answers 100%.
Assessment information is derived from which components?
a. Physical examination
b. All of the above
c. Cultural Assessment
d. Review of clinical record
e. Interview correct answers b. All of the above
Which of the following are subjective data? Select all that apply.
- Feeling sadness
- Height and Weight
- Results of radiographic studies
- Pain
- Heart rate correct answers - Feeling of sadness
- Pain
Which of the following phrases contain objective data?
a. "The client is currently holding a towel on her forehead."
b. "I have a dizzy feeling that won't stop."
c. "I'm here b/c I bumped my head."
d. "Client states that she fell off her bicycle." correct answers a. "The client is currently holding a
towel on her forehead."
,T/F: Gathering the history and completing the physical exam is mostly the responsibility of the
physician. The nurse should gather the assessment tools and wait for the physician to complete
the health assessment. correct answers False
Subjective data are gathered from the:
a. physical exam
b. interview
c. general survey
d. laboratory studies correct answers Interview
What is the first step in the assessment of any body system?
a. Percussion
b. Palpation
c. Auscultation
d. Inspection correct answers d. Inspection
Which assessment technique produces sounds which help reveal the density of the underlying
area?
a. Percussion
b. Inspection
c. Palpation
d. Auscultation correct answers a. Percussion
, The best technique to put the adult client at ease during palpation portion of the assessment
would be for the nurse to:
a. explain the purpose of each movement after completion
b. palpate the most painful areas first, to get it out the way
c. distract the patient, and then quickly perform the palpation
d. let the client know what will be done before touching the patient correct answers d. let the
client know what will be done before touching the patient
When auscultating, the nurse must never:
a. listen through a gown
b. ask the patient to remove clothing
c. listen over wet hair
d. use the bell of the stethoscope correct answers a. listen through a gown
The nurse will use which technique of assessment to determine the presence of crepitus,
excessive warmth, and pulsations?
a. Percussion
b. Palpation
c. Inspection
d. Auscultation correct answers b. Palpation
Which of the following best describes the most important purpose for a general survey?
a. This initial set of data will help to guide the physical assessment
b. This time provides an opportunity for the patient to relax