NUR Mental Health and Psychiatric Nursing
Health Assessment Exam 2 QuizBank | Questions and
Answers with Rationale | Latest 2025
Several clients are admitted to an adult medical unit. The nurse
would ensureairborne precautions for a client with which medical condition?
A) Autoimmune deficiency syndrome (AIDS) with
cytomegalovirus (CMV)B) A positive purified protein
derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis
After an unsuccessful resuscitation attempt, the nurse calls the family of the
deceased.The family wish to see the body before it is taken to the funeral home.
Which interventions should the nurse take to prepare the body before the family
enters the room? (Select all that apply)
A) Take out dentures and place in a labeled cup
B) Apply a body shroud
C) Place a small pillow under the head
D) Remove resuscitation equipment from the
roomE) Gently close the eyes
, A client is scheduled to receive an oral solution of radioactive iodine (131I). In
orderto reduce hazards, the priority information for the nurse to include during the instructions
to the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant women, and
afterurination or defecation flush the commode twice.
B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the
dose,do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special precautions.
D) Drink plenty of water and empty your bladder often during the initial 3 days
oftherapy.
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which
ofthese protocols would be a priority for the nurse to implement?
A) Have the client cough into a tissue and dispose in a separate bag
B) Instruct the client to cover the mouth with a tissue when coughing
C) Reinforce for all to wash their hands before and after entering the room
D) Place client in a negative pressure private room and have all who enter the room
usemasks with shields
The charge nurse is planning assignments on a medical unit. Which client should
beassigned to the PN?
A) Test a stool specimen for occult blood
B) Assist with the ambulation of a client with a chest tubeC)
Irrigate and redress a leg wound
D) Admit a client from the emergency room
, When assessing a client, it is important for the nurse to be informed about
culturalissues related to the client's background because
A) Normal patterns of behavior may be labeled as deviant, immoral, or insane
B) The meaning of the client's behavior can be derived from conventional wisdom
C) Personal values will guide the interaction between persons from 2 cultures
The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain
RAT: Bimanual palpation requires the use of both hands to envelop
or capture certain body parts or organs such as the kidneys, uterus, or
adnexa. The other situations are notappropriate for bimanual
palpation.
The nurse is preparing to percuss the abdomen of a patient. The
purpose of the percussionis to assess the of the underlying tissue.
a. Turgor
b. Texture
c. Density
d. Consistency
RAT: Percussion yields a sound that depicts the location, size,
and density of theunderlying organ. Turgor and texture are
assessed with palpation.
The nurse is reviewing percussion techniques with a newly
, graduated nurse. Whichtechnique, if used by the new nurse,
indicates that more review is needed?
a. Percussing once over each area
b. Quickly lifting the striking finger after each stroke
c. Striking with the fingertip, not the finger pad
d. Using the wrist to make the strikes, not the arm
RAT: For percussion, the nurse should percuss two times over each
location. The strikingfinger should be quickly lifted because a resting
finger damps off vibrations. The tip of the striking finger should make
contact, not the pad of the finger. The wrist must be relaxed and is used
to make the strikes, not the arm.
Health Assessment Exam 2 QuizBank | Questions and
Answers with Rationale | Latest 2025
Several clients are admitted to an adult medical unit. The nurse
would ensureairborne precautions for a client with which medical condition?
A) Autoimmune deficiency syndrome (AIDS) with
cytomegalovirus (CMV)B) A positive purified protein
derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis
After an unsuccessful resuscitation attempt, the nurse calls the family of the
deceased.The family wish to see the body before it is taken to the funeral home.
Which interventions should the nurse take to prepare the body before the family
enters the room? (Select all that apply)
A) Take out dentures and place in a labeled cup
B) Apply a body shroud
C) Place a small pillow under the head
D) Remove resuscitation equipment from the
roomE) Gently close the eyes
, A client is scheduled to receive an oral solution of radioactive iodine (131I). In
orderto reduce hazards, the priority information for the nurse to include during the instructions
to the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant women, and
afterurination or defecation flush the commode twice.
B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the
dose,do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special precautions.
D) Drink plenty of water and empty your bladder often during the initial 3 days
oftherapy.
The nurse is assigned to a client newly diagnosed with active tuberculosis. Which
ofthese protocols would be a priority for the nurse to implement?
A) Have the client cough into a tissue and dispose in a separate bag
B) Instruct the client to cover the mouth with a tissue when coughing
C) Reinforce for all to wash their hands before and after entering the room
D) Place client in a negative pressure private room and have all who enter the room
usemasks with shields
The charge nurse is planning assignments on a medical unit. Which client should
beassigned to the PN?
A) Test a stool specimen for occult blood
B) Assist with the ambulation of a client with a chest tubeC)
Irrigate and redress a leg wound
D) Admit a client from the emergency room
, When assessing a client, it is important for the nurse to be informed about
culturalissues related to the client's background because
A) Normal patterns of behavior may be labeled as deviant, immoral, or insane
B) The meaning of the client's behavior can be derived from conventional wisdom
C) Personal values will guide the interaction between persons from 2 cultures
The nurse would use bimanual palpation technique in which situation?
a. Palpating the thorax of an infant
b. Palpating the kidneys and uterus
c. Assessing pulsations and vibrations
d. Assessing the presence of tenderness and pain
RAT: Bimanual palpation requires the use of both hands to envelop
or capture certain body parts or organs such as the kidneys, uterus, or
adnexa. The other situations are notappropriate for bimanual
palpation.
The nurse is preparing to percuss the abdomen of a patient. The
purpose of the percussionis to assess the of the underlying tissue.
a. Turgor
b. Texture
c. Density
d. Consistency
RAT: Percussion yields a sound that depicts the location, size,
and density of theunderlying organ. Turgor and texture are
assessed with palpation.
The nurse is reviewing percussion techniques with a newly
, graduated nurse. Whichtechnique, if used by the new nurse,
indicates that more review is needed?
a. Percussing once over each area
b. Quickly lifting the striking finger after each stroke
c. Striking with the fingertip, not the finger pad
d. Using the wrist to make the strikes, not the arm
RAT: For percussion, the nurse should percuss two times over each
location. The strikingfinger should be quickly lifted because a resting
finger damps off vibrations. The tip of the striking finger should make
contact, not the pad of the finger. The wrist must be relaxed and is used
to make the strikes, not the arm.
