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NUR2092 Health Assessment /
HEALTH ASSESSMENT EXAM 1
PRACTICE QUESTIONS
- Mr. Mosley has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest. What type of data is this? - ANSWER Subjective
- The 7 attributes of a symptom include: - ANSWER OLD CART A. Associated symptoms B. Aggravating and/or relieving factors C. Location D. ALL OF THE ABOVE
- The steps of the nursing process include: (check all that are correct) - ANSWER ADPIE A. IMPLEMENTATION B. DIAGNOSIS C. ASSESSMENT
D. Setting up the environment for the interview Match the Therapeutic Communication Techniques with the appropriate statements: Having this procedure must have made you very nervous - ANSWER VALIDATION Match the Therapeutic Communication Techniques with the appropriate statements: Eye contact, facial expression, tone, volume - ANSWER NON VERBAL COMMUNICATION Match the Therapeutic Communication Techniques with the appropriate statements: "Now you have said that the pain began one week ago, and comes and goes several time a day" - ANSWER SUMMARIZATION Match the Therapeutic Communication Techniques with the appropriate statements: Begin with open-ended questions then getting more specific - ANSWER GUIDED QUESTIONING
Now I will ask you some questions about your past health history" - ANSWER TRANSITIONS
- Which of the following are subjective data? (choose all the apply) A. "I have a stomachache with diarrhea." B. The lunch sounds are clear throughout all areas upon auscultation. C. "Mother has had diabetes for 20 years." D. The skin is warm and dry to touch. - ANSWER A AND C
- Place the problem listen in order of priority, most serious and urgent to least serious. A. Chest pain B. Smoking C. Low back pain for several months D. Bruised knee - ANSWER A, B, C, D
- Which of the following questions are leading questions? A. "You don't have any chest pain do you?" B. "Which of the following describes your pain: aching, sharp, or throbbing?" C. "Is your headache pain like a throbbing pain?" D. "How many stairs can you walk up before you become short of breath?" - ANSWER A AND C
- The question "how many blocks can you walk before the leg pain occurs?" is asking for a graded response. (T OR F) - ANSWER TRUE
- Which of the following are examples of primary prevention? (Choose all that apply) A. Immunizations B. Self-examination of skin lesions C. Health education D. Seat belts - ANSWER ANSWER = A, C, D - PREVENTING DISEASE ALL TOGETHER REASONING FOR WHY ITS NOT B = SECONDARY PREVENTION, TRYING TO CATCH DISEASE AT EARLY STAGE
- Which of the following are examples of secondary prevention? (Choose all that apply) A. Hard hats, needle-free devices, sharps containers. B. Blood pressure screening at health fair. C. Control of the spread of tuberculosis. D. Dental sealants on children's teeth. - ANSWER B, C
- Have you ever taken a drink first thing in the morning (EYE-OPENER) to steady your nerves or get rid of a hangover?
- Mr. Davis has just moved to town and comes to your office to establish care. You would complete a comprehensive health history with the patient. (T OR F) - ANSWER TRUE
- Mrs. Tibbs is a 35 year old woman who is recently divorced. She complains that she is having difficulty sleeping, and she cannot seem to remember things lately. She has lost about 10 lbs. without trying and she stopped going to her yoga classes as she has lost interest. You decide to further screen Mrs. Tibbs for: A. Borderline personality disorder B. Post traumatic stress disorder C. Depression D. Menopausal mood swings - ANSWER C
- The one or more complaint causing the patient to seek care is the: A. Past medical history B. Chief complaint C. History of present illness D. Family history - ANSWER B
- The past history includes: (check all that apply) A. Over the counter medications the patient takes B. Allergies to mold and mildew C. Chickenpox as a child D. Father has heart disease - ANSWER A, B, C
- Personal and Social history items include: (check all that apply) A. Smoking habits B. Goes to church every Sunday and prays daily C. Lives with spouse and 3 children D. Never wears a seatbelt - ANSWER A, B, C, D
- The waist circumference should be less than __ inches for women and less than __ inches for men. - ANSWER WOMEN = 35 MEN = 40
D. Patient's arm is resting, supported by your arm at her mid-chest level as you stand to measure the blood pressure. - ANSWER B
- A 50-year-old body builder is upset by a letter of denial from his life insurance company. He is very lean but has gained 2 pounds over the past 6 months. You personally performed his health assessment and found no problems whatsoever. He says he is classified as "high risk" because of obesity. What should you do next? A. Explain that even small amounts of weight gain can classify you as obese. B. Advise him to increase his aerobic exercise for calorie burning. C. Measure his waist. D. Place him on a high-protein, low-fat diet. - ANSWER C
- A 67-year-old retired janitor comes to the clinic with his wife. She brought him in because she is concerned about his weight loss. He has a history of smoking 3 packs of cigarettes a day for 30 years, for a total of 90 pack-years. He has noticed a daily cough for the past several years, which he states is productive of sputum. He came into the clinic approximately 1 year ago, and at that time his weight was 140 pounds. Today, his weight is 110 pounds. Which one of the following questions would be the most important to ask if you suspect that he has lung cancer? A. Have you tried to force yourself to vomit after eating a meal? B. Do you have enough food to eat? C. Do you have heartburn/indigestion and diarrhea? D. Have you tried to lose weight? - ANSWER D
- Common or concerning symptoms to inquire about in the General Survey and vital signs include all of the following except: A. Fever and chills B. Cough C. Changes in weight D. Fatigue and weakness - ANSWER B
- Jenny is one of your favorite patients who usually shares a joke with you and is nattily dressed. Today she is dressed in old jeans, lacks makeup, and avoids eye contact. To what do you attribute these changes? A. She is running into financial difficulty. B. She is lacking sleep. C. She is fatigued from work. D. She is depressed. - ANSWER D
- You are beginning the examination of a patient. All of the following areas are important to observe as part of the General Survey except: A. Dress, grooming, and personal hygiene B. Level of consciousness C. Blood pressure D. Signs of distress - ANSWER C
Match the attributes of a symptom: "The pain starts in my lower back and shoots down my left leg." - ANSWER LOCATION Match the attributes of a symptom:"After I noticed the rash, then it really started itching." - ANSWER ASSOCIATED MANIFESTATIONS Match the attributes of a symptom:Every time I go outside when the queen palms are blooming, I start sneezing and my eyes get watery." - ANSWER SETTING IN WHICH OCCURS Match the attributes of a symptom"On a scale of 1 to 10, my lower back pain is about an 8." - ANSWER QUANTITY OR SEVERITY
- When you enter the patient's examination room, his wife is waiting there with him. Which of the following is most appropriate? A. Ask if it is okay to carry out the visit with both people in the room.
B. Carry on as you would ordinarily. The permission is implied because his wife is in the room with him. C. Ask his wife to leave the room for reasons of confidentiality. D. First ask his wife what she thinks is going on. - ANSWER A
- You are beginning the examination of the skin on a 25 year old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism? A. Moist and smooth B. Moist and rough C. Dry and smooth D. Dry and rough - ANSWER D A 15 year old high school sophomore comes to the clinic for evaluation of a 3 week history of sneezing, clear nasal discharge, and itchy, watery eyes. He states this happens every spring. Which is the most likely pathologic process? - ANSWER ALLERGIES
