Health Assessment Final Exam Practice
Questions
A 65-year-old man with emphysema has come to the clinic for a follow-up appt. On assessment
of the skin, the nurse might expect to assess the following:
a.Jaundice
b.Senile angiomas
c.Herpes zoster
d.Clubbing of the nails - ANS-d. Clubbing of the nails
\A 67-year-old client states he recently began to have pain in his left calf when climbing 10 stairs
to his apartment. The pain is relieved by sitting for about 2 minutes; then he is able to resume
his activities. This client is most likely experiencing:
a.Thrombophlebitis
b.Arterial obstruction (claudication)
c.Paresthesia
d.Venous insufficiency - ANS-b. Arterial obstruction (claudication)
\A client in the ICU develops pre-renal failure following surgery. Which of the following causes
should the RN suspect?
a.Vascular Disease
b.Urethral obstruction
c.Hypovolemia
d.Glomerulonephritis - ANS-c. Hypovolemia
\A client is admitted following surgical repair of fracture of thetibia. Which assessment should
the nurse report to the healthcare provider?
a.Pain that is relieved with medication
b.Warm toes
c.Palpable pedal pulse
d.Paresthesia of the toes - ANS-d. Paresthesia of the toes
\A client recovering from an open reduction of the humerus states, "I haven't been able to
extend the fingers on my hand since this morning."What action should the RN take next?
a.Massage the fingers
b.Administer prescribed analgesics
c.Elevate the arm to prevent edema
d.Assess CMS with the 5 P's - ANS-d. Assess CMS with the 5 P's
, \A client states he is frequently constipated and when he has a bowel movement, he notes
rectal bleeding and pain. The client asks the nurse, "Do I have hemorrhoids or is there
something else wrong with me?" The nurse assesses the perianal area and suspects:
a .A rectal prolapse
b.A pilonidal cyst
c.Hemorrhoids
d.A rectal abscess - ANS-c.Hemorrhoids
\A client with a long history of COPD is being assessed. The nurse would be likely to
inspect(Select all that apply):
a.Asymmetric respiratory expansion
b.Decreased tactile fremitus
c.Hypertrophied neck muscles
d.Anterior/posterior-to transverse diameter of 1:1
e.Tripod positioning - ANS-c.Hypertrophied neck muscles
d.Anterior/posterior-to transversediameter of 1:1
e.Tripod positioning
\A client's reason for seeking care is "shortness of breath". When obtaining a health history,
which of these questions, by the nurse, would obtain the most helpful information?
a.Will you please describe the activities that cause you to be short of breath?
b.Have you been short of breath for long?
c.Hon, are you short of breath now?
d.Do you have interstitial pneumonia? - ANS-a. Will you please describe the activities that
cause you to be short of breath?
\A clientis complaining of new-onset calf & foot pain. The nurse notes that the leg below the
knee is cool & pale. The dorsalis pedis & posterior-tibial pulses are assessed as "0" w/ palpation
and "0" following validation with a Doppler. The priority nursing intervention is:
a.Place a cradle over the bed to prevent pressure from bedding
b.Elevate the leg
c.Massage the leg
d.Notify the healthcare provider immediately - ANS-d. Notify the healthcare provider immediately
\A healthcare provider has diagnosed a client with purpura. The nurse knows this is:
a.Blue dilation of blood vessels in a star-shaped linear pattern on the legs
b.Fiery red star-shaped markings on the cheek with a solid center
c.Confluent & extensive patches of petechiae
d.Tiny little areas of hemorrhage less than 2 mm, round & discrete - ANS-c. Confluent &
extensive patches of petechiae
Questions
A 65-year-old man with emphysema has come to the clinic for a follow-up appt. On assessment
of the skin, the nurse might expect to assess the following:
a.Jaundice
b.Senile angiomas
c.Herpes zoster
d.Clubbing of the nails - ANS-d. Clubbing of the nails
\A 67-year-old client states he recently began to have pain in his left calf when climbing 10 stairs
to his apartment. The pain is relieved by sitting for about 2 minutes; then he is able to resume
his activities. This client is most likely experiencing:
a.Thrombophlebitis
b.Arterial obstruction (claudication)
c.Paresthesia
d.Venous insufficiency - ANS-b. Arterial obstruction (claudication)
\A client in the ICU develops pre-renal failure following surgery. Which of the following causes
should the RN suspect?
a.Vascular Disease
b.Urethral obstruction
c.Hypovolemia
d.Glomerulonephritis - ANS-c. Hypovolemia
\A client is admitted following surgical repair of fracture of thetibia. Which assessment should
the nurse report to the healthcare provider?
a.Pain that is relieved with medication
b.Warm toes
c.Palpable pedal pulse
d.Paresthesia of the toes - ANS-d. Paresthesia of the toes
\A client recovering from an open reduction of the humerus states, "I haven't been able to
extend the fingers on my hand since this morning."What action should the RN take next?
a.Massage the fingers
b.Administer prescribed analgesics
c.Elevate the arm to prevent edema
d.Assess CMS with the 5 P's - ANS-d. Assess CMS with the 5 P's
, \A client states he is frequently constipated and when he has a bowel movement, he notes
rectal bleeding and pain. The client asks the nurse, "Do I have hemorrhoids or is there
something else wrong with me?" The nurse assesses the perianal area and suspects:
a .A rectal prolapse
b.A pilonidal cyst
c.Hemorrhoids
d.A rectal abscess - ANS-c.Hemorrhoids
\A client with a long history of COPD is being assessed. The nurse would be likely to
inspect(Select all that apply):
a.Asymmetric respiratory expansion
b.Decreased tactile fremitus
c.Hypertrophied neck muscles
d.Anterior/posterior-to transverse diameter of 1:1
e.Tripod positioning - ANS-c.Hypertrophied neck muscles
d.Anterior/posterior-to transversediameter of 1:1
e.Tripod positioning
\A client's reason for seeking care is "shortness of breath". When obtaining a health history,
which of these questions, by the nurse, would obtain the most helpful information?
a.Will you please describe the activities that cause you to be short of breath?
b.Have you been short of breath for long?
c.Hon, are you short of breath now?
d.Do you have interstitial pneumonia? - ANS-a. Will you please describe the activities that
cause you to be short of breath?
\A clientis complaining of new-onset calf & foot pain. The nurse notes that the leg below the
knee is cool & pale. The dorsalis pedis & posterior-tibial pulses are assessed as "0" w/ palpation
and "0" following validation with a Doppler. The priority nursing intervention is:
a.Place a cradle over the bed to prevent pressure from bedding
b.Elevate the leg
c.Massage the leg
d.Notify the healthcare provider immediately - ANS-d. Notify the healthcare provider immediately
\A healthcare provider has diagnosed a client with purpura. The nurse knows this is:
a.Blue dilation of blood vessels in a star-shaped linear pattern on the legs
b.Fiery red star-shaped markings on the cheek with a solid center
c.Confluent & extensive patches of petechiae
d.Tiny little areas of hemorrhage less than 2 mm, round & discrete - ANS-c. Confluent &
extensive patches of petechiae
