Nursing Fundamentals Head to Toe Assessment Questions
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Course
NURS 210
Institution
Columbia College (CC
)
Nursing Fundamentals Head to Toe Assessment Questions
The very first thing a nurse will assess when doing a head to toe examination is what?
A. head
B. eyes
C. ears
D. general appearance - answer
When assessing a clients physical appearance a nurse will note w...
nursing fundamentals head to toe assessment questi
the very first thing a nurse will assess when doin
when assessing a clients physical appearance a nur
Written for
Columbia College (CC
)
NURS 210
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Nursing Fundamentals Head to Toe
Assessment Questions
The very first thing a nurse will assess when doing a head to toe examination is what?
A. head
B. eyes
C. ears
D. general appearance - answer D. general appearance
When assessing a clients physical appearance a nurse will note which of the following?
(select all that apply)
A. clients age
B. clients gender
C. clients speech
D.Palpate maxillary and facial sinuses - answer a,b,c
When it comes to assessing the clients physical appearance which of the following lists
what a nurse would look for?
A. gender,age, ethnicity, dress, speech, level of conciousness
B.religion,age, ethnicity, dress, speech, level of conciousness
C. age, gender, ethnicity, dress, diet, speech, level of conciousness
D.gender,age, ethnicity, marital status, dress, speech, level of conciousness - answer
A. gender,age, ethnicity, dress, speech, level of conciousness
Nurse Becky has her client come in and looks at the way he is dressed what is she
looking for?
A. that her client has a good fashion sense
B. that her client feels comfortable with her
C. that her client's dress is appropriate for his gender, age, and time of the year
, D. that her client's dress is appropriate for his gender, societal status, and marital status
- answer C. that her client's dress is appropriate for his gender, age, and time of the
year
What could the nurse assess based soley on the way the client walks into the room?
A. gender and age
B. dress and signs of illness
C. signs of illness, well nourished
D. gait and posture - answer D. gait and posture
Nurse Dave has his client come in and proceeds to ask him his name, his date of birth,
if he knows where he is, and what day of the week it is. In doing this Dave is testing his
clients what?
A. intelligence coeffient
B. level of conciousness
C. social and cognitive skills
D. physical and mental development - answer B. level of conciousness
A nurse should assess a client's level of conciousness to ensure they are oriented how?
(select all that apply)
A. oriented to time
B. oriented to place
C. oriented to person
D. understands and responds to questions appropriately
E. all of the above - answer E. all of the above
Which of the following would be considered normal observations regarding a client's
speech?
A. that it is rushed and garbbled
B. it is articulate and easy to understand
C. it is articulate but spoken in a language other than English
D. it is hapazard and sing-song like - answer b,c
Nurse George has just assessed his client's articulation, language, and other aspects of
his speech. In doing this which cranial nerves has he just assessed?
A. cranial nerves 4 and 5
B. cranial nerves 6 and 12
C. cranial nerves 9 and 12
D. cranial nerves 10 and 12 - answer D. cranial nerves 10 and 12
What is the very first thing a nurse should do at the begining of a head to toe
assessment?
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