Health Assessment in Nursing, 7th Edition Latest
Update 2024 Questions & Answers Grade A+
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the nurse's best response?
"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. Which would be the nurse's appropriate response to the woman's
statement?
"How would you say the pain affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the
nurse's best response to this information?
"Describe what happens (or the reaction) to you when you take Penicillin."
The nurse is taking a family history. Important diseases or problems about
which the patient should be specifically asked include:
Mental illness.
The review of systems provides the nurse with...
Information regarding health promotion practices, the information helps to
evaluate the past and present health state of each body system, to obtain any
data that may have been omitted in the section about present illness, and to
evaluate health promotion and teaching opportunities.
Which of these statements represents subjective data the nurse obtained
from the patient regarding the patient's skin?
Patient denies any color change.
,The nurse is obtaining a history from a 30-year old male patient and is
concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this
patient?
"Do you perform testicular self-examinations?"
Functional Assessment-- What information would you ask if the patient's leg
was in a cast?
A functional assessment includes the activities of daily living and the person's
ability to take care of their needs. This area will help to formulate a nursing
diagnosis. This could be present to the patient in a standardized form and will
include data on the lifestyle and type of living environment. (Page 57) self-
esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress management,
personal habits, environmental hazards, violence questions, and occupational
health questions. If a patient had a cast on their leg, appropriate questions
would include how they transfer to bed, another chair, bathing technique,
coping with the situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the nurse needs to
know. What is the reason why?
Alcohol can interact with all medications and make some diseases worse.
Describe a genogram.
Graphic family tree that uses symbols to depict the gender, relationship, and
age of immediate family. Usually 3 generations- parents, grandparents,
siblings. Also highlight the health of close family members and more details
,such as communicable disease, environmental hazards (smoke), tobacco use,
and alcohol use. Any additional information includes the family history.
The nurse is obtaining health history on an 87-year-old woman. Which of the
following areas of questioning would be most useful at this time?
Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the names of
the medication he is taking or why he is taking them. An appropriate
response from the nurse would be..
Would you have a family member bring in your medications please?
The nurse is performing a functional assessment on an 82-year-old patient
who recently had a stroke. Which of these questions would be most
important to ask?
"Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these statements
reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason why
is...
This is the location for most breast tumors.
In performing an assessment of a woman's elixir lymph system, the nurse
should assess which of these nodes?
, Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into
the axillary nodes. There are groups of axillary nodes central, pectoral and
subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts
"sag so much". She states it must be from a lack of exercise. What
explanation should the nurse offer her? After menopause:
The glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he has
bilateral gynecomastia. Which of the following describes the nurse's best
course of action?
Explain that this is the result of hormonal changes (testosterone) and
recommend a visit to their provider.
During a breast health interview, a patient states that she has noticed pain in
her left breast. The nurse's most appropriate response to this would be:
To seek more specific information about the pain, such as: When did you first
notice it? Is the pain localized or all over? Is it painful to touch? Is the pain in
relation to your menstrual cycle? Is the pain associated with activity or
exercise?
During a physical examination, a 45-year-old woman states that she has had
a crusty, itchy rash on her breast for approximately 2 weeks. In trying to find
the cause of the rash, which questions would be important for the nurse to
ask?
Update 2024 Questions & Answers Grade A+
A patient tells the nurse that she has had abdominal pain for the past week.
What would be the nurse's best response?
"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. Which would be the nurse's appropriate response to the woman's
statement?
"How would you say the pain affects your ability to do your daily activities?"
A patient tells the nurse that he is allergic to penicillin. What would be the
nurse's best response to this information?
"Describe what happens (or the reaction) to you when you take Penicillin."
The nurse is taking a family history. Important diseases or problems about
which the patient should be specifically asked include:
Mental illness.
The review of systems provides the nurse with...
Information regarding health promotion practices, the information helps to
evaluate the past and present health state of each body system, to obtain any
data that may have been omitted in the section about present illness, and to
evaluate health promotion and teaching opportunities.
Which of these statements represents subjective data the nurse obtained
from the patient regarding the patient's skin?
Patient denies any color change.
,The nurse is obtaining a history from a 30-year old male patient and is
concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this
patient?
"Do you perform testicular self-examinations?"
Functional Assessment-- What information would you ask if the patient's leg
was in a cast?
A functional assessment includes the activities of daily living and the person's
ability to take care of their needs. This area will help to formulate a nursing
diagnosis. This could be present to the patient in a standardized form and will
include data on the lifestyle and type of living environment. (Page 57) self-
esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress management,
personal habits, environmental hazards, violence questions, and occupational
health questions. If a patient had a cast on their leg, appropriate questions
would include how they transfer to bed, another chair, bathing technique,
coping with the situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the nurse needs to
know. What is the reason why?
Alcohol can interact with all medications and make some diseases worse.
Describe a genogram.
Graphic family tree that uses symbols to depict the gender, relationship, and
age of immediate family. Usually 3 generations- parents, grandparents,
siblings. Also highlight the health of close family members and more details
,such as communicable disease, environmental hazards (smoke), tobacco use,
and alcohol use. Any additional information includes the family history.
The nurse is obtaining health history on an 87-year-old woman. Which of the
following areas of questioning would be most useful at this time?
Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the names of
the medication he is taking or why he is taking them. An appropriate
response from the nurse would be..
Would you have a family member bring in your medications please?
The nurse is performing a functional assessment on an 82-year-old patient
who recently had a stroke. Which of these questions would be most
important to ask?
"Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these statements
reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason why
is...
This is the location for most breast tumors.
In performing an assessment of a woman's elixir lymph system, the nurse
should assess which of these nodes?
, Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage drains into
the axillary nodes. There are groups of axillary nodes central, pectoral and
subscapular.
A 65-year-old patient remarks that she just cannot believe that her breasts
"sag so much". She states it must be from a lack of exercise. What
explanation should the nurse offer her? After menopause:
The glandular and fat tissue atrophies, causing breast size and elasticity to
diminish, resulting in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he has
bilateral gynecomastia. Which of the following describes the nurse's best
course of action?
Explain that this is the result of hormonal changes (testosterone) and
recommend a visit to their provider.
During a breast health interview, a patient states that she has noticed pain in
her left breast. The nurse's most appropriate response to this would be:
To seek more specific information about the pain, such as: When did you first
notice it? Is the pain localized or all over? Is it painful to touch? Is the pain in
relation to your menstrual cycle? Is the pain associated with activity or
exercise?
During a physical examination, a 45-year-old woman states that she has had
a crusty, itchy rash on her breast for approximately 2 weeks. In trying to find
the cause of the rash, which questions would be important for the nurse to
ask?
