Health Assessment Final Exam Questions
Course Introduction
Health Assessment is a foundational course that introduces students to the systematic techniques and skills required for comprehensive physical, psychosocial, and functional assessments of individuals across the lifespan. Students learn to collect, analyze, and interpret health-related data through various assessment methods, including interviewing, inspection, palpation, percussion, and auscultation. Emphasis is placed on developing critical thinking and clinical judgment abilities for identifying normal and abnormal findings, documenting assessments accurately, and communicating results effectively within a healthcare team. This course prepares students for advanced clinical practice by integrating cultural, ethical, and developmental considerations into the health assessment process.
Recommended Textbook
Adult Health Nursing 7th Edition by Cooper
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Chapter 1: Introduction to Anatomy and Physiology
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Sample Questions
Q1) What is the type of tissue composed of cells that contract in response to a message from the brain or spinal cord?
A) Epithelial
B) Connective
C) Membrane
D) Muscle
Answer: D
Q2) The nurse is aware that when a patient complains of pain in the epigastric region,the source of the pain is most likely to be a disorder involving the:
A) gallbladder.
B) transverse colon.
C) stomach.
D) appendix.
Answer: C
Q3) The body plane that divides the body into the ventral and dorsal section is the_________ plane.
Answer: coronal
The coronal plane divides the body into ventral and dorsal (front and back)sections.
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3
Chapter 2: Care of the Surgical Patient
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Sample Questions
Q1) Discharge planning for a surgical procedure begins in the ______________ period and continues through the _____________ period.
Answer: preoperative,recuperative
When discharge planning is begun in the preoperative period and all through the postoperative period,the patient can assume greater responsibility for self-care and will experience less stress about going home.
Q2) A patient is transferred from the operating room to the recovery room after undergoing an amputation of his left foot.Place the interventions in the correct order for immediate assessment once the patient enters the PACU.(Separate letters by a comma and space as follows: A,B,C,D)
A) System review
B) Breathing
C) Circulation
D) Airway
E) Level of consciousness
Answer: D,B,E,C,A
The assessment of an adequate airway is primary in the postanesthesia assessment,followed by breathing assessment,level of consciousness,circulation,and finally system review.
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Chapter 3: Care of the Patient with an Integumentary Disorder
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Sample Questions
Q1) The most deadly skin cancer is ________________.
Answer: melanoma
Malignant melanoma is a cancerous neoplasm that invades the epidermis,dermis,and sometimes the subcutaneous tissue.
Q2) Which of the following are nursing interventions and patient teaching for the treatment of head lice and scabies? (Select all that apply. )
A) Clothing,linens,and bath articles thoroughly cleaned in hot water
B) Stress nature and transmission of the disease
C) Special carbohydrate diet to promote healing
D) Complete isolation from the public
Answer: A,B
Q3) A frail,older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox)several days ago.What should the nurse do?
A) Assess frequently for herpes zoster
B) Be aware of the patient's immunity to chickenpox
C) Encourage the patient to have a pneumonia vaccine
D) Arrange for the patient to receive gamma globulin
Answer: A
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Chapter 4: Care of the Patient with a Musculoskeletal Disorder
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Sample Questions
Q1) The patient has been diagnosed as having gouty arthritis.The patient asks the nurse to explain the cause of the inflammation of the great toe.What is the most appropriate nursing response?
A) "You have calcium oxalate deposits that are seen in gouty arthritis."
B) "The inflammation is from small accumulations of uric acid crystals,which are called tophi."
C) "The small nodules are not related to the arthritis condition."
D) "You have fat deposits that are common with gouty arthritis."
Q2) The nurse explains to a patient who has had a knee replacement that warfarin (Coumadin)is ordered to:
A) increase the red blood cells.
B) reduce the threat of hemorrhage.
C) prevent formation of emboli.
D) help stabilize the prosthesis.
Q3) The emergency department nurse assesses the two cardinal signs of a hip fracture in a newly admitted patient,which are the___________ of the injured leg and the ______rotation of that same leg.
Q4) The division of the skeletal system that comprises the skull,hyoid,vertebral column,and thorax is the _____________ division.
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Chapter 5: Care of the Patient with a Gastrointestinal Disorder
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Sample Questions
Q1) What is the most lethal complication of a peptic ulcer?
A) Bleeding
B) Perforation
C) Severe pain
D) Gastric outlet obstruction
Q2) Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
A) Consume only liquid
B) Avoid fruit juices
C) Drink 10 oz of fluid with each meal
D) Lie down for 30 minutes after each meal
Q3) The nurse explains to the patient with Crohn disease that the tube feedings allow for:
A) Rapid absorption in the upper GI tract
B) Decompression of the stomach
C) Reduction of diarrheic episodes
D) A permanent nutritional support
Q4) The nurse takes into consideration that long-term use of antibiotics can cause an antibiotic-associated pseudomembranous colitis from the organism________.
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Chapter 6: Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder
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Sample Questions
Q1) Hepatitis D is usually seen as a co-infection with __________.
Q2) The disease that is on the increase because of the growing obesity population and is associated with coronary artery disease and use of corticosteroids is_______________.
Q3) A patient was scheduled for a laparoscopic cholecystectomy,but complications developed and he underwent an open cholecystectomy with a T-tube inserted into the common bile duct.What is the purpose of the T-tube?
A) To decompress the duct and relieve pain caused by stimulation of the sphincter of Oddi.
B) To improve diaphragmatic expansion and prevention of atelectasis.
C) To shorten postoperative recovery and hasten the healing process.
D) To keep the duct open and allow drainage of the bile until edema resolves.
Q4) Why is it advantageous for a live person to be a liver donor?
A) Because the donor is not at risk for any complication
B) Because the recipient is more likely to avoid rejection
C) Because the donor donates only a part of the liver
D) Because the blood supply is more dependable in the donated liver
Q5) A ___________occurs when the body encapsulates the autodigestive debris in the pancreatic tissue,frequently becoming an abscess.
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Chapter 7: Care of the Patient with a Blood or Lymphatic Disorder
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Sample Questions
Q1) From which location would the bone marrow sample come in the aspiration of a 25-year-old patient?
A) Sternum
B) Posterior superior iliac crest
C) Posterior iliac crest
D) Femur
Q2) The nurse explains that the treatment of hemophilia A has been revolutionized with the advent of the use of:
A) corticosteroids.
B) large doses of testosterone.
C) recombinant factor VIII.
D) transfusion with packed red cells.
Q3) The home health nurse recommends to the mother of a 12-year-old child with leukemia that the child should have:
A) the series for prevention of hepatitis B.
B) an annual influenza vaccine.
C) an annual pneumococcal vaccine.
D) vitamin B<sub>12</sub> shots
Q4) Neutrophils release ______________,an enzyme that destroys certain bacteria.
Page 9
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Chapter 8: Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder
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Sample Questions
Q1) The home health nurse caring for a patient with infective endocarditis overhears the patient making a dental appointment for an extraction next month.Which question is most important for the nurse to ask?
A) "Do you have a toothache?"
B) "Have you contacted your physician about your dental appointment?"
C) "Is your dentist board certified?"
D) "Do you think you should wait that long for your tooth extraction?'
Q2) The process by which a heart is shocked from a persistent arrhythmia back into sinus rhythm is called a ____________.
Q3) The patient has been hospitalized for hypertensive episodes three times in the last months.While preparing the discharge teaching plan,the nurse assesses that he does not comply with his medication regimen.The nurse's immediate course of action would be to:
A) reteach him about his medications.
B) have a serious talk with him and his family about compliance.
C) arrange for home visits after discharge.
D) collect more information to identify his reasons for noncompliance.
Q4) The cardiac marker ___________ rises 3 hours after a myocardial infarct and measures myocardial contractile protein.
Page 10
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Chapter 9: Care of the Patient with a Respiratory Disorder
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Sample Questions
Q1) The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:
A) friction rub.
B) sibilant wheezes.
C) crackles.
D) sonorous wheezes.
Q2) A patient,age 22,is admitted with acute asthma.The patient shows a pulse oximetry level of SaO of 82%.How should the nurse interpret this?
A) Only 82% of the red blood cells are able to use oxygen.
B) There is only 82% of oxygen bound to the hemoglobin compared with the amount available.
C) Eighteen percent of oxygen is not dissolved in the blood.
D) The muscular respiratory effort is only 18% effective.
Q3) How should a patient be positioned after a thoracentesis is completed and the dressing applied?
A) High Fowler
B) Semi-Fowler
C) Side lying on unaffected side
D) Prone
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Page 11
Chapter 10: Care of the Patient with a Urinary Disorder
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Sample Questions
Q1) Because the kidneys are located in proximity to the vertebrae and are protected by the ribs,their location in documentation is referred to as:
A) retroperitoneal.
B) diaphragm-vertebral.
C) costovertebral.
D) urachal-peritoneal.
Q2) The patient,age 43,has cancer of the urinary bladder.He has received a cystectomy with an ileal conduit.Which characteristics would be considered normal for his urine?
A) Hematuria
B) Clear amber with mucus shreds
C) Dark bile-colored
D) Dark amber
Q3) The nurse assessing a patient who is taking furosemide (Lasix)finds an irregular pulse.This is likely a sign of:
A) hypomagnesemia.
B) hypernatremia.
C) hypokalemia.
D) hypercalcemia.
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Chapter 11: Care of the Patient with an Endocrine Disorder
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Sample Questions
Q1) The nurse would instruct a patient who is hypocalcemic from hypoparathyroidism about a diet that should include (select all that apply):
A) High phosphorus foods
B) Canned fish with the bones
C) Cucumbers
D) Tofu
E) Bananas
F) Vitamin D supplements
Q2) When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm,this is a(n)__________ ____________.
Q3) What is the master gland of the endocrine system?
A) Thyroid
B) Parathyroid
C) Pancreas
D) Pituitary
Q4) Another term for hyperglycemic reaction is ____________ ______________.
Q5) ________________is the term that describes a condition of normal thyroid function.
Q6) Only ________insulin can be administered intravenously.
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Chapter 12: Care of the Patient with a Reproductive Disorder
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Sample Questions
Q1) An alternative remedy,____________ ,is used by men for the treatment of impotence.
Q2) What instruction should a nurse give a patient with congenital herpes who does not have lesions at the present?
A) "Continued use of acyclovir (Zovirax)will prevent reinfection by the virus."
B) "Condoms should be used during all sexual activity to prevent transmission of the virus,even when lesions are not present."
C) "Acyclovir ointment should be applied to the lesions to increase comfort and speed healing."
D) "Recurrent genital herpes is promoted by any sexual stimulation."
Q3) A patient,age 26,has had a tubal insufflation (Rubin test)to ascertain whether her fallopian tubes are patent.She complains of pain in her right shoulder.Which response is most appropriate?
A) "Don't worry,that is a normal reaction."
B) "I'll report the findings immediately to the head nurse."
C) "That is a symptom that resulted from your position on the operating table."
D) "That is from the carbon dioxide passing from the fallopian tubes into your abdomen."
Q4) ________are produced in the seminiferous tubules and stored in the epididymis.
Page 14
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Chapter 13: Care of the Patient with a Sensory Disorder
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Sample Questions
Q1) What does diabetes retinopathy result from?
A) Capillaries in retina hemorrhage
B) Long-term overdosing of insulin
C) Retinal detachment
D) Aging
Q2) Which of the following are causes of cataracts? (Select all that apply. )
A) Long-term use of corticosteroids
B) Hypotension
C) Congenital from exposure to maternal rubella
D) Diabetes mellitus
E) Exposure to sand and dust
F) Smoking
Q3) The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to:
A) damaged tympanic membrane.
B) protective buildup of cerumen.
C) damage of the fine hair cells in the organ of Corti.
D) rupture of the oval window.
Q4) Progressive deafness caused by the ankylosis of the stapes is the condition of__________.
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Chapter 14: Care of the Patient with a Neurologic Disorder
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Sample Questions
Q1) The nurse is aware that the characteristic gait of the person with Parkinson disease is a propulsive gait,which causes the patient to:
A) stagger and need support of a walker.
B) shuffle with arms flexed.
C) fall over to one wide when walking.
D) take small steps balanced on the toes.
Q2) What should the nurse do when the child arrives on the floor with the diagnosis of bacterial meningitis?
A) Arrange for humidified oxygen per mask
B) Place the child in respiratory isolation
C) Inquire about drug allergy
D) Hold NPO until orders arrive
Q3) Following a myelogram the nurse should include in the postprocedure care assessment for:
A) elevation of blood pressure.
B) urine retention.
C) sensation in lower extremities.
D) slurred speech.
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Chapter 15: Care of the Patient with an Immune Disorder
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Sample Questions
Q1) The nurse takes into consideration that when the antigen and antibody react,the complement system is activated which:
A) toughens the cell wall.
B) generates more T cells.
C) attracts phagocytes.
D) makes the antigen resistant.
Q2) What should the nurse include to assess for in the plan of care for a patient undergoing plasmapheresis?
A) Hypotension
B) Hypersensitivity
C) Urticaria
D) Flank pain
Q3) In which patient should the nurse be most concerned about immunodeficiency disorder?
A) The patient taking desensitization injections (immunotherapy)
B) The patient on long-term radiation therapy for cancer
C) The overweight patient
D) The patient recently diagnosed with lupus erythematosus
Q4) A type IV latex allergy is characterized by________ _______.
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Chapter 16: Care of the Patient with HIV/AIDS
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Sample Questions
Q1) A patient has just been diagnosed as HIV-positive.He asks the nurse,"Does this mean I have AIDS?" Which response would be most informative?
A) "Most people get AIDS within 3 to 12 weeks after they are infected with HIV."
B) "Don't worry.You may never get AIDS if you eat properly,exercise,and get plenty of rest."
C) "It varies with every individual,but the average time is 8 to 10 years from the time a person is infected,and some go much longer."
D) "You can expect to develop signs and symptoms of AIDS within 6 months."
Q2) The nurse explains that an enzyme ____________ ____________ allows the RNA of the retrovirus to be changed to DNA and incorporated into the host's genetic material.
Q3) A male patient is concerned about telling others he has HIV infection.What should the nurse stress when discussing his concerns?
A) Care providers and sexual partners should be told about his diagnosis.
B) There is no reason to hide his disease.
C) Secrecy is a poor idea because it will lower his self-esteem.
D) His diagnosis will be obvious to most people with whom he will come into contact.
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Chapter 17: Care of the Patient with Cancer
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Sample Questions
Q1) The nurse remarks that the American Cancer Society (ACS)reports that cancer is the ______ leading cause of death in the United States.
Q2) The term ____________ refers to the process by which a normal cell is transformed into a cancer cell.
Q3) Which of the following are risk factors for cancer? (Select all that apply. )
A) Ethnicity
B) Environmental irritants
C) Alcoholism
D) Hereditary factors
E) Excessive exercise
F) Exposure to ultraviolet light
Q4) How do cancer cells differ from normal cells? (Select all that apply. )
A) They replicate in an organized manner.
B) They have larger nuclei.
C) They have an irregular shape.
D) They have a different number of chromosomes.
E) They have a different mitosis process.
Q5) Men over age 50 should consider an annual _________ test and rectal examination.
Q6) A ___________ test screens for occult blood in the stool.
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