NSG 3160 (HEALTH ASSESSMENT)
EXAM 4 QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
An elderly patient reports feeling/hearing a crackle when
standing after sitting, which is the best action by the nurse?
a. palpate the knees while assessing ROM
b. perform PROM on the knee and ankle
c. test sensation in lower extremities
d. Ask the patient if they have been diagnosed with a joint
disease - correct answer- A
How do you describe adduction? - correct answer-
Moving toward the midline of the body
If the patient is suspected to have absent bowel sounds, how
long should the nurse listen to each quadrant?
a. 1 min
b. 5 min
,c. 2 min
d. no change in normal assessment - correct answer- B
The patient asks if you have to wear gloves throughout the
assessment. Which would be the best response?
a. Any time I am touching your mucous membranes, open areas,
and anywhere wet
b. Throughout the entire assessment
c. Any time I touch any of your openings
d. Whenever you request I wear them - correct answer- A
The patient reports a crunchy sound/feeling when moving their
joint, the nurse recognizes this is likely - correct answer-
Crepitus
What cancer is being assessed when performing a papanicolaou
test? - correct answer- Cervical
What is the preferred position to place the patient when
assessing the lower extremities? - correct answer- Supine
, What is the term for burning with urination? - correct
answer- Dysuria
What joint would the nurse assess if the patient reports popping
when extending their arm? - correct answer- Elbow
What should not be included in the instructions while assessing
the cervical spine?
a. Look down (only moving your head)
b. Bend so U can assess your spine
c. Touch your ear to your shoulder (try your best, do not move
your shoulders)
d. Look to your right (only moving your head) - correct
answer- B
What would be used to assess CN VII?
a. identify odor
b. wrinkle forehead
c. whisper voice test
EXAM 4 QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
An elderly patient reports feeling/hearing a crackle when
standing after sitting, which is the best action by the nurse?
a. palpate the knees while assessing ROM
b. perform PROM on the knee and ankle
c. test sensation in lower extremities
d. Ask the patient if they have been diagnosed with a joint
disease - correct answer- A
How do you describe adduction? - correct answer-
Moving toward the midline of the body
If the patient is suspected to have absent bowel sounds, how
long should the nurse listen to each quadrant?
a. 1 min
b. 5 min
,c. 2 min
d. no change in normal assessment - correct answer- B
The patient asks if you have to wear gloves throughout the
assessment. Which would be the best response?
a. Any time I am touching your mucous membranes, open areas,
and anywhere wet
b. Throughout the entire assessment
c. Any time I touch any of your openings
d. Whenever you request I wear them - correct answer- A
The patient reports a crunchy sound/feeling when moving their
joint, the nurse recognizes this is likely - correct answer-
Crepitus
What cancer is being assessed when performing a papanicolaou
test? - correct answer- Cervical
What is the preferred position to place the patient when
assessing the lower extremities? - correct answer- Supine
, What is the term for burning with urination? - correct
answer- Dysuria
What joint would the nurse assess if the patient reports popping
when extending their arm? - correct answer- Elbow
What should not be included in the instructions while assessing
the cervical spine?
a. Look down (only moving your head)
b. Bend so U can assess your spine
c. Touch your ear to your shoulder (try your best, do not move
your shoulders)
d. Look to your right (only moving your head) - correct
answer- B
What would be used to assess CN VII?
a. identify odor
b. wrinkle forehead
c. whisper voice test
