Nursing Assessment Questions and
answers test 1
Immediate Attention
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
Does not require immediate attention
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain. - ANS>>What requires immediate attention?
What does not require immediate attention?
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
e. Shield identifying information from view by visitors. - ANS>>How do health
professionals protect the client's private information when using a hard copy medical
record? Select all that apply.
a. Allow the client's children to review the medical record.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
d. Lock records in your desk drawer when not in use.
e. Shield identifying information from view by visitors.
b. Assess the UAP. - ANS>>When entering the room to perform a complete health
assessment on a new client, the nurse finds the client and family standing around an
unlicensed assistive personnel (UAP) who is lying on the floor.
What is the priority action for the nurse?
a. Ask what happened.
b. Assess the UAP.
c. Phone for an emergency response.
d. Move the client to another room.
Yes
a. During the complete health assessment.
, b. When administering medications.
c. When asking questions from the client's partner.
d. While reading the nurse practitioner's admission note.
e. As they pass the individual walking in the hallway.
No
None - ANS>>In which situations does the nurse collect data as part of an assessment?
Select Yes if data is being collected or No if data is not being collected.
a. During the complete health assessment.
b. When administering medications.
c. When asking questions from the client's partner.
d. While reading the nurse practitioner's admission note.
e. As they pass the individual walking in the hallway.
Rapid (Screening) - ANS>>What kind of health assessment is this?
Purpose: Determines the urgency of the client's condition
When used: Each time the client is seen
Includes: Level of consciousness, ease of breathing, and body position
Examples: Urgent: The examiner finds a person in a hospital gown sitting on the floor
gasping for air.Not Urgent: The examiner observes the client speaking complete
sentences on the phone with even respirations.
Complete (Total) Health - ANS>>What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interaction between a person seeking care and the professional
providing care
Includes: A detailed health history and physical examination of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-
term care facility.
Focused (Problem-Centered) - ANS>>What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a
body system
When used: After abnormal findings are identified during any assessment
Includes: The collection of data related to findings of concern
Example: After noting a client's productive cough and shortness of breath when entering
the room, the examiner begins the assessment by listening to lung sounds, measuring
oxygen saturation (O2 sat), checking for cyanosis, and asking questions related to the
noted symptoms (e.g., How long has the cough been present?).
Follow-Up - ANS>>What kind of health assessment is this?
answers test 1
Immediate Attention
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
Does not require immediate attention
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain. - ANS>>What requires immediate attention?
What does not require immediate attention?
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
e. Shield identifying information from view by visitors. - ANS>>How do health
professionals protect the client's private information when using a hard copy medical
record? Select all that apply.
a. Allow the client's children to review the medical record.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
d. Lock records in your desk drawer when not in use.
e. Shield identifying information from view by visitors.
b. Assess the UAP. - ANS>>When entering the room to perform a complete health
assessment on a new client, the nurse finds the client and family standing around an
unlicensed assistive personnel (UAP) who is lying on the floor.
What is the priority action for the nurse?
a. Ask what happened.
b. Assess the UAP.
c. Phone for an emergency response.
d. Move the client to another room.
Yes
a. During the complete health assessment.
, b. When administering medications.
c. When asking questions from the client's partner.
d. While reading the nurse practitioner's admission note.
e. As they pass the individual walking in the hallway.
No
None - ANS>>In which situations does the nurse collect data as part of an assessment?
Select Yes if data is being collected or No if data is not being collected.
a. During the complete health assessment.
b. When administering medications.
c. When asking questions from the client's partner.
d. While reading the nurse practitioner's admission note.
e. As they pass the individual walking in the hallway.
Rapid (Screening) - ANS>>What kind of health assessment is this?
Purpose: Determines the urgency of the client's condition
When used: Each time the client is seen
Includes: Level of consciousness, ease of breathing, and body position
Examples: Urgent: The examiner finds a person in a hospital gown sitting on the floor
gasping for air.Not Urgent: The examiner observes the client speaking complete
sentences on the phone with even respirations.
Complete (Total) Health - ANS>>What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interaction between a person seeking care and the professional
providing care
Includes: A detailed health history and physical examination of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-
term care facility.
Focused (Problem-Centered) - ANS>>What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a
body system
When used: After abnormal findings are identified during any assessment
Includes: The collection of data related to findings of concern
Example: After noting a client's productive cough and shortness of breath when entering
the room, the examiner begins the assessment by listening to lung sounds, measuring
oxygen saturation (O2 sat), checking for cyanosis, and asking questions related to the
noted symptoms (e.g., How long has the cough been present?).
Follow-Up - ANS>>What kind of health assessment is this?
