NS 660 Exam #1: Health Assessment And Physical
Exam – Questions With Approved Solutions
The nurse is performing an abdominal assessment on a patient. In what order
does the nurse perform the steps? 1. Percussion 2. Inspection 3. Auscultation
4. Palpation Correct Answer - 2, 3, 4, 1
Differs from normal assessment - by using auscultation before palpation there
is less chance of altering the frequency and character of bowel sounds
The nurse is teaching a patient to prevent heart disease. Which information
should the nurse include? Correct Answer - A. Limit intake of cholesterol
to less than 400 mg/day.
B. Talk with your health care provider about taking a daily low dose of
aspirin.*
C. Work with your health care provider to develop a regular exercise
program.*
D. Limit daily intake of fats to less than 25% to 35% of total calories.*
E. Review strategies to encourage the patient to quit smoking.*
Teaching about prevention of heart disease focuses on risk factor reduction.
Smoking, lack of regular aerobic exercise, and a diet high in fats (contributes
to higher cholesterol levels) are 3 major risk factors that can be modified.
Quitting smoking, regular exercise, and a diet with lower fat intake are
preventive measures. Low-dose aspirin has been shown to be beneficial in
reducing the risk of heart disease.
Which statement made by the patient indicates an understanding about
teaching related to early detection of colorectal cancer? Correct Answer -
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computed tomography (CT) colonoscopy every 5
years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."*
ACS guidelines state that for people of average risk, beginning at the age of 50,
an annual fecal occult blood test is recommended. Flexible sigmoidoscopy and
, colonoscopy are recommended every 5 years in this population. A CT
colonoscopy is used every 5 years if recommended by provider.
The nurse prepares to conduct a general survey on an adult patient. Which
assessment is performed first while the nurse initiates the nurse-patient
relationship? Correct Answer - A. appearance and behavior*
B. measurement of VS
C. observing specific body systems
D. conducting a detailed health Hx
The first part of the general survey is an assessment of the appearance and
behavior of the patient. As you are initiating the nurse-patient relationship,
observe gender and race, age, signs of distress, body type, posture, gait, body
movement, hygiene and grooming, dress, affect and mood, speech, signs of
patient abuse.
A patient has undergone surgery for a femoral artery bypass. The surgeon's
orders include assessment of dorsalis pedis pulses. The nurse will use which
of the following techniques to assess the pulses? Correct Answer - A.
Place the fingers behind and below the medial malleolus.
B. Have the patient slightly flex the knee with the foot resting on the bed.
C. Have the patient relax the foot while lying supine.*
D. Palpate the groove lateral to the flexor tendon of the wrist.
E. Palpate along the top of the foot in a line with the groove between extensor
tendons of great and first toes.*
To palpate the dorsalis pedis pulses, ask patient to relax their foot, then
palpate aloing top of foot in a line with the groove between the extensor
tendons of the toe of the great and first toes. Placing fingers behind the medial
malleolus is a technique for assessing the posterior tibial pulse. Having a
patient slightly flex the knee is a technique for assessing popliteal artery
behind knee. Palpation of the groove lateral to flexor tendon of wrist is the
technique to assess the radial artery.
How should the patient be positioned to best palpate for lumps or tumors
during an examination of the right breast? Correct Answer - A. Supine
with both arms overhead with palms upward
B. Sitting with hands clasped just above the umbilicus
C. Supine with the right arm abducted and hand under the head and neck*
Exam – Questions With Approved Solutions
The nurse is performing an abdominal assessment on a patient. In what order
does the nurse perform the steps? 1. Percussion 2. Inspection 3. Auscultation
4. Palpation Correct Answer - 2, 3, 4, 1
Differs from normal assessment - by using auscultation before palpation there
is less chance of altering the frequency and character of bowel sounds
The nurse is teaching a patient to prevent heart disease. Which information
should the nurse include? Correct Answer - A. Limit intake of cholesterol
to less than 400 mg/day.
B. Talk with your health care provider about taking a daily low dose of
aspirin.*
C. Work with your health care provider to develop a regular exercise
program.*
D. Limit daily intake of fats to less than 25% to 35% of total calories.*
E. Review strategies to encourage the patient to quit smoking.*
Teaching about prevention of heart disease focuses on risk factor reduction.
Smoking, lack of regular aerobic exercise, and a diet high in fats (contributes
to higher cholesterol levels) are 3 major risk factors that can be modified.
Quitting smoking, regular exercise, and a diet with lower fat intake are
preventive measures. Low-dose aspirin has been shown to be beneficial in
reducing the risk of heart disease.
Which statement made by the patient indicates an understanding about
teaching related to early detection of colorectal cancer? Correct Answer -
A. "I'll make sure to schedule my colonoscopy annually after the age of 60."
B. "I'll make sure to have a computed tomography (CT) colonoscopy every 5
years."
C. "I'll make sure to have a flexible sigmoidoscopy every year once I turn 55."
D. "I'll make sure to have a fecal occult blood test annually once I turn 50."*
ACS guidelines state that for people of average risk, beginning at the age of 50,
an annual fecal occult blood test is recommended. Flexible sigmoidoscopy and
, colonoscopy are recommended every 5 years in this population. A CT
colonoscopy is used every 5 years if recommended by provider.
The nurse prepares to conduct a general survey on an adult patient. Which
assessment is performed first while the nurse initiates the nurse-patient
relationship? Correct Answer - A. appearance and behavior*
B. measurement of VS
C. observing specific body systems
D. conducting a detailed health Hx
The first part of the general survey is an assessment of the appearance and
behavior of the patient. As you are initiating the nurse-patient relationship,
observe gender and race, age, signs of distress, body type, posture, gait, body
movement, hygiene and grooming, dress, affect and mood, speech, signs of
patient abuse.
A patient has undergone surgery for a femoral artery bypass. The surgeon's
orders include assessment of dorsalis pedis pulses. The nurse will use which
of the following techniques to assess the pulses? Correct Answer - A.
Place the fingers behind and below the medial malleolus.
B. Have the patient slightly flex the knee with the foot resting on the bed.
C. Have the patient relax the foot while lying supine.*
D. Palpate the groove lateral to the flexor tendon of the wrist.
E. Palpate along the top of the foot in a line with the groove between extensor
tendons of great and first toes.*
To palpate the dorsalis pedis pulses, ask patient to relax their foot, then
palpate aloing top of foot in a line with the groove between the extensor
tendons of the toe of the great and first toes. Placing fingers behind the medial
malleolus is a technique for assessing the posterior tibial pulse. Having a
patient slightly flex the knee is a technique for assessing popliteal artery
behind knee. Palpation of the groove lateral to flexor tendon of wrist is the
technique to assess the radial artery.
How should the patient be positioned to best palpate for lumps or tumors
during an examination of the right breast? Correct Answer - A. Supine
with both arms overhead with palms upward
B. Sitting with hands clasped just above the umbilicus
C. Supine with the right arm abducted and hand under the head and neck*
