Question 1

The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing.Which of these is an example of a symptom?

Accepted Answer

A) Chest pain 
B) Clammy skin 
C) Serum potassium level at 4.2 mEq/L 
D) Body temperature of 100° F 
A) Chest pain 
B) Clammy skin 
C) Serum potassium level at 4.2 mEq/L 
D) Body temperature of 100° F

Question 2

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

Accepted Answer

A) "Can you point to where it hurts?" 
B) "We'll talk more about that later in the interview." 
C) "What have you had to eat in the last 24 hours?" 
D) "Have you ever had any surgeries on your abdomen?" 
A) "Can you point to where it hurts?" 
B) "We'll talk more about that later in the interview." 
C) "What have you had to eat in the last 24 hours?" 
D) "Have you ever had any surgeries on your abdomen?"

Question 3

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 4

A 59-year-old patient tells the nurse that he has ulcerative colitis.He has been having "black stools" for the last 24 hours.How would the nurse best document his reason for seeking care?

Accepted Answer

A) J.M. is a 59-year-old man seeking treatment for ulcerative colitis. 
B) J.M. came into the clinic complaining of having black stools for the past 24 hours. 
C) J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. 
D) J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours. 
A) J.M. is a 59-year-old man seeking treatment for ulcerative colitis. 
B) J.M. came into the clinic complaining of having black stools for the past 24 hours. 
C) J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. 
D) J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours.

Question 5

When the nurse is evaluating the reliability of a patient's responses,which of these statements would be correct? The patient:

Accepted Answer

A) Has a history of drug abuse and therefore is not reliable. 
B) Provided consistent information and therefore is reliable. 
C) Smiled throughout interview and therefore is assumed reliable. 
D) Would not answer questions concerning stress and therefore is not reliable. 
A) Has a history of drug abuse and therefore is not reliable. 
B) Provided consistent information and therefore is reliable. 
C) Smiled throughout interview and therefore is assumed reliable. 
D) Would not answer questions concerning stress and therefore is not reliable.

Question 6

In obtaining a review of systems on a "healthy" 7-year-old girl,the health care provider knows that it would be important to include the:

Accepted Answer

A) Last glaucoma examination. 
B) Frequency of breast self-examinations. 
C) Date of her last electrocardiogram. 
D) Limitations related to her involvement in sports activities. 
A) Last glaucoma examination. 
B) Frequency of breast self-examinations. 
C) Date of her last electrocardiogram. 
D) Limitations related to her involvement in sports activities.

Question 7

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 8

In recording the childhood illnesses of a patient who denies having had any,which note by the nurse would be most accurate?

Accepted Answer

A) Patient denies usual childhood illnesses. 
B) Patient states he was a "very healthy" child. 
C) Patient states his sister had measles, but he didn't. 
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat. 
A) Patient denies usual childhood illnesses. 
B) Patient states he was a "very healthy" child. 
C) Patient states his sister had measles, but he didn't. 
D) Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.

Question 9

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

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 10

The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic.Which instruction would be appropriate for the parents before the interview begins?

Accepted Answer

A) "Please stay during the interview; you can answer for her if she does not know the answer." 
B) "It would help to interview the three of you together." 
C) "While I interview your daughter, will you please stay in the room and complete these family health history questionnaires?" 
D) "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?" 
A) "Please stay during the interview; you can answer for her if she does not know the answer." 
B) "It would help to interview the three of you together." 
C) "While I interview your daughter, will you please stay in the room and complete these family health history questionnaires?" 
D) "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"

Question 11

The nurse is incorporating a person's spiritual values into the health history.Which of these questions illustrates the "community" portion of the FICA (faith and belief,importance and influence,community,and addressing or applying in care)questions?

Accepted Answer

A) "Do you believe in God?" 
B) "Are you a part of any religious or spiritual congregation?" 
C) "Do you consider yourself to be a religious or spiritual person?" 
D) "How does your religious faith influence the way you think about your health?" 
A) "Do you believe in God?" 
B) "Are you a part of any religious or spiritual congregation?" 
C) "Do you consider yourself to be a religious or spiritual person?" 
D) "How does your religious faith influence the way you think about your health?"

Question 12

When the nurse asks for a description of who lives with a child,the method of discipline,and the support system of the child,what part of the assessment is being performed?

Accepted Answer

A) Family history 
B) Review of systems 
C) Functional assessment 
D) Reason for seeking care 
A) Family history 
B) Review of systems 
C) Functional assessment 
D) Reason for seeking care

Question 13

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 six 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 six times.

Question 14

A patient is describing his symptoms to the nurse.Which of these statements reflects a description of the setting of his symptoms?

Accepted Answer

A) "It is a sharp, burning pain in my stomach." 
B) "I also have the sweats and nausea when I feel this pain." 
C) "I think this pain is telling me that something bad is wrong with me." 
D) "This pain happens every time I sit down to use the computer." 
A) "It is a sharp, burning pain in my stomach." 
B) "I also have the sweats and nausea when I feel this pain." 
C) "I think this pain is telling me that something bad is wrong with me." 
D) "This pain happens every time I sit down to use the computer."

Exam 4: The Complete Health History

The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing.Which of these is an example of a symptom?

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

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?

A 59-year-old patient tells the nurse that he has ulcerative colitis.He has been having "black stools" for the last 24 hours.How would the nurse best document his reason for seeking care?

When the nurse is evaluating the reliability of a patient's responses,which of these statements would be correct? The patient:

In obtaining a review of systems on a "healthy" 7-year-old girl,the health care provider knows that it would be important to include the:

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?

In recording the childhood illnesses of a patient who denies having had any,which note by the nurse would be most accurate?

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

The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic.Which instruction would be appropriate for the parents before the interview begins?

The nurse is incorporating a person's spiritual values into the health history.Which of these questions illustrates the "community" portion of the FICA (faith and belief,importance and influence,community,and addressing or applying in care)questions?

When the nurse asks for a description of who lives with a child,the method of discipline,and the support system of the child,what part of the assessment is being performed?

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?

A patient is describing his symptoms to the nurse.Which of these statements reflects a description of the setting of his symptoms?

Evidence-Based Assessment

Cultural Competence

The Interview

Mental Status Assessment

Substance Use Assessment

Domestic and Family Violence Assessments

Assessment Techniques and Safety in the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts 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, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

The Pregnant Woman

Functional Assessment of the Older Adult

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