{"id":119492,"date":"2023-09-10T19:20:35","date_gmt":"2023-09-10T19:20:35","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119492"},"modified":"2023-09-10T19:20:39","modified_gmt":"2023-09-10T19:20:39","slug":"nur2092-health-assessment-health-assessment-test-bank-2023-2024-1-exam-elaborations-nur2092-health-assessment-health-assessment-exam-2-review-questions-2-exam-elaborations-nur2092-health-asses","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/10\/nur2092-health-assessment-health-assessment-test-bank-2023-2024-1-exam-elaborations-nur2092-health-assessment-health-assessment-exam-2-review-questions-2-exam-elaborations-nur2092-health-asses\/","title":{"rendered":"NUR2092 Health Assessment \/ Health Assessment TEST BANK 2023\/2024"},"content":{"rendered":"\n<p id=\"content-description\">1 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Exam 2 Review Questions 2 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Final Exam: Review Questions 3 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Practice Questions (Test 1) good 4 Exam (elaborations) NUR2092 Health Assessment \/ Health Ass<\/p>\n\n\n\n<p>NUR2092 Health Assessment \/<br>Health Assessment Exam 1<br>(Ch. 1,3,4,8,9,10,12,18,27,29)<br>What does the health history provide? &#8211; ANSWER Subjective and<br>objective data<br>What is subjective data? what is an example? &#8211; ANSWER SD is<br>what the patient tells you<br>Example: headache, chest pain<br>What is objective data? what is an example? &#8211; ANSWER OD are<br>the signs perceived by the examiner through physical examination during<br>assessment<br>Example: rash seen by a nurse, or temp taken with a thermometer<\/p>\n\n\n\n<p>In what order are skills performed during a typical assessment? &#8211; ANSWER<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Inspection<\/li>\n\n\n\n<li>Palpation<\/li>\n\n\n\n<li>Percussion<\/li>\n\n\n\n<li>Auscultation<br>If a patient has abdomen pain, what order do you do the assessment? Why? &#8211;<br>ANSWER 1. Inspection<\/li>\n\n\n\n<li>AUSCULTATION<\/li>\n\n\n\n<li>Palpation<\/li>\n\n\n\n<li>Percussion<br>Because of pain, don&#8217;t touch or tap the tender area first. Start by inspecting and<br>then listening before you feel the area.<br>What occurs during inspection, the first step? &#8211; ANSWER &#8211;<br>ALWAYS COMES FIRST<br>-begins when you first meet a person w\/ a general survey<br>-you should start assessment of each body system with inspection<br>-requires: good lighting, adequate exposure, use of instruments including otoscope,<br>opthalmoscope, penlight, or specula<br>What occurs during palpation, the second step? &#8211; ANSWER<br>Palpation applies sense of touch to assess<br>Can include:<br>temperature, texture, moisture, organ location and size, swelling, vibration or<br>pulsation, rigidity or spasticity, crepitation, presence of lumps or masses, presence<br>of tenderness or pain<\/li>\n<\/ol>\n\n\n\n<p>-use fingers unless taking temperature<br>How can you assess factors during the palpation step? &#8211; ANSWER<br>by using different parts of the hands<br>During palpation, what should fingertips be used to feel? &#8211; ANSWER<br>-best for fine tactile discrimination of skin texture, swelling, pulsation, and<br>determining presence of lumps<br>During palpation, what should fingers and thumb be used for? &#8211; ANSWER<br>-detection of position, shape, and consistency of an organ or mass<br>During palpation, what should the dorsa of hands and fingers be used for? &#8211;<br>ANSWER -best for determining temperature because skin here is<br>thinner than on palms<br>During palpation, what should the base of fingers or the ulnar surface of hand be<br>used for? &#8211; ANSWER -best for vibration<br>**-vibrations are felt on the ulnar side of hand<\/p>\n\n\n\n<p>During palpation, what type of palpation should you start with and why? What<br>steps are next? &#8211; ANSWER 1. start with LIGHT palpation to<br>detect surface characteristics and accustom person to being touched<br>-1 cm<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>then deeper palpations when needed<br>-intermittent pressure better than one long continuous palpation<br>-5 to 8 cm or 2-3 in<br>ALSO: bimanual palpation- requires use of both hands to envelop or capture<br>certain body parts or organs such as kidneys, uterus or adnexa for precise<br>delimitation<br>What occurs during percussion, the third step? &#8211; ANSWER &#8211;<br>consists of tapping a person&#8217;s skin with short, sharp strokes to assess underlying<br>structures<br>What uses does percussion have? &#8211; ANSWER -mapping location<br>and size of organs<br>-signaling density of a structure by a characteristic note<br>-detecting a superficial abnormal mass<\/li>\n\n\n\n<li>percussion vibrations penetrate about 5 cm<br>deep<\/li>\n\n\n\n<li>deeper mass would give no change in percussion<br>-eliciting pain if underlying structure is inflamed<br>-eliciting deep tendon reflex using percussion hammer<\/li>\n<\/ol>\n\n\n\n<p>NUR2092 Health Assessment \/<br>Health Assessment &#8211; Exam 1<br>A patient is admitted to the medical-surgical unit with a diagnosis of<br>hypertension. The nurse is using the nursing process to develop the plan of care.<br>Which steps should the nurse incorporate?<br>A. Assessment, treatment, planning, evaluation, discharge, follow-up<br>B. Admission, assessment, diagnosis, treatment, discharge planning<br>C. Admission, diagnosis, treatment, evaluation, discharge planning<br>D. Assessment, diagnosis, outcome identification, planning, implementation,<br>evaluation &#8211; ANSWER D. Assessment, diagnosis, outcome<br>identification, planning, implementation, evaluation<br>The nursing process is a method of problem solving that includes assessment,<br>diagnosis, outcome identification, planning, implementation, and evaluation. The<br>nurse must analyze and interpret these data before initiating a plan of care.<br>The nurse is incorporating the principles of the quality and safety competencies<br>from the Institute of Medicine (IOM) recommendations into the health<br>assessment of a patient in the long-term care setting. What principles should the<br>nurse consider? Select all that apply:<br>A. Use evidence to support interventions.<br>B. Evaluate the plan of care.<br>C. Use a step-by-step approach to problem solving.<\/p>\n\n\n\n<p>D. Use technologies and informatics in delivering care.<br>E. Place the patient at the center of care.<br>F. Include other disciplines in the plan of care. &#8211; ANSWER A,<br>D, E, F<br>Use Evidence to support interventions<br>Use technologies and informatics in delivering care<br>Place the patient at the center of care<br>Include other disciplines in care<br>The Institute of Medicine identified five core competencies as essential for health<br>care professionals to demonstrate how to respond effectively to patient care<br>needs: provide patient-centered care, work in interdisciplinary teams, use<br>evidence-based practice, apply quality improvements, and use informatics.<br>The student nurse is preparing to assess a patient in the hospital clinical setting.<br>Which components best describe the concept of health assessment? Select all<br>that apply:<br>A. Collection of objective data<br>B. Collection of subjective data<br>C. Collection of data and identification of nursing diagnosis<br>D. Planning and evaluation of data<br>E. Analysis of data<br>F. Physical exam<br>G. Documentation of data &#8211; ANSWER A, B, F, G<br>Collection of objective data<br>Collection of subjective data<br>Physical exam<br>Documentation of Data<\/p>\n\n\n\n<p>Components of health assessment include conducting a health history (the<br>collection of subjective data), performing a physical examination (the collection of<br>objective data), and documenting the findings.<br>The nurse is documenting the findings from the health assessment. Which<br>example of data documentation reflects the opinion of the nurse?<br>A. The patient is uncooperative and unfriendly.<br>B. The patient avoids eye contact.<br>C. The patient states, &#8220;I do not want to get out of bed.&#8221;<br>D. The patient states, &#8220;I am very angry.&#8221; &#8211; ANSWER A. The<br>patient is uncooperative and unfriendly<br>Nurses must record data accurately, concisely, and without bias or opinion. In this<br>example, the nurse is offering an opinion, which may contain bias.<br>The nurse is assessing a patient for the first time in the outpatient diabetic clinic.<br>A <strong><em><strong>__<\/strong><\/em><\/strong> type of health assessment would be most appropriate for this<br>visit?<br>A. Focused assessment<br>B. Episodic follow-up assessment<br>C. Shift assessment<br>D. Comprehensive health assessment &#8211; ANSWER D.<br>Comprehensive health assessment<br>The type of health assessment performed by the nurse is also driven by patient<br>need. A comprehensive health assessment involves a detailed history and physical<\/p>\n\n\n\n<p>examination performed at the onset of care in a primary care setting or upon<br>admission to a hospital or long-term care facility.<br>A patient complains of a cough for 4 days unrelieved with position changes. The<br>nurse interprets this as a symptom and documents the finding under<br>____________on the patient&#8217;s chart.<br>A. The nursing care plan<br>B. Assessment<br>C. History<br>D. Vital signs &#8211; ANSWER C. History<br>A symptom is something described by the patient and considered subjective;<br>therefore it would be documented under &#8220;History.&#8221;<br>The nurse is administering an influenza (flu) shot to a patient in a retail health<br>setting. Of which level of prevention is this an example?<br>A. Primary<br>B. Secondary<br>C. Post secondary<br>D. Tertiary &#8211; ANSWER A. Primary Prevention<br>Vaccinations protect from disease and are considered primary prevention.<\/p>\n\n\n\n<p>NUR 2092 Health Assessment<br>Health Assessment Practice Questions<br>Which is not a skills requisite?<br>A: Inspection<br>B: Palpation<br>C: Vital signs<br>D: Percussion &#8211; ANSWER C: Vital Signs<br>What are some things you are looking for during palpation? &#8211; ANSWER<br>Temperature, Moisture, Texture, Lumps<br>Over what tissue would you expect to hear resonance?<br>A: Stomach<br>B: Lungs<br>C: Brain<br>D: Bones &#8211; ANSWER B: Lungs<\/p>\n\n\n\n<p>Over what tissue would you expect to hear tympany?<br>A: Lungs<br>B: Bone<br>C: Brain<br>D: Stomach &#8211; ANSWER D: Stomach<br>Over what tissue would you expect to hear a dull sound?<br>A: Stomach<br>B: Bone<br>C: Liver<br>D: Lungs &#8211; ANSWER C: Liver<br>Over what tissue would you expect to hear a flat sound?<br>A: Lung<br>B: Bone<br>C: Muscle<br>D: Stomach<br>E: B&amp;C &#8211; ANSWER E: Bone &amp; Muscle<br>When is NOT best to use the diaphragm of the stethoscope?<br>A: Heart murmur<br>B: Breathing<br>C: Bowl sounds<br>D: High-pitched &#8211; ANSWER A: Heart murmer<\/p>\n\n\n\n<p>How should you listen to heart and lung sounds?<br>A: Over a gown<br>B: Touching the skin &#8211; ANSWER B: Touching the skin<br>What position is correct for inserting a rectal suppository?<br>A: Lithotomy<br>B: Sims<br>C: Dorsal Recumbent<br>D: Supine &#8211; ANSWER B: Sims<br>Taking an axillary temperature on an adult will result in a temperature reading<br>that is:<br>A: One degree lower<br>B: Accurate<br>C: One degree higher<br>D: Same as Oral &#8211; ANSWER A: One degree lower<br>What is a full &amp; bounding pulse force?<br>A: 3+<br>B: 2+<\/p>\n\n\n\n<p>NUR2092 Health Assessment \/<br>HEALTH ASSESSMENT EXAM 1<br>PRACTICE QUESTIONS<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Mr. Mosley has shortness of breath that has persisted for the past 10 days; it is<br>worse with activity and relieved by rest. What type of data is this? &#8211; ANSWER<br>Subjective<\/li>\n\n\n\n<li>The 7 attributes of a symptom include: &#8211; ANSWER<br>OLD CART<br>A. Associated symptoms<br>B. Aggravating and\/or relieving factors<br>C. Location<br>D. ALL OF THE ABOVE<\/li>\n\n\n\n<li>The steps of the nursing process include: (check all that are correct) &#8211;<br>ANSWER ADPIE<br>A. IMPLEMENTATION<br>B. DIAGNOSIS<br>C. ASSESSMENT<\/li>\n<\/ol>\n\n\n\n<p>D. Setting up the environment for the interview<br>Match the Therapeutic Communication Techniques with the appropriate<br>statements: Having this procedure must have made you very nervous &#8211;<br>ANSWER VALIDATION<br>Match the Therapeutic Communication Techniques with the appropriate<br>statements: Eye contact, facial expression, tone, volume &#8211; ANSWER<br>NON VERBAL COMMUNICATION<br>Match the Therapeutic Communication Techniques with the appropriate<br>statements: &#8220;Now you have said that the pain began one week ago, and comes<br>and goes several time a day&#8221; &#8211; ANSWER<br>SUMMARIZATION<br>Match the Therapeutic Communication Techniques with the appropriate<br>statements: Begin with open-ended questions then getting more specific &#8211;<br>ANSWER GUIDED QUESTIONING<\/p>\n\n\n\n<p>NUR2092 Health Assessment<br>Health Assessment Test 1 Chapters 1-4<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>After completing an initial assessment of a patient, the nurse has charted that<br>his respirations are eupneic and his pulse is 58 beats per minute. These types of<br>data would be:<br>a. Objective.<br>b. Reflective.<br>c. Subjective.<br>d. Introspective. &#8211; ANSWER a. Objective.<br>Objective data are what the health professional observes by inspecting,<br>percussing, palpating, and auscultating during the physical examination.<br>Subjective data is what the person says about him or herself during history taking.<br>The terms reflective and introspective are not used to describe data.<\/li>\n\n\n\n<li>A patient tells the nurse that he is very nervous, is nauseated, and &#8220;feels hot.&#8221;<br>These types of data would be:<br>a. Objective.<\/li>\n<\/ol>\n\n\n\n<p>b. Reflective.<br>c. Subjective.<br>d. Introspective. &#8211; ANSWER c. Subjective.<br>Subjective data are what the person says about him or herself during history<br>taking. Objective data are what the health professional observes by inspecting,<br>percussing, palpating, and auscultating during the physical examination. The<br>terms reflective and introspective are not used to describe data.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>The patient&#8217;s record, laboratory studies, objective data, and subjective data<br>combine to form the:<br>a. Data base.<br>b. Admitting data.<br>c. Financial statement.<br>d. Discharge summary. &#8211; ANSWER ANS: A<br>Together with the patient&#8217;s record and laboratory studies, the objective and<br>subjective data form the data base. The other items are not part of the patient&#8217;s<br>record, laboratory studies, or data.<\/li>\n\n\n\n<li>When listening to a patient&#8217;s breath sounds, the nurse is unsure of a sound that<br>is heard. The nurse&#8217;s next action should be to:<br>a. Immediately notify the patient&#8217;s physician.<\/li>\n<\/ol>\n\n\n\n<p>b. Document the sound exactly as it was heard.<br>c. Validate the data by asking a coworker to listen to the breath sounds.<br>d. Assess again in 20 minutes to note whether the sound is still present. &#8211;<br>ANSWER ANS: C<br>When unsure of a sound heard while listening to a patient&#8217;s breath sounds, the<br>nurse validates the data to ensure accuracy. If the nurse has less experience in an<br>area, then he or she asks an expert to listen.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>The nurse is conducting a class for new graduate nurses. During the teaching<br>session, the nurse should keep in mind that novice nurses, without a background<br>of skills and experience from which to draw, are more likely to make their<br>decisions using:<br>a. Intuition.<br>b. A set of rules.<br>c. Articles in journals.<br>d. Advice from supervisors. &#8211; ANSWER<br>ANS: B<br>Novice nurses operate from a set of defined, structured rules. The expert<br>practitioner uses intuitive links.<\/li>\n\n\n\n<li>Expert nurses learn to attend to a pattern of assessment data and act without<br>consciously labeling it. These responses are referred to as:<\/li>\n<\/ol>\n\n\n\n<p>NUR2092 Health Assessment<br>\/ Health Assessment Exam 1- PPT and<br>quiz questions<br>Which of the following is an open-ended question?<br>a. What brought you in today?<br>b. Where does it hurt?<br>c. Have you been checking your blood pressure?<br>d. When was the last time you were seen by<br>a doctor? &#8211; ANSWER Answer:A. It is the only choice that<br>would invite a paragraph for an answer rather than a short statement.<br>Which of the following is the most basic function and therefore should be tested<br>first<br>in an assessment of mental status?<br>a.Behavior<br>b. Consciousness<br>c. Judgment<br>d. Language &#8211; ANSWER Answer: B. According to your<br>textbook, consciousness is the most fundamental of these particular<br>characteristics; therefore, it would be tested first.<\/p>\n\n\n\n<p>Which of the following is not a significant contributor to the assessment of mental<br>status?<br>a.Known illness or health problem<br>b. Current medications known to affect mood or cognition<br>c. Racial background<br>d. Personal history; current stress, social habits, sleep habits, drug and alcohol use<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ANSWER Answer: C. The other choices are all elements of<br>the interview that contribute to interpretation of the findings of the examination.<br>Correct order of physical examination skills: &#8211; ANSWER<br>Inspection, Palpation, Percussion, Auscultation<br>NCLEX question<br>The nurse is preparing to percuss the abdomen of a patient. The purpose of the<br>percussion is to assess the underlying tissue:<br>A) turgor.<br>B)texture.<br>C)density.<br>D)consistency. &#8211; ANSWER ANSWER: C<br>Percussion yields a sound that depicts the location, size, and density of the<br>underlying organ. Turgor and texture are assessed with palpation.<\/li>\n<\/ul>\n\n\n\n<p>NCLEX question<br>The nurse is reviewing percussion techniques with a newly graduated nurse.<br>Which technique, if used by the new nurse, indicates that more review is needed?<br>The nurse:<br>A)percusses once over each area.<br>B)lifts the striking finger off quickly after each stroke.<br>C)strikes with the finger tip, not the finger pad.<br>D)uses the wrist to make the strikes, not the arm. &#8211; ANSWER<br>ANSWER: A<br>For percussion, the nurse should percuss two times over each location. The<br>striking finger should be lifted off quickly because a resting finger damps off<br>vibrations. The tip of the striking finger should make contact, not the pad of the<br>finger. The wrist must be relaxed, and it is used to make the strikes, not the arm<br>NCLEX question<br>The nurse is teaching a class on basic assessment skills. Which of these<br>statements is true regarding the stethoscope and its use?<br>A)The slope of the earpieces should point posteriorly (toward the occiput).<br>B)The stethoscope does not magnify sound but does block out extraneous room<br>noise.<br>C)The fit and quality of the stethoscope are not as important as its ability to<br>magnify sound.<br>D)The ideal tubing length should be 22 inches to dampen distortion of sound. &#8211;<br>ANSWER ANSWER: B<br>The stethoscope does not magnify sound but does block out extraneous room<br>sounds. The slope of the earpieces should point forward toward the examiner&#8217;s<br>nose. Longer tubing will distort sound. The fit and quality of the stethoscope are<br>important.<\/p>\n\n\n\n<p>NUR2092 Health Assessment<br>\/ Health Assessment Practice<br>Questions (Test 1) good<br>The practitioner, entering the examining room to meet a patient for the first time,<br>states &#8220;Hello, I&#8217;m M.M., and I&#8217;m here to gather some information. This will take<br>about 30 minutes. D.D. is a student working with me. If it&#8217;s all right with you, she<br>will remain during the examination.&#8221; Which of the following must be added to<br>cover all aspects of the interview contract?<br>A) A statement regarding confidentiality, patient costs and the expectations of<br>each person<br>B) the purpose of the interview and the role of the interviewer<br>C) Time and place of the interviewer and a confidentiality statement<br>D) An explicit purpose of the interview and a description of the physical<br>examination including diagnostic studies &#8211; ANSWER A) A<br>statement regarding confidentiality, patient costs and the expectations of each<br>person<br>8 items of information that should be communicated to the client concerning the<br>terms or expectations of the interview:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Time and place of the interview and succeeding physical examination<\/li>\n\n\n\n<li>Introduction of yourself and a brief explanation of your role<\/li>\n\n\n\n<li>The purpose of the interview<\/li>\n\n\n\n<li>How long it will take<\/li>\n\n\n\n<li>Expectation of participation of each person<\/li>\n\n\n\n<li>Presence of any other people<\/li>\n\n\n\n<li>Confidentiality<\/li>\n\n\n\n<li>Any cost to the client<\/li>\n<\/ol>\n\n\n\n<p>(pg. 27 Jarvis)<br><strong>__<\/strong> is exhibiting an accurate understanding of the other person&#8217;s feelings<br>within a communication context<br>A) Empathy<br>B) Liking others<br>C) Facilitation<br>D) A Nonverbal listening technique &#8211; ANSWER A) Empathy: means<br>viewing the world from the other persons inner frame of reference while<br>remaining you. Recognition of another person\u2019s feelings without criticism.<br>(pg. 28 Jarvis)<br>You conduct an admission interview. Because you are expecting a phone call, you<br>stand near the door. Which would be a more appropriate approach?<br>A) Arrange to have someone page you so you can sit on the side of the bed<br>B) Have someone answer the phone so you can sit facing the patient<br>C) Use this approach given the circumstances<br>D) Arrange for time free of interruptions after the initial physical examination is<br>complete &#8211; ANSWER B) Have someone answer the phone so you<br>can sit facing the patient<br>Refuse Interruptions: Inform support staff of your interview and ask them not to<br>interrupt you during this time. Any interruption can destroy any rapport you had<br>previously built.<\/p>\n\n\n\n<p>Sit eye level with patient and avoid barriers such as desks, and avoid standing,<br>standing assumes superiority and takes away control from the patient. Keep a<br>distance of 4 to 5 feet for personal space.<br>(pg.29 Jarvis)<br>A patient asks the nurse, &#8220;May I ask you a question?&#8221; This is an example of:<br>A) An open-ended question<br>B) A reflective question<br>C) A closed question<br>D) A double-barreled question &#8211; ANSWER C) A closed question:<br>elicits a &#8220;yes&#8221; or &#8220;no&#8221; answer or a forced choice.<br>**Avoid Double-barreled questions are questions that ask more than one<br>question, to where a &#8220;yes&#8221; or &#8220;no&#8221; answer would not fully satisfy the question<br>(pg. 32 Jarvis)<br>Which statement best describes interpretation as a communication technique?<br>A) interpretation is the same as clarification<br>B) interpretation is a summary of a statement made by the patient<br>C) interpretation is used to focus on a particular aspect of what the patient has<br>just said<br>D) interpretation is based on the interviewer&#8217;s inference from the data that have<br>been presented &#8211; ANSWER D) interpretation is based on the<br>interviewer&#8217;s inference from the data that have been presented<\/p>\n\n\n\n<p>NUR2092 Health Assessment \/ Health<br>Assessment Final Exam: Review Questions<br>An elderly patient is admitted to the hospital. While performing a skin<br>assessment, the nurse discovers bruises in various stages of healing all over the<br>patient&#8217;s body. Why is it important for the nurse to promptly document and<br>report these findings?<br>a.The patient may have been abused.<br>b.The patient is elderly.<br>c.The patient may have peripheral vascular disease.<br>d.The patient may have a cognitive deficit. &#8211; ANSWER a.<br>The patient may have been abused<br>When the nurse observes the patient for general characteristics including age,<br>gender, and level of alertness, what aspect of assessment are you performing?<br>a.Inspecting<br>b.Interviewing<br>c.Palpating<br>d.Ausculating &#8211; ANSWER a. Inspecting<\/p>\n\n\n\n<p>The four areas to consider during the general survey include:<br>a. Dress, medical history, nonverbal behavior, and mobility.<br>b.Ethnicity, gender, age, and socioeconomic status.<br>c.Physical appearance, gender, ethnicity, and medical history.<br>d.Physical appearance, body structure, mobility, and behavior. &#8211; ANSWER<br>d. Physical appearance, body structure, mobility, and behavior.<br>When reading the patient&#8217;s medical record, the nurse sees the following notation:<br>Patient states, &#8220;I have had a cold for about a week, and I am having difficulty<br>breathing.&#8221; This is an example of:<br>a.A past health history.<br>b.A review of systems.<br>c.A functioning assessment.<br>d.A chief compliant. &#8211; ANSWER d.A chief compliant.<br>Normal cervical lymph nodes are:<br>a.Smaller than 1 cm<br>b.Warm and red<br>c.Fixed<br>d.Firm &#8211; ANSWER a.Smaller than 1 cm<br>The first step to cultural competency by a nurse is to:<\/p>\n\n\n\n<p>a.Identify the meaning of health to the patient.<br>b.Understand their own heritage and its basis in cultural values.<br>c.Develop a frame of reference to traditional health care practices.<br>d.Understand how a health care delivery system works. &#8211; ANSWER<br>b.Understand their own heritage and its basis in cultural values.<br>The nurse is conducting a physical assessment of a new patient. What data does<br>the nurse collect that are measurable?<br>a.Objective<br>b.Effective<br>c.Subjective<br>d.Affective &#8211; ANSWER a.Objective<br>While assessing a patient, the nurse is asking questions that help the nurse<br>perceive and communicate an understanding of what the patient is feeling. What<br>is this called?<br>a.Caring<br>b.Therapeutic communication<br>c.Sympathy<br>d.Empathy &#8211; ANSWER d.Empathy<br>Checking for skin temperature is best accomplished by using:<\/p>\n\n\n\n<p>NUR2092 Health Assessment \/<br>Health Assessment Exam 2<br>Review Questions<br>A palpable vibration increased with lobar pneumonia is also known as:<br>A. Rhonchi<br>B. Resonance<br>C. Fremitus<br>D. Crackles &#8211; ANSWER C. Fremitus (key term is &#8220;palpable&#8221;<br>Your patient is exhibiting rapid shallow breathing, with a respiratory rate &gt;24<br>respirations per minute. Which of the following conditions are they experiencing?<br>A. hypoxemia<br>B. tachypnea<br>C. fremitus<br>D. resonance &#8211; ANSWER B. tachypnea<br>Increased tactile fremitus would be evident in an individual who has which of the<br>following conditions?<br>A. emphysema<\/p>\n\n\n\n<p>B. pneumonia<br>C. crepitus<br>D. pneumothorax &#8211; ANSWER B. pneumonia<br>Fremitus is a palpable vibration. Increased fremitus occurs with compression or<br>consolidation of lung tissue (ex. lobar pneumonia)<br>Which of the following terms is used to describe a decreased level of oxygen (O2)<br>in the blood?<br>A. anemia<br>B. hypercapnia<br>C. hypoxemia<br>D. emphysema &#8211; ANSWER C. hypoxemia<br>The nurse is assessing a patient who has emphysema. They note a course,<br>crackling sensation that is palpable over the skin surface. This is known as:<br>A. hypoxemia<br>b. crackles<br>C. fremitus<br>D. crepitus &#8211; ANSWER D. crepitus<br>Upon receiving the patient&#8217;s lab results, the nurse notes the patient has an<br>increased level of carbon dioxide in the blood. Which of the following conditions<br>would the patient be experiencing?<br>A. resonance<\/p>\n\n\n\n<p>B. hypercapnia<br>C. fremitus<br>D. tachypnea &#8211; ANSWER B. hypercapnia<br>The nurse is auscultating a patient&#8217;s lungs and hears discontinuous, high-pitched,<br>short, popping sounds heard during inspiration, and not cleared by coughing.<br>These are described as:<br>A. bradypnea<br>B. rhonchi<br>C. crackles<br>D. wheezing &#8211; ANSWER C. crackles<br>The nurse is assessing a patient&#8217;s lungs by using the percussion technique. Which<br>sound would the nurse expect to hear over healthy lung tissue?<br>A. resonance<br>B. orthopnea<br>C. crackles<br>D. tachypnea &#8211; ANSWER A. resonance<br>A clinical manifestation common in an individual with chronic obstructive<br>pulmonary disease (COPD) is:<br>A. periodic breathing patterns<br>B. pursed lip breathing<br>C. unequal chest expansion<br>D. hyperventilation &#8211; ANSWER B. pursed lip breathing<\/p>\n\n\n\n<p>An individual with COPD may purse the lips in a whistling position. By exhaling<br>slowly and against a narrow opening, the pressure in the bronchial tree remains<br>positive, and fewer airways collapse.<br>Which of the following are functions of the respiratory system? (Select all that<br>apply)<br>A. supplying oxygen to the body for energy production<br>B. removing carbon dioxide as a waste product<br>C. wound repair<br>D. maintaining acid-base balance<br>E. maintenance of heat exchange<br>F. identification &#8211; ANSWER A. supplying oxygen to the body<br>for energy production<br>B. removing carbon dioxide as a waste product<br>D. maintaining acid-base balance<br>E. maintenance of heat exchange<br>Stridor is a high pitched, inspiratory crowing sound commonly associated with:<br>A. upper airway obstruction<br>B. atelectasis<br>C. congestive heart failure<br>D. Pneumothorax &#8211; ANSWER A. upper airway obstruction<br>Stridor is associated with upper airway obstruction from swollen, inflamed tissues<br>or a lodged foreign body.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Exam 2 Review Questions 2 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Final Exam: Review Questions 3 Exam (elaborations) NUR2092 Health Assessment \/ Health Assessment Practice Questions (Test 1) good 4 Exam (elaborations) NUR2092 Health Assessment \/ Health Ass NUR2092 Health Assessment \/Health Assessment Exam [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119492","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119492"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119492\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}