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Health Assessment Quiz Questions - GNRS 578 (1)
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Health Assessment Quiz Questions - GNRS 578 (1)
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˜Assessment information is derived from which components?A) Review of clinical record
B) Interview and Health history
C) Physical examination and Functional Assessment
✅✅
D) Cultural and spiritual assessment
E) All of the above - -All of the above
˜Assessment information is derived from the Collection of data from multiple sources:
Review of clinical record
Interview
Health history
Physical examination
Functional assessment
Cultural and spiritual assessment
Consultation
Review of the literature
Subjective data includes...
A) A client's laboratory reports
B) Results of the physical examination
✅✅-D) D)
C) Results of radiographic studies
D) Symptoms or otherwise hidden data perceived by the client -
Symptoms or otherwise hidden data perceived by the client
Rationale: Clients can describe feelings or symptoms that cannot be observed by
others. Others can report what the client has said to them but may not observe the
feelings or symptoms the client reports. Physical examination findings, laboratory
reports, and radiographic findings are objective data.
Which of the following phrases contain objective data?
A) "Hispanic female sitting on examination table holding a towel on her forehead."
B) "I am six-years-old and I'm here because I bumped my head."
✅✅
C) "My head is bleeding and it won't stop."
D) "Client states that she fell off her bicycle." - -A) "Hispanic female sitting on
examination table holding a towel on her forehead."
Rationale: Objective data is data that can be observed or measured by the nurse.
The nurse can see the child holding the towel to her head. Statements the client
makes are subjective data.
Subjective data is gathered from the ________.
, Physical exam
Lab work only
✅✅-Interview
Interview
General survey -
Rationale: Subjective data is gathered from the interview. The interview includes the
health history and focused interview. Data will come from primary and secondary
sources.
Gathering the history and completing the physical exam is mostly the responsibility
of the physician. The nurse should gather the assessment tools and wait for the
physician to complete the health assessment.
T or F - ✅✅-FALSE
Health assessment is within the role of the nurse!
Which technique is the second step in the sequence for abdominal assessment?
Inspection
Auscultation
✅✅-Auscultation
Percussion
Palpation -
Rationale: Inspection should be performed first, however percussion and palpation
could alter the natural sounds of the abdomen. It is important to auscultate and listen
to the unaltered sounds and this should be performed just after inspection and prior
to the remainder of the sequence.
What is the first step in the assessment of any body system?
Inspection
Auscultation
✅✅-Inspection
Percussion
Palpation -
Inspection always comes first. Initially you may feel embarrassed "staring" at the
person without also "doing something." A focused inspection takes time and yields a
surprising amount of data. Train yourself not to rush through inspection by holding
your hands behind your back.
The best technique to put the client at ease during palpation portion of assessment
would be for the nurse to
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