Health Assessment
Question Bank
Course Introduction
Health Assessment is a foundational course designed to equip students with the knowledge and skills required to systematically collect, analyze, and interpret data related to the health status of individuals across the lifespan. Emphasizing both theory and practical application, this course covers techniques such as interviewing, physical examination, and the use of diagnostic tools to assess physical, psychological, developmental, and sociocultural factors influencing health. Students learn to document findings accurately and to use clinical reasoning to identify normal versus abnormal assessment outcomes, laying the groundwork for effective clinical decision-making and patient-centered care.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
Source URL: https://quizplus.com/study-set/177
Page 2
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) 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
Q2) After collecting the data, the nurse begins data analysis with which action?
A) Clustering data
B) Documenting subjective data
C) Reporting information to other health team members
D) Documenting objective information
Answer: A
Q3) For which person is a comprehensive assessment indicated?
A) The person who had abdominal surgery yesterday
B) The person who is unaware of his high serum glucose levels
C) The person who is being admitted to a long-term care facility
D) The person who is beginning rehabilitation after a knee replacement
Answer: C
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3
Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) During an interview, a patient begins to cry and appears angry. Which response by the nurse is most therapeutic?
A) "This topic prompted an emotional response, tell me what you are feeling."
B) "This topic does not usually cause such an emotional response."
C) "Calm down and tell me what is wrong."
D) "I will leave you alone for a few minutes so you can pull yourself together."
Answer: A
Q2) Which questions are pertinent to ask when obtaining a symptom analysis from a patient who reports breathing problems? (Select all that apply.)
A) How long have you had this problem with your breathing?
B) Do you have a family history of breathing problems?
C) Does this breathing problem come and go or is it constant?
D) What do you do to make your breathing better?
E) How does this breathing problem affect your work or daily activities?
F) How many packs of cigarettes do you smoke a day?
Answer: A, C, D, E
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4
Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) 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
Q2) When does a nurse use a Pederson or Graves speculum for examination of a patient?
A) To inspect the external ear
B) To assess the vaginal canal
C) To inspect nasal passages
D) To assess the oropharynx
Answer: B
Q3) Where does the nurse attach the sensor probe of the pulse oximeter to measure an adult patient's oxygen saturation?
A) The chest over the patient's heart
B) Over the patient's abdominal aorta
C) Over the patient's radial pulse
D) Around the patient's index finger nail
Answer: D
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) A patient is sitting slightly forward bracing his arms on his knees in a tripod position. This position is associated with which symptom?
A) Abdominal pain
B) Spinal deformity
C) Back pain
D) Breathing difficulty
Q2) Which statement is correct regarding taking or interpreting axillary temperatures?
A) Axillary temperatures should not be used in patients less than 2 years of age.
B) Readings may be less accurate.
C) The thermometer is left in place for no more than 3 minutes.
D) The thermometer is placed in the axilla with the shoulder abducted.
Q3) The temperature of a patient is measured every 6 hours at 6 AM, 12 PM, 6 PM, and 12
AM. Which temperature reading is expected to be low due to a normal variation?
A) The measurement at 6 AM
B) The measurement at 12 PM
C) The measurement at 6 PM
D) The measurement at 12 AM
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Page 6
Chapter 5: Cultural Assessment
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Sample Questions
Q1) Which question is the most appropriate to learn about a patient's religious practices?
A) "How often do you go to church?"
B) "Where is your church located?"
C) "Do you mind telling me about your religion?"
D) "Do you have any specific religious or spiritual practices or beliefs?"
Q2) A nurse is conducting an assessment of an American Indian woman who has come to the clinic complaining of persistent headaches. The patient tells the nurse that the medicines prescribed by the tribal healer have done "some good." What is the appropriate response of the nurse at this time?
A) "I advise you to stop taking those medicines from the tribal healer."
B) "Perhaps you should increase the frequency of the healer's medicines."
C) "Tell me about these medicines and how often you are using them."
D) "Could your headaches be caused by the healer's medicines?"
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) A patient who had extensive surgery asks the nurse for pain medication for a pain of 9 on a scale of 0 to 10. The nurse completes an assessment of this patient's pain and agrees to give pain medication. When the nurse returns to the patient with the ordered intravenous pain medication, she notices the patient's eyes are closed and he appears to be sleeping. What is the nurse's appropriate action at this time?
A) Lock up the medication in a safe location until the patient awakens.
B) Arouse the patient to confirm he still wants the medication.
C) Give the medication as ordered and agreed to.
D) Consult a colleague about what action to take.
Q2) How do nurses assess pain of neonates or of adults with dementia or decreased level of consciousness? (Select all that apply.)
A) Ask family or caregivers what indicators they think may indicate the patient's pain.
B) Review results of blood tests for signs of pain.
C) Administer the ordered analgesic to the patient.
D) Identify any physiologic signs of pain.
E) Examine the patient for possible causes of pain.
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Chapter 7: Mental Health Assessment
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2464
Sample Questions
Q1) A female patient states that she has had problems with depression in the past and thinks she is depressed again. Which response by the nurse is most appropriate?
A) "What do you think is causing your depression this time?"
B) "What therapies have worked for you in the past?"
C) "Did you stop taking your medication?"
D) "Do you think this is a situational depression?"
Q2) A nurse is admitting a new patient. Which statement by the patient suggests a bipolar disorder?
A) "The last time I had blood drawn at the office, I fainted dead away."
B) "No matter how hard I try, I just can't get into an elevator of any kind."
C) "Everyone knows I can control the financial health of this town with a snap of my fingers."
D) "I worked for Frank Sinatra's band for several months when I lived in New Jersey years ago."
Q3) What function do neurotransmitters have in mental health disorders?
A) Dopamine levels are increased in schizophrenia.
B) Increased levels of gamma aminobutyric acid (GABA) contribute to anxiety.
C) Serotonin is decreased in a state of anxiety.
D) Norepinephrine is increased in depression.
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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 patient who keeps his fat consumption at 10% of his total caloric intake is at risk for deficiency of which nutrient(s)?
A) Iron
B) Vitamins A, D, and K
C) Zinc
D) B and C vitamins
Q2) A nurse calculates a patient's body mass index (BMI) as 33. This measurement indicates which class of weight?
A) Overweight
B) Obesity class I
C) Obesity class II
D) Obesity class III
Q3) What is the desired body weight for a male who is 7 feet tall?
A) 178 lb
B) 225 lb
C) 250 lb
D) 275 lb
Q4) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.
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Chapter 9: Skin, Hair, and Nails
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2466
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 patient has come to the clinic complaining of a "bump" behind his right ear. Upon inspection, the nurse notes a lesion that is elevated, solid, and 4 cm in diameter. What does the nurse call this lesion when she reports her findings to the health care provider?
A) Tumor
B) Nodule
C) Keloid
D) Papule
Q3) How does the nurse recognize jaundice in a dark-skinned patient?
A) Inspect the conjunctiva for ashen-gray color.
B) Inspect the nail beds for a deeper brown or purple skin tone.
C) Inspect the palms and soles for yellowish-green color.
D) Inspect the oral mucous membrane for yellow color.
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11
Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
Source URL: https://quizplus.com/quiz/2467
Sample Questions
Q1) Which findings does the nurse expect when assessing the mouth of a healthy adult?
(Select all that apply.)
A) Lips appear pink, smooth, moist, and symmetric.
B) Teeth are white, yellow, or gray, with smooth edges.
C) Exposed tooth neck and brown spots between teeth
D) Slight roughness on the dorsum of the tongue
E) Hard palate appears smooth, pale, and immovable.
F) Mucous membranes are dry and intact.
Q2) A patient complains of itching, swelling, and drainage from the eyes with a postnasal drip and sneezing. What type of nasal drainage does the nurse anticipate seeing during inspection of this patient's nares?
A) Clear
B) Malodorous
C) Yellow
D) Green
Q3) Which patient in the eye clinic should the nurse assess first?
A) The patient who reports a gradual clouding of vision
B) The patient who complains of sudden loss of vision
C) The patient who complains of double vision
D) The patient who complains of poor night vision
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Chapter 11: Lungs and Respiratory System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2468
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) What are the functions of the upper airways? (Select all that apply.)
A) Conduct air to lower airway.
B) Provide area for gas exchange.
C) Prevent foreign matter from entering respiratory system.
D) Warm, humidify, and filter air entering lungs.
E) Provide transportation of oxygen and carbon dioxide between alveoli and cells.
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) While taking a history, a nurse learns that a patient had rheumatic heart disease as a child. Based on this information, what abnormal data might this nurse expect to find during an examination?
A) An extra beat just before the S2 heart sound heard during auscultation
B) A raspy machine-like or blowing sound heard during auscultation
C) A prominent thrust of the heart against the chest wall felt on palpation
D) A visible indentation of pericardial tissue noted during inspection
Q2) A patient reports having leg pain while walking that is relieved with rest. Based on these data, the nurse expects which finding on inspection and palpation of this patient?
A) 1+ edema of the feet and ankles bilaterally
B) The circumference of the right leg is larger than the left leg
C) Patchy petechiae and purpura of the lower extremities
D) Cool feet with capillary refill of toes greater than 3 seconds
Q3) How is the first heart sound (S1) created?
A) Pulmonic and tricuspid valves close.
B) Mitral and aortic valves close.
C) Aortic and pulmonic valves close.
D) Mitral and tricuspid valves close.
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14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2470
Sample Questions
Q1) 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
Q2) How does the nurse accurately assess bowel sounds?
A) Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant.
B) Hold the diaphragm of the stethoscope lightly against the abdomen in each quadrant.
C) Press the bell of the stethoscope firmly against the abdomen in each quadrant.
D) Hold the bell of the stethoscope lightly against the abdomen in each quadrant.
Q3) What technique does a nurse use when performing deep palpation of a patient's abdomen?
A) Places the left hand under the ribs to lift them up
B) Asks the patient to breathe slowly through the mouth
C) Positions the patient on the right side with knees flexed
D) Uses the heel of the hand to depress the abdomen
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Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2471
Sample Questions
Q1) A patient reports a history of compression of the left cranial nerve XI (spinal accessory nerve) from an old sports injury. Based on this information, what technique does the nurse include in the focused assessment?
A) Asking the patient to rotate the head against resistance of the nurse's hand on the patient's chin
B) Asking the patient to flex the chin to the chest against resistance of the nurse's hand on the patient's forehead
C) Asking the patient to extend the head back against resistance of the nurse's hand on the back of the patient head
D) Asking the patient to shrug the shoulders while the nurse attempts to push them down
Q2) On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?
A) Osteoarthritis
B) Osteoporosis
C) Rheumatoid arthritis
D) Gout
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Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2472
Sample Questions
Q1) What technique does the nurse use to test ankle clonus?
A) Strokes the lateral aspect of the sole of the patient's foot from heel to ball with a reflex hammer
B) Supports the patient's knee in flexed position and sharply dorsiflexes the foot and maintains the flexion
C) Plantar flexes the ankle and strikes the appropriate tendon of the ankle with the hammer.
D) Everts the ankle and slowly moves the ankle into plantar flexion and quickly release the foot
Q2) A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the cranial nerve related to swallowing?
A) Ask the patient about feeling the blunt end of a paper clip along the jaw line.
B) Observe the rising of the soft palate when the patient says "Ahh."
C) Observe the symmetry of the face when the patient talks.
D) Assess taste on the anterior part of the tongue.
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Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse would give immediate attention to the patient who presents with which complaint?
A) Bilateral breast swelling
B) Unilateral nipple discharge
C) A breast lump that changes during the menstrual cycle
D) Unequal breast size
Q2) Based on the history, a nurse determines that the patient with which finding requires further assessment?
A) Occasional discharge from nipples
B) Supernumerary nipples along the milk line
C) Rash in the axillae associated with change in deodorant
D) Mild breast swelling that fluctuates with the menstrual cycle
Q3) 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
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18
Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) What procedure does a nurse use to assess the inguinal ring of a male patient for a hernia?
A) Asks the patient to lie supine, lifts the scrotum, asks the patient to take a deep breath, and observes for a bulge
B) Asks the patient to lean over the examination table, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge
C) Asks the patient to lie on the side not being assessed, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to exhale completely, and palpates for a bulge
D) Asks the patient to stand, inserts a gloved finger into the lower part of the scrotum into the inguinal canal, asks the patient to cough, and palpates for a bulge
Q2) The nurse recognizes which patient has the highest risk of endometrial cancer?
A) A 24-year-old woman with menarche at age 9
B) A 30-year-old woman who started menstruating at age 19
C) A 42-year-old woman who reached menopause at age 40
D) A 64-year-old woman who had irregular, heavy menstrual cycles
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Page 19
Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse recognizes that which patient has not yet successfully completed Erikson's final developmental stage?
A) A 78-year-old widower who has gone to the mental health clinic for counseling after the recent death of his wife
B) A 60-year-old man who tells the nurse that he is feeling fine and really does not need any help from anyone
C) An 81-year-old woman who states that she enjoys having her grandchildren visit but is usually glad when it is time for them to go home
D) A 75-year-old woman who tells the nurse that she wishes her friends were alive and she wishes she could change the choices she made over the years
Q2) During a counseling session, which statement by an adolescent indicates he is adjusting to expected developmental tasks?
A) "I wish my parents would just leave me alone."
B) "I'm hoping to go to college."
C) "I don't have any friends."
D) "It's terrible being taller than all my friends."
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20
Chapter 19: Assessment of the Infant, Child, and Adolescent
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45 Verified Questions
45 Flashcards
Source URL: https://quizplus.com/quiz/2476
Sample Questions
Q1) After obtaining a history from the parents and inspecting the skin, the nurse determines which child needs further evaluation?
A) The child who has a 1-cm red spot on the back of the neck, a fever of 100° F, and clear nasal drainage.
B) The child who has a 2-cm slightly raised, reddened area with a sharp demarcation line on the back of the neck.
C) The child has a 2-cm abrasion on the right knee, a 3-cm abrasion on the left knee, and scrapes on both palms.
D) The child who has several flat, bluish discolorations of the skin on the abdomen and back from 2 to 6 cm.
Q2) Which tool is most appropriate for testing the vision of a 5-year-old child?
A) Denver II test
B) Snellen E chart
C) Allen picture cards
D) Snellen standard chart
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Chapter 20: Assessment of the Pregnant Patient
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) How does a nurse determine the Goodell sign?
A) Assesses the softening of the lower uterine segment
B) Palpates for softening of the cervix
C) Assesses the breasts for fullness and tenderness
D) Inspects the cervix for a bluish coloration
Q2) A patient who is 30 weeks pregnant tells the nurse, "I have had low blood pressure all my life, and now it is 136/74. What's wrong with me?" What is the most appropriate response by this nurse?
A) "A woman's blood pressure usually drops several points during pregnancy, but yours hasn't."
B) "The blood pressure increases because your blood volume increases to supply you and the baby with enough blood."
C) "Yes, this is a significant change from your baseline, and I advise you to see your obstetrician at your earliest convenience."
D) "If you spend more time lying down, I think your blood pressure should return to normal in a few days."
Q3) If a patient's last menstrual period was May 13, her estimated date of birth is
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Chapter 21: Assessment of the Older Adult
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22 Flashcards
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Sample Questions
Q1) Which assessment finding of older adult patients indicates expected respiratory function?
A) Increased elasticity of the alveoli
B) Flaccidity of the chest wall
C) Reduced inspiratory and expiratory effort
D) Decreased anteroposterior diameter
Q2) When assessing the pain level of an older adult, a nurse considers which factor?
A) Neural transmission of pain is increased as a part of the aging process.
B) Older adult patients are not reliable in their descriptions of pain and how it affects them.
C) Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
D) The older adult may believe that pain is a factor of aging and not worth mentioning.
Q3) What is the best color for nurses to select when designing educational materials for older adults?
A) Blue
B) Yellow
C) Violet
D) Green
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Page 23
Chapter 22: Conducting a Head-to-Toe Examination
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7 Flashcards
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Sample Questions
Q1) Which techniques does a nurse use routinely to collect data when assessing a patient's posterior thorax? (Select all that apply.)
A) Inspection of the thorax for symmetry of shoulders
B) Percussion of the costovertebral angle bilaterally
C) Inspection of respiratory movement for symmetry, depth, and rhythm of respiration
D) Percussion of the posterior and lateral thorax for resonance
E) Palpation of vertebrae for alignment and tenderness
F) Inspection of thorax for muscular development and scapular alignment
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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6 Flashcards
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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) Which documentation by a nurse is most descriptive?
A) Heart sounds normal.
B) Few ectopic beats heard during auscultation.
C) S1 murmur is heard at second right sternal border.
D) Pulse within normal limits.
Q3) The nurse documents which data under the category of present health status?
A) Counts on her friends in stressful times
B) "I only sleep for 2 to 3 hours a night and use diphenhydramine for sleep."
C) Has a physical examination and flu vaccination annually
D) "I feel good about myself most of the time."
Q4) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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9 Verified Questions
9 Flashcards
Source URL: https://quizplus.com/quiz/2481
Sample Questions
Q1) During the assessment, the nurse determines that the patient's Glasgow Coma Scale score is 15. What is the meaning of this number for this patient?
A) This patient is fully conscious.
B) This patient has movement but does not open the eyes or speak.
C) This patient is unable to respond to any stimuli.
D) This patient opens the eyes but does not speak or move.
Q2) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
Q3) How does a nurse assess perfusion to the foot when a patient has a cast from the left middle calf to the toes?
A) Palpate the popliteal pulse of the left leg.
B) Palpate the posterior tibial pulse of the left leg.
C) Assess movement and sensation of the left toes.
D) Assess the capillary refill of the left toes.
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Page 26