Health Assessment
Solved Exam Questions
Course Introduction
Health Assessment is a foundational course designed to equip students with the knowledge and skills necessary to systematically collect, analyze, and interpret health data across the lifespan. Through a combination of theoretical instruction and hands-on practice, students learn to obtain comprehensive health histories, conduct physical examinations, and apply critical thinking to identify normal and abnormal findings. The course emphasizes effective communication, cultural competence, and clinical reasoning, preparing students to make informed decisions in diverse healthcare settings.
Recommended Textbook
Physical Examination and Health Assessment 5th Edition by Carolyn Jarvis
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966 Verified Questions
966 Flashcards
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Chapter 1: Critical Thinking in Health Assessment
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Sample Questions
Q1) Which statement illustrates the biomedical model of Western traditional views?
A)Health is viewed as the absence of disease.
B)Optimal health is viewed as high-level wellness.
C)Health and disease are considered a cyclical process.
D)The treatment of disease is nursing's primary focus.
Answer: A
Q2) Which of the following is an example of a first-level priority problem?
A)A patient with postoperative pain
B)A newly diagnosed diabetic who needs diabetic teaching
C)An individual with a small laceration on the sole of the foot
D)An individual with shortness of breath and respiratory distress
Answer: D
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Chapter 2: Developmental Tasks and Health Promotion
Across the Life Cycle
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Sample Questions
Q1) If a mother hides a block under her baby's blanket and the baby looks for it,the nurse understands that the baby has begun to develop the concept of:
A)relativism.
B)object prehension.
C)separation anxiety.
D)object permanence.
Answer: D
Q2) A new mother asks the nurse,"Why does my baby cry so much?" Which statement by the nurse is correct?
A)"You need to try to hold your baby for longer periods of time."
B)"This means he is hungry.He needs to be fed more."
C)"Your baby uses crying to tell us if he feels hungry,uncomfortable,or lonely."
D)"We should examine him for signs of illness."
Answer: C
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Chapter 3: Cultural Competence: Cultural Care
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Sample Questions
Q1) Which statement is an appropriate component of one's spirituality?
A)Belief in the worship of God or gods
B)Attendance at a specific church
C)A personal effort to find purpose and meaning in life
D)Closely tied to one's ethnic background
Answer: C
Q2) An individual who takes the magicoreligious perspective of illness and disease is likely to believe that their illness was caused by:
A)germs and viruses.
B)supernatural forces.
C)eating imbalanced foods.
D)an imbalance within his or her spiritual nature.
Answer: B
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Chapter 4: The Interview
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Sample Questions
Q1) The nurse is interviewing a patient who has a hearing impairment.What techniques would be most beneficial in communicating with this patient?
A)Assess the communication method he prefers.
B)Avoid using facial and hand gestures because most hearing-impaired people find this degrading.
C)Request a sign language interpreter before meeting with him to help facilitate the communication.
D)Speak loudly and with exaggerated facial movement when talking with him because this helps with lip reading.
Q2) The interview portion of data collection collects:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
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Chapter 5: The Complete Health History
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Sample Questions
Q1) The nurse is assessing a new patient who has recently immigrated to the United States.Which question is appropriate to add to the health history?
A)"Why did you come to the United States?"
B)"When did you come to the United States,and from what country?"
C)"What made you leave your native country?"
D)"Are you planning to return to your home?"
Q2) The nurse is taking a family history.Important diseases or problems to ask the patient about include:
A)emphysema.
B)head trauma.
C)mental illness.
D)fractured bones.
Q3) The nurse is performing a functional assessment on an 82-year-old patient with a recent stroke.Which of the following questions would be most important to ask?
A)"Do you wear glasses?"
B)"Are you able to dress yourself?"
C)"Do you have any thyroid problems?"
D)"How many times a day do you have a bowel movement?"
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Chapter 6: Mental Status Assessment
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Sample Questions
Q1) Which of the following examples would be a hallucination?
A)A man believes that his dead wife is talking to him.
B)A woman hears the doorbell ring and goes to answer it,but no one is there.
C)A child sees a man standing in his closet.When the lights are turned on it is only a dry cleaning bag.
D)A man believes that the dog has curled up on the bed,but when he gets closer he sees that it is a blanket.
Q2) Which of the following statements is true regarding the assessment of mental status?
A)Mental status assessment diagnoses specific psychiatric disorders.
B)Mental disorders occur in response to everyday life stressors.
C)Mental status functioning is inferred through assessment of an individual's behaviors.
D)Mental status can be assessed directly,just like other systems of the body (e.g. ,cardiac and breath sounds).
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Chapter 7: Domestic Violence Assessment
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Sample Questions
Q1) During a home visit,the nurse notices that an elderly woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her checkbook and he "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This is an example of:
A)financial abuse.
B)financial neglect.
C)psychologic neglect.
D)physical abuse.
Q2) During an examination,the nurse notices a patterned injury on a patient's back.Which of the following would cause such an injury?
A)Blunt force
B)Friction abrasion
C)Stabbing from a kitchen knife
D)Whipping from an extension cord
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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Sample Questions
Q1) In infants,the nurse knows to elicit the Moro reflex:
A)when the infant is sleeping.
B)at the end of the examination.
C)before auscultation of the thorax.
D)halfway through the examination.
Q2) Which statement is true regarding the diaphragm of the stethoscope?
A)Use the diaphragm to listen for high-pitched sounds.
B)Use the diaphragm to listen for low-pitched sounds.
C)Hold the diaphragm lightly against the person's skin to block out low-pitched sounds.
D)Hold the diaphragm lightly against the person's skin to listen for extra heart sounds and murmurs.
Q3) With which of the following patients would it be most appropriate to use games during the assessment,such as,having the patient "blow out" the light on the penlight?
A)An infant
B)A preschool child
C)A school-age child
D)An adolescent
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10
Chapter 9: General Survey, measurement, vital Signs
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Sample Questions
Q1) Physical growth is the best index of a child's:
A)general health.
B)genetic makeup.
C)nutritional status.
D)activity and exercise patterns.
Q2) When auscultating the blood pressure of a 25-year-old,the nurse the phase I Korotkoff sounds begin at 200 mm Hg.At 100 mm Hg the Korotkoff sounds muffle.At 92 mm Hg the Korotkoff sounds disappear.How should the nurse record this patient's blood pressure?
A)200/92
B)200/100
C)100/200/92
D)200/100/92
Q3) When assessing the pulse of a 6-year-old boy,the nurse notes that his heart rate varies with his respiratory cycle,speeding up at the peak of inspiration and slowing to normal with expiration.The nurse would:
A)notify the physician immediately.
B)consider this a normal finding in children and young adults.
C)check the child's blood pressure and note any variation with respiration.
D)document that this child has bradycardia and continue with the assessment.
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Chapter 10: Pain Assessment: the Fifth Vital Sign
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Sample Questions
Q1) When evaluating a patient's pain,the nurse knows that an example of acute pain would be:
A)arthritic pain.
B)fibromyalgia.
C)kidney stones.
D)low back pain.
Q2) A patient has had arthritic pain in her hips for several years since a hip fracture.She is able to move around in her room and has not offered any complaints so far this morning.However,when asked,she states that her pain is "bad this morning" and rates it at an 8 on a 1 to 10 scale.What does the nurse suspect?
A)She is addicted to her pain medications and cannot obtain pain relief.
B)She does not want to trouble the nursing staff with her complaints.
C)She is not in pain but rates it high to receive pain medication.
D)She has experienced chronic pain for years and has adapted to it.
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Chapter 11: Nutritional Assessment
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Sample Questions
Q1) The nurse recognizes that which of the following persons is at greatest risk for undernutrition?
A)A 5-month-old infant
B)A 50-year-old woman
C)A 20-year-old college student
D)A 30-year-old hospital administrator
Q2) The nurse is assessing an obese patient for signs of metabolic syndrome.This condition is diagnosed when three or more certain risk factors are present.Which of the following are risk factors for metabolic syndrome? Select all that apply.
A)Fasting plasma glucose level less than 110 mg/dl
B)Fasting plasma glucose level greater than or equal to 110 mg/dl
C)Blood pressure reading of 140/90 mm/Hg
D)Blood pressure reading of 110/80 mm/Hg
E)Triglyceride level of 120 mg/dl
Q3) Which of the following statements is true concerning the nutritional assessment?
A)It is only useful in patients who are overweight.
B)It identifies patients who are at risk of malnutrition.
C)This assessment can only be thoroughly done by a dietician.
D)It provides the nurse with physical findings related to all the systems.
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Page 13
Chapter 12: Skin, hair, and Nails
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Sample Questions
Q1) Bulla
A)Tiny punctate hemorrhages,1-3 mm,round and discrete,dark red,purple,or brown in color
B)A large patch of capillary bleeding into tissues
C)A hypertrophic scar
D)Elevated cavity containing free fluid,up to 1 cm.Clear serum flows if wall is ruptured.
E)Also known as a friction blister
F)Solid,elevated,hard or soft,larger than 1 cm
Q2) The nurse is caring for a black child who has been diagnosed with marasmus.The nurse would expect to find:
A)the hair to be less kinky and to be a copper-red color.
B)the head to be larger than normal,with wide-set eyes.
C)the skin on the hands and feet to be scaly and tender.
D)the lymph nodes in the groin to be enlarged and tender.
Q3) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
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Page 14
Chapter
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Sample Questions
Q1) A patient,an 85-year-old woman,is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse give to her?
A)Diets low in protein and high in carbohydrates may cause enhanced facial bones.
B)It is probably because she doesn't use a dermatologically approved moisturizer.
C)It is probably due to a combination of factors such as decreased elasticity,subcutaneous fat,and moisture in her skin.
D)Facial skin becomes more elastic with age.This increased elasticity causes the skin to be more taught,drawing attention to the facial bones.
Q2) When examining children affected with Down syndrome (trisomy 21),the nurse looks for the possible presence of:
A)ear dysplasia.
B)a long,thin neck.
C)a protruding thin tongue.
D)a narrow and raised nasal bridge.
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15
Chapter 14: Eyes
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Sample Questions
Q1) During an examination of the eye,the nurse would expect what normal finding when assessing the lacrimal apparatus?
A)The presence of tears along the inner canthus
B)A blocked nasolacrimal duct in a newborn infant
C)A slight swelling over the upper lid and along the bony orbit if the individual has a cold
D)The absence of drainage from the puncta when pressing against the inner orbital rim
Q2) In assessing the sclera of a black patient,which of the following would be an expected finding?
A)Yellow fatty deposits over the cornea
B)Pallor near the outer canthus of the lower lid
C)Yellow color of the sclera that extends up to the iris
D)The presence of small brown macules on the sclera
Q3) An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:
A)retinal detachment.
B)diabetic retinopathy.
C)acute-angle glaucoma.
D)increased intracranial pressure.
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Chapter 15: Ears
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Sample Questions
Q1) A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing,especially in large groups.He says he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?
A)Atrophy of the apocrine glands
B)Cilia becoming coarse and stiff
C)Nerve degeneration in the inner ear
D)Scarring of the tympanic membrane
Q2) During an examination,the patient states he is hearing a buzzing sound and says that it is "driving me crazy!" The nurse recognizes that this symptom is:
A)vertigo.
B)pruritus.
C)tinnitus.
D)cholesteatoma.
Q3) Which of the following is a risk factor for ear infections in young children?
A)Family history
B)Air conditioning
C)Excessive cerumen
D)Secondhand cigarette smoke
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Page 17
Chapter 16: Nose, mouth, and Throat
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Sample Questions
Q1) The nurse is obtaining a history on a 3-month-old infant.During the interview,the mom states,"I think she is getting her first tooth because she has started drooling a lot." The nurse's best response would be:
A)"You're right,drooling is usually a sign of the first tooth."
B)"It would be unusual for a 3-month-old to be getting her first tooth."
C)"This could be the sign of a problem with the salivary glands."
D)"She is just starting to salivate and hasn't learned to swallow the saliva."
Q2) During an oral examination of a 4-year-old American Indian child,the nurse notices that her uvula is partially split.Which of the following statements is accurate?
A)This is a cleft palate and is common in American Indians.
B)This is a bifid uvula,which occurs in some American Indian groups.
C)This is due to an injury and should be reported to the authorities.
D)This is torus palatinus,which occurs frequently in American Indians.
Q3) The nurse is palpating the sinus areas.If the findings are normal,the patient would report which sensation?
A)No sensation
B)Firm pressure
C)Pain during palpation
D)Pain sensation behind eyes
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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Sample Questions
Q1) A 55-year-old postmenopausal woman is being seen in the clinic for a yearly examination.She is concerned about changes in her breasts that she has noticed over the past 5 years.She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat and flabby." The nurse's best reply would be:
A)"This change occurs most often because of long-term use of bras that do not provide enough support to the breast tissues."
B)"This is a normal change that occurs as women get older.It is due to the increased levels of progesterone during the aging process."
C)"Decreases in progesterone and estrogen after menopause causes atrophy of the glandular tissue in the breast.This is a normal process of aging."
D)"Postural changes in the spine make it appear that your breasts have changed in shape.Exercises to strengthen the muscles of the upper back and chest wall will help to prevent the changes in elasticity and size."
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19
Chapter 18: Thorax and Lungs
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Sample Questions
Q1) The nurse knows that bronchovesicular breath sounds are:
A)musical in quality.
B)usually pathological.
C)expected near the major airways.
D)similar to bronchial sounds except that they are shorter in duration.
Q2) The nurse knows that bronchophony heard upon auscultation is associated with:
A)pneumothorax.
B)hyperresonance.
C)pulmonary consolidation.
D)decreased breath sounds.
Q3) The nurse notes hyperresonant percussion tones when percussing the thorax of an infant.The nurse's best action would be to:
A)notify the physician.
B)suspect a pneumothorax.
C)consider this a normal finding.
D)monitor the infant's respiratory rate and rhythm.
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20
Chapter 19: Heart and Neck Vessels
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Sample Questions
Q1) The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse.The apical pulse was 118 beats per minute;the radial pulse was 105 beats per minute.Calculate the pulse deficit.
Pulse deficit equals: _________
Q2) Which of the following best describes what is meant by atrial kick?
A)The atria contract during systole and attempt to push against closed valves.
B)The contraction of the atria at the beginning of diastole can be felt as a palpitation.
C)This is the pressure exerted against the atria as the ventricles contract during systole.
D)The atria contract toward the end of diastole and push the remaining blood into the ventricles.
Q3) The component of the conduction system referred to as the pacemaker of the heart is the:
A)atrioventricular (AV)node.
B)sinoatrial (SA)node.
C)bundle of His.
D)bundle branches.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?
A)Have the patient assume a prone position.
B)Ask the patient to bend his or her knees to the side in a froglike position.
C)Press firmly against the bone with the patient in a semi-Fowler's position.
D)Listen with a stethoscope for pulsations because it is very difficult to palpate the pulse.
Q2) Which of the following pulses would most likely be seen in an individual with untreated hyperthyroidism?
A)A normal pulse
B)An absent pulse
C)A bounding pulse
D)A weak,thready pulse
Q3) When using a Doppler ultrasonic stethoscope,the nurse recognizes venous flow when which sound is heard?
A)A low humming sound
B)A regular "lub,dub" pattern
C)A swishing,whooshing sound
D)A steady,even,flowing sound
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Chapter 21: Abdomen
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Sample Questions
Q1) Percussion notes heard during the abdominal assessment may include:
A)flatness,resonance,and dullness.
B)resonance,dullness,and tympany.
C)tympany,hyperresonance,and dullness.
D)resonance,hyperresonance,and flatness.
Q2) The nurse is aware that a change that may occur in the gastrointestinal system of an aging adult is:
A)increased salivation.
B)decreased peristalsis.
C)increased esophageal emptying.
D)decreased gastric acid secretion.
Q3) During an abdominal assessment,the nurse tests for a fluid wave.A positive fluid wave test occurs with:
A)splenomegaly.
B)distended bladder.
C)constipation.
D)ascites.
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23
Chapter 22: Musculoskeletal System
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Sample Questions
Q1) An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages.The nurse should explain that decreased height occurs with aging because:
A)long bones tend to shorten with age.
B)of the shortening of the vertebral column.
C)there is a significant loss of subcutaneous fat.
D)there is a thickening of the intervertebral discs.
Q2) A 68-year-old woman has come in for an assessment of her rheumatoid arthritis,and the nurse notes raised,firm,nontender nodules at the olecranon bursa and along the ulna.These nodules are most commonly diagnosed as:
A)epicondylitis.
B)gouty arthritis.
C)olecranon bursitis.
D)subcutaneous nodules.
Q3) An imaginary line connecting the highest point on each iliac crest would cross:
A)the first sacral vertebra.
B)the fourth lumbar vertebra.
C)the seventh cervical vertebra.
D)the twelfth thoracic vertebra.
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Page 24
Chapter 23: Neurologic System
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Sample Questions
Q1) During an examination,the nurse notes severe nystagmus in both eyes of a patient.Which of the following conclusions is correct?
A)This is a normal occurrence.
B)This may indicate disease of the cerebellum or brainstem.
C)This is a sign that the patient is nervous about the examination.
D)This indicates a visual problem and a referral to an ophthalmologist is indicated.
Q2) While gathering equipment for an intravenous injection,a nurse accidentally received a prick from an improperly capped needle.To interpret this sensation,which of the following areas must be intact?
A)Corticospinal tract,medulla,and basal ganglia
B)Pyramidal tract,hypothalamus,and sensory cortex
C)Lateral spinothalamic tract,thalamus,and sensory cortex
D)Anterior spinothalamic tract,basal ganglia,and sensory cortex
Q3) When the nurse is testing the triceps reflex,what is the expected response?
A)Flexion of the hand
B)Pronation of the hand
C)Extension of the forearm
D)Flexion and supination of the forearm
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25
Chapter 24: Male Genitourinary System
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Sample Questions
Q1) The nurse is describing how to perform a testicular self-examination to a patient.Which of the following statements is most appropriate?
A)"A good time to examine your testicles is just before you take a shower."
B)"If you notice an enlarged testicle or a painless lump,call your health care provider."
C)"The testicle is egg shaped and movable.It feels firm and has a lumpy consistency."
D)"Perform a testicular exam at least once a week to detect the early stages of testicular cancer."
Q2) During a genital exam,the nurse notes that a male patient has clusters of small vesicles on the glans,surrounded by erythema.The nurse recognizes that these lesions are:
A)Peyronie's disease.
B)genital warts.
C)genital herpes.
D)syphilitic cancer.
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Chapter 25: Anus,rectum,and Prostate
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Sample Questions
Q1) The nurse is performing a digital examination of a patient's prostate gland and notes that characteristics of a normal prostate gland include: Select all that apply.
A)the gland is protruding 1 cm into the rectum.
B)heart-shaped with a palpable central groove.
C)flat with no groove palpable.
D)boggy and soft consistency.
E)smooth surface,elastic,or rubbery consistency.
F)fixed mobility.
Q2) The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:
A)this stool would indicate anal patency.
B)the dark green color could indicate occult blood in the stool.
C)meconium stool can be reflective of distress in the newborn.
D)the newborn should have passed the first stool within 12 hours after birth.
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Chapter 26: Female Genitourinary System
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Sample Questions
Q1) An 18-year-old patient is having her first pelvic examination.It would be appropriate to:
A)invite her mother to be present during the examination.
B)avoid the lithotomy position this first time because it can be uncomfortable and embarrassing.
C)raise the head of the examination table and give her a mirror so that she can view the exam.
D)drape her fully,leaving the drape between her legs elevated to avoid embarrassing her with eye contact.
Q2) Which of the following are changes associated with menopause?
A)Uterine and ovarian atrophy along with thinning vaginal epithelium
B)Ovarian atrophy,increased vaginal secretions,and increasing clitoral size
C)Cervical hypertrophy,ovarian atrophy,and increased acidity of vaginal secretions
D)Vaginal mucosa fragility,increased acidity of vaginal secretions,and uterine hypertrophy
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Chapter
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Sample Questions
Q1) After assessing a female patient,the nurse notes flesh-colored,soft,pointed,moist,papules in a cauliflower-like patch around her introitus.This finding is most likely:
A)urethral caruncle.
B)syphilitic chancre.
C)herpes.
D)human papillomavirus.
Q2) Which of the following is included in assessment of General Appearance?
A)Height
B)Weight
C)Skin color
D)Vital signs
Q3) The nurse notes that a patient has ulcerations on the tips of the toes and on the lateral ankles.This finding would indicate:
A)lymphedema.
B)Raynaud's disease.
C)arterial insufficiency.
D)venous insufficiency.
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Chapter 28: Reassessment of the Hospitalized Adult
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Source URL: https://quizplus.com/quiz/76163
Sample Questions
Q1) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of the following should be included in the assessment of the infusion? Select all that apply.
A)Proper IV solution is infusing according to physician's orders.
B)Infusing at the proper rate according to physician's orders.
C)Infusion proper according to the nurse's own assessment of the patient's needs.
Q2) At the beginning of rounds,when the nurse enters the room,what should be done first?
A)Check the intravenous infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient and introduce himself or herself as the patient's nurse.
D)Offer the patient something to drink.
Q3) When assessing a patient's general appearance,the nurse will include which of the following?
A)Is the patient's muscle strength equal in both arms?
B)Is ptosis or facial droop present?
C)Does the patient respond appropriately to questions?
D)Are the pupils equal in reaction and size?
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Chapter 29: The Pregnant Female
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A patient's pregnancy test is positive,and she wants to know when the baby is due.The first day of her last menstrual period was June 14,and that period ended June 20.Using Nägele's rule,what is her expected date of delivery?
A)March 7
B)March 14
C)March 21
D)March 27
Q2) A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting and asks when it will improve.The nurse should reply:
A)"Did your mother have significant nausea and vomiting?"
B)"Many women experience nausea and vomiting until the third trimester."
C)"Usually,by the beginning of the second trimester,the nausea and vomiting improve."
D)"At about the time you begin to feel the baby move,the nausea and vomiting will subside."
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Chapter 30: Functional Assessment of the Older Adult
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) During a morning assessment,the nurse notices that an older patient is less attentive and is unable to recall yesterday's events.The nurse administers the Mini Mental State Examination,which will screen for:
A)dementia.
B)depression.
C)delirium.
D)psychosis.
Q2) When using the various instruments to assess an older person's activities of daily living,the nurse needs to remember that a disadvantage of these instruments includes:
A)the reliability of the tools.
B)self or proxy report of functional activities.
C)lack of confidentiality during the assessment.
D)insufficient detail about the deficiencies identified.
Q3) Which statement about the Lawton IADL instrument is true?
A)The nurse uses direct observation to implement this tool.
B)It is designed as a self-report measure of performance rather than ability.
C)It is not useful in the acute hospital setting.
D)It is best used for those residing in an institutional setting.
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