Health Assessment
Question Bank
Course Introduction
Health Assessment is a foundational course designed to equip students with the knowledge and skills necessary to conduct comprehensive and systematic evaluations of individual health status across the lifespan. The course covers techniques in interviewing, history taking, and physical examination, as well as the interpretation of assessment findings to identify normal and abnormal conditions. Emphasis is placed on developing clinical reasoning, accurate documentation, and effective communication within diverse healthcare settings. Students will integrate theoretical knowledge with practical application through case studies, simulated scenarios, and hands-on practice, laying a critical groundwork for advanced clinical courses and safe, effective patient care.
Recommended Textbook
Health Assessment for Nursing Practice 6th Edition by Wilson
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634 Verified Questions
634 Flashcards
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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) 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
Q2) 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
Q3) A patient comes to the emergency department and tells the triage nurse that he is "having a heart attack." What is the nurse's top priority at this time?
A) Determine the patient's personal data and insurance coverage.
B) Ask the patient to take a seat in the waiting room until his name is called.
C) Request that a nurse collect data for a comprehensive history.
D) Ask a nurse to start a focused assessment of this patient now.
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) Which technique should the nurse use to obtain more data about a patient's vague or ambiguous statement?
A) Laughing and smiling during conversation
B) Using phrases such as "Go on," and "Then?"
C) Repeating what the patient has said, but using different words
D) Asking the patient to explain a point
Answer: D
Q2) While giving a history, a male patient describes several events out of order that occurred in different decades in his life. What technique does the nurse use to understand the timeline of these events?
A) State the order of events as understood and ask the patient to verify the order.
B) Draw conclusions about the order of events from data given.
C) Ask the patient to elaborate about these events.
D) Ask the patient to repeat what he said about these events.
Answer: A
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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) What assessment data do nurses obtain through striking a hand directly against the flank or costovertebral angle of a patient's body?
A) Fluid in the lungs
B) Tenderness over the kidneys
C) Air in the abdomen
D) Tenderness over the liver
Answer: B
Q2) How does the nurse perform the bimanual technique of palpation to assess organs?
A) Using the palmar surface of the dominant hand to press inward to a depth of about 1 cm
B) Holding a light source in one hand while stroking the skin lightly with the dominant hand
C) Using the ulnar surfaces of both hands to press inward 4 to 5 cm
D) Using both hands, one anterior and one posterior, to entrap an organ between the fingertips
Answer: D
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Chapter 4: General Inspection and Measurement of Vital Signs
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Sample Questions
Q1) 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
Q2) A nurse notices that the patient has gained 11 lb. If this increase in weight is related to fluid retention, the patient is retaining approximately how many liters of fluid?
A) 1 L
B) 5 L
C) 11 L
D) 24 L
Q3) Which of these respiratory rates are within normal limits?
A) 16-month-old; 42
B) 6-year-old; 20
C) 14-year-old; 26
D) 40-year-old; 10
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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 male nurse is assigned to the care of a gay male with alcoholism. This sexual orientation is inconsistent with the beliefs of the nurse. What actions, if any, can the nurse take to provide patient-centered care to this patient?
A) No action is necessary at this time.
B) Examine his own feelings about alcoholism and homosexuality.
C) Determine the patient's degree of risk for contracting the human immunodeficiency virus.
D) Discuss homosexuality and alcoholism with the patient.
Q3) A nurse can improve cultural awareness with which behavior?
A) Being sensitive to differences between the cultures of the nurse and patient
B) Making generalizations about various ethnic and cultural groups
C) Learning everything about the various cultural groups in the nurse's city
D) Taking a foreign language class
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Chapter 6: Pain Assessment
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15 Flashcards
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Sample Questions
Q1) The nurse is performing a symptom analysis of a patient with pain. Which questions below are appropriate for a symptom analysis? (Select all that apply.)
A) Have you had any other symptoms such as nausea, vomiting, and sweating?
B) Where is the pain located?
C) Have you had a pain like this before?
D) What does the pain feel like?
E) What do you do to make your pain better?
F) In your culture, how are you encouraged to express your pain?
Q2) 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
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Chapter 7: Mental Health Assessment
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17 Flashcards
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Sample Questions
Q1) During a mental health history, the nurse suspects altered mental status for a patient. Which questions are appropriate to ask when assessing mental status? (Select all that apply.)
A) Do you have difficulty making decisions?
B) Do you know where you are?
C) Are there times when you wanted to escape?
D) If you bought a hat for $5.75 and gave the sales person $10.00, how much change do you expect back?
E) What would you do if a fire started in your home?
F) What does this phrase "A rolling stone gathers no moss" mean?
Q2) A 24-year-old male patient tells the nurse he has had no energy for 2 weeks. He has no trouble falling asleep; in fact, he sleeps deeply about 12 hours every night. He states that he has gained 10 lb in the past 2 months and has no friends. The nurse associates these manifestations with which mental health disorder?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Anxiety disorder
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Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which patient may require additional nutritional assessment?
A) A male patient with a blood glucose level of 100 mg/dl
B) A pregnant patient with a hemoglobin level of 10.5 g/dl
C) A female patient with a prealbumin level of 25 mg/dl
D) A male patient with a serum triglyceride level of 100 mg/dl
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) A patient's current body weight is 304 lb and his desirable body weight is 190 lb. How does the nurse classify this patient's weight?
A) Within expected range
B) Mildly obesity
C) Moderate obesity
D) Morbid obesity
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
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Sample Questions
Q1) A nurse notices a patient's nails are thin and depressed with the edges turned up. What additional abnormal data should the nurse expect to find on this patient?
A) Pale conjunctiva
B) Jaundice
C) Ecchymosis
D) Rashes
Q2) When the patient's chart includes a notation that petechiae are present, what finding does a nurse expect during inspection?
A) Purplish-red pinpoint lesions
B) Deep purplish or red patches of skin
C) Small raised fluid-filled pinkish nodules
D) Generalized reddish discoloration of an area of skin
Q3) What findings does a nurse expect when inspecting and palpating a patient's nails?
A) A nail base angle of not more than 90 degrees.
B) Whitish to clear nails in darker-skinned patients.
C) Nail surface is smooth and rounded.
D) Transverse depression running across the nails.
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Chapter 10: Head, Eyes, Ears, Nose, and Throat
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75 Verified Questions
75 Flashcards
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Sample Questions
Q1) On palpation the nurse determines that the patient's left thyroid lobe is larger than the right thyroid lobe. What is the nurse's most appropriate action at this time?
A) Refer the patient to the health care provider for further evaluation.
B) Document that the patient's thyroid is normal on palpation.
C) Palpate the left thyroid lobe again using very firm pressure.
D) Ask the patient to flex the chin toward his chest and palpate again.
Q2) What instruction does a nurse give a patient to facilitate palpation of the right lobe of the thyroid gland?
A) "Swallow for me one time."
B) "Flex your head down and to the left."
C) "Rotate your head to the right for me."
D) "Hold your breath for a few seconds."
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 Flashcards
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Sample Questions
Q1) On inspection, the nurse finds the patient's anteroposterior diameter of the chest to be the same as the lateral diameter. What other findings does this nurse expect during the examination? (Select all that apply.)
A) Inspiratory wheezing found on auscultation
B) Hyperresonance heard on percussion
C) Decreased breath sounds heard on auscultation
D) Deceased diaphragmatic excursion on percussion
E) A sharp, abrupt pain reported when the patient breathes deeply
F) Decreased to absent vibration on vocal fremitus
Q2) After taking a brief health history, a nurse needs to complete a focused assessment on which patient?
A) A male who works as a painter
B) A male who plays basketball and hockey
C) A female who recently moved into a college dormitory
D) A female who has a history of gout
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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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) Which patient's statement helps a nurse distinguish between chest pain originating from pericarditis rather than from angina?
A) "No, I have not done anything to strain chest muscles."
B) "If I take a deep breath, the pain gets much worse."
C) "This pain feels like there's an elephant sitting on my chest."
D) "Whenever this pain happens, it goes right away if I lie down."
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
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Sample Questions
Q1) When auscultating a patient's abdomen using the bell of the stethoscope, the nurse hears soft, low-pitched murmurs over the right and left upper midline. What do these sounds indicate?
A) Expected peristalsis
B) Femoral artery stenosis
C) Renal artery stenosis
D) Hyperactive bowel sounds
Q2) Which sound does a nurse expect to hear when percussing a patient's abdomen?
A) Tympany over all quadrants
B) Resonance over the upper quadrants and tympany in the lower quadrants
C) Dull sounds over the upper quadrants and hollow sounds over the lower quadrants
D) Dull sounds over the stomach and resonant sounds over the bladder
Q3) Put in correct order the steps used to palpate the liver.
A) Place your right hand parallel to the right costal margin.
B) Ask the patient to take a deep breath and hold it.
C) Lift up the eleventh and twelfth ribs with the left hand.
D) Press your right hand down and under the coastal margin.
E) Assess the border and contour of the liver.
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15
Chapter 14: Musculoskeletal System
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?
A) "This is the best way to check for symmetry of your arms."
B) "I am looking at the stretch of your hamstrings."
C) "This allows me to see how straight your spinal column is."
D) "I am assessing the flexion of your spine."
Q2) In teaching the group of patients about osteoporosis, the nurse identifies which one of these participants as having the highest risk for this disease?
A) A small-boned, thin white American woman
B) An American Indian man who smokes
C) A Hispanic woman who has completed menopause
D) An African-American man with a family history of osteoporosis
Q3) When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion?
A) Flexion of the elbow
B) Hyperextension of the shoulder
C) Internal rotation and adduction of the shoulder
D) External rotation and abduction of the shoulder
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Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) A nurse assessing a patient who had a cerebrovascular accident involving the Broca area suspects expressive or nonfluent aphasia. What communication abilities does the nurse anticipate from this patient?
A) The patient understands speech but is unable to translate ideas into meaningful speech.
B) The patient is unable to comprehend speech and thus does not respond verbally.
C) The patient is able to understand speech but has difficulty forming words, creating muffled speech.
D) The patient is unable to comprehend speech and responds inappropriately to conversation.
Q2) In assessing a patient with a tumor in the pons, the nurse expects to find which abnormalities due to pressure on cranial nerves?
A) Dilated pupils and ptosis
B) Facial asymmetry and impaired hearing
C) Difficulty swallowing
D) Impaired gag reflex
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17
Chapter 16: Breasts and Axillae
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Sample Questions
Q1) A nurse performing a breast examination on a female patient places the patient in a supine position, places a pillow under the right shoulder, and asks the patient to place her right lower arm above her head. What is the reason for this position?
A) Flatten the breast tissue evenly over the chest wall.
B) Help the patient to relax and feel more comfortable.
C) Reveal lumps deep in the breast more easily.
D) Expose any drainage from the nipples.
Q2) In teaching a patient about breast self-examination, why does the nurse emphasize palpation of the axillary areas?
A) Because deep muscles in that area can mask changes
B) Because some patients avoid this area because of tenderness
C) Because most lymph draining from the breast flows through this area
D) Because supporting ligaments in this area may present as tissue changes
Q3) During a breast examination of a healthy female, the nurse recognizes which finding as normal?
A) Asymmetrical venous pattern
B) Unequal nipple size
C) Supernumerary nipples along the milk line
D) Pink discharge from one nipple when manipulated
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Page 18
Chapter 17: Reproductive System and the Perineum
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Sample Questions
Q1) A nurse expects to find which manifestations in the male patient who has both Chlamydia and gonorrhea?
A) Painful urination and purulent urethral discharge
B) A single, firm painless open sore on the shaft of the penis
C) Red superficial vesicles on the shaft of the penis
D) A single or a cluster of wartlike growth in the anal-rectal area
Q2) The nurse places a male patient in which position for rectal examination?
A) Lithotomy position
B) Prone with the knees fully extended
C) Bending over the table, with feet everted
D) Left lateral position with knees and hips flexed
Q3) During a history, a patient reports rectal bleeding, a warning sign of colorectal cancer. The nurse correlates which clinical finding with colorectal cancer?
A) Thick, blood-tinged mucus within the rectum
B) A pus-filled cavity in the anorectal area
C) An irregular mass with raised edges on the rectal wall
D) A small, smooth nodule protruding from the rectum
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Chapter 18: Developmental Assessment Throughout the Life Span
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Sample Questions
Q1) During middle adulthood, which immunization may be recommended?
A) PPV (pneumococcal pneumonia vaccine)
B) Hepatitis B virus vaccine, third dose
C) Human papillomavirus (HPV)
D) Td (tetanus and diphtheria toxoids)
Q2) A nurse is assessing a preschooler who is able to draw a three-part human figure, hop on one foot, and recognize three colors. The nurse recognizes these characteristics as consistent for what age?
A) 3 years old
B) 4 years old
C) 5 years old
D) 6 years old
Q3) A nurse makes observations about a toddler's motor development. Which behavior is an example of fine motor behavior?
A) Sitting up in a chair
B) Walking while holding on to the edge of a table
C) Creeping up the stairs
D) Stacking blocks to make a tower
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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) During a physical examination, a 12-year-old girl expresses concern to the nurse that her breasts are different sizes. Which response is most appropriate for the nurse?
A) "This happens normally to many girls your age. Full breast development takes an average of 3 years."
B) "I can talk with your mother about a referral to a physician who can perform further examination and tests."
C) "Have you started your menstrual period yet, because breast development is irregular until menstruation begins?"
D) "This is called 'precocious breast development' and your breasts will become more equal just before your growth spurt starts."
Q2) A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?
A) Flexion of the right toes
B) Extension of the right ankle
C) Dorsiflexion of the right foot
D) Fanning of the toes of the right foot
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Chapter 20: Assessment of the Pregnant Patient
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Sample Questions
Q1) Which physiologic changes are associated with pregnancy? (Select all that apply.)
A) Increase in brittleness of fingernails
B) 1500 mL increase in blood volume
C) Periodic shortness of breath later in pregnancy
D) Edematous and bleeding gums
E) Painless vaginal bleeding
F) Waddling gait
Q2) A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.
Q3) In measuring fundal height, the nurse documents which finding as abnormal?
A) 29 cm at week 30
B) 28 cm at week 26
C) 34 cm at week 38
D) 26 cm at week 24
Q4) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.
Q5) 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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Sample Questions
Q1) In assessing the external eyes of an older adult, a nurse documents which finding as abnormal?
A) Gray-white circle where the cornea and the sclera merge
B) Brown spots near the limbus in both eyes
C) Lack of luster of the eye and dry bulbar conjunctiva
D) Lower lid drops away from the globe
Q2) 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
Q3) 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."
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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 the abdomen of a patient? (Select all that apply.)
A) Testing for presence of abdominal reflexes
B) Inspecting skin for contour, scars, lesions, vascularity, and bulges
C) Percussing in all quadrants for tone
D) Lightly palpating for tenderness, guarding, and masses
E) Auscultating for bowel sounds, bruits, and venous hums
F) Deeply palpating for tenderness, guarding, and masses
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) 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.
Q4) 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."
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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) Development of which complication is considered a never event?
A) Fever
B) Atelectasis
C) Pressure ulcer
D) Thrombophlebitis
Q3) Which patient using respiratory equipment requires skin assessment? (Select all that apply.)
A) A patient using a nasal cannula
B) A patient with a tracheostomy
C) A patient using an incentive spirometer
D) A patient using a Ventimask
E) A patient with an IV
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Page 26