Q1 Behaviors indicative of __include
facial grimace, moaning, crying or screaming, guarding or immobilization
of a body part, tossing and turning, and rhythmic movements.
Q2 "Do you have any medical history?" is an example of a __question
Q3 When viewed laterally, the angle between the skin and the nail base should be approximately degrees.
Q4 The nails should have a __undertone and lie flat or form a convex curve on the nail bed
Q5 The process used for the assessment of hyper-resonance over inflated lung tissue in a patient with emphysema is
Q6 Using eleven functional health patterns, the processes of ingestion, digestion, absorption, and metabolism are assessed in
Q7 Types of assessment that are used to obtain information about a client are comprehensive, focused, and
Q8 The purpose of the nursing assessment is to make a __about a client’s health status.
Q9 Data that can be observed by one person and verified by another person observing the same patient are known as
Q10 When assessing the client’s abdomen. should be done first
Q11 The bell of the stethoscope is used for __sounds
Q12 The pulmonic area is the second intercostals space (ICS) to the
Q13 The aortic area is the second intercostals space (ICS) to the
Q14 Percussion has limited usefulness in the __because X rays and other diagnostic tests provide the same information in a much more accurate manner
Q15 In Asian cultures, breast self-examination may be considered a form of
Q16 Physical assessment of the ear consists of auditory screening, inspection and palpation of the external ear and
Q17 Assessment of the eyes should be carried out in an orderly fashion, moving from the extraocular structures to the
Q18 __is used to determine exact ROM in joints with limited ROM.
Q19 Physical assessment of the neurologic system proceeds in a __-and distal to proximal pattern
Q20 Physical assessment of the neurologic system begins with assessment of the client’s
Q21 Schamroth techniques are used to assess
Q22 Localized hot, red, swollen painful areas indicate the presence of and possible infection.
Q23 __is produced when bacterial waste products mix with perspiration on the skin surface.
Q24 Gray hair can occur as a result of decreased melanin, or aging.
Q25 Hair color is determined by the amount of
Q26 The __is sensitive to touch and temperature
Q27 In physical assessment of the integumentary system, the techniques of inspection and __will be used
Q28 Health records and the results of laboratory tests are important __sources of data collection during health assessment
Q29 Listening to sounds produced by the body to assess normal conditions and deviations from normal is done through
Q30 of the stethoscope is more sensitive to high-pitched sounds.
Q31 Auscultation is usually performed with a
Q32 The usual percussion sound in the right lower quadrant of the abdomen is
Q33 __is an assessment technique involving the production of sound to obtain formation about the underlying area
Q34 The tips of the fingers can be used to palpate
Q35 The dorsa (back) of the hands and fingers can be used to assess
Q36 Palpation is the examination of the body through the use of
Q37 is the visual examination of a part or region of the body to assess normal conditions and deviations from normal
Q38 Performing palpation and percussion of the abdomen before auscultation can alter
Q39 Objective data is obtained through to determine the patient’s physical status, limitations, and assets.
Q40 Functional health patterns format includes an initial collection
of important health information followed by assessment of areas of health status or function
Q41 Functional health patterns format for taking Nursing history was developed by
Q42 The part of the body that is more sensitive to vibrations is
Q43 The ‘gold standard’ for assessing the existence of pain is
Q44 The step of the nursing process that includes data collection by health history, physical examination, and interview is
Q45 is used for head-to-toe assessment.
Q46
__is defined as “an unpleasant sensory and emotional experience
associated with actual or potential tissue damage or described in terms
of such damage”
Q47 includes an assessment related to a specific problem
Q48 Detailed assessment that focuses on one or more body systems,
including those not directly involved in presenting problem or admission
diagnosis is
Q49 determine if a patient has responded to nursing care sufficiently enough to be recommended for discharge
Q50 Blood pressure, pulse rate, blood counts, and age are examples of
Q51 __is information that does not change over time such as race, sex, or blood type
Q52 is observed or measured by the professional nurse
Q53 is hand-on examination of the client
Q54 Perception of pain, nausea, dizziness, itching sensations, or feeling nervous are examples of
Q55 is information that the client experiences and communicates to the nurse
Q56 The primary source from which data is collected is
Q57 Assessment is __step of nursing process
Q58 Subjective data is gathered during
Q59 The nursing health assessment is used to support the identification of a
Q60 is a systematic data collection
Q61 Which of the following coping strategies is not use with the person in pain___________?
Q62 When assessing a client with pain, the nurse:___________
Q63 Which of the following statement is true with regards to pain assessment___________?
Q64 Which of the following statement is not true about Emergency Assessment___________?
Q65 Which of the following statements is true regarding a comprehensive or complete health assessment___________?
Q66 All of the following actions can help make taking a history on a sensitive subject easier EXCEPT:___________
Q67 Which of the following is TRUE with regards to documentation___________?
Q68 Which of the following establishes the foundation for good patient care___________?
Q69 Which of the following actions can you take to establish rapport with a patient early in the interview___________?
Q70 Data collection involves:___________
Q71 Assessment is___________step of nursing process
Q72 Objective data might include:___________
Q73 Subjective data might include:___________
Q74 A client interview consists of three phases. The nurse recognizes that those phases are:___________
Q75 During the nursing assessment, Information
gathered should be communicated to other health care professionals in
order to facilitate___________
Q76 Which of the following statements is the best definition of health Assessment___________?
Q77 The health and physical assessment is a nursing tool to achieve the following aims except: ___________
Q78 The reason for health needs assessment includes the following except:___________
Q79 The result of the assessment can be one of the following:___________
Q80 Which of the following statements is TRUE regarding health assessment___________?
Q81 This part of the body is more sensitive to vibrations___________
Q82 The following different parts of the hand are more sensitive for specific assessments during palpation except:___________
Q83 John Joseph was scheduled for a physical
assessment. When percussing the client’s right lower quadrant of the
abdomen, the nurse would expect to find which assessment data as a
normal sign over his abdomen___________?
Q84 Physical assessment is being performed to a
client by Nurse Tolu. During the abdominal examination, Tolu should
perform the four physical examination techniques in which
sequence___________?
Q85 The nurse is preparing to conduct a health
history. Which of these statements best describes the purpose of a
health history___________?
Q86 The nursing history provide information to assist the nurse primarily in___________
Q87 The ‘gold standard’ for assessing the existence of pain is:___________
Q88 After assessing a client in pain, the nurse___________
Q89 A student asks the nurse what is the best way to assess a client’s pain. Which response by the nurse is best___________?
Q90 After completing an initial assessment on a
patient, the nurse has charted that his respirations are eupneic and his
pulse is 58. This type of data would be:___________
Q91 A patient tells the nurse that he is very
nervous, that he is nauseated, and that he “feels hot.” This type of
data would be:___________
Q92 What is the step of the nursing process that
includes data collection by health history, physical examination, and
interview___________?
Q93 The nurse is performing a physical assessment on a
newly admitted patient. An example of objective information obtained
during the physical assessment includes the:___________
Q94 During which of the following phases of the
nurse–patient interview does the nurse gather all the information needed
to form the subjective database?
Q95 The nurse asks, “I would like to ask you some
questions about your health and your usual daily activities so that we
can better plan your stay here.” This question is found at the _____
phase of the interview process.
Q96 During an interview, the nurse states, “You
mentioned shortness of breath. Tell me more about that.” Which verbal
skill is used with this statement___________?
Q97 The nurse is nearing the end of an interview. Which statement is appropriate at this time___________?
Q98 During the interview portion of data collection, the nurse collects _____ data.
Q99 Which of the following sources of patient data is usually the primary and best source___________?
Q100 Data that can be observed by one person and
verified by another person observing the same patient are known
as:___________
Q101 Assessment of the eyes includes the following except:___________
Q102 Which of the following is an example of a closed-ended question___________?
Q103 When inspecting the face for facial symmetry, what would you have the patient do___________?
Q104 At the beginning of the exam you would perform a general survey. What would you assess at this time___________?
Q105 As a nursing student you learn that mastering all the components of the comprehensive history provides what?
Q106 You are the office nurse admitting a new patient
to the clinic. You have gained your patient’s trust, gathered a
detailed history, and finished your portion of the physical examination.
What is your next step in caring for this patient___________?
Q107 When documenting clinical data, what might you write in the physical assessment___________?
Q108 Using both verbal and nonverbal clues givenby the patient, what is the nurse constantly doing___________?
Q109 The student nurse learns that examining the skin can do what___________?
Q110 Your lab instructor explains that physical examination relies on what classic nursing technique___________?
Q111 How does a nurse facilitate the nursing health assessment___________?
Q112 What is the foundation of nursing practice___________?
Q113 What are nurses able to detect through the health assessment___________?
Q114 When performing a head-to-toe assessment, we normally begin with a neurologic assessment . What is the next___________?
Q115 Before the beginning of a physical examination,
to make the patient more comfortable, what should be done
first___________
Q116 The difference between a "head to toe" assessment and a "focused assessment"___________
Q117 Tywin has come to the nursing clinic for a
comprehensive health assessment. Which statement would be the best way
to end the history interview___________?
Q118 John Joseph was scheduled for a physical
assessment. When percussing the client’s chest, the nurse would expect
to find which assessment data as a normal sign over his lungs___________
Q119 The nurse is doing a pain assessment on the
client who has chronic back pain. Which assessment is of greatest
value___________?
Q120 The nurse is assessing the client’s abdomen. Which should the nurse do first___________?