Health Assessment Questions (practice)

Which factor would assist the nurse in determining how to cluster clinical data into a single problem for a 65-year-old male client with a chief report of lower back pain?

timing

Which statement by the nurse demonstrates a cultural bias?

"American healthcare is really so much better than that provided by any other country."

Which statement by the new nurse demonstrates an understanding of the nurse's responsibility to conduct an effective health assessment of the client?

"I am always trying to improve my assessment skills."

A nurse obtains a urine specimen from a client for urinalysis. The test results indicates the urine is positive for leukocytes. Which of the following should the nurse consider prior to identifying the priority problem for this client. (Select all that apply.)

A. Validity of the test B. Client symptoms D. Specificity of the test E. Quality of the specimen

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

A. Wash hands. C. Identify ways to ensure patient privacy. D. Obtain and check needed equipment.

The nurse has completed a plan of care for a client having a total knee replacement. In order to develop goals which are realistic for the client, what should the nurse do prior to implementing the plan?

Ask the client for opinions and willingness to proceed with the interventions.

A client reports difficulty sleeping. Which question would be the most effective way for the nurse to open the interview?

Can you tell me about your sleep problem from when it started until now?

What will be the nurse's initial role when conducting a health assessment with a client reporting abdominal pain?

Collecting data regarding the nature of the pain

A patient recovering from a stroke complains of pain. The nurse suspects this patient is most likely experiencing which type of pain?

Neuropathic

For a client with the chief complaint of urinary incontinence, 10 additional health issues have been identified and need to be included in the problem list. What is the most effective way for the nurse to determine which is the priority problem?

The chief complaint should be investigated first.

A nurse in the community is completing a manual blood pressure assessment in the dayroom of a senior center. Which action should the nurse take to ensure the assessment is accurate?

Turn down the television volume.

Which statements provide information about a client's health maintenance? Select all that apply.

B. A client recently a had lab test for liver function. C. A child received immunizations based on the recommended schedule. D. A female client had a mammogram 2 weeks ago.

The nurse who has been assigned to a client on the second-shift is assessing a client to evaluate the outcomes identified in the care plan. This nurse is conducting which type of assessment?

Follow-up history

The nurse is completing an assessment of a patient who reports two episodes of fainting in the late afternoon. Which data would the nurse categorize as subjective?

Increase in psycho-social stress

A female client tells the nurse it has been 5 years since her last pap smear examination. Where should the nurse document this information?

health maintenance

The nurse suspects that a client is experiencing alcohol abuse. When completing the CAGE questionnaire, the nurse can confirm the client is having guilty feelings when she makes which statement?

"My family doesn't deserve my bad behavior."

During a health assessment, a client shares, "I get a little dizzy when I get up from my chair too quickly. "Which question will the nurse ask the client first when attempting to identify client needs and potential health risks?

"What do you mean by 'a little dizzy'?"

When documenting assessment data, the nurse should avoid which phrases because of their lack of description? Select all that apply.

A. "Client is of average height and well nourished." B. "Client presented as well developed." E. "Client appears to be in no apparent physical distress."

A client reports a ten pound weight loss in the past month. In which areas of the review of systems will the nurse note this information? (Select all that apply.)

A. Endocrine C. Gastrointestinal D. General E. Psychiatric

When the nurse is considering the client outcomes associated with pain management, what factors should the nurse consider? Select all that apply.

A. if the client's pain affects the ability for self care B. if the client is experiencing any adverse reactions associated with the medication C. if the medication has lessened the client's pain E. if the client is demonstrating any atypical behaviors since beginning the medication

Which of the following reasons would be most appropriate for the nurse to complete a comprehensive assessment with a client? (Select all that apply.)

B. Provides baselines for future assessments C. Uncovers opportunities for prevention of a potential health problem E. Helps foster a relationship with the client

The nurse is planning to assess for the presence of lower pitch sounds when examining a patient's heart. Which item of equipment would the nurse use to make this assessment ?

Bell of a stethoscope

The nurse is searching for continuing education programs to develop cultural humility. What characteristics should these educational programs have to meet the nurse's goal? (Select all that apply.)

C. Focuses on self-awareness D. Provides ways to develop collaborative partnerships with patients E. Instructs on the practice of respectful communication

The nurse is focusing an interview on a patient's respiratory status. Which question should the nurse ask first to begin this interview?

Describe how you breathe for me?

Which characteristic demonstrates the nurse's understanding and practice of cultural competent nursing? Select all that apply.

D. recognizes the need to provide all clients holistic care E. states, "I'm really interested in learning about the dietary practices of the Hasidic Jews."

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

Edema B. Blood pressure pattern E. Dyspnea

Which of the following actions is most appropriate for the nurse to take after completing a comprehensive health history with a client who is new to an acute care unit?

Provide health promotion education.

Since the nurse is unable to obtain an average-sized cuff to assess an adult patient with a large arm, the nurse uses an oversized cuff. What blood pressure reading will the nurse most likely obtain for this patient?

Reading will be high

A patient recovering from abdominal surgery is reporting pain. The nurse realizes that the patient is most likely experiencing which type of pain?

Somatic

The nurse is determining a priority problem that would be appropriate for a client with heart failure. Which problem would have the highest priority for the client?

Weight gain of 3 pounds (1.5 kilograms) over 1-2 days

Which nursing intervention best demonstrates the nurse's attempt to provide effective spiritual care to a client in spiritual distress?

assessing the spiritual needs of a client who is critical ill

The nurse is reviewing the laboratory report for a client with poorly controlled diabetes. This action falls within which step of clinical reasoning?

identifying abnormal or positive findings

During an interview, how can the nurse best assist the client as the client tells his or her story?

interrupting only if absolutely necessary