HEALTH ASSESSMENT FINAL EXAM
PRACTICE QUESTIONS AND
CORRECT ANSWERS
DuringA2assessmentA2ofA2theA2lowerA2extremitiesA2ofA2aA2maleA2clientA2theA2nurseA2isA2un
ableA2toA2palpateA2theA2dorsalisA2pedisA2pulse.A2WhatA2actionA2shouldA2theA2nurseA2takeA2
first?
a.A2NotifyA2theA2Physician
b.A2ReturnA2inA2aA2fewA2hoursA2andA2reassess
c.A2AskA2theA2clientA2ifA2thisA2isA2"normal"A2forA2him
d.A2RepositionA2theA2fingersA2andA2assessA2againA2-A2Ans--
C.A2AskA2theA2ClientA2ifA2thisA2isA2normal
AnA2exampleA2ofA2objectiveA2dataA2obtainedA2duringA2theA2physicalA2assessmentA2include
s:A2SelectA2allA2thatA2apply
a.SoreA2throat
b.AudibleA2wheeze
c.Headache
d.Tinnitus
e.PressureA2ulcerA2rt.A2ankleA2-A2Ans--b.AudibleA2wheeze
e.PressureA2ulcerA2rt.A2ankle
AA2motherA2isA2atA2theA2clinicA2withA2herA22-year-
oldA2sonA2andA2statesA2"heA2won'tA2goA2toA2sleepA2atA2nightA2&A2duringA2theA2dayA2heA2has
A2severalA2fits.A2IA2getA2soA2upsetA2whenA2thisA2happens."A2
TheA2nurse'sA2bestA2verbalA2responseA2shouldA2be:
a."GoA2on,A2I'mA2listening
b."TellA2meA2whatA2youA2meanA2byA2fits."
c."Yes,A2itA2canA2beA2upsettingA2whenA2aA2childA2hasA2aA2fit."
d."Don'tA2beA2upsetA2whenA2heA2hasA2aA2fit,A2allA22-year-oldsA2haveA2fitsA2-A2Ans--
b."TellA2meA2whatA2youA2meanA2byA2fits."
WhichA2ofA2theA2followingA2statementsA2illustratesA2theA2useA2ofA2open-
endedA2questions?A2SelectA2allA2thatA2apply
a.ElicitsA2coldA2facts
b.BuildsA2&A2enhancesA2rapport
c.LeavesA2interactionsA2neutral
, d.CallsA2forA2shortA2one-toA2two-wordA2answers
e.UsedA2whenA2narrativeA2informationA2isA2neededA2-A2Ans--
b.BuildsA2&A2enhancesA2rapport
e.UsedA2whenA2narrativeA2informationA2isA2needed
AA2client'sA2reasonA2forA2seekingA2careA2isA2"shortnessA2ofA2breath".A2WhenA2obtainingA2a
A2healthA2history,A2whichA2ofA2theseA2questions,A2byA2theA2nurse,A2wouldA2obtainA2theA2mo
stA2helpfulA2information?
a.WillA2youA2pleaseA2describeA2theA2activitiesA2thatA2causeA2youA2toA2beA2shortA2ofA2breat
h?
b.HaveA2youA2beenA2shortA2ofA2breathA2forA2long?
c.Hon,A2areA2youA2shortA2ofA2breathA2now?
d.DoA2youA2haveA2interstitialA2pneumonia?A2-A2Ans--
a.A2WillA2youA2pleaseA2describeA2theA2activitiesA2thatA2causeA2youA2toA2beA2shortA2ofA2brea
th?
DuringA2anA2examA2theA2nurseA2noticesA2theA2clientA2hasA2round,A2flatA2redA2lesionsA2onA2
theA2skinA2ofA2theA2forearm.A2TheA2nurseA2suspects:A2
a.Petechiae
b.Pruritis
c.HerpesA2zoster
d.PsoriasisA2-A2Ans--a.A2Petechiae
AA265-year-oldA2manA2withA2emphysemaA2hasA2comeA2toA2theA2clinicA2forA2aA2follow-
upA2appt.A2OnA2assessmentA2ofA2theA2skin,A2theA2nurseA2mightA2expectA2toA2assessA2theA2
following:
a.Jaundice
b.SenileA2angiomas
c.HerpesA2zoster
d.ClubbingA2ofA2theA2nailsA2-A2Ans--d.A2ClubbingA2ofA2theA2nails
AA2motherA2presentsA2withA2herA2son,A2whoA2hasA2beenA2inA2aA2newA2dayA2careA2facility.A2
OnA2examinationA2theA2nurseA2assessesA2moist,A2thinA2vesiclesA2withA2anA2erythematous
A2baseA2aroundA2theA2noseA2andA2mouth.A2TheA2nurseA2suspects:
a.Eczema
b.Impetigo
c.HerpesA2zoster
d.DermatitisA2-A2Ans--b.A2Impetigo
AA2healthcareA2providerA2hasA2diagnosedA2aA2clientA2withA2purpura.A2TheA2nurseA2knowsA
2thisA2is:
PRACTICE QUESTIONS AND
CORRECT ANSWERS
DuringA2assessmentA2ofA2theA2lowerA2extremitiesA2ofA2aA2maleA2clientA2theA2nurseA2isA2un
ableA2toA2palpateA2theA2dorsalisA2pedisA2pulse.A2WhatA2actionA2shouldA2theA2nurseA2takeA2
first?
a.A2NotifyA2theA2Physician
b.A2ReturnA2inA2aA2fewA2hoursA2andA2reassess
c.A2AskA2theA2clientA2ifA2thisA2isA2"normal"A2forA2him
d.A2RepositionA2theA2fingersA2andA2assessA2againA2-A2Ans--
C.A2AskA2theA2ClientA2ifA2thisA2isA2normal
AnA2exampleA2ofA2objectiveA2dataA2obtainedA2duringA2theA2physicalA2assessmentA2include
s:A2SelectA2allA2thatA2apply
a.SoreA2throat
b.AudibleA2wheeze
c.Headache
d.Tinnitus
e.PressureA2ulcerA2rt.A2ankleA2-A2Ans--b.AudibleA2wheeze
e.PressureA2ulcerA2rt.A2ankle
AA2motherA2isA2atA2theA2clinicA2withA2herA22-year-
oldA2sonA2andA2statesA2"heA2won'tA2goA2toA2sleepA2atA2nightA2&A2duringA2theA2dayA2heA2has
A2severalA2fits.A2IA2getA2soA2upsetA2whenA2thisA2happens."A2
TheA2nurse'sA2bestA2verbalA2responseA2shouldA2be:
a."GoA2on,A2I'mA2listening
b."TellA2meA2whatA2youA2meanA2byA2fits."
c."Yes,A2itA2canA2beA2upsettingA2whenA2aA2childA2hasA2aA2fit."
d."Don'tA2beA2upsetA2whenA2heA2hasA2aA2fit,A2allA22-year-oldsA2haveA2fitsA2-A2Ans--
b."TellA2meA2whatA2youA2meanA2byA2fits."
WhichA2ofA2theA2followingA2statementsA2illustratesA2theA2useA2ofA2open-
endedA2questions?A2SelectA2allA2thatA2apply
a.ElicitsA2coldA2facts
b.BuildsA2&A2enhancesA2rapport
c.LeavesA2interactionsA2neutral
, d.CallsA2forA2shortA2one-toA2two-wordA2answers
e.UsedA2whenA2narrativeA2informationA2isA2neededA2-A2Ans--
b.BuildsA2&A2enhancesA2rapport
e.UsedA2whenA2narrativeA2informationA2isA2needed
AA2client'sA2reasonA2forA2seekingA2careA2isA2"shortnessA2ofA2breath".A2WhenA2obtainingA2a
A2healthA2history,A2whichA2ofA2theseA2questions,A2byA2theA2nurse,A2wouldA2obtainA2theA2mo
stA2helpfulA2information?
a.WillA2youA2pleaseA2describeA2theA2activitiesA2thatA2causeA2youA2toA2beA2shortA2ofA2breat
h?
b.HaveA2youA2beenA2shortA2ofA2breathA2forA2long?
c.Hon,A2areA2youA2shortA2ofA2breathA2now?
d.DoA2youA2haveA2interstitialA2pneumonia?A2-A2Ans--
a.A2WillA2youA2pleaseA2describeA2theA2activitiesA2thatA2causeA2youA2toA2beA2shortA2ofA2brea
th?
DuringA2anA2examA2theA2nurseA2noticesA2theA2clientA2hasA2round,A2flatA2redA2lesionsA2onA2
theA2skinA2ofA2theA2forearm.A2TheA2nurseA2suspects:A2
a.Petechiae
b.Pruritis
c.HerpesA2zoster
d.PsoriasisA2-A2Ans--a.A2Petechiae
AA265-year-oldA2manA2withA2emphysemaA2hasA2comeA2toA2theA2clinicA2forA2aA2follow-
upA2appt.A2OnA2assessmentA2ofA2theA2skin,A2theA2nurseA2mightA2expectA2toA2assessA2theA2
following:
a.Jaundice
b.SenileA2angiomas
c.HerpesA2zoster
d.ClubbingA2ofA2theA2nailsA2-A2Ans--d.A2ClubbingA2ofA2theA2nails
AA2motherA2presentsA2withA2herA2son,A2whoA2hasA2beenA2inA2aA2newA2dayA2careA2facility.A2
OnA2examinationA2theA2nurseA2assessesA2moist,A2thinA2vesiclesA2withA2anA2erythematous
A2baseA2aroundA2theA2noseA2andA2mouth.A2TheA2nurseA2suspects:
a.Eczema
b.Impetigo
c.HerpesA2zoster
d.DermatitisA2-A2Ans--b.A2Impetigo
AA2healthcareA2providerA2hasA2diagnosedA2aA2clientA2withA2purpura.A2TheA2nurseA2knowsA
2thisA2is: