©BRAINBARTER 2024/2025
Ch 28 Head-to-Toe Exam Questions With
Verified Answers
1. A nurse is performing an assessment within the legal parameters of assessment and diagnosis.
These legal guidelines would be specified in which of the following?
A) The state's Nurse Practice Act
B) The client's informed consent documents
C) The nurse's terms of license
D) The institution's policies and procedures guidelines - answer✔A) The state's Nurse Practice
Act
2. When preparing to do a comprehensive health assessment, the nurse obtains the client's
permission based on an understanding of which of the following principles?
A) The client has the right to refuse the assessment.
B) Obtaining permission enhances therapeutic rapport.
C) The client will be more willing to disclose after giving permission.
D) The client's level of comfort will be increased by granting explicit consent. - answer✔A) The
client has the right to refuse the assessment.
3. The nurse is completing the general survey. In addition to observing the client's appearance,
the nurse would assess which of the following?
A) Mental status
B) Cognitive abilities
C) Vital signs
D) Thought processes - answer✔C) Vital signs
4. A novice nurse is practicing how to complete a comprehensive assessment to gain confidence
and skill. Which of the following would be most important for the nurse to remember?
A) Always gather objective data before subjective data.
, ©BRAINBARTER 2024/2025
B) Intersperse the physical exam with the history.
C) Establish a routine for the assessment.
D) Allow the client a break between the two parts of the history/exam. - answer✔C) Establish a
routine for the assessment.
5. When analyzing data related to a client's behavior, the nurse should compare the observations
with which of the following?
A) The client's developmental stage
B) The client's motivation for change
C) The client's body mass index
D) The client's vital signs - answer✔A) The client's developmental stage
6. When performing a client's head-to-toe assessment, during which part would the nurse assess
the motor function of cranial nerve VII?
A) Mental status examination
B) Head and face assessment
C) Ears assessment
D) Examination of mouth and throat - answer✔B) Head and face assessment
7. When documenting a comprehensive assessment, which statement would the nurse record as
the reason for seeking health care?
A) I try not to let the pain affect my life.
B) I haven't had a checkup in over 5 years.
C) I had my appendix removed when I was 14 years old.
D) I have an aunt who had breast cancer. - answer✔B) I haven't had a checkup in over 5 years.
8. The nurse would test for stereognosis during which part of the comprehensive exam?
A) Posterior and lateral chest
B) Nose and sinuses
C) Arms, hands, and fingers
D) Legs, feet, and toes - answer✔C) Arms, hands, and fingers
Ch 28 Head-to-Toe Exam Questions With
Verified Answers
1. A nurse is performing an assessment within the legal parameters of assessment and diagnosis.
These legal guidelines would be specified in which of the following?
A) The state's Nurse Practice Act
B) The client's informed consent documents
C) The nurse's terms of license
D) The institution's policies and procedures guidelines - answer✔A) The state's Nurse Practice
Act
2. When preparing to do a comprehensive health assessment, the nurse obtains the client's
permission based on an understanding of which of the following principles?
A) The client has the right to refuse the assessment.
B) Obtaining permission enhances therapeutic rapport.
C) The client will be more willing to disclose after giving permission.
D) The client's level of comfort will be increased by granting explicit consent. - answer✔A) The
client has the right to refuse the assessment.
3. The nurse is completing the general survey. In addition to observing the client's appearance,
the nurse would assess which of the following?
A) Mental status
B) Cognitive abilities
C) Vital signs
D) Thought processes - answer✔C) Vital signs
4. A novice nurse is practicing how to complete a comprehensive assessment to gain confidence
and skill. Which of the following would be most important for the nurse to remember?
A) Always gather objective data before subjective data.
, ©BRAINBARTER 2024/2025
B) Intersperse the physical exam with the history.
C) Establish a routine for the assessment.
D) Allow the client a break between the two parts of the history/exam. - answer✔C) Establish a
routine for the assessment.
5. When analyzing data related to a client's behavior, the nurse should compare the observations
with which of the following?
A) The client's developmental stage
B) The client's motivation for change
C) The client's body mass index
D) The client's vital signs - answer✔A) The client's developmental stage
6. When performing a client's head-to-toe assessment, during which part would the nurse assess
the motor function of cranial nerve VII?
A) Mental status examination
B) Head and face assessment
C) Ears assessment
D) Examination of mouth and throat - answer✔B) Head and face assessment
7. When documenting a comprehensive assessment, which statement would the nurse record as
the reason for seeking health care?
A) I try not to let the pain affect my life.
B) I haven't had a checkup in over 5 years.
C) I had my appendix removed when I was 14 years old.
D) I have an aunt who had breast cancer. - answer✔B) I haven't had a checkup in over 5 years.
8. The nurse would test for stereognosis during which part of the comprehensive exam?
A) Posterior and lateral chest
B) Nose and sinuses
C) Arms, hands, and fingers
D) Legs, feet, and toes - answer✔C) Arms, hands, and fingers
