CHAPTER 26: HEALTH ASSESSMENT |
COMPREHENSIVE NURSING PHYSICAL
ASSESSMENT STUDY GUIDE 2026|
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,What is the biggest barrier and increases patient safety? language
How do you assess a persons' reason for seeking health ask open ended questions and let them describe in their own words why they are
care? there
NO PARAPHRASING OR INTERPRETING
What information do you accumulate in assessing the get all the symptoms
history of a present illness? -location, problem, duration, intensity, quality/ description, relieving/exacerbating
factors, past occurrences, treatments, and how the problem has affected the
patient
What does past history give insight to? to causing current symptoms and health maintenance screenings
what should you acquire from a persons medications? name, purpose, dose, route, frequency for each medication
What does the family history provide? information about diseases and conditions
What does functional health focus on? What are some the effects of health or illness on a patient's quality of life
types? -ADL
-IADLs
What are ADLs? activities of daily living
-eating, bathing, dressing, toileting
What are IADLs? Instrumental Activities of Daily Living
These are more sophisticated activities involving several steps and more
advanced problem solving and decision making skills
-housekeeping, meal prep, finances, and transportation
What are some purposes of the Health Assessment? -establishes the nurse-patient relationship
-gather data about the patients' general health status
-identify patient strengths
-identify actual and potential health problems
-establish a base for the nursing process
Various sounds are heard when assessing a blood systolic pressure
pressure. What does the first sound heard through the
stethoscope represent?
An adult client is assessed as having an apical pulse of tachycardia
140. How would the nurse document this finding?
, A client reports feeling "different" than earlier in the day. immediately
When would the nurse anticipate assessing the vital
signs?
A 70-year-old client is taking his own pulse at home. He is write it down
following the instructions provided by the nurse. He
counts his pulse 62 times in one minute. What should he
do next?
When assessing a client's respiratory rate, the nurse do it immediately after the pulse assessment so the client is unaware of it
should take which action?
When taking the client's temperature, the student nurse "the axillary route is the most accurate of all routes"
will require further education when he states:
A nurse is assessing a client who has a fever, has an tachycardia
infection of a flank incision, and is in severe pain. What
type of pulse rate would the client most likely exhibit?
Clients demonstrating apnea have what? temporary cessation of breathing
A nurse is assessing the pulse volume of a client with pulse is felt with difficulty and disappears with slight pressure
influenza. The nurse notes that the client has a thready
pulse. Which of the following is a description of a thready
pulse?
The nurse is calling a health care provider to give an inform the provider, to ensure safety for the client, it must be read back
update on a client's condition. The nurse receives a
telephone order and when requests that the order to be
read back to the provider for confirmation, the provider
states, "I don't have time for this". What is the most
appropriate action by the nurse?
While assisting a client with a delivery, a nurse takes a the nurse could be fined or even go to jail for violating HIPAA
photo of the newborn and posts it on a social media
website. What action may occur related to this privacy
violation?
A healthcare provider approaches the nurse caring for inform the healthcare provider that client permission is needed to release any
the client in room 25 states, "the client is a friend of mine. information
What treatment is being given?" Which response by the
nurse is most appropriate?
COMPREHENSIVE NURSING PHYSICAL
ASSESSMENT STUDY GUIDE 2026|
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,What is the biggest barrier and increases patient safety? language
How do you assess a persons' reason for seeking health ask open ended questions and let them describe in their own words why they are
care? there
NO PARAPHRASING OR INTERPRETING
What information do you accumulate in assessing the get all the symptoms
history of a present illness? -location, problem, duration, intensity, quality/ description, relieving/exacerbating
factors, past occurrences, treatments, and how the problem has affected the
patient
What does past history give insight to? to causing current symptoms and health maintenance screenings
what should you acquire from a persons medications? name, purpose, dose, route, frequency for each medication
What does the family history provide? information about diseases and conditions
What does functional health focus on? What are some the effects of health or illness on a patient's quality of life
types? -ADL
-IADLs
What are ADLs? activities of daily living
-eating, bathing, dressing, toileting
What are IADLs? Instrumental Activities of Daily Living
These are more sophisticated activities involving several steps and more
advanced problem solving and decision making skills
-housekeeping, meal prep, finances, and transportation
What are some purposes of the Health Assessment? -establishes the nurse-patient relationship
-gather data about the patients' general health status
-identify patient strengths
-identify actual and potential health problems
-establish a base for the nursing process
Various sounds are heard when assessing a blood systolic pressure
pressure. What does the first sound heard through the
stethoscope represent?
An adult client is assessed as having an apical pulse of tachycardia
140. How would the nurse document this finding?
, A client reports feeling "different" than earlier in the day. immediately
When would the nurse anticipate assessing the vital
signs?
A 70-year-old client is taking his own pulse at home. He is write it down
following the instructions provided by the nurse. He
counts his pulse 62 times in one minute. What should he
do next?
When assessing a client's respiratory rate, the nurse do it immediately after the pulse assessment so the client is unaware of it
should take which action?
When taking the client's temperature, the student nurse "the axillary route is the most accurate of all routes"
will require further education when he states:
A nurse is assessing a client who has a fever, has an tachycardia
infection of a flank incision, and is in severe pain. What
type of pulse rate would the client most likely exhibit?
Clients demonstrating apnea have what? temporary cessation of breathing
A nurse is assessing the pulse volume of a client with pulse is felt with difficulty and disappears with slight pressure
influenza. The nurse notes that the client has a thready
pulse. Which of the following is a description of a thready
pulse?
The nurse is calling a health care provider to give an inform the provider, to ensure safety for the client, it must be read back
update on a client's condition. The nurse receives a
telephone order and when requests that the order to be
read back to the provider for confirmation, the provider
states, "I don't have time for this". What is the most
appropriate action by the nurse?
While assisting a client with a delivery, a nurse takes a the nurse could be fined or even go to jail for violating HIPAA
photo of the newborn and posts it on a social media
website. What action may occur related to this privacy
violation?
A healthcare provider approaches the nurse caring for inform the healthcare provider that client permission is needed to release any
the client in room 25 states, "the client is a friend of mine. information
What treatment is being given?" Which response by the
nurse is most appropriate?
