NSG 214 National University Heath Assessment Midterm
_______ is calculated as weight in kilograms divided by height
in meters squared. BMI of 18.5 to 24.9 is healthy, less than 18.5
is underweight, 25 to 29.9 is overweight, and 30 or greater is
obesity. Correct Answers BMI
_________ is documented when the pupils are equal, round, and
reactive to light and accommodation. Correct Answers
PERRLA
___________ is inflammation of the tonsils; their removal does
not increase risk for infection. Correct Answers tonsillitis
____________ and cupping are self-treatments performed as a
cultural practice and home remedy. Correct Answers coining
______________ is the one technique of physical assessment
that is performed for every body part and body system. Correct
Answers inspection
. A 24-year-old patient reports an itchy red rash under her
breasts. Examination reveals large, reddened, moist patches
under both breasts in the skin folds. Several smaller, raised, red
lesions surround the edges of the larger patch. What is the
correct terminology for the distribution pattern of these smaller
lesions? A. Satellite B. Discrete C. Confluent D. Zosteriform
Correct Answers a
. A patient is having adverse effects resulting from a medication.
The nurse calls the primary care provider to request a change in
,the medication order. The nurse is functioning as a/an A.
educator. B. advocate. C. organizer. D. counselor. Correct
Answers b
. A patient presents to the clinic with erythematous vesicles on
the face and chest. Some vesicles have broken open, revealing a
moist, shallow, ulcerated surface; some have scabbed over.
Which of the following infectious illnesses does the nurse
suspect? A. Varicella B. Measles C. Roseola D. Herpes simplex
Correct Answers a
. A woman who is pregnant is being screened for adequate
intake of calcium and vitamin D. Which of the following tools is
most appropriate for the nurse to administer? A. 24-hour recall
B. 3-day diet history C. Food frequency questionnaire D.
Comprehensive nutrition assessment Correct Answers c
. During routine physical examination of a 20-year-old woman,
the nurse notes a septal perforation. This finding may be
significant for which of the following causes? A. Illicit drug use
B. Nose picking C. Nasal trauma Correct Answers A
. The function of the ear is for A. hearing and equilibrium. B.
equilibrium and perforations. C. perforations and balance. D.
balance and equilibrium. Correct Answers a
. The nurse conducts the health history based on the patient's
responses to the medical diagnosis. This type of framework is
based on the A. functional framework. B. objective framework.
C. coordinator framework. D. collaborative framework. Correct
Answers a
,. The patient is crying after being given a diagnosis with a poor
prognosis. The best response from the nurse is A. "Don't cry. It
will be OK." B. "My mother has the same thing." C. "I think that
you should have surgery." D. "I'll stay with you" (gets a tissue).
Correct Answers d
. Tinnitus is described as A. inability to hear well. B. dizziness.
C. ringing in the ear. D. ear pain. Correct Answers c
. Which of the following are appropriate interventions for the
patient who is at risk for ear infection? Select all that apply. A.
Be current on immunizations. B. Avoid secondhand smoke. C.
Clean only external ear. D. Have audiogram yearly. Correct
Answers A B C
. Which of the following are components of a comprehensive
health assessment? A. Nursing diagnoses B. Goals and outcomes
C. Collaborative problems D. Examination of body systems
Correct Answers d
. Which of the following patients would require immediate
nursing care? A. An 8-year-old girl with pink conjunctivae and
drainage B. A 20-year-old man with sudden visual loss after
playing football C. A 52-year-old woman with clouding of
vision D. A 77-year-old man with loss of vision in his peripheral
fields Correct Answers b
. Which of the following symptoms would the nurse expect the
patient to report as translucent specks that drift across the visual
, field? A. Blind spots B. Ptosis C. Halos D. Floaters Correct
Answers d
"Do you have any thoughts of wanting to kill or harm yourself?"
is a common question to assess for suicidal ideation because it
A. is blunt and patients cannot refuse to answer. B. will cover
both suicidal and parasuicidal thoughts. C. is subtle, and patients
will not know how to answer. D. will encourage patients who
perform self-harm to stop cutting. Correct Answers b
0. An 83-year-old woman is undergoing a routine physical
examination. Which of the following assessment findings would
the nurse consider an expected age-related variation? A.
Thinning of the skin B. Increased skin turgor C. Hypopigmented
flat macules and patches over sun-exposed areas D. Multiple
purplish bruises on the arms and legs Correct Answers a
0. The MMSE is used to assess for severity of alterations in
orientation, registration, attention and calculation, recall, and
language. For which of the following patients would the MMSE
be most appropriate? A. Women during the postpartum period
B. Adolescents struggling with sexual orientation C. Various
cultural groups not tested by other tools D. Adults, to assess for
cognitive impairment Correct Answers d
0. Which of the following is a barrier to pain assessment? A.
The nurse believes that patients suffer if undermedicated. B. The
nurse focuses on pain relief as a primary end to the assessment
process. C. The nurse chooses treatment that will positively
affect the patient's care. D. The nurse has difficulty accepting
the patient's self-report as valid. Correct Answers d
_______ is calculated as weight in kilograms divided by height
in meters squared. BMI of 18.5 to 24.9 is healthy, less than 18.5
is underweight, 25 to 29.9 is overweight, and 30 or greater is
obesity. Correct Answers BMI
_________ is documented when the pupils are equal, round, and
reactive to light and accommodation. Correct Answers
PERRLA
___________ is inflammation of the tonsils; their removal does
not increase risk for infection. Correct Answers tonsillitis
____________ and cupping are self-treatments performed as a
cultural practice and home remedy. Correct Answers coining
______________ is the one technique of physical assessment
that is performed for every body part and body system. Correct
Answers inspection
. A 24-year-old patient reports an itchy red rash under her
breasts. Examination reveals large, reddened, moist patches
under both breasts in the skin folds. Several smaller, raised, red
lesions surround the edges of the larger patch. What is the
correct terminology for the distribution pattern of these smaller
lesions? A. Satellite B. Discrete C. Confluent D. Zosteriform
Correct Answers a
. A patient is having adverse effects resulting from a medication.
The nurse calls the primary care provider to request a change in
,the medication order. The nurse is functioning as a/an A.
educator. B. advocate. C. organizer. D. counselor. Correct
Answers b
. A patient presents to the clinic with erythematous vesicles on
the face and chest. Some vesicles have broken open, revealing a
moist, shallow, ulcerated surface; some have scabbed over.
Which of the following infectious illnesses does the nurse
suspect? A. Varicella B. Measles C. Roseola D. Herpes simplex
Correct Answers a
. A woman who is pregnant is being screened for adequate
intake of calcium and vitamin D. Which of the following tools is
most appropriate for the nurse to administer? A. 24-hour recall
B. 3-day diet history C. Food frequency questionnaire D.
Comprehensive nutrition assessment Correct Answers c
. During routine physical examination of a 20-year-old woman,
the nurse notes a septal perforation. This finding may be
significant for which of the following causes? A. Illicit drug use
B. Nose picking C. Nasal trauma Correct Answers A
. The function of the ear is for A. hearing and equilibrium. B.
equilibrium and perforations. C. perforations and balance. D.
balance and equilibrium. Correct Answers a
. The nurse conducts the health history based on the patient's
responses to the medical diagnosis. This type of framework is
based on the A. functional framework. B. objective framework.
C. coordinator framework. D. collaborative framework. Correct
Answers a
,. The patient is crying after being given a diagnosis with a poor
prognosis. The best response from the nurse is A. "Don't cry. It
will be OK." B. "My mother has the same thing." C. "I think that
you should have surgery." D. "I'll stay with you" (gets a tissue).
Correct Answers d
. Tinnitus is described as A. inability to hear well. B. dizziness.
C. ringing in the ear. D. ear pain. Correct Answers c
. Which of the following are appropriate interventions for the
patient who is at risk for ear infection? Select all that apply. A.
Be current on immunizations. B. Avoid secondhand smoke. C.
Clean only external ear. D. Have audiogram yearly. Correct
Answers A B C
. Which of the following are components of a comprehensive
health assessment? A. Nursing diagnoses B. Goals and outcomes
C. Collaborative problems D. Examination of body systems
Correct Answers d
. Which of the following patients would require immediate
nursing care? A. An 8-year-old girl with pink conjunctivae and
drainage B. A 20-year-old man with sudden visual loss after
playing football C. A 52-year-old woman with clouding of
vision D. A 77-year-old man with loss of vision in his peripheral
fields Correct Answers b
. Which of the following symptoms would the nurse expect the
patient to report as translucent specks that drift across the visual
, field? A. Blind spots B. Ptosis C. Halos D. Floaters Correct
Answers d
"Do you have any thoughts of wanting to kill or harm yourself?"
is a common question to assess for suicidal ideation because it
A. is blunt and patients cannot refuse to answer. B. will cover
both suicidal and parasuicidal thoughts. C. is subtle, and patients
will not know how to answer. D. will encourage patients who
perform self-harm to stop cutting. Correct Answers b
0. An 83-year-old woman is undergoing a routine physical
examination. Which of the following assessment findings would
the nurse consider an expected age-related variation? A.
Thinning of the skin B. Increased skin turgor C. Hypopigmented
flat macules and patches over sun-exposed areas D. Multiple
purplish bruises on the arms and legs Correct Answers a
0. The MMSE is used to assess for severity of alterations in
orientation, registration, attention and calculation, recall, and
language. For which of the following patients would the MMSE
be most appropriate? A. Women during the postpartum period
B. Adolescents struggling with sexual orientation C. Various
cultural groups not tested by other tools D. Adults, to assess for
cognitive impairment Correct Answers d
0. Which of the following is a barrier to pain assessment? A.
The nurse believes that patients suffer if undermedicated. B. The
nurse focuses on pain relief as a primary end to the assessment
process. C. The nurse chooses treatment that will positively
affect the patient's care. D. The nurse has difficulty accepting
the patient's self-report as valid. Correct Answers d
