Health Assessment for Nursing
Practice 6th Edition With
100%verified answers 2024/2025
A nurse is conducting an assessment of an American Indian woman who has come to the clinic
complaining of persistent headaches. The patient tells the nurse that the medicines prescribed by the
tribal healer have done "some good." What is the appropriate response of the nurse at this time?
A) Advise the client to stop taking any non-prescription medicines.
B) Tell the physician that the client probably has headaches caused by the healer's medicines.
C) Tell the client to increase the frequency of the healer's medicines.
D) Ask the client about these medicines and how often the client uses them.
D) Ask the client about these medicines and how often the client uses them.
Which method of temperature measurement does a nurse choose when assessing school-aged children
in a wellness clinic? Select all that apply.
A. Tympanic
B. Oral
C. Axillary
D. Rectal
E. Temporal
Tympanic, temporal, axillary
‘
,The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of the
stethoscope to determine the cause of this problem?
a. Ensure the stethoscope tubing is at least 20 inches long.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
c. Ensure the earpieces are pointed toward the back of the ears.
d. Ensure the bell is placed firmly against the patient's skin.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
The nurse suspects an irregularity in the rhythm of the patient's radial pulse. What is the most
appropriate action for this nurse to take at this time?
a. Document this rhythm as normal for the patient.
b. Use a Doppler to check the brachial pulse.
c. Count the patient's apical pulse for a full minute.
d. Count the radial pulse again for 15 seconds and multiply by 4.
c. Count the patient's apical pulse for a full minute.
‘
During the history, the patient states that she does not use many drugs. What is the nurse's appropriate
response to this statement?
a. "Tell me about the drugs you are using currently."
b. "To some people six or seven is not many."
c. "Do you mean prescription drugs or illicit drugs?"
d. "How often are you using these drugs?"
a. "Tell me about the drugs you are using currently."
,A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In which section
of the history does the nurse document the insulin and diabetes?
A. Past health history
b. Present health status
c. Reason for seeking care (chief complaint)
d. History of present illness
b. Present Health Status
A female Korean patient accompanied by her husband and son comes to the emergency department
(ED) complaining of abdominal pain. The patient speaks and understands Korean only. Which person is
the appropriate choice for the nurse to use to get a history from this patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean and English
d. A female interpreter who speaks Korean and English and is available by phone
d. A female interpreter who speaks Korean and English and is available by phone
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the patient's health
beliefs and practices. Which questions are appropriate as part of this assessment?
a. You are Hispanic, do you need me to find an interpreter?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
d. Which Catholic Church do you attend?
, e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding pregnancy and
childbirth?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding pregnancy and
childbirth?
‘
As a nurse conducts a health assessment, he or she includes the health history, physical examination
and documentation.
True or False
True
What does the nurse say to obtain more data about a patient's vague statement about diet such as, "My
diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important."
b. "Give me an example of the foods you eat in a typical day."
c. "Go on."
d. "Does your diet meet your needs or does it need improvement?"
b. "Give me an example of the foods you eat in a typical day."
The nurse will document which information for a patient's health history?
Vaccinations
Practice 6th Edition With
100%verified answers 2024/2025
A nurse is conducting an assessment of an American Indian woman who has come to the clinic
complaining of persistent headaches. The patient tells the nurse that the medicines prescribed by the
tribal healer have done "some good." What is the appropriate response of the nurse at this time?
A) Advise the client to stop taking any non-prescription medicines.
B) Tell the physician that the client probably has headaches caused by the healer's medicines.
C) Tell the client to increase the frequency of the healer's medicines.
D) Ask the client about these medicines and how often the client uses them.
D) Ask the client about these medicines and how often the client uses them.
Which method of temperature measurement does a nurse choose when assessing school-aged children
in a wellness clinic? Select all that apply.
A. Tympanic
B. Oral
C. Axillary
D. Rectal
E. Temporal
Tympanic, temporal, axillary
‘
,The nurse is unable to hear the patient's breath sounds. What checks does the nurse make of the
stethoscope to determine the cause of this problem?
a. Ensure the stethoscope tubing is at least 20 inches long.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
c. Ensure the earpieces are pointed toward the back of the ears.
d. Ensure the bell is placed firmly against the patient's skin.
b. Ensure the valve is open to the diaphragm on the head of the stethoscope.
The nurse suspects an irregularity in the rhythm of the patient's radial pulse. What is the most
appropriate action for this nurse to take at this time?
a. Document this rhythm as normal for the patient.
b. Use a Doppler to check the brachial pulse.
c. Count the patient's apical pulse for a full minute.
d. Count the radial pulse again for 15 seconds and multiply by 4.
c. Count the patient's apical pulse for a full minute.
‘
During the history, the patient states that she does not use many drugs. What is the nurse's appropriate
response to this statement?
a. "Tell me about the drugs you are using currently."
b. "To some people six or seven is not many."
c. "Do you mean prescription drugs or illicit drugs?"
d. "How often are you using these drugs?"
a. "Tell me about the drugs you are using currently."
,A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In which section
of the history does the nurse document the insulin and diabetes?
A. Past health history
b. Present health status
c. Reason for seeking care (chief complaint)
d. History of present illness
b. Present Health Status
A female Korean patient accompanied by her husband and son comes to the emergency department
(ED) complaining of abdominal pain. The patient speaks and understands Korean only. Which person is
the appropriate choice for the nurse to use to get a history from this patient?
a. The patient's husband who speaks Korean and English
b. The patient's son who speaks Korean and English
c. A male technician who works in the ED who speaks Korean and English
d. A female interpreter who speaks Korean and English and is available by phone
d. A female interpreter who speaks Korean and English and is available by phone
During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the patient's health
beliefs and practices. Which questions are appropriate as part of this assessment?
a. You are Hispanic, do you need me to find an interpreter?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
d. Which Catholic Church do you attend?
, e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding pregnancy and
childbirth?
b. What is the language that is usually spoken in your home?
c. How do you define health and illness?
e. Do you have specific beliefs or preferences concerning food or food preparation?
f. Do you or the members of your family have certain beliefs and practices surrounding pregnancy and
childbirth?
‘
As a nurse conducts a health assessment, he or she includes the health history, physical examination
and documentation.
True or False
True
What does the nurse say to obtain more data about a patient's vague statement about diet such as, "My
diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important."
b. "Give me an example of the foods you eat in a typical day."
c. "Go on."
d. "Does your diet meet your needs or does it need improvement?"
b. "Give me an example of the foods you eat in a typical day."
The nurse will document which information for a patient's health history?
Vaccinations
