HEALTH ASSESSMENT MIDTERM EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | LATEST
EXAM | VERIFIED ANSWERS | GRADED A+
A 62-year-old patient tells the nurse that he has recently had frequent
fainting spells. After palpating the radial pulse, 13 pulsations are counted in
15 seconds with a regularly irregular rhythm. What is the most appropriate
action for the nurse to take at this time?
1. Reassess the pulse rate after he walks around the room for several
rhythms
2. Reassess the pulse rate for 15 seconds using the carotid
3. Take an apical pulse for 5 full minutes, counting the number of skipped
beats
4. Palpate the pulse for 1 minutes and determine the pattern to the
irregularity. ---------CORRECT ANSWER-----------------4. Palpate the pulse
for 1 minutes and determine the pattern to the irregularity.
A patient has edema and redness of the skin surrounding the nail on his
right index finger. Which data elicited from his history best explains this
condition?
1. He has a family history of liver disease
2. There has been a scabies outbreak among his family members
3. He has a new full-time position as a dishwasher at a local restaurant
4. He had several warts removed from his hands 2 years ago. ---------
CORRECT ANSWER-----------------members
3. He has a new full-time position as a dishwasher at a local restaurant
When examining a 16-year-old male patient, the nurse notes multiple
pustules and comedones on the face. The nurse recognized that increased
activity of which cells or glands produce these manifestations?
1. Epidermal cells
2. Eccrine glands
3. Apocrine glands
,4. Sebaceous glands ---------CORRECT ANSWER-----------------4.
Sebaceous glands
A patient with darkly pigmented skin has been submitted to the hospital
with hepatitis. What is the best way for the nurse to assess for jaundice in
this patient?
1. Inspect the color of the sclera
2. Inspect genitalia for color
3. Blanch the fingernails
4. Jaundice cannot be assessed in patients with darkly pigmented skin. -----
----CORRECT ANSWER-----------------1. Inspect the color of the sclera
A patient has multiple solid, red, raised lesions on her legs and groin that
she describes as "itchy insect bites." How does the nurse document these
lesions?
1. Wheals
2. Bullae
3. Tumors
4. Plaques ---------CORRECT ANSWER-----------------1. Wheals
The nurse observes multiple red circular lesions with central clearing that
are scattered all over the abdomen and thorax. How does the nurse
document the shape and pattern of these lesions?
1. Gyrate and linear
2. Annular and generalized
3. Iris and discrete
4. Oval and clustered ---------CORRECT ANSWER-----------------2. Annular
and generalized
Which disorder is an example of a vascular lesion?
1. Dermatofibroma
2. Vitiligo
,3. Sebaceous Cyst
4. Port wine stain ---------CORRECT ANSWER-----------------4. Port wine
stain
A 60-year-old male patient states that he has a sore above his lip that has
not healed and is getting bigger. The nurse observes a red scaly patch with
an ulcerated center and sharp margins. These finding are commonly
associated with which malignancy?
1. Kaposi's sarcoma
2. Malignant melanoma
3. Basal cell carcinoma
4. Squamous cell carcinoma ---------CORRECT ANSWER-----------------4.
Squamous cell carcinoma
A 48-year-old woman asks the nurse how to best protect herself from
excessive sun exposure while at the beach. Which response would be
most appropriate?
1. "Limit your time in the sun to 5 minutes every hour."
2. "Wear a wet suit that covers your arms and legs."
3. "Apply waterproof sunscreen(SPF 15 or higher) to exposed skin
surfaces; reapply at least every 2 hours."
4. "Apply sunscreen with a minimum SPF 50 to all skin surfaces before
leaving for the beach; this will provide all-day coverage." ---------CORRECT
ANSWER-----------------3. "Apply waterproof sunscreen(SPF 15 or higher) to
exposed skin surfaces; reapply at least every 2 hours."
A patient describes a recent onset of frequent and severe unilateral
headaches that last about 1 hour. Based on these symptoms, the nurse
suspects which type of headache?
1. Cluster headaches
2. Migraines headaches
3. Tension headaches
4. Sinus headaches ---------CORRECT ANSWER-----------------1. Cluster
headaches
, During a physical examination the nurse is unable to feel the patient's
thyroid gland with palpation from an anterior approach. What is the
appropriate action of the nurse at this time?
1. Recognize that this is an expected finding.
2. Auscultate the thyroid area
3. Palpate the thyroid using a posterior approach
4. Refer the patient for follow-up with an endocrinologist ---------CORRECT
ANSWER-----------------1. Recognize that this is an expected finding.
A 24-year-old female patient has a 2-day history of clear nasal drainage.
Based on these data, which question is the most logical for the nurse to
ask?
1. "Is there a foul odor coming from your nose?"
2. " Have you recently had nosebleeds?"
3. "Do you snore when sleeping?"
4. "Do you have allergies?" ---------CORRECT ANSWER-----------------4. "Do
you have allergies?"
A 32-year-old woman has a 4-day history of sore throat and difficulty
swallowing. The nurse observes tonsils covered with yellow patches. The
tonsils are so large that they fill the entire oropharynx and appear to be
touching. How does the nurse document these findings?
1. "Tonsils yellow and swollen."
2. "Enlarged tonsils 4+ with yellow exudate"
3. "Strep infection to tonsils with 3+ swelling"
4. "1+edema of tonsils with pus." ---------CORRECT ANSWER-----------------
2. "Enlarged tonsils 4+ with yellow exudate"
A nurse is obtaining a health history from a 52-year-old male patient with a
red lesion at the base of the tongue. What additional data does the nurse
specifically collect about this patient?
QUESTIONS AND CORRECT ANSWERS | LATEST
EXAM | VERIFIED ANSWERS | GRADED A+
A 62-year-old patient tells the nurse that he has recently had frequent
fainting spells. After palpating the radial pulse, 13 pulsations are counted in
15 seconds with a regularly irregular rhythm. What is the most appropriate
action for the nurse to take at this time?
1. Reassess the pulse rate after he walks around the room for several
rhythms
2. Reassess the pulse rate for 15 seconds using the carotid
3. Take an apical pulse for 5 full minutes, counting the number of skipped
beats
4. Palpate the pulse for 1 minutes and determine the pattern to the
irregularity. ---------CORRECT ANSWER-----------------4. Palpate the pulse
for 1 minutes and determine the pattern to the irregularity.
A patient has edema and redness of the skin surrounding the nail on his
right index finger. Which data elicited from his history best explains this
condition?
1. He has a family history of liver disease
2. There has been a scabies outbreak among his family members
3. He has a new full-time position as a dishwasher at a local restaurant
4. He had several warts removed from his hands 2 years ago. ---------
CORRECT ANSWER-----------------members
3. He has a new full-time position as a dishwasher at a local restaurant
When examining a 16-year-old male patient, the nurse notes multiple
pustules and comedones on the face. The nurse recognized that increased
activity of which cells or glands produce these manifestations?
1. Epidermal cells
2. Eccrine glands
3. Apocrine glands
,4. Sebaceous glands ---------CORRECT ANSWER-----------------4.
Sebaceous glands
A patient with darkly pigmented skin has been submitted to the hospital
with hepatitis. What is the best way for the nurse to assess for jaundice in
this patient?
1. Inspect the color of the sclera
2. Inspect genitalia for color
3. Blanch the fingernails
4. Jaundice cannot be assessed in patients with darkly pigmented skin. -----
----CORRECT ANSWER-----------------1. Inspect the color of the sclera
A patient has multiple solid, red, raised lesions on her legs and groin that
she describes as "itchy insect bites." How does the nurse document these
lesions?
1. Wheals
2. Bullae
3. Tumors
4. Plaques ---------CORRECT ANSWER-----------------1. Wheals
The nurse observes multiple red circular lesions with central clearing that
are scattered all over the abdomen and thorax. How does the nurse
document the shape and pattern of these lesions?
1. Gyrate and linear
2. Annular and generalized
3. Iris and discrete
4. Oval and clustered ---------CORRECT ANSWER-----------------2. Annular
and generalized
Which disorder is an example of a vascular lesion?
1. Dermatofibroma
2. Vitiligo
,3. Sebaceous Cyst
4. Port wine stain ---------CORRECT ANSWER-----------------4. Port wine
stain
A 60-year-old male patient states that he has a sore above his lip that has
not healed and is getting bigger. The nurse observes a red scaly patch with
an ulcerated center and sharp margins. These finding are commonly
associated with which malignancy?
1. Kaposi's sarcoma
2. Malignant melanoma
3. Basal cell carcinoma
4. Squamous cell carcinoma ---------CORRECT ANSWER-----------------4.
Squamous cell carcinoma
A 48-year-old woman asks the nurse how to best protect herself from
excessive sun exposure while at the beach. Which response would be
most appropriate?
1. "Limit your time in the sun to 5 minutes every hour."
2. "Wear a wet suit that covers your arms and legs."
3. "Apply waterproof sunscreen(SPF 15 or higher) to exposed skin
surfaces; reapply at least every 2 hours."
4. "Apply sunscreen with a minimum SPF 50 to all skin surfaces before
leaving for the beach; this will provide all-day coverage." ---------CORRECT
ANSWER-----------------3. "Apply waterproof sunscreen(SPF 15 or higher) to
exposed skin surfaces; reapply at least every 2 hours."
A patient describes a recent onset of frequent and severe unilateral
headaches that last about 1 hour. Based on these symptoms, the nurse
suspects which type of headache?
1. Cluster headaches
2. Migraines headaches
3. Tension headaches
4. Sinus headaches ---------CORRECT ANSWER-----------------1. Cluster
headaches
, During a physical examination the nurse is unable to feel the patient's
thyroid gland with palpation from an anterior approach. What is the
appropriate action of the nurse at this time?
1. Recognize that this is an expected finding.
2. Auscultate the thyroid area
3. Palpate the thyroid using a posterior approach
4. Refer the patient for follow-up with an endocrinologist ---------CORRECT
ANSWER-----------------1. Recognize that this is an expected finding.
A 24-year-old female patient has a 2-day history of clear nasal drainage.
Based on these data, which question is the most logical for the nurse to
ask?
1. "Is there a foul odor coming from your nose?"
2. " Have you recently had nosebleeds?"
3. "Do you snore when sleeping?"
4. "Do you have allergies?" ---------CORRECT ANSWER-----------------4. "Do
you have allergies?"
A 32-year-old woman has a 4-day history of sore throat and difficulty
swallowing. The nurse observes tonsils covered with yellow patches. The
tonsils are so large that they fill the entire oropharynx and appear to be
touching. How does the nurse document these findings?
1. "Tonsils yellow and swollen."
2. "Enlarged tonsils 4+ with yellow exudate"
3. "Strep infection to tonsils with 3+ swelling"
4. "1+edema of tonsils with pus." ---------CORRECT ANSWER-----------------
2. "Enlarged tonsils 4+ with yellow exudate"
A nurse is obtaining a health history from a 52-year-old male patient with a
red lesion at the base of the tongue. What additional data does the nurse
specifically collect about this patient?
