GNRS 578 Health Assessment - Quiz -1-9 fully solved
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Course
GNRS
Institution
GNRS
Assessment information is derived from which components?
a. Physical examination
b. All of the above
c. Cultural Assessment
d. Review of clinical record
e. Interview
b. All of the above
Which of the following are subjective data? Select all that apply.
- Feeling sadness
- Height ...
GNRS 578 Health Assessment - Quiz #1-9
fully solved
Assessment information is derived from which components?
a. Physical examination
b. All of the above
c. Cultural Assessment
d. Review of clinical record
e. Interview - ANSWER-b. All of the above
Which of the following are subjective data? Select all that apply.
- Feeling sadness
- Height and Weight
- Results of radiographic studies
- Pain
- Heart rate - ANSWER-- Feeling of sadness
- Pain
Which of the following phrases contain objective data?
a. "The client is currently holding a towel on her forehead."
b. "I have a dizzy feeling that won't stop."
c. "I'm here b/c I bumped my head."
d. "Client states that she fell off her bicycle." - ANSWER-a. "The client is currently
holding a towel on her forehead."
,T/F: 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. - ANSWER-False
Subjective data are gathered from the:
a. physical exam
b. interview
c. general survey
d. laboratory studies - ANSWER-Interview
What is the first step in the assessment of any body system?
a. Percussion
b. Palpation
c. Auscultation
d. Inspection - ANSWER-d. Inspection
Which assessment technique produces sounds which help reveal the density of the
underlying area?
a. Percussion
b. Inspection
c. Palpation
d. Auscultation - ANSWER-a. Percussion
The best technique to put the adult client at ease during palpation portion of the
assessment would be for the nurse to:
a. explain the purpose of each movement after completion
b. palpate the most painful areas first, to get it out the way
c. distract the patient, and then quickly perform the palpation
d. let the client know what will be done before touching the patient - ANSWER-d. let the
client know what will be done before touching the patient
When auscultating, the nurse must never:
, a. listen through a gown
b. ask the patient to remove clothing
c. listen over wet hair
d. use the bell of the stethoscope - ANSWER-a. listen through a gown
The nurse will use which technique of assessment to determine the presence of
crepitus, excessive warmth, and pulsations?
a. Percussion
b. Palpation
c. Inspection
d. Auscultation - ANSWER-b. Palpation
Which of the following best describes the most important purpose for a general survey?
a. This initial set of data will help to guide the physical assessment
b. This time provides an opportunity for the patient to relax
c. To provide the vital signs prior to starting the exam
d. To provide the information necessary for the diagnosis - ANSWER-a. This initial set
of data will help to guide the physical assessment
During the interview, the nurse notes that the client is confused as to day and time. This
would be an indicator of the client's
a. affect and mood
b. level of anxiety
c. orientation
d. willingness to cooperate - ANSWER-c. orientation
A nursing assistant will be obtaining vital signs on a client who had a left-sided
mastectomy two days prior. What specific instructions would the nurse provide to the
nursing assistant in delegating this task?
a. Take blood pressure on the right arm
b. Take blood pressure on both arms for a baseline
c. Take blood pressure on the left arm
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