Health Assessment Real Exam Health
Assessment Exam Update 2023-2024
Questions and Correct Answers
Rated A+
Prior to beginning a physical examination of a client, the nurse would carry out
which activities? - ANSWER-Wash hands, provide privacy for the client, explain
the procedure to the client, and position the client comfortably.
The nurse performing a physical assessment is unable to palpate a pulse. What is
the best first action for the nurse to take? - ANSWER-The nurse should use a
Doppler to listen for the pulse that is not palpable.
The nurse is preparing to conduct a physical assessment of a client's chest and will
be utilizing all the following steps. Place the techniques in the correct order for
use: Percussion, Auscultation, Inspection, Palpation - ANSWER-Inspection,
Palpation, Percussion, Auscultation
The nurse has used percussion to assess the client's abdomen. The nurse documents
which normal characteristic assessed over the liver in the RUQ? - ANSWER-
Dullness
During physical assessment, the nurse would palpate the skin for which
characteristics? Select all that apply.
1. Temperature
2. Texture
3. Pigmentation
4. Moisture
5. Elasticity - ANSWER-Temperature, texture, moisture, elasticity
In an effort to provide a comfortable environment for a client during a physical
assessment, the nurse would take which action? - ANSWER-Drape the client prior
to beginning the examination
,The nurse notes during a routine screening examination that the client has a
thready pulse. In what other way could this finding be documented? - ANSWER-
Pulse is difficult to palpate and obliterates easily
The nurse would plan to do which of the following as a high priority during a
routine health assessment? - ANSWER-Teach the client about ways to maintain
health and wellness
The nurse plans to do which of the following using the skill of inspection during
health assessment on an adult? - ANSWER-Use eyes, ears, and sense of smell to
make observations
The client tells the nurse during the health history, "I feel jumpy all over since
using my new respiratory inhaler." Which question would be most appropriate for
the nurse to ask next? - ANSWER-Can you tell me what you mean by jumpy?
What data regarding the family history of an adult client is most important for the
nurse to obtain during an initial interview? - ANSWER-Major diseases of close
family
When obtaining information about a child's health history, the nurse would include
which data? - ANSWER-Past medical history, present medical complaint, review
of systems
A client is admitted for evaluation of upper GI symptoms. The nurse would
document which statement as objective data in the client's medical record? Client
states, "I have a headache"
Client states," I had chickenpox as a child"
Client has distended abdomen and active bowel sounds
Client states," I feel nauseated after eating" - ANSWER-Client has distended
abdomen and active bowel sounds
The clinic nurse is conducting a health history. Place in proper sequence the
following questions the nurse would ask using the standard format for collecting
health history information. Does anyone in your family have diabetes?
For what reason did you come to the clinic today?
What is your date of birth?
Can you tell me about your support system? Have you ever been hospitalized? -
ANSWER-What is your date of birth?
For what reason did you come to the clinic today?
, Have you ever been hospitalized?
Does anyone in your family have diabetes?
Can you tell me about your support system?
After the nurse gathers health assessment data on a client admitted with
pneumonia, the nurse would take which action? - ANSWER-Review the
information gathered to analyze the data
To access for early jaundice, you will access: - ANSWER-Sclera and hard palate
Skin turgor is assessed by picking up a large fold of skin on the anterior chest
under the clavicle. This is done to determine the presence of: - ANSWER-
dehydration
Flattening of the angle between the nail and its base is: - ANSWER-described as
clubbing
To assess for pallor in a dark-skinned client, the nurse should observe the client's
skin for a color that appears - ANSWER-ashen
Which of the following conditions could explain a finding of diaphoresis when
assessing the skin: - ANSWER-hyperthyroidism
What does the "A" in the ABCDE of mole assessment stand for? - ANSWER-
Asymmetry
Which of the following is not an area patient's commonly develop pressure ulcers
Shin
Coccyx
Heels
Hip - ANSWER-Shin
Preauricular - ANSWER-anterior to the tragus
Posterior auricular - ANSWER-posterior to the auricle
Occipital - ANSWER-at the posterior base of the skull
Tonsillar - ANSWER-at the angle of the mandible anterior edge of sternomastoid
Assessment Exam Update 2023-2024
Questions and Correct Answers
Rated A+
Prior to beginning a physical examination of a client, the nurse would carry out
which activities? - ANSWER-Wash hands, provide privacy for the client, explain
the procedure to the client, and position the client comfortably.
The nurse performing a physical assessment is unable to palpate a pulse. What is
the best first action for the nurse to take? - ANSWER-The nurse should use a
Doppler to listen for the pulse that is not palpable.
The nurse is preparing to conduct a physical assessment of a client's chest and will
be utilizing all the following steps. Place the techniques in the correct order for
use: Percussion, Auscultation, Inspection, Palpation - ANSWER-Inspection,
Palpation, Percussion, Auscultation
The nurse has used percussion to assess the client's abdomen. The nurse documents
which normal characteristic assessed over the liver in the RUQ? - ANSWER-
Dullness
During physical assessment, the nurse would palpate the skin for which
characteristics? Select all that apply.
1. Temperature
2. Texture
3. Pigmentation
4. Moisture
5. Elasticity - ANSWER-Temperature, texture, moisture, elasticity
In an effort to provide a comfortable environment for a client during a physical
assessment, the nurse would take which action? - ANSWER-Drape the client prior
to beginning the examination
,The nurse notes during a routine screening examination that the client has a
thready pulse. In what other way could this finding be documented? - ANSWER-
Pulse is difficult to palpate and obliterates easily
The nurse would plan to do which of the following as a high priority during a
routine health assessment? - ANSWER-Teach the client about ways to maintain
health and wellness
The nurse plans to do which of the following using the skill of inspection during
health assessment on an adult? - ANSWER-Use eyes, ears, and sense of smell to
make observations
The client tells the nurse during the health history, "I feel jumpy all over since
using my new respiratory inhaler." Which question would be most appropriate for
the nurse to ask next? - ANSWER-Can you tell me what you mean by jumpy?
What data regarding the family history of an adult client is most important for the
nurse to obtain during an initial interview? - ANSWER-Major diseases of close
family
When obtaining information about a child's health history, the nurse would include
which data? - ANSWER-Past medical history, present medical complaint, review
of systems
A client is admitted for evaluation of upper GI symptoms. The nurse would
document which statement as objective data in the client's medical record? Client
states, "I have a headache"
Client states," I had chickenpox as a child"
Client has distended abdomen and active bowel sounds
Client states," I feel nauseated after eating" - ANSWER-Client has distended
abdomen and active bowel sounds
The clinic nurse is conducting a health history. Place in proper sequence the
following questions the nurse would ask using the standard format for collecting
health history information. Does anyone in your family have diabetes?
For what reason did you come to the clinic today?
What is your date of birth?
Can you tell me about your support system? Have you ever been hospitalized? -
ANSWER-What is your date of birth?
For what reason did you come to the clinic today?
, Have you ever been hospitalized?
Does anyone in your family have diabetes?
Can you tell me about your support system?
After the nurse gathers health assessment data on a client admitted with
pneumonia, the nurse would take which action? - ANSWER-Review the
information gathered to analyze the data
To access for early jaundice, you will access: - ANSWER-Sclera and hard palate
Skin turgor is assessed by picking up a large fold of skin on the anterior chest
under the clavicle. This is done to determine the presence of: - ANSWER-
dehydration
Flattening of the angle between the nail and its base is: - ANSWER-described as
clubbing
To assess for pallor in a dark-skinned client, the nurse should observe the client's
skin for a color that appears - ANSWER-ashen
Which of the following conditions could explain a finding of diaphoresis when
assessing the skin: - ANSWER-hyperthyroidism
What does the "A" in the ABCDE of mole assessment stand for? - ANSWER-
Asymmetry
Which of the following is not an area patient's commonly develop pressure ulcers
Shin
Coccyx
Heels
Hip - ANSWER-Shin
Preauricular - ANSWER-anterior to the tragus
Posterior auricular - ANSWER-posterior to the auricle
Occipital - ANSWER-at the posterior base of the skull
Tonsillar - ANSWER-at the angle of the mandible anterior edge of sternomastoid
