Chapter 18: Health Assessment
1. To gather subjective data on a clients nutrition and metabolic pattern, the
nurse should
a. Weigh the client and measure his height
b. Ask the client for a 24-hour diet recall
c. Examine the hygiene of the clients teeth
d. Inspect the clients abdomen for symmetry
CORRECT ANSWER: B
Feedback:
Interview questions to focus a nutritionmetabolism assessment might
include asking the client to tell you what has been eaten in the last 24
hours.
2. A client states during the interview that he has pain in his lower back. He
states it is a 10 on a scale of 1 to 10 when he is asked to turn. The nurse
should
a. Avoid a position change that requires turning
b. Have the client turn from side to side and assess pain
c. Have the client lay on his right side, then palpate the area
d. Elevate the legs, bending at the knee while the client is supine
CORRECT ANSWER: A
Feedback:
, Addressing pain early in the health assessment allows the nurse to
individualize the rest of the assessment, avoiding positioning and
techniques that are especiall y uncomfortable for the client.
3. Upon admission to the hospital, the client states, I am having surgery to
correct m y back. I have pain in the lower back and the doctor is going to
do a lumbar laminectom y. This statement reflects the clients
a. Symptoms
b. Review of systems
c. Chief complaint
d. Objective assessment
CORRECT ANSWE R: C
Feedback:
The first subject discussed in a client interview is the clients specific
reason for seeking care. The subject is often called the clients chief
complaint or chief concern.
4. When examining a client upon admission to the hos pital, it is important to
a. Provide privacy and confidentialit y
b. Assess for fear and anxiet y
c. Assess in a semi-private room
d. Have the famil y present
CORRECT ANSWER: A
Feedback:
Privacy and confidentialit y are important concerns for the client.
1. To gather subjective data on a clients nutrition and metabolic pattern, the
nurse should
a. Weigh the client and measure his height
b. Ask the client for a 24-hour diet recall
c. Examine the hygiene of the clients teeth
d. Inspect the clients abdomen for symmetry
CORRECT ANSWER: B
Feedback:
Interview questions to focus a nutritionmetabolism assessment might
include asking the client to tell you what has been eaten in the last 24
hours.
2. A client states during the interview that he has pain in his lower back. He
states it is a 10 on a scale of 1 to 10 when he is asked to turn. The nurse
should
a. Avoid a position change that requires turning
b. Have the client turn from side to side and assess pain
c. Have the client lay on his right side, then palpate the area
d. Elevate the legs, bending at the knee while the client is supine
CORRECT ANSWER: A
Feedback:
, Addressing pain early in the health assessment allows the nurse to
individualize the rest of the assessment, avoiding positioning and
techniques that are especiall y uncomfortable for the client.
3. Upon admission to the hospital, the client states, I am having surgery to
correct m y back. I have pain in the lower back and the doctor is going to
do a lumbar laminectom y. This statement reflects the clients
a. Symptoms
b. Review of systems
c. Chief complaint
d. Objective assessment
CORRECT ANSWE R: C
Feedback:
The first subject discussed in a client interview is the clients specific
reason for seeking care. The subject is often called the clients chief
complaint or chief concern.
4. When examining a client upon admission to the hos pital, it is important to
a. Provide privacy and confidentialit y
b. Assess for fear and anxiet y
c. Assess in a semi-private room
d. Have the famil y present
CORRECT ANSWER: A
Feedback:
Privacy and confidentialit y are important concerns for the client.
