NUR 3270: Ch. 1: Introduction to
Health Assessment TO Chapter 6 Test
Questions and Answers/Verified
Graded A+.
A 52-year-old male patient is admitted to the hospital with a new diagnosis of rectal cancer. The
nurse conducts which type of assessment on his admission?
1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cancer - Answer 1
After collecting data, the nurse begins data analysis with which activity?
1. Documenting information from the history
2. Organizing the data collected
3. Reporting data to other care providers
4. Recording data from the physical examination - Answer 2
Which situation illustrates a screening assessment?
1. A patient visits a clinic for the first time and the nurse completes a history and physical
examination.
2. A hospital sponsors a health fair in a community to measure blood pressure as well as
cholesterol levels.
3. A nurse at an urgent care center checks the blood pressure, pulse, temperature, and
respirations of a patient reporting leg pain.
4. A patient with diabetes mellitus comes to the laboratory to get her blood glucose tested prior
to a visit with a health care provider. - Answer 2
The nurse documents which information in the patient's history?
1. The patient is scratching his left arm.
2. The patient's skin feels warm.
3. The patient reports itching of her eyes.
4. The patient's temperature is 100°F. - Answer 3
Select the example given below that represents information a nurse collects from a patient
during a physical examination.
,1. Shiny skin and lack of hair found on lower legs
2. Concerned about lack of money to pay for prescriptions
3. Complains of tingling in both feet while sleeping
4. Family history of colon and breast cancer - Answer 1
The nurse is administering an influenza (flu) shot to a patient in a retail health setting. Of which
level of prevention is this an example?
A. Primary
B. Secondary
C. Post-secondary
D. Tertiary - Answer A
A patient complains of a cough for 4 days unrelieved with position changes. The nurse interprets
this as a symptom and documents the finding under __on the patient's chart.
A. the nursing care plan
B. assessment
C. history
D. vital signs - Answer C
The __ refers to the circumstances or situations related to the health care delivery. This may be
related to the setting or environment; it might relate to physical, psychologic, or socioeconomic
circumstances involving patients, or the expertise of the nurse.
A. body systems assessment
B. nursing process
C. health promotion interventions
D. context of care - Answer D
The nurse is assessing a patient for the first time in the outpatient diabetic clinic. A __ type of
health assessment would be most appropriate for this visit.
A. focused assessment
B. episodic follow-up assessment
C. shift assessment
,D. comprehensive health assessment - Answer D
A patient tells the nurse that he has had a headache and nausea for 3 days. Which type of
assessment should the nurse perform?
A. Focused assessment
B. Episodic follow-up assessment
C. Shift assessment
D. Comprehensive health assessment - Answer A
The nurse is incorporating the principles of the quality and safety competencies from the
Institute of Medicine (IOM) recommendations into the health assessment of a patient in the
long-term care setting. What principles should the nurse consider?
Select all that apply.
A. Use evidence to support interventions.
B. Evaluate the plan of care.
C. Use a step-by-step approach to problem solving.
D. Use technologies and informatics in delivering care.
E. Place the patient at the center of care.
F. Include other disciplines in the plan of care. - Answer A, D, E, F
The nurse is documenting the findings from the health assessment. Which example of data
documentation reflects the opinion of the nurse?
A. The patient is uncooperative and unfriendly.
B. The patient avoids eye contact.
C. The patient states, "I do not want to get out of bed."
D. The patient states, "I am very angry." - Answer A
A patient is admitted to the medical-surgical unit with a diagnosis of hypertension. The nurse is
using the nursing process to develop the plan of care. Which steps should the nurse
incorporate?
A. Assessment, treatment, planning, evaluation, discharge, follow-up
B. Admission, assessment, diagnosis, treatment, discharge planning
C. Admission, diagnosis, treatment, evaluation, discharge planning
, D. Assessment, diagnosis, outcome identification, planning, implementation, evaluation -
Answer D
The nurse is conducting a data analysis on objective information obtained during the health
history. What should be included?
Select all that apply.
A. Vital signs
B. Pain assessment
C. Review of symptoms
D. Surgical history
E. Social history
F. Heart murmur - Answer A, F
The student nurse is preparing to assess a patient in the hospital clinical setting. Which
components best describe the concept of health assessment?
Select all that apply.
A. Collection of objective data
B. Collection of subjective data
C. Collection of data and identification of nursing diagnosis
D. Planning and evaluation of data
E. Analysis of data
F. Physical exam
G. Documentation of data - Answer A, B, E, F
The nurse is interviewing an adult Navajo woman. Which statement demonstrates cultural
sensitivity and acceptance of the patient?
1. "How often do you visit the medicine man for your health care?"
2. "Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you afraid?"
4. "Have you ever had a physical examination with a physician or a nurse practitioner?" - Answer
2
The nurse is conducting an interview with Jeremy, a 17-year-old accompanied by his mother.
Which statement made by the nurse is an age-appropriate adjustment when conducting a
health history with an adolescent?
Health Assessment TO Chapter 6 Test
Questions and Answers/Verified
Graded A+.
A 52-year-old male patient is admitted to the hospital with a new diagnosis of rectal cancer. The
nurse conducts which type of assessment on his admission?
1. A comprehensive assessment
2. A problem-based health assessment
3. An episodic assessment
4. A screening assessment for colorectal cancer - Answer 1
After collecting data, the nurse begins data analysis with which activity?
1. Documenting information from the history
2. Organizing the data collected
3. Reporting data to other care providers
4. Recording data from the physical examination - Answer 2
Which situation illustrates a screening assessment?
1. A patient visits a clinic for the first time and the nurse completes a history and physical
examination.
2. A hospital sponsors a health fair in a community to measure blood pressure as well as
cholesterol levels.
3. A nurse at an urgent care center checks the blood pressure, pulse, temperature, and
respirations of a patient reporting leg pain.
4. A patient with diabetes mellitus comes to the laboratory to get her blood glucose tested prior
to a visit with a health care provider. - Answer 2
The nurse documents which information in the patient's history?
1. The patient is scratching his left arm.
2. The patient's skin feels warm.
3. The patient reports itching of her eyes.
4. The patient's temperature is 100°F. - Answer 3
Select the example given below that represents information a nurse collects from a patient
during a physical examination.
,1. Shiny skin and lack of hair found on lower legs
2. Concerned about lack of money to pay for prescriptions
3. Complains of tingling in both feet while sleeping
4. Family history of colon and breast cancer - Answer 1
The nurse is administering an influenza (flu) shot to a patient in a retail health setting. Of which
level of prevention is this an example?
A. Primary
B. Secondary
C. Post-secondary
D. Tertiary - Answer A
A patient complains of a cough for 4 days unrelieved with position changes. The nurse interprets
this as a symptom and documents the finding under __on the patient's chart.
A. the nursing care plan
B. assessment
C. history
D. vital signs - Answer C
The __ refers to the circumstances or situations related to the health care delivery. This may be
related to the setting or environment; it might relate to physical, psychologic, or socioeconomic
circumstances involving patients, or the expertise of the nurse.
A. body systems assessment
B. nursing process
C. health promotion interventions
D. context of care - Answer D
The nurse is assessing a patient for the first time in the outpatient diabetic clinic. A __ type of
health assessment would be most appropriate for this visit.
A. focused assessment
B. episodic follow-up assessment
C. shift assessment
,D. comprehensive health assessment - Answer D
A patient tells the nurse that he has had a headache and nausea for 3 days. Which type of
assessment should the nurse perform?
A. Focused assessment
B. Episodic follow-up assessment
C. Shift assessment
D. Comprehensive health assessment - Answer A
The nurse is incorporating the principles of the quality and safety competencies from the
Institute of Medicine (IOM) recommendations into the health assessment of a patient in the
long-term care setting. What principles should the nurse consider?
Select all that apply.
A. Use evidence to support interventions.
B. Evaluate the plan of care.
C. Use a step-by-step approach to problem solving.
D. Use technologies and informatics in delivering care.
E. Place the patient at the center of care.
F. Include other disciplines in the plan of care. - Answer A, D, E, F
The nurse is documenting the findings from the health assessment. Which example of data
documentation reflects the opinion of the nurse?
A. The patient is uncooperative and unfriendly.
B. The patient avoids eye contact.
C. The patient states, "I do not want to get out of bed."
D. The patient states, "I am very angry." - Answer A
A patient is admitted to the medical-surgical unit with a diagnosis of hypertension. The nurse is
using the nursing process to develop the plan of care. Which steps should the nurse
incorporate?
A. Assessment, treatment, planning, evaluation, discharge, follow-up
B. Admission, assessment, diagnosis, treatment, discharge planning
C. Admission, diagnosis, treatment, evaluation, discharge planning
, D. Assessment, diagnosis, outcome identification, planning, implementation, evaluation -
Answer D
The nurse is conducting a data analysis on objective information obtained during the health
history. What should be included?
Select all that apply.
A. Vital signs
B. Pain assessment
C. Review of symptoms
D. Surgical history
E. Social history
F. Heart murmur - Answer A, F
The student nurse is preparing to assess a patient in the hospital clinical setting. Which
components best describe the concept of health assessment?
Select all that apply.
A. Collection of objective data
B. Collection of subjective data
C. Collection of data and identification of nursing diagnosis
D. Planning and evaluation of data
E. Analysis of data
F. Physical exam
G. Documentation of data - Answer A, B, E, F
The nurse is interviewing an adult Navajo woman. Which statement demonstrates cultural
sensitivity and acceptance of the patient?
1. "How often do you visit the medicine man for your health care?"
2. "Tell me about your health care beliefs and practices."
3. "Many Navajo people are afraid of hospitals. Are you afraid?"
4. "Have you ever had a physical examination with a physician or a nurse practitioner?" - Answer
2
The nurse is conducting an interview with Jeremy, a 17-year-old accompanied by his mother.
Which statement made by the nurse is an age-appropriate adjustment when conducting a
health history with an adolescent?
