Chapter 27: The Complete Health Assessment: Adult

Chapter 27: The Complete Health Assessment: Adult

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. An 85-year-old man has come in for a physical examination, and the nurse notices that he uses a cane. When documenting general appearance, the nurse should document this information under the section that covers:

a.	Posture.
b.	Mobility.
c.	Mood and affect.
d.	Physical deformity.

 

 

ANS:  B

Use of assistive devices would be documented under the mobility section. The other responses are all other categories of the general appearance section of the health history.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 776

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

2. The nurse is performing a vision examination. Which of these charts is most widely used for vision examinations?

a.	Snellen
b.	Shetllen
c.	Smoollen
d.	Schwellon

 

 

ANS:  A

The Snellen eye chart is most widely used for vision examinations. The other options are not tests for vision examinations.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 776

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

3. After the health history has been obtained and before beginning the physical examination, the nurse should first ask the patient to:

a.	Empty the bladder.
b.	Completely disrobe.
c.	Lie on the examination table.
d.	Walk around the room.

 

 

ANS:  A

Before beginning the examination, the nurse should ask the person to empty the bladder (save the specimen if needed), disrobe except for underpants, put on a gown, and sit with the legs dangling off side of the bed or table.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 776

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

4. During a complete health assessment, how would the nurse test the patient’s hearing?

a.	Observing how the patient participates in normal conversation
b.	Using the whispered voice test
c.	Using the Weber and Rinne tests
d.	Testing with an audiometer

 

 

ANS:  B

During the complete health assessment, the nurse should test hearing with the whispered voice test. The other options are not correct.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 777

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

5. A patient states, “Whenever I open my mouth real wide, I feel this popping sensation in front of my ears.” To further examine this, the nurse would:

a.	Place the stethoscope over the temporomandibular joint, and listen for bruits.
b.	Place the hands over his ears, and ask him to open his mouth “really wide.”
c.	Place one hand on his forehead and the other on his jaw, and ask him to try to open his mouth.
d.	Place a finger on his temporomandibular joint, and ask him to open and close his mouth.

 

 

ANS:  D

The nurse should palpate the temporomandibular joint by placing his or her fingers over the joint as the person opens and closes the mouth.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 777

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care