Chapter 27: Complete Health Assessment Questions With
Complete Solutions
A 5-year old child is in the clinic for a checkup. The nurse
would expect him to:
A) have to be held on his mother's lap.
B) be able to sit on the examination table.
C) be able to stand on the floor for the examination.
D) be able to remain alone in the examination room Correct
Answers ANS: B) be able to sit on the examination table.
At 4 or 5 years old, a child usually feels comfortable on the
examination table. Older infants and young children aged 6
months to 2 or 3 years should be positioned in the parent's lap.
Pages: 777-778
A female patient tells the nurse that she has four children and
has had three pregnancies. How should the nurse document this?
A) Gravida 3, para 4
B) Gravida 4, para 3
C) This information cannot be documented using the terms
gravida and para.
,D) "The patient seems to be confused about how many times she
has been pregnant." Correct Answers ANS: A) Gravida 3, para
4
Gravida refers to the number of pregnancies, and para refers to
the number of children. One pregnancy was with twins.
Page: 781
A patient is unable to shrug her shoulders against the nurse's
resistant hands. What cranial nerve is involved with successful
shoulder shrugging?
A) VII
B) IX
C) XI
D) XII Correct Answers ANS: C) XI
Cranial nerve XI enables the patient to shrug her shoulders
against resistance.
Page: 766
A patient states, "Whenever I open my mouth real wide, I feel
this popping sensation in front of my ears." To further examine
this, the nurse would:
A) place the stethoscope over the temporomandibular joint and
listen for bruits.
, B) place the hands over his ears and ask him to open his mouth
"really wide."
C) place one hand on his forehead and the other on his jaw and
ask him to try to open his mouth.
D) place a finger on his temporomandibular joint and ask him to
open and close his mouth. Correct Answers ANS: D) place a
finger on his temporomandibular joint and ask him to open and
close his mouth.
The nurse should palpate the temporomandibular joint by
placing your fingers over it as the person opens and closes the
mouth.
Page: 765
A patient tells the nurse that "sometimes I wake up at night and I
have real trouble breathing. I have to sit up in bed to get a good
breath." When documenting this information, the nurse would
note:
A) orthopnea.
B) acute emphysema.
C) paroxysmal nocturnal dyspnea.
D) acute shortness of breath episode. Correct Answers ANS:
C) paroxysmal nocturnal dyspnea
Complete Solutions
A 5-year old child is in the clinic for a checkup. The nurse
would expect him to:
A) have to be held on his mother's lap.
B) be able to sit on the examination table.
C) be able to stand on the floor for the examination.
D) be able to remain alone in the examination room Correct
Answers ANS: B) be able to sit on the examination table.
At 4 or 5 years old, a child usually feels comfortable on the
examination table. Older infants and young children aged 6
months to 2 or 3 years should be positioned in the parent's lap.
Pages: 777-778
A female patient tells the nurse that she has four children and
has had three pregnancies. How should the nurse document this?
A) Gravida 3, para 4
B) Gravida 4, para 3
C) This information cannot be documented using the terms
gravida and para.
,D) "The patient seems to be confused about how many times she
has been pregnant." Correct Answers ANS: A) Gravida 3, para
4
Gravida refers to the number of pregnancies, and para refers to
the number of children. One pregnancy was with twins.
Page: 781
A patient is unable to shrug her shoulders against the nurse's
resistant hands. What cranial nerve is involved with successful
shoulder shrugging?
A) VII
B) IX
C) XI
D) XII Correct Answers ANS: C) XI
Cranial nerve XI enables the patient to shrug her shoulders
against resistance.
Page: 766
A patient states, "Whenever I open my mouth real wide, I feel
this popping sensation in front of my ears." To further examine
this, the nurse would:
A) place the stethoscope over the temporomandibular joint and
listen for bruits.
, B) place the hands over his ears and ask him to open his mouth
"really wide."
C) place one hand on his forehead and the other on his jaw and
ask him to try to open his mouth.
D) place a finger on his temporomandibular joint and ask him to
open and close his mouth. Correct Answers ANS: D) place a
finger on his temporomandibular joint and ask him to open and
close his mouth.
The nurse should palpate the temporomandibular joint by
placing your fingers over it as the person opens and closes the
mouth.
Page: 765
A patient tells the nurse that "sometimes I wake up at night and I
have real trouble breathing. I have to sit up in bed to get a good
breath." When documenting this information, the nurse would
note:
A) orthopnea.
B) acute emphysema.
C) paroxysmal nocturnal dyspnea.
D) acute shortness of breath episode. Correct Answers ANS:
C) paroxysmal nocturnal dyspnea
