NURSING ASSESMENT SKILLS EXAM
ONE (MULTIPLE CHOICE PRACTICE)
QUESTIONS AND ANSWERS 100%
PASS
A nurse is instructing an assistive personnel (AP) how to measure a client's
respiratory rate. Which of the following statements should the nurse include?
-Place the client in semi fowlers position
-Have the client rest an arm across the abdomen
-Observe one full respiratory cycle before counting the rate
-Count the rate for 30 seconds if it is irregular
-Inform the client before you are counting their respirat - Answer--place the client in
semi fowlers position
-have the client rest an arm across the abdomen
-observe one full respiratory cycle before counting the rate
A nurse is caring for a client who has a fractured femur and a blood pressure of
140/94 mmHg. Which of the following actions should the nurse take first?
-Request a prescription for an antihypertensive medication
-Ask the client if they are having pain
-Instruct the client about a low-sodium diet
-Return in 30 min to recheck the clients blood pressure - Answer-ask the patient if
they're having any pain
A nurse is collecting a health history interview with a client, which describes a
directive technique?
-Mostly close ended questions
-Enables the client to gatheral general information about a client's condition
-Effective for determining a client's emotional responses
-Used to gather general information about a clients condition - Answer-mostly close
ended questions
,A nurse is preparing to collect a health history from a client. Which of the following
should the nurse plan to assess a component of a functional assessment?
-The reason that the client is seeking health care
-If the client is experiencing human trafficking
-The enviornment which the client resides in
-The clients use of substances
-Clients ability to perform activites associated with daily living - Answer-if the client is
experiencing human trafficking
the enviornment which the client resides in
the clients use of substances
clients ability to perform activites associated with daily living
A nurse is collecting information about a client's spirituality using the FICA spiritual
history tool. Based on this tool. Which of the following information should the nurse
gather?
-Are there any spiritual or religous practices that should be included when placing
the clients care?
-What is the address of the clients religious or gathering place?
-Does the client identify spiritual or religous beliefs that are of importance to them?
-Is there a spiritual or relgious group that the client identifies as having an
importance in their life?
-What impact do the client's spiritual or religous beliefs have on their health care or
decison making? - Answer-are there any spiritual or religous practices that should be
included when placing the clients care?
does the client identify spiritual or religous beliefs that are of importance to them?
is there a spiritual or relgious group that the client identifies as having an importance
in their life?
what impact do the client's spiritual or religous beliefs have on their health care or
decison making?
A nurse is collecting information about a clients family history. The nurse should plan
to collect information about the health of which relatives? - Answer-parents
, siblings
grandparents
A nuse is gathering information about a clients personal lifestyle choices. Which
options should the nurse seek to gather while investigating substance use?
-Prescription medications taken for recreational purpose
-Determination of when the client last had an alcoholic drink
-Frequency of consumption of OTC medications
-Highest level of schooling - Answer-prescription medications taken for recreational
purpose
determination of when the client last had an alcoholic drink
A nurse is collecting a health history from a client who does not speak the same
language as the nurse. Which actions should the nurse take?
-Speak directly to client though the interview
-Use a family member to interpret for the others
-Ask interpreter to summarize a group of questions for the client
-Rely on using medical terminology when gathering info - Answer-speak directly to
client through interview
A nurse is conducting a health history interview and asks the client to describe the
pain that they are experiencing. THis is an example of...
-Leading Q
-Close ended Q
-DIrect Q
-Open Ended Q - Answer-opened ended
A nurse is conducting a review of systems with a client during a health history
interview. Which response by the client requires additional investigation?
-I had a rash from poison on my arm last week but its gone now
-I wear a hearing aid
-I had a negative tuberculosis screening test last month
-I have a cough - Answer-i have a cough
ONE (MULTIPLE CHOICE PRACTICE)
QUESTIONS AND ANSWERS 100%
PASS
A nurse is instructing an assistive personnel (AP) how to measure a client's
respiratory rate. Which of the following statements should the nurse include?
-Place the client in semi fowlers position
-Have the client rest an arm across the abdomen
-Observe one full respiratory cycle before counting the rate
-Count the rate for 30 seconds if it is irregular
-Inform the client before you are counting their respirat - Answer--place the client in
semi fowlers position
-have the client rest an arm across the abdomen
-observe one full respiratory cycle before counting the rate
A nurse is caring for a client who has a fractured femur and a blood pressure of
140/94 mmHg. Which of the following actions should the nurse take first?
-Request a prescription for an antihypertensive medication
-Ask the client if they are having pain
-Instruct the client about a low-sodium diet
-Return in 30 min to recheck the clients blood pressure - Answer-ask the patient if
they're having any pain
A nurse is collecting a health history interview with a client, which describes a
directive technique?
-Mostly close ended questions
-Enables the client to gatheral general information about a client's condition
-Effective for determining a client's emotional responses
-Used to gather general information about a clients condition - Answer-mostly close
ended questions
,A nurse is preparing to collect a health history from a client. Which of the following
should the nurse plan to assess a component of a functional assessment?
-The reason that the client is seeking health care
-If the client is experiencing human trafficking
-The enviornment which the client resides in
-The clients use of substances
-Clients ability to perform activites associated with daily living - Answer-if the client is
experiencing human trafficking
the enviornment which the client resides in
the clients use of substances
clients ability to perform activites associated with daily living
A nurse is collecting information about a client's spirituality using the FICA spiritual
history tool. Based on this tool. Which of the following information should the nurse
gather?
-Are there any spiritual or religous practices that should be included when placing
the clients care?
-What is the address of the clients religious or gathering place?
-Does the client identify spiritual or religous beliefs that are of importance to them?
-Is there a spiritual or relgious group that the client identifies as having an
importance in their life?
-What impact do the client's spiritual or religous beliefs have on their health care or
decison making? - Answer-are there any spiritual or religous practices that should be
included when placing the clients care?
does the client identify spiritual or religous beliefs that are of importance to them?
is there a spiritual or relgious group that the client identifies as having an importance
in their life?
what impact do the client's spiritual or religous beliefs have on their health care or
decison making?
A nurse is collecting information about a clients family history. The nurse should plan
to collect information about the health of which relatives? - Answer-parents
, siblings
grandparents
A nuse is gathering information about a clients personal lifestyle choices. Which
options should the nurse seek to gather while investigating substance use?
-Prescription medications taken for recreational purpose
-Determination of when the client last had an alcoholic drink
-Frequency of consumption of OTC medications
-Highest level of schooling - Answer-prescription medications taken for recreational
purpose
determination of when the client last had an alcoholic drink
A nurse is collecting a health history from a client who does not speak the same
language as the nurse. Which actions should the nurse take?
-Speak directly to client though the interview
-Use a family member to interpret for the others
-Ask interpreter to summarize a group of questions for the client
-Rely on using medical terminology when gathering info - Answer-speak directly to
client through interview
A nurse is conducting a health history interview and asks the client to describe the
pain that they are experiencing. THis is an example of...
-Leading Q
-Close ended Q
-DIrect Q
-Open Ended Q - Answer-opened ended
A nurse is conducting a review of systems with a client during a health history
interview. Which response by the client requires additional investigation?
-I had a rash from poison on my arm last week but its gone now
-I wear a hearing aid
-I had a negative tuberculosis screening test last month
-I have a cough - Answer-i have a cough
