NursingNursing PracticeHealth Assessment for Nursing PracticePractice Set 11Conducting A Head-to-toe Examination
Questions Bank
- Introduction to Health AssessmentObtaining a Health HistoryTechniques and Equipment for Physical AssessmentGeneral Inspection and Measurement of Vital SignsCultural AssessmentPain AssessmentMental Health AssessmentNutritional AssessmentSkin, Hair, and NailsHead, Eyes, Ears, Nose, and ThroatLungs and Respiratory SystemHeart and Peripheral Vascular SystemAbdomen and Gastrointestinal SystemMusculoskeletal SystemNeurologic SystemBreasts and AxillaeReproductive System and the PerineumDevelopmental Assessment Throughout the Life SpanAssessment of the Infant, Child, and AdolescentAssessment of the Pregnant PatientAssessment of the Older AdultConducting a Head-to-Toe ExaminationDocumenting the Comprehensive Health AssessmentAdapting Health Assessment to the Hospitalized Patient
When does the health assessment begin?
When the nurse first meets the patient
When the patient tells the nurse his name and age
When the nurse asks the patient the first health-related question
When the patient consents to have a health assessment performed
Which assessments are routine examination techniques of the upper extremities?
Palpating the epitrochlear lymph nodes for size and tenderness
Palpating the arms for skin characteristics, symmetry, tenderness, and deformities
Testing the range of motion and muscle strength comparing one arm with the other
Testing triceps, biceps, and brachioradialis deep tendon reflexes bilaterally
Which data does a nurse collect during the general survey when meeting a patient for the first time? (Select all that apply.)
Gait
Muscle strength
Heart sounds
Hearing and speech abilities
Mood or affect
Position of the trachea
Which techniques does a nurse use routinely to collect data when assessing a patient's posterior thorax? (Select all that apply.)
Inspection of the thorax for symmetry of shoulders
Percussion of the costovertebral angle bilaterally
Inspection of respiratory movement for symmetry, depth, and rhythm of respiration
Percussion of the posterior and lateral thorax for resonance
Palpation of vertebrae for alignment and tenderness
Inspection of thorax for muscular development and scapular alignment
Which techniques does a nurse use routinely to collect data when assessing a patient's anterior thorax? (Select all that apply.)
Palpation of the thorax for fremitus
Inspection of the skin for color, intactness, lesions, and scars
Auscultation of breath sounds bilaterally
Auscultation of heart sounds for rate, rhythm, frequency, and S1 and S2
Palpation of the anterior chest wall for thoracic expansion
Inspection of respiratory movement for symmetry and ease of respiration