Assessment Questions With Complete Solutions
At what age should the interviewer start asking children directly
about their symptoms? Correct Answers 7 years old.
How can a nurse assess if a dark-skinned patient is pale?
Correct Answers By assessing the color of the conjunctivae.
How can a nurse demonstrate cultural competence during a
health assessment? Correct Answers By asking about the use
of traditional, herbal, or folk remedies.
How do acutely infected lymph nodes typically appear? Correct
Answers Firm and tender, but freely movable.
How is nutritional status best determined? Correct Answers
Serum albumin.
How is obesity in adults defined? Correct Answers A body
mass index of 30 or greater.
How should a health care provider address a toddler during an
interview? Correct Answers Using short, simple, concrete
sentences.
How should a nurse interpret a patient in a tripod position during
assessment? Correct Answers Recognize that a tripod position
is often used when a patient is having respiratory difficulties.
,How should an interviewer approach taking a health history
from an adolescent? Correct Answers Interview the youth
alone with a parent in the waiting area.
How should percussion be performed? Correct Answers The
examiner strikes the stationary finger at the distal
interphalangeal joint.
How should respirations be accurately assessed? Correct
Answers Count for 30 seconds after completing a pulse
assessment and multiply by two.
What are important actions for a novice nurse in the critical-
thinking process? Correct Answers Approach assessment with
a nonjudgmental attitude, cluster associated assessment data,
and avoid making assumptions.
What are second-level priority problems in nursing assessment?
Correct Answers Abnormal lab values.
What are the characteristics of fetal alcohol syndrome? Correct
Answers Narrow palpebral fissures, epicanthal folds, and
midfacial hypoplasia.
What are the components of a nail examination? Correct
Answers Contour, consistency, and color.
What are the four distinct areas of the general survey? Correct
Answers Physical appearance, body structure, mobility, and
behavior.
, What are the four main components that must be addressed
during a health history and physical examination? Correct
Answers Appearance, behavior, cognition, and thought
processes.
What are the four straight muscles and two slanting muscles of
the extraocular muscles called? Correct Answers Rectus and
oblique muscles.
What areas are covered under self-esteem and self-concept in a
functional assessment? Correct Answers Education, financial
status, and value-belief system.
What assessments should be included as part of the body
structure portion of the general survey? Correct Answers
Stature, nutrition, and symmetry.
What behavior should a nurse exhibit during a cultural
assessment? Correct Answers Acknowledge your own
prejudices that might create barriers to care.
What behavioral findings might indicate a patient is
experiencing depression? Correct Answers Flat affect, lack of
eye contact, hair not brushed, and strong body odor.
What best illustrates an abnormality of thought process?
Correct Answers Blocking.
What carries pain signals to the central nervous system? Correct
Answers Afferent fibers.