GNRS 578 HEALTH ASSESSMENT
EXAM
GNRS 578 HEALTH Assessment Exam
2 Questions and Correct Answers
Already Graded A+ Brand New Version
2025
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses
the client's skin color and temperature of the extremities. What is the purpose of this ongoing or
partial assessment?
a) To collect subjective data related to the client's overall health
b) To evaluate whether outcomes of treatment are met
c) To determine any changes from the baseline data
d) To perform a rapid assessment for prompt treatment
To determine any changes from the baseline data:
Ongoing or partial assessments help to determine any major changes from the baseline data. The
nurse collects subjective data related to the client's overall health and conducts a comprehensive
health assessment during the initial comprehensive assessment to determine baseline data. The
nurse makes a rapid assessment for prompt treatment in life-threatening situations when an
immediate diagnosis is needed to provide prompt treatment (emergency assessment). Evaluation is
done after an intervention to determine whether the outcomes have been achieved.
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from an
older client who recently underwent amputation of her lower leg. Which skill will the nurse most
need to perform this assessment?
a) Sympathy
b) Inspection
c) Palpation
d) Empathy
Empathy
Rationale:
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be
effective in providing for the client's needs while remaining compassionately detached. Inspection
and palpation are skills that help the nurse in collecting objective data of the client's physical
A+ TEST BANK 1
, GNRS 578 HEALTH ASSESSMENT
EXAM
characteristics. Sympathy is a feeling that would make the nurse as emotionally distraught as the
client; this hampers the ability of the nurse to provide client care.
Choice Multiple question - Select all answer choices that apply.
The nurse is conducting a health assessment with a patient. What will the nurse do while completing
this health assessment? (Select all that apply.)
a) Complete the health history.
b) Conduct a physical examination.
c) Formulate a plan of care
d) Implement a plan of care.
e) Interpret findings.
• Complete the health history.
• Conduct a physical examination.
Rationale:
The first part of the health assessment is the health history. The second part of the health
assessment is the physical examination. Interpreting findings, formulating a plan of care, and
implementing a plan of care are steps within the nursing process and not the health assessment.
A 72-year-old man had hip replacement surgery 2 days ago. The nurse enters the patient's room and
encourages him to use the incentive spirometer ten times every hour. What is this action an example
of?
a) Nursing assessment
b) Nursing evaluation
c) Nursing intervention
d) Nursing goal
Nursing intervention
Rationale:
Nursing interventions are used to monitor health status; prevent, resolve, or control a problem;
assist with ADLs; or promote optimum health and independence. Nursing goals are the patient's
desired outcomes. Nursing evaluation is deciding whether the nursing goals have been reached.
Nursing assessment is an overview of the patient's health status and current problems.
The nurse is conducting a physical examination of a patient who is in the lying position. Place in order
the areas the nurse will assess when completing this examination.
a. Shins and ankles
A+ TEST BANK 2
, GNRS 578 HEALTH ASSESSMENT
EXAM
b. Groin, hips, and knees
c. Breasts
d. Chest and thorax
e. Cardiovascular
a) c, e, b, d, a
b) c, d, e, b, a
c) d, b, a, e, c
d) d, e, b, a, c
e) a, c, b, d, e
c, d, e, b, a
Rationale:
When conducting a head-to-toe assessment for a patient in the lying position, the nurse should begin
with the structures closest to the head and progress downward. The nurse will assess the breasts,
the chest and thorax, the cardiovascular system, the groin, hips, and knees, and then the shins and
ankles.
A nurse collects data about a client's family health history. Which family members' health problems
should the nurse include when documenting this information in the database?
a) As many genetic relatives as the client can recall
b) Those with illnesses that resulted in death or disablement
c) Only the members with health problems that relate to the client's gender
d) Those with diseases that are known to have a genetic link
As many genetic relatives as the client can recall
Rationale:
Both maternal and paternal genetic relatives are included in the family health history. Problems can
arise in families that are not genetically based but are manifest by virtue of exposure to lifestyle
practices. Parents, grandparents, aunts, uncles, and children are all included in this history. If the
relative is deceased, the cause of death and age of death of the relative is recorded.
What should the nurse do before conducting a physical examination of a patient? (Select all that
apply.)
a) Assist the patient to a standing position.
b) Identify ways to ensure patient privacy.
c) Obtain and check needed equipment.
d) Wash hands.
e) Ensure a quiet environment.
A+ TEST BANK 3
, GNRS 578 HEALTH ASSESSMENT
EXAM
Prior to conducting a physical examination of a patient, the nurse should obtain and check needed
equipment, ensure a quiet environment for the examination, identify how to maintain patient
privacy during the examination, and wash hands before beginning the examination. Assisting the
patient to a standing position would be done to assess specific body systems during the physical
examination and is not done before beginning the examination.
A nurse is collecting subjective data from a client as part of the assessment process. Which behavior
is most appropriate for the nurse to display in this situation?
a) Remaining standing during the interview
b) Reading questions from the history form
c) Explaining the reason for taking down notes
d) Maintaining eye contact with the client at all times
Explaining the reason for taking down notes
Rationale:
The nurse should explain the reason for taking notes during the interview and ensure that it will
remain confidential; this will help the client to provide all the required information during the
interview. Some clients may be very uncomfortable with too much eye contact, while others may
believe that the nurse is hiding something from them if eye contact is avoided. Therefore, the nurse
should maintain only a moderate amount of eye contact and not maintain eye contact with the client
at all times. The nurse should not remain standing while taking down notes, as it could indicate being
in a hurry to complete the interview; it could also indicate that the nurse is expressing superiority
over the client. The nurse should not read questions from the history form, as this deflects attention
from the client and results in an impersonal interview process.
The nurse is having difficulty auscultating a patient's bowel sounds during a physical examination of
the abdomen. What can the nurse do to improve hearing the patient's sounds of this body area?
a) Reduce all environmental noise.
b) Percuss the region before auscultating.
c) Assist the client to a sitting position.
d) Palpate the region before auscultating.
Reduce all environmental noise.
Rationale:
Auscultating bowel sounds can be difficult because of environmental noise. The nurse should reduce
all environmental noise and auscultate the bowel sounds again. The steps used to assess the
abdomen are inspection, auscultation, percussion, and palpation. The techniques of percussion and
palpation will cause the patient to experience bowel sounds and, therefore, should be performed
after bowel sounds are auscultated. Assessment of the abdomen is best performed with the patient
in the lying position.
A+ TEST BANK 4
EXAM
GNRS 578 HEALTH Assessment Exam
2 Questions and Correct Answers
Already Graded A+ Brand New Version
2025
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses
the client's skin color and temperature of the extremities. What is the purpose of this ongoing or
partial assessment?
a) To collect subjective data related to the client's overall health
b) To evaluate whether outcomes of treatment are met
c) To determine any changes from the baseline data
d) To perform a rapid assessment for prompt treatment
To determine any changes from the baseline data:
Ongoing or partial assessments help to determine any major changes from the baseline data. The
nurse collects subjective data related to the client's overall health and conducts a comprehensive
health assessment during the initial comprehensive assessment to determine baseline data. The
nurse makes a rapid assessment for prompt treatment in life-threatening situations when an
immediate diagnosis is needed to provide prompt treatment (emergency assessment). Evaluation is
done after an intervention to determine whether the outcomes have been achieved.
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from an
older client who recently underwent amputation of her lower leg. Which skill will the nurse most
need to perform this assessment?
a) Sympathy
b) Inspection
c) Palpation
d) Empathy
Empathy
Rationale:
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be
effective in providing for the client's needs while remaining compassionately detached. Inspection
and palpation are skills that help the nurse in collecting objective data of the client's physical
A+ TEST BANK 1
, GNRS 578 HEALTH ASSESSMENT
EXAM
characteristics. Sympathy is a feeling that would make the nurse as emotionally distraught as the
client; this hampers the ability of the nurse to provide client care.
Choice Multiple question - Select all answer choices that apply.
The nurse is conducting a health assessment with a patient. What will the nurse do while completing
this health assessment? (Select all that apply.)
a) Complete the health history.
b) Conduct a physical examination.
c) Formulate a plan of care
d) Implement a plan of care.
e) Interpret findings.
• Complete the health history.
• Conduct a physical examination.
Rationale:
The first part of the health assessment is the health history. The second part of the health
assessment is the physical examination. Interpreting findings, formulating a plan of care, and
implementing a plan of care are steps within the nursing process and not the health assessment.
A 72-year-old man had hip replacement surgery 2 days ago. The nurse enters the patient's room and
encourages him to use the incentive spirometer ten times every hour. What is this action an example
of?
a) Nursing assessment
b) Nursing evaluation
c) Nursing intervention
d) Nursing goal
Nursing intervention
Rationale:
Nursing interventions are used to monitor health status; prevent, resolve, or control a problem;
assist with ADLs; or promote optimum health and independence. Nursing goals are the patient's
desired outcomes. Nursing evaluation is deciding whether the nursing goals have been reached.
Nursing assessment is an overview of the patient's health status and current problems.
The nurse is conducting a physical examination of a patient who is in the lying position. Place in order
the areas the nurse will assess when completing this examination.
a. Shins and ankles
A+ TEST BANK 2
, GNRS 578 HEALTH ASSESSMENT
EXAM
b. Groin, hips, and knees
c. Breasts
d. Chest and thorax
e. Cardiovascular
a) c, e, b, d, a
b) c, d, e, b, a
c) d, b, a, e, c
d) d, e, b, a, c
e) a, c, b, d, e
c, d, e, b, a
Rationale:
When conducting a head-to-toe assessment for a patient in the lying position, the nurse should begin
with the structures closest to the head and progress downward. The nurse will assess the breasts,
the chest and thorax, the cardiovascular system, the groin, hips, and knees, and then the shins and
ankles.
A nurse collects data about a client's family health history. Which family members' health problems
should the nurse include when documenting this information in the database?
a) As many genetic relatives as the client can recall
b) Those with illnesses that resulted in death or disablement
c) Only the members with health problems that relate to the client's gender
d) Those with diseases that are known to have a genetic link
As many genetic relatives as the client can recall
Rationale:
Both maternal and paternal genetic relatives are included in the family health history. Problems can
arise in families that are not genetically based but are manifest by virtue of exposure to lifestyle
practices. Parents, grandparents, aunts, uncles, and children are all included in this history. If the
relative is deceased, the cause of death and age of death of the relative is recorded.
What should the nurse do before conducting a physical examination of a patient? (Select all that
apply.)
a) Assist the patient to a standing position.
b) Identify ways to ensure patient privacy.
c) Obtain and check needed equipment.
d) Wash hands.
e) Ensure a quiet environment.
A+ TEST BANK 3
, GNRS 578 HEALTH ASSESSMENT
EXAM
Prior to conducting a physical examination of a patient, the nurse should obtain and check needed
equipment, ensure a quiet environment for the examination, identify how to maintain patient
privacy during the examination, and wash hands before beginning the examination. Assisting the
patient to a standing position would be done to assess specific body systems during the physical
examination and is not done before beginning the examination.
A nurse is collecting subjective data from a client as part of the assessment process. Which behavior
is most appropriate for the nurse to display in this situation?
a) Remaining standing during the interview
b) Reading questions from the history form
c) Explaining the reason for taking down notes
d) Maintaining eye contact with the client at all times
Explaining the reason for taking down notes
Rationale:
The nurse should explain the reason for taking notes during the interview and ensure that it will
remain confidential; this will help the client to provide all the required information during the
interview. Some clients may be very uncomfortable with too much eye contact, while others may
believe that the nurse is hiding something from them if eye contact is avoided. Therefore, the nurse
should maintain only a moderate amount of eye contact and not maintain eye contact with the client
at all times. The nurse should not remain standing while taking down notes, as it could indicate being
in a hurry to complete the interview; it could also indicate that the nurse is expressing superiority
over the client. The nurse should not read questions from the history form, as this deflects attention
from the client and results in an impersonal interview process.
The nurse is having difficulty auscultating a patient's bowel sounds during a physical examination of
the abdomen. What can the nurse do to improve hearing the patient's sounds of this body area?
a) Reduce all environmental noise.
b) Percuss the region before auscultating.
c) Assist the client to a sitting position.
d) Palpate the region before auscultating.
Reduce all environmental noise.
Rationale:
Auscultating bowel sounds can be difficult because of environmental noise. The nurse should reduce
all environmental noise and auscultate the bowel sounds again. The steps used to assess the
abdomen are inspection, auscultation, percussion, and palpation. The techniques of percussion and
palpation will cause the patient to experience bowel sounds and, therefore, should be performed
after bowel sounds are auscultated. Assessment of the abdomen is best performed with the patient
in the lying position.
A+ TEST BANK 4
