Question 1

The nurse is conducting a hearing screening. Which technique will the nurse use during the whisper test?

Accepted Answer

A)   The nurse pulls the pinna up and back.
B)   The nurse covers their lips to obscure them from view.
C)   The nurse asks the patient to repeat 3 letters or numbers.
D)   The nurse stands 4 feet away from the patient and whispers three different words.

Question 2

In which situation should the examiner auscultate for carotid bruits?

Accepted Answer

A)   Middle-aged or older patient
B)   Pregnant patient with gestational diabetes
C)   Patient that reports abdominal pain
D)   Patient with enlarged, tender cervical lymph nodes

Question 3

A hospitalized patient does not require a full neurologic examination during every shift assessment. What is a method of assessing the neurologic status of a patient without performing a full neurological examination?

Accepted Answer

A)   Palpate the carotid pulse.
B)   Offer the patient a glass of water.
C)   Look at the significant other throughout the examination.
D)   Assign the nursing assistant to ask the patient questions and report the findings.

Question 4

Which statement is true regarding the recording of data from the history and physical examination?

Accepted Answer

A)   Use long, descriptive sentences to document findings.
B)   Record the data as soon as possible after the interview and physical examination.
C)   The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.
D)   If the information is not documented, then it can be assumed that it was done as a standard of care. B

Question 5

The nurse is assessing the cranial nerves. To assess cranial nerve XII, what should the nurse ask the patient to do?

Accepted Answer

A)   Say "ahh".
B)   Stick out tongue.
C)   Smile and then frown.
D)   Follow the nurses fingers through the six cardinal positions of gaze.

Question 6

The examiner is assessing the extraocular muscles. Which of the following tests would be inappropriate?

Accepted Answer

A)   Confrontation test
B)   Corneal light reflex
C)   Six cardinal positions of gaze
D)   Cranial nerve III, IV, and VI testing

Question 7

When gathering information relative to a complete health assessment, the nurse should include which in the decision-making process? (Select all that apply.)

Accepted Answer

A)   Treat the health assessment as a legal document.
B)   Use line drawings to explain and record pertinent findings.
C)   Do not document findings on the computer while the patient is present.
D)   Gather needed equipment before the start of the health assessment.
E)   Write down "word for word" what the patient says as evidence of reliable documentation. A, B, D

Question 8

When standing with their eyes closed, feet together, and arms at their sides, a patient sways and starts to fall. How should the nurse document this finding?

Accepted Answer

A)   Positive Romberg sign
B)   Positive Babinski sign
C)   Positive Ortolani sign
D)   Positive modified Allen test

Question 9

When performing a health history, the nurse would note immunizations under which category?

Accepted Answer

A)   Family history
B)   Personal history
C)   Past medical history
D)   History of present illness

Question 10

While conducting a musculoskeletal assessment the nurse stands behind the patient and has the patient bend over and touch his or her toes. What is the nurse assessing?

Accepted Answer

A)   Balance
B)   The spine
C)   Cervical range of motion
D)   External rotation of hips

Question 11

The nurse is preparing to perform an examination of the eyes. Which test will the nurse conduct to assess the patient's vision?

Accepted Answer

A)   Weber test
B)   Snellen test
C)   Confrontation test
D)   Corneal light reflex B

Question 12

What should the examiner do during auscultation of breath sounds?

Accepted Answer

A)   Listen with the bell of the stethoscope.
B)   Compare sounds on the left and right sides.
C)   Listen only to the posterior chest for adventitious sounds.
D)   Instruct the patient to breathe in and out through the nose.

Question 13

When auscultating heart sounds, which technique should the nurse use?

Accepted Answer

A)   Listen with the bell.
B)   Listen with the diaphragm.
C)   Listen with both the diaphragm and bell working from apex to base in a Z pattern.
D)   Listen with both the bell and diaphragm comparing sides of the heart as progress from apex to base.

Exam 28: The Complete Health Assessment: Adult

The nurse is conducting a hearing screening. Which technique will the nurse use during the whisper test?

Correct Answer
verified

In which situation should the examiner auscultate for carotid bruits?

Correct Answer
verified

A hospitalized patient does not require a full neurologic examination during every shift assessment. What is a method of assessing the neurologic status of a patient without performing a full neurological examination?

Correct Answer
verified

Which statement is true regarding the recording of data from the history and physical examination?

Correct Answer
verified
B

The nurse is assessing the cranial nerves. To assess cranial nerve XII, what should the nurse ask the patient to do?

Correct Answer
verified

The examiner is assessing the extraocular muscles. Which of the following tests would be inappropriate?

Correct Answer
verified

When gathering information relative to a complete health assessment, the nurse should include which in the decision-making process? (Select all that apply.)

Correct Answer
verified
A, B, D

When standing with their eyes closed, feet together, and arms at their sides, a patient sways and starts to fall. How should the nurse document this finding?

Correct Answer
verified

When performing a health history, the nurse would note immunizations under which category?

Correct Answer
verified

While conducting a musculoskeletal assessment the nurse stands behind the patient and has the patient bend over and touch his or her toes. What is the nurse assessing?

Correct Answer
verified

The nurse is preparing to perform an examination of the eyes. Which test will the nurse conduct to assess the patient's vision?

Correct Answer
verified
B

What should the examiner do during auscultation of breath sounds?

Correct Answer
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When auscultating heart sounds, which technique should the nurse use?

Correct Answer
verified

Exam 28: The Complete Health Assessment: Adult

The nurse is conducting a hearing screening. Which technique will the nurse use during the whisper test?

Correct AnswerverifiedShow Answer

In which situation should the examiner auscultate for carotid bruits?

Correct AnswerverifiedShow Answer

A hospitalized patient does not require a full neurologic examination during every shift assessment. What is a method of assessing the neurologic status of a patient without performing a full neurological examination?

Correct AnswerverifiedShow Answer

Which statement is true regarding the recording of data from the history and physical examination?

Correct AnswerverifiedB

The nurse is assessing the cranial nerves. To assess cranial nerve XII, what should the nurse ask the patient to do?

Correct AnswerverifiedShow Answer

The examiner is assessing the extraocular muscles. Which of the following tests would be inappropriate?

Correct AnswerverifiedShow Answer

When gathering information relative to a complete health assessment, the nurse should include which in the decision-making process? (Select all that apply.)

Correct AnswerverifiedA, B, D

When standing with their eyes closed, feet together, and arms at their sides, a patient sways and starts to fall. How should the nurse document this finding?

Correct AnswerverifiedShow Answer

When performing a health history, the nurse would note immunizations under which category?

Correct AnswerverifiedShow Answer

While conducting a musculoskeletal assessment the nurse stands behind the patient and has the patient bend over and touch his or her toes. What is the nurse assessing?

Correct AnswerverifiedShow Answer

The nurse is preparing to perform an examination of the eyes. Which test will the nurse conduct to assess the patient's vision?

Correct AnswerverifiedB

What should the examiner do during auscultation of breath sounds?

Correct AnswerverifiedShow Answer

When auscultating heart sounds, which technique should the nurse use?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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Correct Answer
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A, B, D

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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