Health Assessment Exam Review

The RN is explaining to a student the 4 areas in the body where lymph nodes are accessible. Which would be included?

A pt states, “I can hear a crunching/grating sound when I kneel and its hard to get out of bed." This is what problem?

Which question would be a closed question that the nurse includes in the interview to obtain subjective data? 

A pt tells the RN that he noticed a mole has started to burn/bleed. During assessing his skin, the RN is concerned with?

Which V/S would the nurse assess first in a pt who reports occasional dizziness and light-headedness upon standing? 

A pt has been dx with osteoporosis and asks the nurse, “What is osteoporosis?” What is the explanation by the nurse?

Which would require reassessment from the RN after the patient care technician has obtained V/S from a 15 y/o pt?

Which statement represents the basic characteristic of culture? Select all that apply.

A bedridden pt has a pressure injury; the bones are visible & black necrotic tissue is present, what type of PI injury?

The RN taking certification and must know lesions that will be identified on assessment. Which are correct? SATA

Which action by the nurse would be inappropriate when preparing to interview a 6 y/o pt who is with their parent? 

Which factor is included in the cultural assessment? Select all that apply.

A 75 y/o woman who has a hx of diabetes/PVD trying to remove a corn on her foot w/scissors. what is the risk?

Which action would the nurse take to make an adolescent patient feel more comfortable in discussing sex-related matters? 

Which seating arrangement would the nurse use with a patient during the interview? 

Which information would the nurse obtain when conducting a health history for a pt during an annual exam? SATA

Which cultural group would say "I’m sick because of an imbalance in yin and yang ?" 

Which route would the nurse use to assess temperature with an electronic thermometer with a red-tipped probe? 

The fibrous bands that run from one bone to another, strengthen the joint & help prevent motion in the wrong direction?

Which clinical manifestation reported by the patient would lead the nurse to obtain orthostatic blood pressure readings? 

When reviewing the record of an older patient dx with kyphosis, what would be included in the assessment?

A pt’s thyroid gland is enlarged, the RN needs to auscultate for the presence of a bruit. What technique would you use?

Which question addresses the patient’s spiritual needs? 

Which manner of counting would the nurse use to assess the respiratory rate of a patient with shallow breathing? 

An 8 mos pregnant woman has noticed a change in her posture/having lower back pain. What is the term for this posture?

What assessment finding would be the cause of a Pulse ox not giving a reading when the RN tries to read the O2 Sat?

The RN is assessing for clubbing of the fingernails. Which is the best description of clubbing?

Which statement is true regarding acculturation? 

Which action would the nurse perform before initially inflating the cuff during a blood pressure assessment? 

Which would be the best action for the RN to take when caring for a pt whose beliefs differ from those of the majority?

Which intervention would the RN perform upon auscultating a resting heart rate of 120 beats/min in a 10 mth-old infant? 

The pulse of a patient with acute anxiety would have which characteristic?