Nursing Health Assessment Lab
Mock Exam
Course Introduction
Nursing Health Assessment Lab provides students with hands-on experience in conducting comprehensive health assessments across the lifespan. Through interactive demonstrations and supervised practice, students develop essential skills in patient interviewing, physical examination techniques, data collection, and clinical documentation. Emphasis is placed on accurately assessing cultural, developmental, and physiological variations while fostering professional communication and critical thinking abilities. This course prepares future nurses to integrate assessment findings into clinical decision-making and holistic patient 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) For which person is a shift 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: A
Q2) Which activity illustrates the concept of secondary prevention?
A) Annual mammogram
B) Nutrition classes on low-fat cooking
C) Education on living with diabetes mellitus
D) Cardiac rehabilitation after coronary artery bypass surgery
Answer: A
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
Source URL: https://quizplus.com/quiz/2459
Sample Questions
Q1) Which question is an example of an open-ended question?
A) "Have you experienced this pain before?"
B) "Do you have someone to help you at home?"
C) "How many times a day do you use your inhaler?"
D) "What were you doing when you felt the pain?"
Answer: D
Q2) A female Korean patient accompanied by her husband and son comes to the emergency department (ED) complaining of abdominal pain. The patient speaks and understands Korean only. Which person is the appropriate choice for the nurse to use to get a history from this patient?
A) The patient's husband who speaks Korean and English
B) The patient's son who speaks Korean and English
C) A male technician who works in the ED who speaks Korean and English
D) A female interpreter who speaks Korean and English and is available by phone
Answer: D
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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) Which action by the nurse describes the correct technique for using an otoscope on an adult?
A) Using the pneumatic attachment to observe for tympanic fluctuation
B) Striking the otoscope against the hand to engage
C) Instructing the adult to raise one finger when a sound is heard
D) Selecting the largest size speculum that fits into the adult's ear canal
Answer: D
Q2) A patient has been complaining of abdominal cramping and gas; the nurse notes that his abdomen is slightly distended. Which sound does the nurse expect to hear during percussion of this patient's abdomen?
A) Flatness
B) Dullness
C) Resonance
D) Tympany
Answer: D
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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 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
Q2) A temperature of 99.8° F taken in the axilla is equivalent to which temperature value taken orally?
A) 100.8° F
B) 99.8° F
C) 98.8° F
D) 97.8° F
Q3) Which action by the nurse results in the patient's blood pressure measurement being falsely high? (Select all that apply.)
A) Using a blood pressure cuff that is too narrow for the patient's upper arm
B) Deflating the blood pressure cuff too rapidly
C) Wrapping the blood pressure cuff too loosely
D) Reinflating the blood pressure cuff before it completely deflates
E) Positioning the patients arm above the level of the heart
Page 6
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Chapter 5: Cultural Assessment
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) During the first prenatal visit for a 20-year-old Hispanic woman, the nurse assesses the patient's health beliefs and practices. Which questions are appropriate as part of this assessment? (Select all that apply.)
A) You are Hispanic, do you need me to find an interpreter?
B) What is the language that is usually spoken in your home?
C) How do you define health and illness?
D) Which Catholic church do you attend?
E) Do you have specific beliefs or preferences concerning food or food preparation?
F) Do you or the members of your family have certain beliefs and practices surrounding pregnancy and childbirth?
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?"
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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 admitted to the emergency department with "excruciating chest pain, above the rating of 10," has a heart rate of 55, rapid, irregular respirations, complains of nausea, and is too weak to move to the stretcher without aid. Which component of the nervous system is the cause of this patient's response to pain?
A) Parasympathetic
B) Sympathetic
C) Central
D) Peripheral
Q2) How do nurses assess a patient's pain?
A) By assessing physiologic changes of the patient
B) By understanding the sensory experience related to the amount of tissue damage
C) By the patient's medical diagnosis or surgical procedure
D) By asking the patient to rate the pain being experienced
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8
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 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."
Q2) 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?"
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
Source URL: https://quizplus.com/quiz/2465
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 man who is 6 feet 9 inches tall is told by his provider to lose weight so that he is closer to his desired body weight. He asks the nurse, How can I find out what my desired body weight should be? The nurse responds, Let me show you how to calculate it. Your desired body weight (DBW) should be ______ lb.
Q3) A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____.
Q4) 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
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Page 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) A patient complains of itching on her feet. On inspection the nurse observes weeping vesicles and skin that is softened and broken down between the toes. What explanation does the nurse give the patient about the cause of this skin disorder?
A) "Your itching is caused by a bacterial infection."
B) "Your itching is caused by an allergic reaction."
C) "Your itching is caused by a viral infection."
D) "Your itching is caused by a fungal infection."
Q2) 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.
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) What technique does a nurse use when palpating the right lobe of a patient's thyroid gland using the anterior approach?
A) Pushes the cricoid process to the left with the right thumb
B) Displaces the trachea to the right with the left thumb
C) Manipulates the thyroid between the thumb and index finger
D) Moves the sternocleidomastoid muscle to the right with the left thumb
Q2) A patient is admitted with edema of the occipital lobe following a head injury. The nurse correlates which finding with damage to this area?
A) Ipsilateral ptosis
B) Impaired vision
C) Pupillary constriction
D) Increased intraocular pressure
Q3) The nurse is taking a health history on a patient who reports frequent stabbing headaches occurring once a day lasting about an hour. Which statement by the patient is most indicative of cluster headaches?
A) "I usually have nausea and vomiting with my headaches."
B) "My whole head is constantly throbbing."
C) "It feels like my head is in a vice."
D) "The pain is on the left side over my eye, forehead, and cheek."
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Page 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) On inspection, a nurse finds the patient's anteroposterior diameter of the chest to be the same as the lateral diameter. Based on this finding, what additional data does the nurse anticipate?
A) Increased vocal fremitus on palpation
B) Dull tones heard on percussion
C) Decreased breath sounds on auscultation
D) Complaint of sharp chest pain on inspiration
Q2) A patient is suspected of having a lung consolidation. A nurse uses the three techniques for assessing vocal resonance in this patient. What is the expected finding among the three procedures that will help eliminate consolidation as a problem?
A) The nurse documents clearly hearing the patient say "99."
B) The nurse documents hearing muffled sounds when the patient says "1-2-3."
C) The nurse documents hearing no sounds when the patient says "e-e-e."
D) The nurse documents clearly hearing the patient say "a-a-a."
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
Source URL: https://quizplus.com/quiz/2469
Sample Questions
Q1) A nurse determines that a patient has a heart rate of 42 beats/min. What might be a cause of this heart rate?
A) Sinoatrial (SA) node failure
B) Atrial bradycardia
C) A well-conditioned heart muscle
D) Left ventricular hypertrophy
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) 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.
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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) A nurse inspects the abdomen for skin color, surface characteristics, and surface movement. What part of the abdominal assessment does the nurse perform next?
A) Light palpation for tenderness and muscle tone
B) Ausculation of the bowel sounds in all four quadrants
C) Deep palpation for masses or aortic pulsation
D) Percussion for tones in all four quadrants
Q2) In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet. Based on this finding, what question does the nurse ask the patient?
A) "Have you had any pain in your abdomen?"
B) "Have you had an unexpected weight gain?"
C) "Have you noticed a change in the color of your skin?"
D) "Have you had any nausea or vomiting?"
Q3) When inspecting a patient's abdomen, which finding does the nurse note as normal?
A) Engorgement of veins around the umbilicus
B) Sudden bulge at the umbilicus when coughing
C) Visible peristalsis in all quadrants
D) Silver-white striae extending from the umbilicus
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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) Which description of pain from the patient makes a nurse suspect the patient's pain is originating from a muscle?
A) "Crampy"
B) "Dull and deep"
C) "Boring and intense"
D) "Sharp upon movement"
Q2) How does a nurse assess the eversion and inversion of a patient's ankle?
A) For eversion, ask the patient to turn the sole of the foot away from the body and for inversion turn the sole of the foot toward the midline.
B) For eversion, ask the patient to turn the sole of the inward toward the midline and for inversion turn the sole of the foot away from the body.
C) For eversion, ask the patient to walk on his toes and, for inversion, to walk on his heels.
D) For eversion, ask the patient to point the toes forward and, for inversion, to point the toes backward.
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16
Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/2472
Sample Questions
Q1) The nurse asks the patient to stand with feet together, arms resting at the sides, with eyes open and then with the eyes closed. Which response by the patient indicates a problem in the cerebellum?
A) Maintains balance when eyes are open, but loses balance with eyes closed
B) Is unable to stand upright after turning around in a circle once
C) Steps sideways when standing with feet together and eyes closed
D) Sways slightly and maintains upright posture with feet together
Q2) 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.
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Page 17
Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) During a breast examination of a male patient, the nurse recognizes which finding as normal?
A) Bilateral nontender flat breasts with symmetric nipple and areolar areas
B) A fibrous layer of subcutaneous breast tissue that is thicker than in women
C) Breast tenderness on the dominant side but not on the other side
D) Bilateral symmetry of breasts with absence of hair in the areolar areas
Q2) Which lifestyle behaviors do nurses ask about to identify patients with risk factors for breast cancer? (Select all that apply.)
A) Obesity after age 50
B) Smoking more than 1 pack of cigarettes a day
C) Never having given birth to a viable infant
D) Drinking two to five alcoholic beverages a day
E) Estrogen replacement therapy for more than 5 years
F) High blood pressure for more than 3 years
Q3) Which statement by a 40-year-old man would be most indicative of possible breast cancer?
A) "I had embarrassing breast enlargement when I was a teenager."
B) "I think I felt a hard spot in my left breast, but it does not hurt."
C) "My right breast has always been a little smaller than the left."
D) "My father's breasts got larger after he was older."
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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) While giving a history, the patient reports having herpes genitalis. Based on this information, which finding does the nurse anticipate during the assessment?
A) Small vesicles on the genitalia
B) Single, firm, painless, open sore
C) Pain when palpating the cervix
D) Malodorous greenish-yellow vaginal discharge
Q2) 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
Q3) 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
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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) 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."
Q2) The parents of a 14-year-old boy express concern that their son's behavior ranges from clean-cut and personable to "grungy" and sullen. They have tried talking with him about this and have tried disciplining him, but he continues to show different sides, and they are confused. What is the nurse's assessment for the behavior of this teenager?
A) The teenager is dangerously labile.
B) This behavior is normal experimentation.
C) This boy is being rebelliously hostile.
D) This behavior may require hospitalization.
Q3) 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)
Page 20
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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) A nurse shines the light from the ophthalmoscope into the eyes of a newborn and observes a bright, round, red-orange glow seen through both pupils. How does the nurse document this finding?
A) An expected red reflex
B) Eyelid capillary hemangiomas
C) Bilateral conjunctivitis
D) Ophthalmia neonatorum
Q2) How does a nurse assess the head circumference of an infant?
A) Places a ruler behind the infant's head, noting the head width
B) Uses a plastic headband placed around the infant's head from crown to chin
C) Places a measuring tape around the head above the eyebrows and occipital prominence
D) Uses a measuring tape to find the distance between the ears and eyes and between the eyes and occiput
Q3) A nurse assessing a 3-month-old infant suspects hydrocephalus based on which finding?
A) Soft anterior fontanelle
B) Lack of head control while sitting
C) Increasing head circumference
D) Marked asymmetry of the head
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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) 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
Q2) A nurse instructs the patient about which expected skin changes during pregnancy?
A) Nipples becoming thicker
B) Hands and feet becoming pale and cool
C) Blotchy, brown pigmentation of the abdomen
D) Stretch marks on the expanding abdomen
Q3) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.
Q4) 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
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Chapter 21: Assessment of the Older Adult
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) What expected physiologic changes of aging put older adults at risk for respiratory infections? (Select all that apply.)
A) Breath sounds are bronchovesicular in the peripheral lung.
B) Alveoli are less elastic.
C) Weak intercostal muscles reduce effective coughing.
D) Mucous membranes drier
E) Curvature of the spine limits chest wall expansion.
F) Cough reflex is impaired due to deceased sensitivity of receptors.
Q2) The nurse notes which finding as expected during a history and examination of an older adult patient's abdomen?
A) Hyperactive bowel sounds in all quadrants
B) Decreased fatty deposits over the abdomen
C) Marked concavity of the abdominal contour
D) Soft abdomen on palpation in all quadrants
Q3) In assessing the nails of an older adult, which finding does a nurse expect to find?
A) Transverse ridges
B) Thick, brittle, and yellow nails
C) Thin, brittle nails
D) Lateral edges turned upward
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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 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
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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Chapter 23: Documenting the Comprehensive Health Assessment
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6 Flashcards
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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) A patient reports she has shortness of breath and peripheral edema. Under which category does the nurse document these data?
A) Review of systems
B) Present health status
C) Past health history
D) Functional ability
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Chapter 24: Adapting Health Assessment to the Hospitalized Patient
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9 Verified Questions
9 Flashcards
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Sample Questions
Q1) When performing a neurologic assessment of a male patient, a nurse discovers that shouting and shaking are necessary to arouse the patient enough to assess his neurologic status. After the patient answers questions about who he is and squeezes the nurse's hand as requested, he returns to "sleep." How does the nurse document this patient's level of consciousness?
A) Lethargic
B) Obtunded
C) Stuporous
D) Semicomatose
Q2) Which tube interferes with hearing lung sounds during auscultation? (Select all that apply.)
A) Gastrostomy tube
B) Chest tube
C) Nasogastric tube
D) Tracheostomy tube
E) Oral endotracheal tube
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