Nursing Health Assessment Question
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Course Introduction
Nursing Health Assessment focuses on the systematic collection and analysis of health data essential for diagnosing and planning patient-centered care. Students learn to conduct comprehensive physical examinations, obtain thorough health histories, and utilize effective communication skills to gather relevant information across diverse patient populations. Emphasis is placed on the development of clinical reasoning, cultural sensitivity, and interpretation of findings to identify health deviations. This course prepares nursing students to perform holistic assessments, document accurately, and contribute to interdisciplinary healthcare teams.
Recommended Textbook Health Assessment for Nursing Practice 6th Edition by Wilson
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24 Chapters
634 Verified Questions
634 Flashcards
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Chapter 1: Introduction to Health Assessment
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14 Verified Questions
14 Flashcards
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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) A community organization sponsors a health fair to increase awareness of colon cancer. At the health fair, colorectal cancer screening kits are distributed, and health care professionals answer questions, take blood pressure, and distribute literature. What level of health prevention is being implemented by this community organization?
A) Primary
B) Secondary
C) Tertiary
D) Risk factor
Answer: B
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Chapter 2: Obtaining a Health History
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Which nurse demonstrates culturally competent care for a female patient from Russia?
A) Nurse A who asks the patient about cultural factors that influence health care
B) Nurse B who interacts with every patient from Russia in the same manner
C) Nurse C who learns the cultural variables of every culture, including Russia
D) Nurse D who relies on her previous experience with patients from Russia
Answer: A
Q2) A patient admitted with pneumonia reports that she takes insulin for diabetes mellitus. In which section of the history does the nurse document the insulin and diabetes?
A) Past health history
B) Present health status
C) Reason for seeking care (chief complaint)
D) History of present illness
Answer: B
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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) A nurse is preparing to take a patient's blood pressure. The blood pressure cuff is 5 inches wide and the patient's upper arm circumference is 20 inches. How accurate will this patient's blood pressure be using this blood pressure cuff?
A) Accurate, the actual value
B) Higher than the actual value
C) Lower than the actual value
D) Unable to determine accuracy with available data
Answer: B
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Chapter 4: General Inspection and Measurement of Vital Signs
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Sample Questions
Q1) 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
Q2) A patient's blood pressure has been averaging 120/72 when using the upper arms. Today, the nurse uses this patient's thigh to measure the blood pressure. What is the expected systolic pressure using the thigh that is equivalent to a systolic pressure of 120?
A) A systolic reading of 110 mm Hg
B) A systolic reading of 120 mm Hg
C) A systolic reading of 140 mm Hg
D) A systolic reading of 170 mm Hg
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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Sample Questions
Q1) A nurse is caring for a woman who has given birth to a healthy baby. The woman's husband and mother are in the room, and more family members are in the lobby. Which comment by the nurse demonstrates culturally competent care?
A) "We need to take your baby to the nursery now for a physical examination."
B) "Are there any ceremonies or other practices that are important to you at this time?"
C) "We can only allow immediate family in the room with you at this time."
D) "Because breastfeeding is the best way to feed your baby, we'll bring your baby to you when she is hungry."
Q2) A Hispanic patient tells an African-American nurse, "You are African-American and can't possibly understand how a person like me feels." What is an appropriate response by the nurse at this time?
A) Find a nurse who is not African-American to interview the patient.
B) Ask the patient, "Why do you think that, since we just met?"
C) Note that the patient is very defensive about being racially different.
D) Encourage the patient to describe what he means by his statement.
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Chapter 6: Pain Assessment
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Sample Questions
Q1) How do nurses assess pain of neonates or of adults with dementia or decreased level of consciousness? (Select all that apply.)
A) Ask family or caregivers what indicators they think may indicate the patient's pain.
B) Review results of blood tests for signs of pain.
C) Administer the ordered analgesic to the patient.
D) Identify any physiologic signs of pain.
E) Examine the patient for possible causes of pain.
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 Flashcards
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Sample Questions
Q1) A female patient states that she has had problems with depression in the past and thinks she is depressed again. Which response by the nurse is most appropriate?
A) "What do you think is causing your depression this time?"
B) "What therapies have worked for you in the past?"
C) "Did you stop taking your medication?"
D) "Do you think this is a situational depression?"
Q2) 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?
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Chapter 8: Nutritional Assessment
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A woman who is 4 feet 11 inches tall is told by her provider to lose weight so that she is closer to her desired body weight. She 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.
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) 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
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) 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
Q2) During inspection of a patient's upper back, the nurse notices three small, elevated superficial lesions filled with purulent fluid. How does the nurse document this finding?
A) As three cysts on the upper back
B) As several bullae on the back
C) As three pustules on the upper back
D) As three wheals on the upper back
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
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Sample Questions
Q1) How does a nurse recognize normal accommodation?
A) The patient has peripheral vision of 90 degrees left and right.
B) The patient's eyes move up and down, side to side, and obliquely.
C) The right pupil constricts when a light is shown in the left pupil.
D) The patient's pupils dilate when looking toward a distant object.
Q2) What technique does a nurse use when palpating the right lobe of a patient's thyroid gland using the posterior approach?
A) Pushes the cricoid process to the left with the right thumb and feels the right lobe with the left hand
B) Uses the left hand to push the sternocleidomastoid muscle to the right and feels the lobe with the right hand
C) Pushes the trachea to the right with the left hand and feels the right lobe with the right hand
D) Places the fingers on either side of the trachea above the cricoid cartilage and feels the right lobe
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12
Chapter 11: Lungs and Respiratory System
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32 Verified Questions
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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) A nurse is auscultating the lungs of a healthy male patient and hears crackles on inspiration. What action can the nurse take to ensure this is an accurate finding?
A) Make sure the bell of the stethoscope is used, rather than the diaphragm.
B) Hold stethoscope firmly to prevent movement when placed over chest hair.
C) Ask the patient not to talk while the nurse is listening to the lungs.
D) Change the patient's position to ensure accurate sounds.
Q3) Which question will give the nurse additional information about the nature of a patient's dyspnea?
A) "How often do you see the physician?"
B) "How has this condition affected your day-to-day activities?"
C) "Do you have a cough that occurs with the dyspnea?"
D) "Does your heart rate increase when you are short of breath?"
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Page 13
Chapter 12: Heart and Peripheral Vascular System
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) 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
Q2) Which patient does the nurse identify as the one at greatest risk for hypertension?
A) Woman with coronary artery disease
B) Hispanic male
C) Obese male with diabetes mellitus
D) Postmenopausal woman
Q3) A nurse informs a patient that her blood pressure is 128/78. The patient asks what the number 128 means. What is the nurse's appropriate response? The 128 represents the pressure in your blood vessels when:
A) "The ventricles relax and the aortic and pulmonic valves open."
B) "The ventricles contract and the mitral and tricuspid valves close."
C) "The ventricles contract and the mitral and tricuspid valves open."
D) "The ventricles relax and the aortic and pulmonic valves close."
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Page 14
Chapter 13: Abdomen and Gastrointestinal System
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) When palpating the abdomen to determine a floating mass, a nurse presses on the abdomen at a 90-degree angle with the fingertips. Which finding indicates a mass?
A) An increase in abdominal girth.
B) A complaint from the patient of a dull pain in the flank area.
C) A freely movable mass will float upward and touch the fingertips.
D) Fluid in the abdomen will shift upward and touch the fingertips.
Q2) During an assessment for abdominal pain, a patient reports a colicky abdominal pain and pain in the right shoulder that gets worse after eating fried foods. What question does the nurse ask to confirm the suspicion of cholelithiasis?
A) "Have you noticed any swelling in your ankles or feet at the end of the day?"
B) "Have you noticed a change in the color of your urine or stools?"
C) "Have you vomited up any blood in the last 24 hours?"
D) "Have you experienced fever, chills, or sweating?"
Q3) What instructions does the nurse give a patient before palpating the abdomen?
A) Bend the knees.
B) Take a deep breath and hold it.
C) Take a deep breath and cough.
D) Place the hands over the head.
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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) On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?
A) Osteoarthritis
B) Osteoporosis
C) Rheumatoid arthritis
D) Gout
Q2) In assessing a patient with a history of poliomyelitis, the nurse suspects the right leg muscles are smaller than the left leg. What is the best approach for the nurse to confirm or reject this suspicion?
A) Palpating both legs using the pads of the thumb and index fingers and comparing one side with another
B) Using a tape to measure each leg's circumference at the same location, above or below the nearest joint
C) Using a goniometer to measure the upper and lower legs with the patient in supine and standing positions
D) Palpating the legs using the tips of the thumb and index fingers, and comparing the findings with the Lovett scale
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Chapter 15: Neurologic System
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) What technique does the nurse use to test ankle clonus?
A) Strokes the lateral aspect of the sole of the patient's foot from heel to ball with a reflex hammer
B) Supports the patient's knee in flexed position and sharply dorsiflexes the foot and maintains the flexion
C) Plantar flexes the ankle and strikes the appropriate tendon of the ankle with the hammer.
D) Everts the ankle and slowly moves the ankle into plantar flexion and quickly release the foot
Q2) A nurse assesses a patient with a head injury who has slowing intellectual functioning, personality changes, and emotional lability. The nurse correlates these findings with which area of the brain?
A) Frontal lobe
B) Parietal lobe
C) Thalamus
D) Temporal lobe
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17
Chapter 16: Breasts and Axillae
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) In reviewing the charts of several patients in the clinic, a nurse recognizes which patient as being at highest risk of breast cancer?
A) A woman who had her first child at age 26
B) A woman who reached menopause at age 58
C) A woman who breastfed all four of her children
D) A woman who states that she reached menarche at age 14
Q2) 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
Q3) In assessing the breast of a male patient, the nurse places him in which position?
A) Standing with hands over the head
B) Supine with the hand on the side being examined placed behind the head
C) Sitting with arms at the side
D) Bending forward 45 degrees at the waist
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Page 18
Chapter 17: Reproductive System and the Perineum
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40 Flashcards
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Sample Questions
Q1) A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?
A) "There is no need for Pap tests until after you have become pregnant."
B) "All women should have the first Pap test after reaching menarche."
C) "All women should have the first Pap test after they are 19 years of age."
D) "All women should have the first Pap test when they become sexually active or at age 21."
Q2) The patient is unable to tolerate a bimanual pelvic examination due to pain in ovaries and fallopian tubes. Which disorder does the nurse suspect?
A) Tertiary syphilis
B) Genital herpes
C) Human papillomavirus (HPV) infection
D) Pelvic inflammatory disease
Q3) When palpating the epididymis, the nurse considers which finding to be abnormal?
A) The epididymis is located on the posterolateral surface of each testis.
B) The epididymis feels like a tubular, comma-shaped structure.
C) The epididymis collapses on palpation.
D) The epididymis has an irregular, nodular surface.
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Page 19
Chapter 18: Developmental Assessment Throughout the Life Span
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What suggestions does the nurse make to parents to support the development of their 8-year-old child?
A) They buy the child a computer to foster a sense of self-worth.
B) The emphasis is placed on the importance of being a success at all costs.
C) The child is rewarded for cooperation and healthy competition with peers.
D) Social relationships outside the home are limited to one or two close friends.
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.
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Chapter 19: Assessment of the Infant, Child, and Adolescent
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Sample Questions
Q1) 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
Q2) The nurse places an 8-year-old boy in which position for examination of his genitalia?
A) Supine with legs extended to either side
B) Lying on his left side with knees bent
C) Reclining with knees flexed
D) Standing with legs spread apart
Q3) During a well-baby check for several 4-month-old infants, a nurse recognizes that which infant needs further assessment of an abnormal finding?
A) The infant who is unable to sit independently
B) The infant whose head circumference and chest circumference are equal
C) The infant whose weight has doubled since birth
D) The infant whose length falls in the 90th percentile on growth charts
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Chapter 20: Assessment of the Pregnant Patient
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Sample Questions
Q1) A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.
Q2) A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?
A) Gestational diabetes mellitus
B) Preeclampsia
C) Placenta enlargement
D) Multiple gestations
Q3) The nurse recognizes which clinical manifestation as a positive sign of pregnancy?
A) Cessation of menstruation
B) Visualization of the fetus by ultrasound
C) Nausea and increased abdominal girth
D) Positive pregnancy test (hCG)
Q4) A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.
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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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When assessing the pain level of an older adult, a nurse considers which factor?
A) Neural transmission of pain is increased as a part of the aging process.
B) Older adult patients are not reliable in their descriptions of pain and how it affects them.
C) Physiologic indicators of pain that are unique to older adults are tachycardia and hypotension.
D) The older adult may believe that pain is a factor of aging and not worth mentioning.
Q2) An older adult patient reports being able to see her granddaughter play basketball out of the sides of her eyes, but not in the center of her eyes. Based on this information, what vision disorder does the nurse suspect?
A) Presbyopia
B) Macular degeneration
C) Pseudoptosis
D) Entropion
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Chapter 22: Conducting a Head-to-Toe Examination
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Sample Questions
Q1) Which techniques does a nurse routinely use to collect data when assessing the lower extremities of a patient? (Select all that apply.)
A) Inspecting of legs, ankles, and feet for skin characteristics and hair distribution
B) Assessing for knee stability with the drawer test, McMurray test, or Apley test
C) Palpating lower legs and feet for temperature, pulses, and tenderness
D) Assessing for nerve root compression with straight leg raises
E) Palpating hips for stability and tenderness
F) Testing for patellar and Achilles deep tendon reflexes bilaterally
Q2) Which assessments are routine examination techniques of the upper extremities?
A) Palpating the epitrochlear lymph nodes for size and tenderness
B) Palpating the arms for skin characteristics, symmetry, tenderness, and deformities
C) Testing the range of motion and muscle strength comparing one arm with the other
D) Testing triceps, biceps, and brachioradialis deep tendon reflexes bilaterally
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24
Chapter 23: Documenting the Comprehensive Health Assessment
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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) What data do nurses document under the category general survey?
A) Mental health
B) Functional ability
C) Diet and nutrition
D) Orientation
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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Sample Questions
Q1) What data do nurses collect when assessing a patient's wound? (Select all that apply.)
A) Skin turgor
B) Width, length, and depth
C) Presence of pulsations
D) Wound color
E) Presence of edema
F) Drainage color
Q2) 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
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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