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Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULT, Exams of Nursing

University of Winchester Nursing

Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULTS,Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULTS,Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULTS,Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULTS,

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Health Assessment Exam 2 Complete Questions and Answers

LATEST UPDATED For EXCELENT RESULTS,

Week 5 Review Questions:

1. A palpable vibration increased with lobar pneumonia is

also known as:

c. Fremitus

2. Your patient is exhibiting rapid shallow breathing, with

a respiratory rate > 24

respirations per minute. Which of the following conditions are they

experiencing?

b. Tachypnea

3. Which of the following terms is used to describe a decreased

level of oxygen (O2) in the

blood?

c. Hypoxemia

4. Upon receiving the patient’s lab results, the nurse notes

the patient has an increased level

of carbon dioxide in the blood. Which of the following conditions

would the patient be?

b. Hypercapnia

5. The nurse is auscultating a patient’s lungs and

hears discontinuous, high-pitched, short,

popping sounds heard during inspiration, and not cleared by

coughing. These are

described as:

c. Crackles

6. The nurse is assessing a patient’s lungs by using the

percussion technique. Which sound

would the nurse expect to hear over healthy lung tissue?

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Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULTS, Week 5 Review Questions:

A palpable vibration increased with lobar pneumonia is also known as: c. Fremitus
Your patient is exhibiting rapid shallow breathing, with a respiratory rate > 24 respirations per minute. Which of the following conditions are they experiencing? b. Tachypnea
Which of the following terms is used to describe a decreased level of oxygen (O2) in the blood? c. Hypoxemia
Upon receiving the patient’s lab results, the nurse notes the patient has an increased level of carbon dioxide in the blood. Which of the following conditions would the patient be? b. Hypercapnia
The nurse is auscultating a patient’s lungs and hears discontinuous, high-pitched, short, popping sounds heard during inspiration, and not cleared by coughing. These are described as: c. Crackles
The nurse is assessing a patient’s lungs by using the percussion technique. Which sound would the nurse expect to hear over healthy lung tissue?

a. Resonance

A clinical manifestation common in an individual with chronic obstructive pulmonary disease (COPD) is b. Pursed lip breathing
Which of the following are functions of the respiratory system? (Select all that apply) a. Supplying oxygen to the body for energy production b. Removing carbon dioxide as a waste product d. Maintaining acid-base balance e. Maintenance of heat exchange
Stridor is a high pitched, inspiratory crowing sound commonly associated with a. Upper airway obstruction
Which of the following correctly expresses the relationship to the lobes of the lungs and their anatomic position? c. Lower lobes-posterior chest
The function of the trachea and bronchi is to a. Transport gases between the environment and the lung parenchyma
Which of the following chest configurations is an exaggerated posterior curvature of the thoracic spine that is associated with aging and physical fitness? c. Kyphosis
The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is comparison.

The nurse is teaching the patient about health promotion of the cardiovascular system. Which of the following statements would indicate a need for further teaching? c. “Even though my dad had a heart attack, I don’t need to get screened for heart issues earlier than anyone else.”
How should the nurse document mild, slight pitting edema on the ankles of a heart failure patient? a. 1+
The nurse is educating the client about risk factors for cardiovascular disease. Which of the following risk factors for cardiovascular disease are modifiable? Select all that apply. A: Abnormal lipids B: Smoking D: Hypertension E: Diabetes
Which of the following is an appropriate position to have the patient assume when auscultating for extra heart sounds or murmurs? A. Roll toward the left side
Which statement is true regarding the arterial system? B. The arterial system is a high-pressure system.
When assessing a patient the nurse is unable to palpate the left dorsalis pedis pulse. What should the nurse do first? B) Use the doppler to assess the pulse

A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities. The nurse interprets that this patient is most likely experiencing: A. Intermittent Claudication.
The nurse is preparing to perform a modified Allen test. Which is an appropriate reason for this test? C. To evaluate the adequacy of collateral circulation before cannulating the radial artery
In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would: B) Listen with the bell of the stethoscope to assess for bruits.
When auscultating over a patient’s femoral arteries, the nurse notices the presence of abruit on the left side. The nurse knows that bruits: D. Occur with turbulent blood flow, indicating partial occlusion. Week 7 Review Questions:
The nurse is performing an assessment on a client. Which of the following should the nurses ask to obtain subject data related to the client’s gastrointestinal system? d. Both a and b
The nurse is caring for a client who reports having abdominal pain. After inspecting the client’s abdomen, the nurse would be correct in performing what assessment technique? d. Auscultation

The nurse is aware that one change that may occur in the gastrointestinal system of an aging client is: d. Decreased gastric acid secretion.
The nurse is performing percussion by tapping on a client’s abdomen in the left upper quadrant ((spleen) and right upper quadrant (liver). Which of the following would be an expected assessment finding in these two areas of the GI system? b. Dullness
During an assessment, the nurse notices that the client’s umbilicus is enlarged and everted. The nurse recognizes this as: a. Abnormal: May be an umbilical hernia
The nurse is preparing to examine a client who reports right lower abdominal pain. The nurse’s priority would be to: b. Palpate the tender area last.
The nurse is assessing a client's abdomen. She places the diaphragm of the stethoscope in the area where bowel sounds are prominent which is: a. The RLQ of the abdomen
In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is: b. The location of most breast tumors.
The nurse is teaching a client about risk factors for breast cancer. She correctly includes which of the following risk factors? d. Menstruation before age 12 or menopause after age 55.
During a breast health assessment, the client states that she has noticed pain in her left breast. An appropriate response to this by the nurse would be:

b. “I would like some more information about the pain in your left breast.”

During an annual physical examination, a 43-year-old client states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms “do a much better job than I ever could to find a lump.” The nurse should explain to her that: a. BSEs may detect lumps that appear between mammograms.
During an examination of a client, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding? c. Asymmetry is not unusual, but the nurse should verify that this change is not new.
During the physical examination, the nurse notices that the client has an inverted left nipple. Which statement regarding this is most accurate? c. The nurse should determine whether the inversion is a recent change.
The nurse is assessing a client’s breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation by displaying the breast against the chest wall? a. Supine with the arms raised over her head
A nurse is performing a client assessment. Which of these clinical situations, if noted, should the nurse consider to be outside normal limits? d. The client has had two pregnancies. Her breast examination reveals breast tissue that is somewhat soft, and she has a small amount of thick yellow discharge from both nipples.

The nurse is palpating a client’s temporomandibular joint (TMJ) which is located just below the temporal artery and anterior to the tragus. Which of the following would be a normal finding? A) Nontender to palpation
Which of the following subjective data would the nurse want to collect for the client when performing a Head, Face and Neck Exam? (Select all that apply) a. If they have unusually frequent or severe headaches b. If they have any dizziness c. If they have any neck pain e. If they have any history of neck injury or surgery
A client’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a sound that is heard best with the of the stethoscope. C) Soft, whooshing, pulsatile; bell
The nurse is assessing the client’s trachea. Which of the following would be a normal finding? a. The trachea rising to midline when the client swallows
The nurse is assessing a client’s neck ROM. The nurse would correctly expect the client to be able to perform which movements with the neck? a. Flexion, hyperextension, rotation, and lateral bending
The nurse is performing the Diagnostic Positions test (Six Cardinal Fields of Gaze) to check the extraocular eye muscles. The nurse knows that a healthy finding would be: B. There is parallel tracking of the object with both eyes.
When assessing the pupillary light reflex, the nurse should use which technique?

C) Shine a light across the pupil from the side and observe for direct and consensual pupillary constriction.

When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o’clock in each eye. The nurse should: A) Consider this a normal finding.
The nurse is assessing the pupils of a client with a pen light. Which finding would be considered normal? D) Both pupils constrict in response to light.
In using the ophthalmoscope to assess a client’s eyes, the nurse notices a red glow in the pupils. On the basis of this finding, the nurse would: C) consider this a normal reflection of the ophthalmoscope light off the inner retina.
The nurse is charting on a client’s eye assessment and notes PERRLA. What does this stand for? c. Pupils Equal, Round, React to Light and Accommodation
The nurse is assessing the client’s pupillary response to light. The nurse moves the penlight in from the side of the client’s face into the right eye. Both the right and left pupil constrict. How would these reflexes be described? D) Right eye direct response, left eye consensual response Health Assessment (Final Exam Review; Jarvis 6th Ed.)
A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The nurse documents that she is experiencing: b. Stress incontinence

a. Increased blood pressure and pulse

A patient with a middle ear infection asks the nurse, "What does the middle ear do?" The nurse responds by telling the patient that the middle ear functions to: b. Conduct vibration of sound to the inner ear
A patient with lack of oxygen to his heart will have pain in his chest and possibly the shoulder, arms, or jaw. The nurse knows that the statement that best explains why this occurs is which of these? c. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt elsewhere
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with an examination of the gland. d. Thyroid
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, "Have you noticed: d. Any unusual vaginal discharge or itching?
After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n): b. Colonoscopy every 10 years
An 85-year-old patient comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because: c. Of the shortening of the vertebral column

During a breast health interview, a patient states that she has noticed pain in her left breast. The nurse's most appropriate response to this would be: a. “I would like some more information about the pain in your left breast”
During an examination the nurse observes a female patient's vestibule and expects to see the: b. Urethral meatus and vaginal orifice
During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is: c. Stimulated by cranial nerves III, IV, and VI
Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are called: b. Ligaments
In assessing the tonsils of a 30-year-old, the nurse notices that they are involuted, granular in appearance, and appear to have deep crypts. What is correct response to these findings? a. Nothing because this is the appearance of normal tonsils
In performing a breast examination, the nurse knows that it is especially important to examine the upper outer quadrant of the breast. The reason for this is that the upper outer quadrant is: d. The location of most breast tumors
In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes? b. Central, lateral, pectoral, and subscapular nodes
The articulation of the mandible and the temporal bone is known as the:

b. Inspection takes time and reveals a surprising amount of information

The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope: d. Directs light into the ear canal and onto the tympanic membrane
The nurse is reviewing statistics regarding breast cancer. Which woman, aged 40 years in the United States, has the highest risk for development of breast cancer? a. African American
The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the artery. c. Brachial
The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart? a. Intraluminal valves ensure unidirectional flow toward the heart
The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is correct? c. “You may notice a thick, yellow fluid expressed from your breasts as early as the fourth month of pregnancy.”
The nurse is testing a patient's visual accommodation, which refers to which action? d. Pupillary constriction when looking at a near object
The nurse is using an otoscope to assess the nasal cavity. Which of these techniques is correct? a. Avoid touching the nasal septum with the speculum

The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen? a. “It prevents distortion of bowel sounds that might occur after percussion and palpation.”
The nurse keeps in mind that a thorough skin assessment is very important because the skin holds information about a person's: b. Circulatory status
The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is called the: b. Auricle
The nurse notices that a patient's palpebral fissures are not symmetrical. On examination, the nurse may find that there has been damage to cranial nerve: c. VII
The primary purpose of the ciliated mucous membrane in the nose is to: c. Filter out dust and bacteria
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a tripod position, leaning forward with arms braced on the chair. On the basis of this observation, the nurse should: a. Recognize that a tripod position is often used when a patient is having respiratory difficulties
When assessing the force, or strength, of a pulse, the nurse recalls that it: c. Is a reflection of the heart’s stroke volume

D) Percussion Ans: 1.Inspection 2.Auscultation 3.Palpation 4.Percussion 2- When assessing the client's abdomen, the nurse should position the client in which of the following positions? B) supine with pillow under knees and head 3- During assessment of abdomen, the nurse would perform which maneuver to palpate the spleen? B) lift client with left hand under rib cage and palpate the left upper quadrant with right hand 4- During when percussing the liver, the nurse would expect to document which of the following findings? C) Dullness 5- During inspection of the abdomen, the nurse notes silvery, shiny stretch marks. The nurse would document this finding as which of the following? D) striae 6- The nurse finds ascites during assessment of the abdomen. The nurse would conclude that this is most likely associated with which of the following health problems? B) cirrhosis 7- While performing a head-to-toe assessment of a client the nurse hears dullness over the left upper quadrant during percussion. what would be the next assessment the nurse should perform? B) palpation of area

8- During the assessment of the abdomen, the nurse would perform which maneuver to palpate the liver? A) Lift the client with the right hand under the rib cage and palpate the right upper quadrant with the left hand. 9- During a gastrointestinal assessment the client tells the nurse about experiencing chronic flatulence. which question should the nurse ask the client next? A) are you eating large amounts of broccoli and cauliflower? 10- The client is vomiting fecal-like material the nurse would expect to prepare the client for diagnostic testing to evaluate the client for which health problem? C) intestinal obstruction 11- During a peripheral vascular assessment the nurse finds a bluish tinge on the client's lip, fingers, and toes. What is the appropriate documentation for this finding? C) Central and peripheral cyanosis 12- The nurse is testing a client for carpal tunnel syndrome. The client flexes the wrists at an angle of 90° and holds the backs of the hands to each other for 60 seconds. The client tells the nurse that he is experiencing a burning pain as a result. Which test is the nurse performing on this patient? D) Phalen’s 13- When assessing a client's strength, it is necessary to implement what assessment? a) Compare one side to the other 14- What range of motion is the nurse testing by asking a client to stoop to pick an object off the floor? c) Flexion

Health Assessment Exam 2 Complete Questions and Answers LATEST UPDATED For EXCELENT RESULT, Exams of Nursing

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