Question 1

A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?

Accepted Answer

A)  Child's birth weight 
B)  Age at which he crawled 
C)  Whether the child has had the measles 
D)  Child's reactions to previous hospitalizations 
A)  Child's birth weight 
B)  Age at which he crawled 
C)  Whether the child has had the measles 
D)  Child's reactions to previous hospitalizations

Question 2

What information obtained by the nurse regarding a patient's skin should the nurse record in the patient's health history?

Accepted Answer

A)  Skin appears dry. 
B)  No lesions are obvious. 
C)  Patient denies any color change. 
D)  Lesion is noted on the lateral aspect of the right arm. 
A)  Skin appears dry. 
B)  No lesions are obvious. 
C)  Patient denies any color change. 
D)  Lesion is noted on the lateral aspect of the right arm.

Question 3

During an assessment of a patient's family history, the nurse constructs a genogram. Which statement best describes a genogram?

Accepted Answer

A)  List of diseases present in a person's near relatives 
B)  Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members 
C)  Drawing that depicts the patient's family members up to five generations back 
D)  Description of the health of a person's children and grandchildren 
A)  List of diseases present in a person's near relatives 
B)  Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members 
C)  Drawing that depicts the patient's family members up to five generations back 
D)  Description of the health of a person's children and grandchildren

Question 4

In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?

Accepted Answer

A)  "This has been a difficult year for you." 
B)  "I don't know how anyone could handle that much stress in 1 year!" 
C)  "What did you do to cope with the loss of both your husband and mother?" 
D)  "That is a lot of stress; now let's go on to the next section of your history." 
A)  "This has been a difficult year for you." 
B)  "I don't know how anyone could handle that much stress in 1 year!" 
C)  "What did you do to cope with the loss of both your husband and mother?" 
D)  "That is a lot of stress; now let's go on to the next section of your history."

Question 5

In obtaining a review of systems on a "healthy" 7-year-old girl, what should the health care provider be sure to include?

Accepted Answer

A)  Last glaucoma examination 
B)  Frequency of breast self-examinations 
C)  Date of her last electrocardiogram 
D)  Limitations r/t her involvement in sports activities 
A)  Last glaucoma examination 
B)  Frequency of breast self-examinations 
C)  Date of her last electrocardiogram 
D)  Limitations r/t her involvement in sports activities

Question 6

In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?

Accepted Answer

A)  This information is necessary to determine the patient's reliability. 
B)  Alcohol can interact with all medications and can make some diseases worse. 
C)  The nurse needs to be able to teach the patient about the dangers of alcohol use. 
D)  This information is not necessary unless a drinking problem is obvious. 
A)  This information is necessary to determine the patient's reliability. 
B)  Alcohol can interact with all medications and can make some diseases worse. 
C)  The nurse needs to be able to teach the patient about the dangers of alcohol use. 
D)  This information is not necessary unless a drinking problem is obvious.

Question 7

The nurse is taking a family history. Which specific disease or problem should be included in the assessment?

Accepted Answer

A)  Emphysema 
B)  Head trauma 
C)  Mental illness 
D)  Fractured bones 
A)  Emphysema 
B)  Head trauma 
C)  Mental illness 
D)  Fractured bones

Question 8

The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response by the nurse?

Accepted Answer

A)  "Maybe she is just teething." 
B)  "I will check her ear for an ear infection." 
C)  "Are you sure she is really having pain?" 
D)  "Describe what she is doing to indicate she is having pain." 
A)  "Maybe she is just teething." 
B)  "I will check her ear for an ear infection." 
C)  "Are you sure she is really having pain?" 
D)  "Describe what she is doing to indicate she is having pain."

Question 9

A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information?

Accepted Answer

A)  P-6, B-4, (S)Ab-2 
B)  Grav 6, Term 4, (S)Ab-2, Living 4 
C)  Patient has had four living babies. 
D)  Patient has been pregnant 6 times. 
A)  P-6, B-4, (S)Ab-2 
B)  Grav 6, Term 4, (S)Ab-2, Living 4 
C)  Patient has had four living babies. 
D)  Patient has been pregnant 6 times.

Question 10

During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating?

Accepted Answer

A)  The patient is an alcoholic. 
B)  The patient is annoyed at the questions. 
C)  The patient should be thoroughly examined for possible alcohol withdrawal symptoms. 
D)  The nurse should suspect alcohol abuse and continue with a more thorough substance-abuse assessment. 
A)  The patient is an alcoholic. 
B)  The patient is annoyed at the questions. 
C)  The patient should be thoroughly examined for possible alcohol withdrawal symptoms. 
D)  The nurse should suspect alcohol abuse and continue with a more thorough substance-abuse assessment.

Question 11

What does the review of systems provide the nurse?

Accepted Answer

A)  Physical findings r/t each system 
B)  Information regarding health promotion practices 
C)  An opportunity to teach the patient medical terms 
D)  Information necessary for the nurse to diagnose the patient's medical problem 
A)  Physical findings r/t each system 
B)  Information regarding health promotion practices 
C)  An opportunity to teach the patient medical terms 
D)  Information necessary for the nurse to diagnose the patient's medical problem

Exam 4: The Complete Health History

A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?

What information obtained by the nurse regarding a patient's skin should the nurse record in the patient's health history?

During an assessment of a patient's family history, the nurse constructs a genogram. Which statement best describes a genogram?

In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?

In obtaining a review of systems on a "healthy" 7-year-old girl, what should the health care provider be sure to include?

In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?

The nurse is taking a family history. Which specific disease or problem should be included in the assessment?

The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response by the nurse?

A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information?

During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating?

What does the review of systems provide the nurse?

Evidence-Based Assessment

Cultural Assessment

The Interview

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessment

Assessment Techniques and Safety in the Clinical Setting

General Survey and Measurement

Vital Signs

Pain Assessment

Nutrition Assessment

Skin, Hair, and Nails

Head, Face, and Neck, and Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts, Axillae, and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus, Rectum, and Prostate

Female Genitourinary System

The Complete Health Assessment: Adult

The Complete Physical Assessment: Infant, Young Child, and Adolescent

Bedside Assessment and Electronic Documentation

The Pregnant Woman

Functional Assessment of the Older Adult

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