Health assessment practice questions

While assessing a patient with a skin rash, the nurse finds that the patient has raised red wheals and a series of lesions. What will the nurse teach the patient in order to provide effective treatment? -"Avoid consuming foods rich in vitamin A." -"Wear woolen clothes that have full sleeves." -"Avoid bathing with warm water for a few days." -"Maintain a diary with the list of foods that you eat daily."

"Maintain a diary with the list of foods that you eat daily."

Which of the following would be the best way for a nurse to greet an adult client when initiating the interview? -"Hello Mr. Jones, what brought you to the emergency department today?" -"Hello Robert, what brought you to the emergency department today?" -"Hi, Im nurse John, what brought you to the hospital today Bob?"

"Hello Mr. Jones, what brought you to the emergency department today?"

The nurse instructor knows the student nurse needs more education with what statement about inspection? -"Inspection is always followed by palpaltation" -"Adequate lighting is important" -"I will always inspect before any other technique" -"It is important to assess for symmetry"

"Inspection is always followed by palapaltation"

The nursing instructor is teaching a class on the layers of the skin. Which statement, if made by a student, indicates the need for further teaching? -"Epidermis is thin, but tough." -"Skin is thicker at the palm." -"Keratin provides a brown tone to the skin." -"The amount of melanin in skin varies in people."

"Keratin provides a brown tone to the skin."

When teaching her students about culture the nursing instructor knows her student needs more info when she states: -"Race refers to a group of people who share physical characteristics with a shared heritage." -"Ethnocentrism is the belief that one ethnicity is superior over others." -"People with a common culture have shared beliefs and values and are genetically similar." -"Ethnic groups are groups of people who may share a geographical region, language, values and traditions."

"People with a common culture have shared beliefs and values and are genetically similar."

A nursing instructor is lecturing on nail physiology. Which statement by a nursing student indicates effective learning? -"The pink color is due to vascular epithelial cells." -"The nail matrix is a white, opaque, semilunar area." -"The nail matrix is bare and devoid of any cover." -"Ridges on the nail plates disappear with age."

"The pink color is due to vascular epithelial cells."

Which of the following questions is the best way for the nurse to begin an interview? -"What brought you in today?" -"Where does it hurt?" -"Have you been checking your blood pressure?" -"When was the last time you were seen by a doctor?"

"What brought you in today?"

The nurse is doing a nutritional assessment of an 84 year old client recently admitted to the telemetry unit. The nurse identifies which of the following as normal findings in an older adult? -Altered sense of smell -Poor dentition -Increased salivation -Decreased functional ability -Increased gi activity

-Altered sense of smell -Poor dentition -Decreased functional ability

The nurse assesses the skin of her female african american client and observes a raised flesh-colored lesion behind the client's right earlobe. She suspects that this lesion is: -Evidence of dehydration -The result of chronic itching -A scar from ear piercing -Urticaria

A scar from ear piercing

The client describes his pain as "sharp" and "shooting". Using the OLD CART tool, the student nurse correctly documents this as: -Aggravating factors of pain -Locations of pain -Durations of pain -Characteristics of pain

Characteristics of pain

The student nurse is performing a subjective assessment of her client's skin, hair and nails. Which of the following questions or statements would not be included in this assessment? -Do you get manicures and pedicure regularly? -Do you get enough calcium in your diet? -Do you wear sunscreen? -Describe any changes you've noticed in you skin tone

Do you get enough calcium in your diet?

When assessing the client's sacrum the nurse observes an area where the epidermis is missing and the exposed tissue is pink and moist. She documents this finding as a/an: -Ulcer -Contusion -Scale -Erosion

Erosion

During an interview, the client pauses for about 10 seconds without speaking. The nurse nods his head and leans forward during the pause as an example of what communication technique? -Confrontation -Empathy -Interpretation -Facilitation

Facilitation

The nurse suspects anemia in a light-skinned patient. What change in skin tone would the nurse observe to support this suspicion? -Whitish pink -Dusky blue -Generalized pallor -Patchy milky white spot

Generalized pallor

The student nurse is assessing the client's blood pressure and finds it to be 146/92. Which of the following variations does she consider may be contributing factors? -High stress -Obesity -Increased age -Regular cardiovascular exercise -Moderate alcohol consumption

High stress Obesity Increased age

The nurse is preparing to conduct a mental status assessment. Which statemnt is correct regarding a mental status assessment?

It is possible to gather basic mental status information from the health history and interview.

Which finding about the client's physical appearance will the nurse document in the general survey? -Light skin tone -Steady gait -Straight posture -Good hygiene

Light skin tone

The student nurse is assessing a client's skin and observes lesions that are pink and streaking along the left lower leg. She correctly identifies which configuration: -Discrete -Linear -Annular -Zosteriform

Linear

The nurse is most concerned about the general health of which of the following clients: -Female: bmi 28, WC 32 -Male: bmi 19, WC 28 -Female bmi 24, WC 29 -Male: bmi, 27, WC 41

Male: bmi, 27, WC 41

The student nurse assesses a lesion on his client's leg. The lesion is 8 mm in diameter, is raised and is red in color. He correctly documents this lesion as: -Macule -Patch -Papule -Plaque

Papule

During an assessment, the nurse observes that the nail bases of the patient feel soft and spongy on palpitation. On further assessment, the nurse finds out that the angle of the nail base is 180°. What possible condition can the nurse anticipate? -Poor self-care -Nervousness -Pulmonary disease -Arterial insufficiency

Pulmonary disease

The student nurse is percussing the chest of a 57 year old man. Which of the following findings would she consider normal? -Resonance -Hyperresonance -Tympany -Dullness -Flatness

Resonance Flatness

The student nurse is most concerned when she observes which of the following findings in her 89 year old client? -Moderately dry skin -Senile lentigines -Cherry angiomas -Tenting when assessing skin turgor

Tenting when assessing skin turgor

A patient has red, tender, and swollen nails due to a bacterial infection. What do these findings indicate? -The patient has scabies. -The patient has beau line. -The patient has acute paronychia. -The patient has splinter hemorrhages.

The patient has acute paronychia.

After assessing a patient who has undergone an appendectomy, the nurse documents the presence of a keloid. Which finding enabled the nurse to reach this conclusion? -The patient has depressed skin at the site of the surgery. -The patient has excess fibrous tissue at the site of the surgery. -The patient has thick and dry exudates at the site of the surgery. -The patient has thick skin with tightly packed papules at the site of the surgery.

The patient has excess fibrous tissue at the site of the surgery.

While assessing a 16-year-old female patient, the nurse finds that the patient has excess hair on her face, legs, hands, and chest. What does the nurse interpret from this finding? -The patient has folliculitis. -The patient has hirsutism. -The patient has trichotillomania. -The patient has traumatic alopecia.

The patient has hirsutism.

During an assessment, a patient reports that a mole on his arm has recently changed color. The patient also complains of itching and light bleeding of the mole. What can the nurse suspect from the symptoms? -The mole is a birthmark. -The patient has freckles. -The patient has vitiligo. -The patient may have malignant melanoma.

The patient may have malignant melanoma.

The nurse is assessing a patient who is devoid of melanin pigment in patchy areas of the skin on the face, neck, hands, feet, and body folds, and around orifices. What term would the nurse use to describe this condition? -Freckles -Vitiligo -Moles -Birthmarks

Vitiligo

Which of the following represents information the nurse can learn in the health history? -Axillary temperature 36.7 C -Wisdom teeth extraction at age 19 -Body mass index 24.4

Wisdom teeth extraction at age 19