Exam 1 Health Assessment Nclex Practice Questions

Exam 1 Health Assessment (Nclex Practice Questions) ScienceMedicineNursing Bri_Pina Save Health Assessment Exam 1 131 terms KepmuvingPreview Health Assessment Exam 1- PPT and...38 terms ykuzmichPreview Vital Signs Practice for NCLEX Ques...15 terms lizzyohmesPreview Health 119 term sms Which of the following is an example of objective data?Dizziness An earache Alert and oriented A sore throat Alert and oriented Which of the following is an example of subjective data?Bruising on the lower leg Blood glucose 126 md/dL HR of 76 BPM Pain rated at 7 out of 10 Pain rated at 7 out of 10 A patient seeks care for "debilitating headaches that cause excessive absences at work." On further exploration, the nurse asks, what makes the headaches worse? With this question, the nurse is seeking information about?The patients perception of pain Relieving factors The nature or character of the headache Aggravating factors Aggravating factors

The "Review of Systems" in the health history is A record of objective findings An evaluation of past and present health state of each body system A documentation of the problem as perceived by the patient A short statement of general health status An evaluation of past and present health state of each body system Which of the following is a normal average value for a patients temperature measured using an oral thermometer?

34.9 C

38 C 37 C 35 C 37 C An example of a primary lesion is Ulcer Erosion Urticaria Port wine stain Urticaria Functions of the skin include Production of vitamin C Secretion of a drying substance called sebum Production of new cells by melanocytes Temperature regulation Temperature regulation The home health care nurse is caring for a patient with cancer who is complaining of acute pain. The most appropriate determination of the client's pain should include which assessment?Nonverbal cues from the patient The nurses impression of the clients pain Pain relief after appropriate nursing intervention The clients pain rating The client's pain rating

To ensure the most accurate blood pressure reading for your patient in the clinic, it is best to do which of the following? (Select all that apply) Measure the BP after resting at least 5 mins Measure BP at 1 and 5 minutes for comparison Ask the patient to recall the BP at their last visit and get an average of the BP Measure the BP after walking 1 flight of stairs o show endurance factor Measure BP after resting at least 5 minutes Using the ABCDE to screen moles is helpful in assessment. It is important to remember that the A stands for which of the following?Asymmetry Atypical cells Adhesions Adventitious Asymmetry When testing for muscle strength, the examiner should Observe muscles for the degree of contraction when the individual lifts a heavy object Measure the degree of forces that it takes to overcome joint flexion or extension Apply an opposing force when the individual puts a joint in flexion or extension Estimate the degree of flexion and extension in each joint Apply an opposing force when the individuals puts a joint in flexion or extension When assessing range of motion, which of the following would be important for the nurse to do to help the patient understand what the nurse is asking?Familiarize himself or herself with type of each joint and normal range of motion Model the movements Palpate each joint Anchor the joint with one hand while other hand slowly moves to the joints to its limit Model the movements A patient is being assessed for range of joint movement, the nurse asks him to move his arm in toward the center of his body. What is the movement called Extension Abduction Flexion Adduction Adduction

A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement?Extension Flexion Adduction Abduction Flexion In report you hear that your patient has significant kyphosis. Using your knowledge, you can expect to see which of the following?Raised right shoulder Uneven scapula Enhanced thoracic curve typically seen in aging people Increased space between the right arm and right hip when standing Enhanced thoracic curve typically seen in aging people Which of the following questions would the examiner ask to determine whether an individual has epistaxis?Do you experience a runny nose frequently?Have you ever noticed any unusual lesions on the inside of your mouth?Do you have any difficulty with swallowing?Do you experience nosebleeds?Do you experience nosebleeds When assessing the pupillary light reflex, the nurse should use which technique?Ask the patient to focus on a distant object, then ask the patient to follow the penlight to approx. 7 cm from the nose Shine a penlight from directly in front of the patient and inspect for pupillary constriction Ask the patient to follow the penlight in 8 different directions and observe for bilateral pupillary constriction Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction Shine a light across the pupil from the side and observe for direct and consensual pupillary constriction During an assessment of a 20 year old with 3 day history of nausea and vomiting, the nurse notices dry mucosa and deep vertical fissures on the tongue. What do these findings indicate?Irritation from gastric juices Dehydration Side effects from nausea meds A normal oral assessment Dehydration