Health Assessment
Mock Exam
Course Introduction
Health Assessment is a foundational course that explores the systematic methods used to collect and analyze health information from patients across the lifespan. The course emphasizes the development of interviewing skills, physical examination techniques, and the interpretation of assessment findings to identify normal and abnormal health patterns. Students will learn to integrate physiological, psychological, sociocultural, and developmental factors during assessment to support holistic care planning. Through lectures, simulations, and practical labs, students gain proficiency in documenting and communicating health assessment data, preparing them for effective clinical decision-making in diverse healthcare settings.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
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Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2458
Sample Questions
Q1) The nurse documents which information in the patient's history?
A) The patient's skin feels warm to the touch.
B) The patient is scratching his arm.
C) The patient's temperature is 100° F.
D) The patient complains of itching.
Answer: D
Q2) A nurse is teaching a patient how to manage chronic obstructive pulmonary disease (COPD). This intervention is an example of which level of health promotion?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Risk factor prevention
Answer: C
Q3) Which activity illustrates the concept of primary prevention?
A) Monthly breast self-examination
B) Annual cervical (Papanicolaou test) examination
C) Education about living with asthma
D) Exercising three times a week
Answer: D
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Page 3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) What does the nurse say to obtain more data about a patient's vague statement about diet such as, "My diet's okay"?
A) "Eating a variety of meats, fruits, and vegetables each day is important."
B) "Give me an example of the foods you eat in a typical day."
C) "Go on."
D) "Does your diet meet your needs or does it need improvement?"
Answer: B
Q2) A nurse suspects a female patient is a victim of physical abuse. Which response is most likely to encourage the patient to confide in the nurse?
A) "You've got a huge bruise on your face. Did your husband hit you?"
B) "That bruise looks tender. I don't know how people can do that to one another."
C) "If your boyfriend hit you, you can get a restraining order against him."
D) "I've seen women who have been hurt by boyfriends or husbands. Does anyone hit you?"
Answer: D
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Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nurse is using the Snellen chart to assess a patient's vision. The patient states that the green line on the chart is shorter than the red line. What is the interpretation of this finding?
A) This patient has normal color perception and abnormal field perception.
B) This patient is color blind but has normal field perception.
C) This patient's color perception and field perception are normal.
D) This patient is color blind and has abnormal field perception.
Answer: A
Q2) How does the nurse detect a pulse when using a Doppler?
A) The pulsation is felt.
B) The pulsation is heard.
C) The pulse wave is seen on a screen.
D) The pulse wave is printed out on special paper.
Answer: B
Q3) What are characteristics of an audioscope?
A) Screens for hearing ability
B) Allows visualization into the ear canal
C) Must be calibrated before use
D) Uses vibration to estimate hearing loss
Answer: A
Page 5
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Chapter 4: General Inspection and Measurement of Vital Signs
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The nurse taking a patient's blood pressure recognizes that several factors may cause an increased blood pressure reading. Which factors below can increase blood pressure? (Select all that apply.)
A) The patient rates pain at a level of 7 on a scale of 0 to 10.
B) The cuff was reinflated before being completely deflated.
C) The patient drank cold milk just before the reading.
D) The time of day is late afternoon.
E) The cuff is too wide for the extremity.
Q2) Which method of temperature measurement indirectly reflects inner core temperature? (Select all that apply.)
A) Axillary temperature
B) Oral temperature
C) Tympanic temperature
D) Rectal temperature
E) Temporal artery temperature
Q3) Which body system does the nurse assess primarily by inspection?
A) Respiratory
B) Gastrointestinal
C) Skin
D) Cardiovascular
6
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Chapter 5: Cultural Assessment
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14 Flashcards
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Sample Questions
Q1) Which example below best characterizes a patient's race?
A) The language spoken in the patient's home is Tagalog.
B) The patient's family follows a kosher diet.
C) The patient and his family have blonde hair and fair skin.
D) The patient's grandparents came to the United States from Germany.
Q2) An Asian woman comes to the clinic with a complaint of back pain. During the history, she tells the nurse that she usually uses acupuncture for her pain. What is the nurse's best response?
A) "When have you used acupuncture, and what effects did it have?"
B) "Acupuncture is good for some problems, but for major illnesses it's best to use medications."
C) "Why did you use acupuncture?"
D) "I have heard that many Asian people use acupuncture."
Q3) Which question is most effective in assessing a patient's personal beliefs about health and illness?
A) "What or who do you believe controls your health?"
B) "Do you see your health care provider annually?"
C) "Do you have specific beliefs about health and illness?"
D) "Who makes the health decisions in your family?"
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Page 7
Chapter 6: Pain Assessment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which patient has pain caused by abnormal processing of sensory input from the peripheral nervous system?
A) The patient who has aching pain from muscle strain
B) The patient who has burning pain along the sciatic nerve
C) The patient who has cramping pain from a tumor in the colon
D) The patient who has throbbing pain from arthritis
Q2) A patient admitted to the emergency department with "excruciating chest pain, above the rating of 10," has a heart rate of 55, rapid, irregular respirations, complains of nausea, and is too weak to move to the stretcher without aid. Which component of the nervous system is the cause of this patient's response to pain?
A) Parasympathetic
B) Sympathetic
C) Central
D) Peripheral
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8
Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) An elderly patient was admitted with pneumonia and a fever of 104.5° F. At the time of admission he was confused, disoriented, restless, and tried to slap the nurse who started an intravenous line. His daughter stated, "Just yesterday he was perfectly fine, except for a cold. I can't believe he is acting this way now." Within a few days, his erratic behavior subsided and his daughter was relieved that he was "back to normal." The nurse recognizes that this patient was exhibiting signs of which disorder?
A) Dementia
B) Delirium
C) Panic attack
D) Alcohol withdrawal
Q2) In contrasting the assessment of mental status from mental health, a nurse recognizes that data for the mental status examination are obtained using which techniques?
A) Asking them about their relatives who have mental health disorders
B) Having them demonstrate their ability to reason and calculate
C) Asking them to recall how they have coped with daily stress
D) Having them describe their mood and emotions
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Page 9
Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse is assessing an 80-year-old patient who is cared for at home by his 79-year-old wife. Which data indicate this patient has malnutrition? (Select all that apply.)
A) Body mass index (BMI) of 17
B) Waist-to-hip ratio of 1.0
C) Weight loss of 6% since last month's visit
D) Prealbumin level of 16 mg/dl
E) Hematocrit level of 50%
F) Hemoglobin level of 20 g/dl
Q2) A patient with mild renal disease has been put on a 2200-calorie per day diet plan with the lowest recommended amount of protein. During discharge teaching, the nurse explains to this patient how to use nutrition labels to determine the amount of protein in the product. The nurse explains, however, that the label is based on 2000 calories. Which is the appropriate formula to teach this patient the least amount of protein he can eat on his prescribed diet?
A) 2200 calories × 0.15 = 330/9 calories/gram = 36.6 g
B) 2200 calories × 0.10 = 220/4 calories/gram = 55 g
C) 2200 calories × 0.20 = 440/9 calories/gram = 48.8 g
D) 2200 calories × 0.12 = 264/4 calories/gram = 66 g
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Page 10
Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) During shift report, a nurse learns that a patient has a macular rash. As the nurse inspects the patient's skin, what finding will confirm the rash?
A) Elevated, firm, well-defined lesions less than 1 cm in diameter
B) Depressed, firm, or scaly, rough lesions greater than 1 cm in diameter
C) Elevated, fluid-filled lesions less than 1 cm in diameter
D) Flat, well-defined, small lesions less than 1 cm in diameter
Q2) A nurse is inspecting the skin of a patient who has had skin problems after multiple piercings. How will the nurse recognize the characteristics of keloids?
A) Roughened and thickened scales involving flexor surfaces
B) Hypertrophic scarring extending beyond the original wound edges
C) Thin, fibrous tissue replacing normal skin following injury
D) Loss of the epidermal layer, creating a hollowed-out or crusted area
Q3) A nurse notes that a 2-year-old child has multiple bruises over his body at different stages of healing. What is the most appropriate action for the nurse at this time?
A) Obtain further data now to rule out abuse.
B) Remind parents that toddlers are clumsy and may fall, causing bruising.
C) Determine if this toddler has a coagulation disorder.
D) Recommend further observation at future visits.
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11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) A nurse assessing the hearing of a patient with presbycusis expects which finding on a test for hearing?
A) Bone conduction will be longer than air conduction on the Rinne test (BC > AC).
B) Air conduction will be longer than bone conduction on the Rinne test (AC > BC).
C) Sound lateralizes to the affected ear on the Weber test.
D) Sound lateralizes to both ears equally on the Weber test.
Q2) How does the nurse test the function of the patient's spinal accessory nerve (CN XI)?
A) Ask the patient to stick out the tongue and move it side to side.
B) Ask the patient to shrug the shoulders against the resistance of the nurse's hands.
C) Ask the patient to open the mouth and observe the uvula rise when he says "ah."
D) Ask the patient to move the chin to the chest and then up toward the ceiling.
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Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) During the problem-based history, a patient reports coughing up sputum when lying on the right side, but not when lying on the back or left side. The nurse suspects this patient may have a lung abscess. What additional question does the nurse ask to gather more data?
A) "Does the sputum have an odor?"
B) "Do you have chest pain when you take a deep breath?"
C) "Have you also experienced tightness in your chest?"
D) "Have you coughed up any blood?"
Q2) A patient complains of shortness of breath and having to sleep on three pillows to breathe comfortably at night. During the nurse's examination, what findings will suggest that the cause of this patient's dyspnea is due to heart disease rather than respiratory disease?
A) Increased anteroposterior diameter
B) Clubbing of the fingers
C) Bilateral peripheral edema
D) Increased tactile fremitus
Q3) A patient tells the nurse that he has smoked 1 \(\frac{1}{2}\) packs of cigarettes a day for 14 years. The number of packs the nurse should record in the medical record is ___ pack-years.
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Page 13
Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The patient describes her chest pain as "squeezing, crushing, and 12 on a scale of 10." This pain started more than an hour ago while she was resting, and she also feels nauseous. Based on these findings, the nurse should assess for which associated symptoms?
A) Tachycardia, tachypnea, and hypertension
B) Dyspnea, diaphoresis, and palpitations
C) Hyperventilation, fatigue, anorexia, and emotional strain
D) Fever, dyspnea, orthopnea, and friction rub
Q2) A nurse is assessing a patient's peripheral circulation. Which finding indicates venous insufficiency of this patient's legs?
A) Paresthesias and weak, thin peripheral pulses
B) Leg pain that can be relieved by walking
C) Edema that is worse at the end of the day
D) Leg pain that increases when the legs are lowered
Q3) What does the S2 heart sound represent?
A) The beginning of systole
B) The closure of the aortic and pulmonic valves
C) The closure of the tricuspid and mitral valves
D) A split heart sound on exhalation
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Page 14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A patient tells the nurse, "I've been having pain in my belly for several days that gets worse after eating." Which datum from the symptom analysis is consistent with the nurse's suspicion of peptic ulcer disease?
A) Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
B) Sharp midepigastric pain radiates to the jaw.
C) Intermittent cramping pain in the left lower quadrant is relieved by defecation.
D) Colicky pain is felt near the umbilicus with vomiting and constipation.
Q2) When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
A) Protruding abdomen with skin that is lighter in color than the arms and legs
B) Marked, widely lateral pulsating mass to the left of the midline
C) Faint, fine vascular network
D) Small shadows created by changes in contour
Q3) When inspecting a patient's abdomen, which finding does the nurse note as normal?
A) Engorgement of veins around the umbilicus
B) Sudden bulge at the umbilicus when coughing
C) Visible peristalsis in all quadrants
D) Silver-white striae extending from the umbilicus
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Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Nurses inquire about lifestyle behaviors of patients with risk factors for osteoarthritis. Which risk factors for osteoarthritis does the nurse ask about? (Select all that apply.)
A) Estrogen deficiency
B) Physical inactivity
C) Overuse of joints
D) Smoking
E) Obesity
F) Age
Q2) What movement from the patient does a nurse request to assess for hyperextension of the hip?
A) Raise one leg at a time while lying prone.
B) Raise one leg at a time while lying supine.
C) Move one leg at a time laterally, away from midline, while lying prone.
D) Move one leg at a time medially, toward midline, while lying supine.
Q3) When assessing the neck of a healthy adult, a nurse expects which findings?
A) A convex contour of the posterior cervical spine
B) Bending of the head to the right and left (ear to shoulder) 15 degrees
C) Turning the chin to the right shoulder and then the left shoulder
D) Hyperextension of the head 30 degrees from midline
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Page 16
Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) As a patient is walking down the hall, the nurse notices the patient's staggering, unsteady gait. What findings does the nurse anticipate on the neurologic examination?
A) When the patient stands with feet together, eyes open and then closed, an upright posture is maintained.
B) When the patient touches the end of each finger to the thumb of the same hand, a tremor is observed in the fingers.
C) When the patient is giving a history to the nurse, a tremor is noticed as the patient's hands rest in the lap.
D) When lying supine, the patient is able to move the heel of one foot down the shin of the other leg.
Q2) A nurse who is assessing a patient's eyes finds that the pupils are equal, round, and react to light and accommodation (PERRLA). These findings verify the expected functioning of which cranial nerve?
A) Optic cranial nerve (CN II)
B) Oculomotor cranial nerve (CN III)
C) Trochlear cranial nerve (CN IV)
D) Abducens cranial nerve (CN VI)
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Page 17
Chapter 16: Breasts and Axillae
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Sample Questions
Q1) A patient comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority?
A) Palpating both breasts comparing amount of discharge
B) Asking the patient about breast pain
C) Asking the patient to raise her arms and comparing the movement of the breasts
D) Obtaining a specimen of the discharge for cytology
Q2) What technique does a nurse use when performing a breast examination on a patient who has had a mastectomy?
A) Excludes palpation of the axillary area where there was lymph node dissection
B) Inspects and palpates both the operative and the nonoperative sides
C) Avoids palpating the scar to prevent causing the patient any discomfort
D) Palpates only the muscle tissue on the affected side
Q3) In assessing the breast of a male patient, the nurse places him in which position?
A) Standing with hands over the head
B) Supine with the hand on the side being examined placed behind the head
C) Sitting with arms at the side
D) Bending forward 45 degrees at the waist
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18
Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
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Sample Questions
Q1) During an internal examination of a patient's anus, the nurse notes that the patient has a hypertonic sphincter. What is the most relevant action for the nurse to take at this time?
A) Ask the patient about anxiety or pain related to the examination.
B) Inquire if the patient has had any neurologic injury that causes a hypertonic sphincter.
C) Refer the patient to the physician for evaluation.
D) Question the patient about a history of anal trauma.
Q2) In assessing a patient with suspected Chlamydia, the nurse's actions are guided by which characteristic of this disease?
A) Chlamydia is frequently asymptomatic and requires screening.
B) Chlamydia is associated with a yellow-green vaginal discharge.
C) Chlamydia is accompanied by heavy bleeding and headache.
D) Chlamydia is only seen in immunocompromised patients.
Q3) The nurse documents which finding as expected on inspection of the anus?
A) Skin tone darker and coarser than that of the surrounding skin
B) Sphincter lightly closed when the patient is relaxed
C) Large amount of stiff, curling hair surrounding the anus
D) Slight protrusion under the skin when the patient strains or bears down
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19
Chapter 18: Developmental Assessment Throughout the Life Span
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Sample Questions
Q1) The parents of a 14-year-old boy express concern that their son's behavior ranges from clean-cut and personable to "grungy" and sullen. They have tried talking with him about this and have tried disciplining him, but he continues to show different sides, and they are confused. What is the nurse's assessment for the behavior of this teenager?
A) The teenager is dangerously labile.
B) This behavior is normal experimentation.
C) This boy is being rebelliously hostile.
D) This behavior may require hospitalization.
Q2) Interviewing patients in middle adulthood, the nurse recognizes which behavior as an expected developmental task for this age group?
A) Finding meaning in life
B) Establishing autonomy as an individual
C) Increased self-understanding
D) Dissatisfaction with one's interpersonal relationships
Q3) Which behavior illustrates a developmental task for a "young-old" older adult?
A) Adapting to living alone
B) Adjusting to loss of physical strength, illness, and emotional stress
C) Managing leisure time
D) Accepting possible institutional living arrangements
Page 20
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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45 Verified Questions
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Sample Questions
Q1) After assessment of each child, the nurse determines which child needs to be referred for further evaluation?
A) A 4-year-old child with a predominantly nasal breathing pattern
B) A 6-year-old child with a 1:2 anteroposterior-to-transverse-chest ratio
C) A 7-year-old child with a predominantly thoracic breathing pattern
D) A 9-year-old child with bronchovesicular breath sounds in peripheral lungs
Q2) How does a nurse respond to parents of a 5-year-old who are worried that their child has a protruding abdomen?
A) Assesses the child to differentiate a normal "potbelly" from a hernia
B) Suggests that the parents administer an appropriate dose of a laxative at bedtime
C) Refers the parents to a nutritionist to develop an appropriate weight-loss diet for the child
D) Informs the parents that a protruding abdomen is always an abnormal finding in this age group
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21
Chapter 20: Assessment of the Pregnant Patient
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Sample Questions
Q1) A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?
A) Gestational diabetes mellitus
B) Preeclampsia
C) Placenta enlargement
D) Multiple gestations
Q2) In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?
A) Small, round, oval cervix
B) Pale, symmetrical cervix
C) Smooth, bluish-colored cervix
D) Slit-shaped, pink cervix
Q3) Using Nägele's rule, what is the estimated delivery date of a patient whose last menstrual period started on December 1?
A) August 1
B) August 10
C) September 4
D) September 8
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Page 22
Chapter 21: Assessment of the Older Adult
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Sample Questions
Q1) The nurse examining the breasts of an older adult woman recognizes which finding as normal?
A) Firm and rounded breasts of equal size and shape
B) Relatively large size and number of mammary ducts
C) Loose elasticity and puckering of the suspensory ligaments
D) Flattened breasts with a slightly granular texture on palpation
Q2) During an office visit, a 78-year-old woman is upset because her height is "2 inches less than it was when I was 40!" How does the nurse explain this change to the patient?
A) "Reduced height may occur as you age due to shortening of the vertebrae."
B) "You may be experiencing this height change due to arthritis."
C) "You need to improve your posture by performing stretching exercises."
D) "This is a rare occurrence and warrants having a bone density test."
Q3) A nurse asks an older adult patient to rise from an arm chair without using the arms, stand with eyes closed, and turn around in a circle. What is the nurse assessing in this patient?
A) Ability to follow instructions
B) Muscle strength
C) Balance
D) Hearing
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Page 23
Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) Which techniques does a nurse use routinely to collect data when assessing a patient's anterior thorax? (Select all that apply.)
A) Palpation of the thorax for fremitus
B) Inspection of the skin for color, intactness, lesions, and scars
C) Auscultation of breath sounds bilaterally
D) Auscultation of heart sounds for rate, rhythm, frequency, and S1 and S2
E) Palpation of the anterior chest wall for thoracic expansion
F) Inspection of respiratory movement for symmetry and ease of respiration
Q2) Which data does a nurse collect during the general survey when meeting a patient for the first time? (Select all that apply.)
A) Gait
B) Muscle strength
C) Heart sounds
D) Hearing and speech abilities
E) Mood or affect
F) Position of the trachea
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Chapter 23: Documenting the Comprehensive Health Assessment
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Sample Questions
Q1) Which data do nurses document under the category of past health history?
A) Chronic diseases
B) Immunizations received
C) Allergies to medications or food
D) Causes of death of the patient's parents
Q2) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
Q3) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?
A) Review of systems
B) Present health status
C) Past health history
D) Functional ability
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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Sample Questions
Q1) A nurse uses the Glasgow Coma Scale to assess which patient?
A) The patient who has a new onset of quadriplegia
B) The patient who has tonic-clonic seizures
C) The patient who requires stimuli for responses
D) The patient who has dementia
Q2) When performing a neurologic assessment of a male patient, a nurse discovers that shouting and shaking are necessary to arouse the patient enough to assess his neurologic status. After the patient answers questions about who he is and squeezes the nurse's hand as requested, he returns to "sleep." How does the nurse document this patient's level of consciousness?
A) Lethargic
B) Obtunded
C) Stuporous
D) Semicomatose
Q3) For which patient does the nurse make assessment of the oral mucous membrane a priority?
A) The patient who has an arteriovenous (AV) fistula
B) The patient who has a gastrostomy tube
C) The patient who uses a Ventimask
D) The patient who has a colostomy
Page 26
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