Health Assessment Final Exam Review

Which of these statements best describes the purpose of a health history?

The nurse is performing an external eye examination. Which statement regarding the outer layer of the eye is true?

The patient states he is hearing a buzzing sound and says that it is “driving me crazy!” The nurse recognizes that th

A construction worker has been brought into the ED with heat stroke. The nurse should first assess the patient’s:

The nurse remembers that the muscles in the neck that are innervated by CN XI are the:

When inspecting the anterior chest of an adult, the nurse should include which assessment?

To palpate the TMJ for crepitationm, it is located just below the temporal artery and anterior to the

The nurse reports patient has difficulty in maintaining balance. Which area of the brain could be affected?

The tissue that connects the tongue to the floor of the mouth is the:

During ocular examinations, the nurse keeps in mind that movement of the extraocular muscles is:

The nurse asks about the infant’s ability to suck and grasp the mother’s finger. What is the nurse assessing?

When assessing a patient’s lungs, the nurse recalls that the left lung:

The nurse should ask the patient which question to assess affect?

The primary purpose of the ciliated mucous membrane in the nose is to:

The nurse notices a costal angle of approximately 90 degrees. This characteristic is:

The sac that surrounds and protects the heart is called the:

The functional units of the musculoskeletal system are the:

The nurse is conducting a child safety class for new mothers. Which factor places children at risk for ear infections?

When assessing the tongue of an adult, the nurse knows that an abnormal finding would be:

The nurse notices that the patient’s eyelid margins approximate completely. The nurse recognizes that this

A bruit is a __________ sound that is heard best with the __________ of the stethoscope.

The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to:

Before reporting this finding as silent bowel sounds, the nurse should listen for at least:

A patient’s BP 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?

Assessing for ROM, the nurse asks him to move his arm in toward the center of his body. This movement is called:

Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sounds are:

To palpate the temporomandibular joint, the nurse’s fingers should be placed in the depression __________ of the ear.

The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? Bowel sounds:

When listening to heart sounds, the nurse knows the valve closures that can be heard best at the base of the heart are:

The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?

Which of these statements represents subjective data the nurse obtained from the patient regarding the patient’s skin?

The nurse notices tenderness in the left upper quadrant with deep palpation. Which is most likely to be involved?

When examining children affected with Down syndrome (trisomy 21), the nurse looks for the possible presence of:

The area of the nervous system that is responsible for mediating reflexes is the:

The nurse is taking a family history. Important diseases or problems about the patient should be include:

The primary muscles of respiration include the:

Which structure is located in the left lower quadrant of the abdomen?

Which of these responses would lead the nurse to conclude that this patient is oriented X 3?

Which statement concerning the areas of the brain is true?

The nurse is performing a vision examination. Which of these charts is most widely used for vision examinations?

The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?

A solid, elevated, circumscribed lesion that is less than 1 cm in diameter. The nurse reports this as a:

Which of these physiologic changes is responsible for presbyopia?

The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

The nurse is performing a general survey. Which action is a component of the general survey?

Which of these statements is true regarding the vertebra prominens? The vertebra prominens is:

The nurse is preparing an education module for the nursing staff on the epidermal layer of skin. The epidermis is:

Which statement made by the patient should the nurse more fully explore during the interview?

The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin. The dermis:

The nursepreparing to check the bp of a patient who is obese by using a standard-sized bp cuff. This can:

The nurse knows that during an abdominal assessment, deep palpation is used to determine:

During an assessment of a healthy adult, where would the nurse expect to palpate the apical impulse?

When performing a physical assessment, the first technique the nurse will always use is:

Measuring a blood pressure, the nurse recalls that certain factors, such as __________, help determine blood pressure.

Patient has had a stroke. The right side of his face is drooping. The nurse suspects which of these assessment findings?

The nurse knows that bruits:

A nurse notices that a patient has ascites, which indicates the presence of:

The nurse is examining a patient who is complaining of “feeling cold.” Which is a mechanism of heat loss in the body?

A patient states that he is allergic to penicillin. What would be the nurse’s best response to this information?

The nurse assessed patient’s extraocular muscles. When documenting the findings, the nurse documents which CNs?

The nurse is assessing for clubbing of the fingernails and expects to find:

A patient is having difficulty swallowing medications and food. The nurse would document that this patient has:

A patient’s has an elevated thyroxine (T4) level. The nurse would proceed with an examination of the _____ gland.

Child with “a sore throat that has lasted 6 days.” Which of these findings would be consistent with an acute infection?

Which techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when assessing patient?

A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse’s best response?

The nurse is assessing the pulses of a patient has untreated hyperthyroidism. The nurse expects to find a(n) ___ pulse

The salivary gland that is the largest and located in the cheek in front of the ear is the _________ gland.

The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery.

The nurse is auscultating the chest in an adult. Which technique is correct?

During an examination, the nurse can assess mental status by which activity?

When assessing a patient’s pulse, the nurse should also notice which of these characteristics?

Which of these statements describes the closure of the valves in a normal cardiac cycle?

When the nurse is testing the triceps reflex, what is the expected response?

The nurse is reviewing the assessment of an aortic aneurysm. Which of these is true regarding an aortic aneurysm?

To give eardrops, pull which the portion of the ear that consists of movable cartilage & skin down & back.

Which vein(s) is(are) responsible for most of the venous return in the arm?

The nurse is aware that to jump rope, one’s shoulder has to be capable of:

The nurse knows that a thorough skin assessment is important because the skin holds information about a person’s:

To the horizontal plane, a scaphoid contour of the abdomen depicts a ______ profile.

Which statement is true regarding the diaphragm of the stethoscope?

Of the 33 vertebrae in the spinal column, there are:

What part of the hand and technique should be used to best assess the patient’s skin temperature?

The articulation of the mandible and the temporal bone is known as the:

The nurse is performing a general survey. Which action is a component of the general survey?

Which statement about the apices of the lungs is true? The apices of the lungs:

The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be: