Health Promotion and Assessment
Mock Exam
Course Introduction
This course explores the foundational concepts and practical approaches to health promotion and assessment across diverse populations. Students will learn strategies for evaluating individual and community health needs, designing effective health promotion interventions, and applying evidence-based assessment tools. Emphasis is placed on cultural competence, risk reduction, prevention, and the integration of physical, mental, and social determinants of health. Through case studies and hands-on experiences, learners will gain skills in communication, client education, and holistic assessment, preparing them to advocate for health and well-being in various healthcare settings.
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) 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
Q2) Which patient information does the nurse document in the patient's physical assessment?
A) Slurred speech
B) Immunizations
C) Smoking habit
D) Allergies
Answer: A
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Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2459
Sample Questions
Q1) Which data do nurses document under the heading of Past Health History? (Select all that apply.)
A) Father has Alzheimer disease.
B) Last tetanus in 2009
C) Had chicken pox as a child
D) Drinks three to four beers each day
E) Had a dental examination 6 months ago
Answer: B, C, E
Q2) 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
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4
Chapter 3: Techniques and Equipment for Physical Assessment
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2460
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) 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
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5
Chapter 4: General Inspection and Measurement of Vital Signs
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/2461
Sample Questions
Q1) A nurse is taking vital signs of an adult patient whose oxygen saturation is 96%. The patient's temperature is 102° F, blood pressure is 130/86, pulse is 100 beats/min, and respiratory rate is 26 breaths/min. Which factor may be contributing to the elevated respiratory rate?
A) The patient's temperature
B) The patient's oxygen saturation
C) The patient's pulse rate
D) The patient's blood pressure
Q2) According to research findings, which site is preferred for measuring blood pressure when the nurse is unable to use the patient's upper arms?
A) Ankle
B) Thigh
C) Calf
D) Wrist
Q3) Which body system does the nurse assess primarily by inspection?
A) Respiratory
B) Gastrointestinal
C) Skin
D) Cardiovascular
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Chapter 5: Cultural Assessment
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/2462
Sample Questions
Q1) A patient tells the nurse that her religion prohibits her from eating food prepared outside of a special kitchen. What is the nurse's appropriate action to meet this patient's needs?
A) Call the dietary department to cancel the patient's meal tray.
B) Tell the patient that her diet must be carefully monitored and prepared at the hospital.
C) Tell the patient that because of her illness, a few changes to her religious requirements will be necessary.
D) Ask the patient to describe the requirements for the special kitchen.
Q2) 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?"
Q3) What are the characteristics of one's culture?
A) Color of skin and hair
B) System of beliefs and practices
C) Food preferences
D) Language and religion
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Chapter 6: Pain Assessment
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2463
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) A patient with gout is complaining of severe, throbbing pain in the great toe. What type of pain is this patient experiencing?
A) Neuropathic pain
B) Somatic pain
C) Referred pain
D) Visceral 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) Which patient may be experiencing severe anxiety?
A) A woman who tells the nurse she is terrified of cats
B) A man who tells the nurse he feels worthless and is always tired
C) A woman who reports that she is sleeping very lightly each night because her child has an ear infection
D) A man who phones the nurse five times asking for instructions about how to take his new medication
Q2) 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.
Q3) 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?"
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Page 9
Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2465
Sample Questions
Q1) A patient who has anorexia nervosa reports a healthy diet and no protein calorie malnutrition. Which lab value best confirms this patient's report?
A) Prealbumin
B) Serum albumin
C) Blood glucose
D) Serum cholesterol
Q2) 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
Q3) Which tool is the best choice for a nurse to use as a quick screening tool to assess a patient's dietary intake?
A) Food diary
B) Calorie count
C) Comprehensive diet history
D) 24-hour recall
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10
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 nurse notices that the angle of the patient's proximal nail fold and the nail plate are almost a flat line; about 160 degrees. How does the nurse interpret this finding?
A) This patient has chronic pulmonary disease.
B) This is an expected finding.
C) This is due to stress to the nails.
D) This is associated with anemia.
Q3) 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
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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) During an eye assessment, a nurse asks the patient to cover one eye with a card as the nurse covers his or her eye directly opposite the patient's covered eye. The nurse moves an object into the field of vision and asks the patient to tell when the object can be seen. This assessment technique collects what data about the patient's eyes?
A) Symmetry of extraocular muscles
B) Visual acuity in the uncovered eye
C) Peripheral vision of the uncovered eye
D) Consensual reaction of the uncovered eye
Q2) A patient reports a history of snorting cocaine and is concerned about his bloody nasal drainage. What does the nurse expect to see on inspection of his nose?
A) Deviated septum
B) Pale turbinates
C) Perforated nasal septum
D) Localized erythema and edema
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12
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 a symptom analysis, a patient describes his productive cough and states his sputum is thick and yellow. Based on these data, the nurse suspects which factor as the cause of these symptoms?
A) Virus
B) Allergy
C) Fungus
D) Bacteria
Q2) The nurse is comparing pitch and duration of the various types of a patient's breath sounds and recognizes which one of these as an expected finding?
A) Bronchial sounds are low-pitched and have a 2:1 inspiratory-versus-expiratory ratio.
B) Bronchovesicular sounds have a moderate pitch and 1:1 expiratory-versus-inspiratory ratio.
C) Vesicular breath sounds are high-pitched and have a 1:2 inspiratory-versus-expiratory ratio.
D) Wheezes are low-pitched and have a 2.5:1 inspiratory-versus-expiratory ratio.
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Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) A nurse is having difficulty auscultating a patient's heart sounds because the lung sounds are too loud. What does the nurse ask the patient to do to improve hearing the heart sounds?
A) Lie in a supine position.
B) Cough.
C) Hold his or her breath for a few seconds.
D) Sit up and lean forward.
Q2) After two separate office visits, the nurse suspects that a patient is developing Stage 1 hypertension based on which consecutive blood pressure readings?
A) Visit 1, 118/78; Visit 2, 116/76
B) Visit 1, 130/88; Visit 2, 134/88
C) Visit 1, 144/92; Visit 2, 150/90
D) Visit 1, 162/100; Visit 2, 166/104
Q3) Which valve does a nurse auscultate when the stethoscope is placed on the fourth intercostal space at the left of the sternal border?
A) Pulmonic
B) Tricuspid
C) Mitral
D) Aortic
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Page 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, 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
Q2) A patient reports having abdominal distention. The nurse observes that the patient's sclerae are yellow. Which abnormal finding does the nurse anticipate on examination of this patient's abdomen?
A) Decreased bowel sounds in all quadrants
B) Glistening or taut skin of the abdomen
C) Bulge in the abdomen when coughing
D) Bruit around the umbilicus
Q3) A patient reports having abdominal distention and having vomited several times yesterday and today. What question is appropriate for the nurse to ask in response to this information?
A) "Has there been a change in your usual pattern of urination?"
B) "Did you have heartburn before the vomiting?"
C) "What did the vomitus look like?"
D) "Have you noticed a change in the color of your urine or stools?"
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Page 15
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) The nurse asks the patient to rest the left arm on a table and to move the lower arm so that the palm of the hand is up and then down. What motion is the nurse testing?
A) Adduction and abduction of the wrist
B) Supination and pronation of the wrist
C) Adduction and abduction of the elbow
D) Supination and pronation of the elbow
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Page 16
Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2472
Sample Questions
Q1) A patient has a herniated disk compressing the lumbar spine at L2, L3, and L4 that is impairing deep tendon reflexes. Which response does a nurse expect from this patient?
A) Diminished contraction of the gastrocnemius muscle with plantar flexion of the foot
B) Diminished contraction of the quadriceps muscle with extension of the lower leg
C) Diminished plantar flexion of the toes
D) Diminished dorsiflexion of the foot and flexion of the toes
Q2) A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the appropriate cranial nerve?
A) Ask the patient to stick out the tongue and move it in all directions.
B) Ask the patient to move the head to the right and left.
C) Observe the symmetry of the face when the patient talks.
D) Assess for taste on the anterior part of the tongue.
Q3) Which response does a nurse expect when testing ankle clonus of a healthy woman?
A) No movement of the foot
B) Plantar flexion of the foot
C) Extension of the lower leg
D) Dorsiflexion of the foot
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Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/2473
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) A patient comes to the clinic because she found a mass in her left breast that is present during and after her menstrual periods. On palpation the nurse finds a mass in the left breast that is round, rubbery, mobile, and nontender. This finding is consistent with which breast disorder?
A) Fibrocystic breast disease
B) Invasive breast cancer
C) Mastitis
D) Fibroadenoma
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Chapter 17: Reproductive System and the Perineum
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/2474
Sample Questions
Q1) Which questions are appropriate for a symptom analysis of a patient with benign prostatic hyperplasia? (Select all that apply.)
A) "How often have you found that you stopped and started again several times when you urinated?"
B) "How often have you had to urinate again less than 2 hours after you finished urinating?"
C) "How often have you been incontinent of urine?"
D) "How often have you had constipation due to the enlarged prostate?"
E) "How often have you had to push or strain to begin urination?"
F) "How often have you had to get up during the night to urinate?"
Q2) The nurse correlates which patient complaint with suspected enlargement of the prostate gland?
A) Constipation
B) Change in bowel patterns
C) Weak urine stream
D) Increased mucus in urine
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Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/2475
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) Which statement reflects a 21-year-old woman's achievement of an expected developmental task?
A) "I am planning to get married next year."
B) "I don't plan anything without asking my boyfriend first."
C) "I don't know which direction I'll take after college."
D) "I am living with my parents and may stay for a while."
Q3) When performing a physical assessment on a 7-month-old infant, the nurse notes that the child is able to smile responsively and unable to roll from the prone to the supine position. What is the most appropriate action for this nurse?
A) Reassure the parents that the infant is "performing like an 8-month-old."
B) Document the infant's growth and development as "within normal limits."
C) Continue to assess the infant for other signs of developmental delay.
D) Give the caretaker specific directions for specialized exercises.
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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) During assessment of an infant, the nurse notes that when the infant cries, the fontanelles bulge slightly. What is the most appropriate action for the nurse at this time?
A) Note in the record that the child is microcephalic.
B) Assess the fontanelles again when the child is not crying.
C) Check the child for signs of malnutrition and dehydration.
D) Use transillumination for further assessment of the skull.
Q2) How does a nurse collect baseline measurements of a 6-month-old infant?
A) Measure the chest circumference around the lower ribs.
B) Ask the parent how much the infant's weight has changed since birth.
C) Measure the head just above the ears and eyebrows.
D) Ask the parent to hold the infant while the nurse measures the length.
Q3) Which assessment technique is appropriate to measure the 8-month-old's vital signs during a well-baby check?
A) Assess temperature using a rectal thermometer.
B) Observe the infant's abdomen when counting respirations.
C) Take the infant from the parent's arms to assess pulse.
D) Measure blood pressure in the leg.
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Chapter 20: Assessment of the Pregnant Patient
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2477
Sample Questions
Q1) In prioritizing patient care, the nurse would give immediate attention to the pregnant patient with which clinical manifestation?
A) Darkened eyelids
B) Seeing spots
C) Excessive eye dryness
D) Pale conjunctiva
Q2) A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.
Q3) A pregnant woman who drinks alcoholic beverages while pregnant increases the risk for which disorder?
A) Low infant birth weight
B) Birth defects
C) Abruptio placentae
D) Gestational diabetes mellitus
Q4) To perform Leopold maneuvers, the nurse uses which assessment technique?
A) Percussing over the symphysis pubis
B) Auscultating all four abdominal quadrants
C) Palpating the fundus
D) Measuring from symphysis pubis to the umbilicus
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Chapter 21: Assessment of the Older Adult
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2478
Sample Questions
Q1) Which approach does a nurse use to assess neck range of motion of an older adult patient?
A) Have the patient perform each neck movement separately.
B) Defer range of motion examination if the patient has kyphosis.
C) Ask the patient to turn the head against the resistance of the nurse's hand.
D) Ask the patient to rotate the head starting with forward flexion and moving clockwise.
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) What finding does a nurse look for when assessing the skin of an older adult with solar lentigo?
A) Yellowish, thin papules with a central depression
B) Pigmented, raised, wartlike lesions on the face or trunk
C) Small, soft, pigmented tags of skin on the face and neck
D) Irregular, flat, deeply pigmented macules on sun-exposed areas
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Chapter 22: Conducting a Head-to-Toe Examination
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7 Verified Questions
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 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
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24
Chapter 23: Documenting the Comprehensive Health Assessment
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6 Verified Questions
6 Flashcards
Source URL: https://quizplus.com/quiz/2480
Sample Questions
Q1) 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.
Q2) Which data do nurses document under the category of personal and psychosocial health history? (Select all that apply.)
A) Allergies to medications or food
B) Diet and foods eaten on a regular basis
C) Type of employment
D) Address and date of birth
E) Activities that promote health
F) Use of tobacco and alcohol
Q3) 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
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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) 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
Q2) 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.
Q3) 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
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Page 26