nurse is caring for a pt who has just had neurosurgery. To assess for
increased intracranial pressure, what would the nurse include in the
assessment?
LOC, motor function, pupillary response, and VS
During an assessment of a pt's cranial nerves, the nurse finds a lack of blink
in the right eye with corneal reflex, intact ability to sense light touch on the
face, and loss of movement with facial features on the right side. This would
indicate dysfunction of what cranial nerve?
Motor component of CN VII and the sensory afferent in CN V
A pt tells the nurse that she believes in "the hot-cold theory, where illness is
caused by hot or cold entering the body." What respond from the nurse
would be appropriate?
"I have not heard of this theory. Tell me more."
After completing an initial assessment on a pt, the nurse has charted that his
respirations are eupneic and his pulse is 58. This type of data would be:
Objective
Example of a first-level priority problem:
An older adult with UTI who is showing signs of confusion and
agitation
Example of second-level priority problem:
,A teenager who was stung by a bee during a soccer match is having
trouble breathing
Example of a third-level priority problem:
A pt newly diagnosed with type 2 diabetes mellitus who does not
know how to check his own blood glucose levels with a glucometer
A pt's record, laboratory studies, objective data, and subjective data together
form the:
Database
Proving tobacco cessation strategies to a current long-term smoker who has
expressed an interest in cutting down on smoking is an example of which
type of prevention?
Secondary prevention
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. What would be an appropriate response by the nurse?
"How would you say the pain affects your ability to carry on your daily
activities?"
When taking history from a newly admitted pt, the nurse notices that he is
pausing often and looking at the nurse expectantly. What would be the
nurse's best response to this behaviour?
Be silent and allow him to continue when he is ready
, When observing a pt's verbal and non-verbal communication, the nurse
notices a discrepancy. What statement about this situation is true?
The nurse should focus on the pt's non-verbal behaviours because these are
often more reflective of a pt's true feelings.
According to the Ottawa Charter for Health Promotion, what is the definition
of health promotion?
The process of enabling people to increase control over, and improve their
health
Spirituality is a personal search for:
Meaning in one's life
A pt states that the pain medication is "not working" and rates his
postoperative pain as 10 on a scale of 1 to 10. What assessment finding
indicates an acute pain response to poorly controlled pain?
Increased blood pressure and pulse
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. What would be an appropriate response by the nurse?
"How would you say the pain affects your ability to carry on your daily
activities"?
210 QUESTIONS AND CORRECT
ANSWERS VERIFIED AND
ALREADY GRADED A+
During the neurological assessment of a "healthy" 35-year-old pt, the nurse
asks him to relax his muscles completely. The nurse then moves each
extremity through the full ROM. What would the nurse expect to find?
Mild, even resistance to movement
The nurse is testing the function of CN XI. What would best describe the
response the nurse would expect if the nerve is intact?
Moves the head and shoulders against resistance with equal
strength
-examine sternocleidomastoid and trapezius
A 70-year-old woman tells the nurse that every time she gets up in the
morning or after she's been sitting, she gets "really dizzy" and feels like she
is going to fall over. The nurse's best response would be:
You need to get up slowly when you have been lying or sitting
when the nurse is testing reflex, what is the expected response?
Extension of the forearm
,The nurse is caring for a pt who has just had neurosurgery. To assess for
increased intracranial pressure, what would the nurse include in the
assessment?
LOC, motor function, pupillary response, and VS
During an assessment of a pt's cranial nerves, the nurse finds a lack of blink
in the right eye with corneal reflex, intact ability to sense light touch on the
face, and loss of movement with facial features on the right side. This would
indicate dysfunction of what cranial nerve?
Motor component of CN VII and the sensory afferent in CN V
A pt tells the nurse that she believes in "the hot-cold theory, where illness is
caused by hot or cold entering the body." What respond from the nurse
would be appropriate?
"I have not heard of this theory. Tell me more."
After completing an initial assessment on a pt, the nurse has charted that his
respirations are eupneic and his pulse is 58. This type of data would be:
Objective
Example of a first-level priority problem:
An older adult with UTI who is showing signs of confusion and
agitation
Example of second-level priority problem:
,A teenager who was stung by a bee during a soccer match is having
trouble breathing
Example of a third-level priority problem:
A pt newly diagnosed with type 2 diabetes mellitus who does not
know how to check his own blood glucose levels with a glucometer
A pt's record, laboratory studies, objective data, and subjective data together
form the:
Database
Proving tobacco cessation strategies to a current long-term smoker who has
expressed an interest in cutting down on smoking is an example of which
type of prevention?
Secondary prevention
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. What would be an appropriate response by the nurse?
"How would you say the pain affects your ability to carry on your daily
activities?"
When taking history from a newly admitted pt, the nurse notices that he is
pausing often and looking at the nurse expectantly. What would be the
nurse's best response to this behaviour?
Be silent and allow him to continue when he is ready
, When observing a pt's verbal and non-verbal communication, the nurse
notices a discrepancy. What statement about this situation is true?
The nurse should focus on the pt's non-verbal behaviours because these are
often more reflective of a pt's true feelings.
According to the Ottawa Charter for Health Promotion, what is the definition
of health promotion?
The process of enabling people to increase control over, and improve their
health
Spirituality is a personal search for:
Meaning in one's life
A pt states that the pain medication is "not working" and rates his
postoperative pain as 10 on a scale of 1 to 10. What assessment finding
indicates an acute pain response to poorly controlled pain?
Increased blood pressure and pulse
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. What would be an appropriate response by the nurse?
"How would you say the pain affects your ability to carry on your daily
activities"?
