Question 1

A 90-year-old patient tells the nurse that he is unable to remember the names of the medications he is taking or what they are for.An appropriate response would be:

Accepted Answer

A) "Can you tell me what they look like?" 
B) "Don't worry about it.You are only taking two." 
C) "How long have you been taking each of these pills?" 
D) "Would you ask your family to bring in your medications?" 
A) "Can you tell me what they look like?" 
B) "Don't worry about it.You are only taking two." 
C) "How long have you been taking each of these pills?" 
D) "Would you ask your family to bring in your medications?"

Question 2

The nurse is assessing a new patient who has recently immigrated to Canada.Which of the following questions is appropriate to add to the health history questionnaire?

Accepted Answer

A) "Why did you come to Canada?" 
B) "When did you come to Canada,and from which country?" 
C) "What made you leave your home country?" 
D) "Are you planning to return to your home country?" 
A) "Why did you come to Canada?" 
B) "When did you come to Canada,and from which country?" 
C) "What made you leave your home country?" 
D) "Are you planning to return to your home country?"

Question 3

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-examination. 
C) date of her last electrocardiogram. 
D) limitations related to her involvement in sports activities. 
A) last glaucoma examination. 
B) frequency of breast self-examination. 
C) date of her last electrocardiogram. 
D) limitations related to her involvement in sports activities.

Question 4

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

Accepted Answer

A) To provide an opportunity for interaction between patient and nurse 
B) To provide a form for obtaining the patient's biographical information 
C) To document the normal and abnormal findings of a physical assessment 
D) To provide a database of subjective information about the patient's past and current health 
A) To provide an opportunity for interaction between patient and nurse 
B) To provide a form for obtaining the patient's biographical information 
C) To document the normal and abnormal findings of a physical assessment 
D) To provide a database of subjective information about the patient's past and current health

Question 5

A patient is describing his symptoms to the nurse.Which of the following statements is 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 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 is wrong with me." 
D) "This pain happens every time I sit down to use the computer."

Question 6

While obtaining the history from the mother of a 2-year-old with pneumonia,the nurse asks the mother if she smoked or used drugs during her pregnancy.Her response is,"What does that have to do with pneumonia?" How would the nurse answer her question?

Accepted Answer

A) "You don't need to answer if it makes you uncomfortable." 
B) "It's not really that important;we have to ask everyone these questions." 
C) "The use of tobacco during your pregnancy could be the cause of your daughter's pneumonia." 
D) "Knowing about your pregnancy will help us get a more complete picture of your daughter's health." 
A) "You don't need to answer if it makes you uncomfortable." 
B) "It's not really that important;we have to ask everyone these questions." 
C) "The use of tobacco during your pregnancy could be the cause of your daughter's pneumonia." 
D) "Knowing about your pregnancy will help us get a more complete picture of your daughter's health."

Question 7

Which of the following best describes the purpose of a functional assessment?

Accepted Answer

A) It assesses how the individual is coping with life at home. 
B) It determines how children are meeting developmental milestones. 
C) It can identify any memory problems an individual may be experiencing. 
D) In the case of the older adult,it helps determine how that person is managing day-to-day activities. 
A) It assesses how the individual is coping with life at home. 
B) It determines how children are meeting developmental milestones. 
C) It can identify any memory problems an individual may be experiencing. 
D) In the case of the older adult,it helps determine how that person is managing day-to-day activities.

Question 8

Which of the following is the appropriate health promotion question to ask during a review of symptoms?

Accepted Answer

A) "Do you use sunscreen while outside?" 
B) "I need to see if your skin is warm and dry." 
C) "Have you experienced any dizziness or headaches?" 
D) "When you cough,what colour is the sputum you bring up?" 
A) "Do you use sunscreen while outside?" 
B) "I need to see if your skin is warm and dry." 
C) "Have you experienced any dizziness or headaches?" 
D) "When you cough,what colour is the sputum you bring up?"

Question 9

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

Accepted Answer

A) Patient denies having had the usual childhood illnesses. 
B) Patient states he was a "very healthy" child. 
C) Patient states sister had measles,but he did not. 
D) Patient denies having had measles,mumps,rubella,chickenpox,pertussis,or strep throat. 
A) Patient denies having had the usual childhood illnesses. 
B) Patient states he was a "very healthy" child. 
C) Patient states sister had measles,but he did not. 
D) Patient denies having had measles,mumps,rubella,chickenpox,pertussis,or strep throat.

Question 10

A 29-year-old woman tells the nurse that she has "excruciating pain" in her back.Which of the following would be an appropriate response by the nurse?

Accepted Answer

A) "How does your family react to your pain?" 
B) "That must be terrible.You probably pinched a nerve." 
C) "I've had back pain myself,and I know it can be excruciating." 
D) "How would you say the pain affects your ability to carry on your daily activities?" 
A) "How does your family react to your pain?" 
B) "That must be terrible.You probably pinched a nerve." 
C) "I've had back pain myself,and I know it can be excruciating." 
D) "How would you say the pain affects your ability to carry on your daily activities?"

Question 11

The review of systems provides the nurse with:

Accepted Answer

A) physical findings related to 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 related to 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.

Question 12

What question would you initially ask a patient who has a positive tuberculin test?

Accepted Answer

A) Have you recently been hospitalized? 
B) Are you a member of the homeless population? 
C) Have you received bacille Calmette-Guérin (BCG)? 
D) Have you been out of the country over the past 3 months? 
A) Have you recently been hospitalized? 
B) Are you a member of the homeless population? 
C) Have you received bacille Calmette-Guérin (BCG)? 
D) Have you been out of the country over the past 3 months?

Question 13

Which of the following statements represents subjective data about the patient's skin?

Accepted Answer

A) Skin dry in appearance 
B) No obvious lesions 
C) Denies colour change 
D) Lesion noted lateral aspect right arm 
A) Skin dry in appearance 
B) No obvious lesions 
C) Denies colour change 
D) Lesion noted lateral aspect right arm

Exam 5: The Complete Health History

A 90-year-old patient tells the nurse that he is unable to remember the names of the medications he is taking or what they are for.An appropriate response would be:

The nurse is assessing a new patient who has recently immigrated to Canada.Which of the following questions is appropriate to add to the health history questionnaire?

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:

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

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

While obtaining the history from the mother of a 2-year-old with pneumonia,the nurse asks the mother if she smoked or used drugs during her pregnancy.Her response is,"What does that have to do with pneumonia?" How would the nurse answer her question?

Which of the following best describes the purpose of a functional assessment?

Which of the following is the appropriate health promotion question to ask during a review of symptoms?

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

A 29-year-old woman tells the nurse that she has "excruciating pain" in her back.Which of the following would be an appropriate response by the nurse?

The review of systems provides the nurse with:

What question would you initially ask a patient who has a positive tuberculin test?

Which of the following statements represents subjective data about the patient's skin?

Critical Thinking and Evidence-Informed Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

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