Health History And Physical Examination

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Question 1
Free
Multiple Choice

An older-adult client who is having difficulty breathing is admitted to the hospital. Which of the following approaches is the best for the nurse to use to obtain a complete health history?

Choose correct answer/s
A

Obtain subjective data about the client from family members.

B

Omit subjective data collection and obtain the physical examination.

C

Use the health care provider's medical history to obtain subjective data.

D

Schedule several short sessions with the client to gather subjective data.

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Question 2
Free
Multiple Choice

Immediate surgery is planned for a client with acute abdominal pain. Which of the following questions will elicit the most complete information about the client's coping-stress tolerance pattern?

Choose correct answer/s
A

"Can you tell me how intense your pain is now?"

B

"What do you think caused this abdominal pain?"

C

"How do you feel about yourself and your hospitalization?"

D

"Are there other major problems that are a concern right now?"

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Question 3
Free
Multiple Choice

During the health history interview, a client tells the nurse about periodic fainting spells. Which question by the nurse will be most helpful in determining the setting in which the fainting spells occur?

Choose correct answer/s
A

"How frequently do you have the fainting spells?"

B

"Where are you when you have the fainting spells?"

C

"Do the spells tend to occur at any special time of day?"

D

"Do you have any other symptoms along with the spells?"

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Question 4
Free
Multiple Choice

The nurse records the following general survey of a client: "The client is a 68-year-old male Asian accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions.Noapparent disabilities or distinguishing features." Which of the following information should be added to this general survey documentation?

Choose correct answer/s
A

Nutritional status

B

Intake and output

C

Reasons for contact with the health care system

D

Comments of family members about his condition

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Question 5
Free
Multiple Choice

Anurse is performing a health history and physical examination for a client with right-sided rib fractures. Which of the following data is a pertinent negative finding?

Choose correct answer/s
A

Client states that there have been no other health problems recently.

B

Client denies having pain when the area over the fractures is palpated.

C

Client has several bruised and swollen areas on the right anterior chest.

D

Client refuses to take a deep breath because of the associated chest pain.

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Question 6
Multiple Choice

As the nurse assesses the client's neck, the client says, "My neck is so stiff I can hardly move it." This client statement indicates the nurse should perform which of the following assessments?

Choose correct answer/s
A
Focused
B
Screening
C
Emergency
D
Comprehensive
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Question 7
Multiple Choice

The nurse is preparing to perform a focused abdominal assessment for a client who has high-pitched bowel sounds. Which equipment will be needed?

Choose correct answer/s
A
Flashlight
B
Stethoscope
C
Tongue blades
D
Percussion hammer
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Question 8
Multiple Choice

When the nurse is planning for the physical examination of an alert older-adult client, which of the following adaptations to the examination technique should be considered?

Choose correct answer/s
A
Speaking slowly when directing the client.
B
Avoiding the use of touch as much as possible.
C
Using slightly more pressure for palpation of the liver.
D
Organizing the sequence to minimize position changes.
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Question 9
Multiple Choice

While the nurse is taking the health history, a client states, "My father and grandfather both had heart attacks and were unable to be very active afterwards." This statement reflects which of the following functional health patterns?

Choose correct answer/s
A
Activity-exercise
B
Cognitive-perceptual
C
Coping-stress tolerance
D
Health perception-health management
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Question 10
Multiple Choice

A client is seen in the emergency department with chest pain and hypotension. Which type of assessment should the nurse do at this time?

Choose correct answer/s
A
Focused
B
Subjective
C
Emergency
D
Comprehensive
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Question 11
Multiple Choice

The nurse records the following general survey of a client: "The client is a 68-year-old Indigenous male accompanied by his wife and two daughters. Alert and oriented. Does not make eye contact with the nurse and responds slowly, but appropriately, to questions. No apparent disabilities or distinguishing features." Which of the following areas does the nurse need to assess to complete the general survey?

Choose correct answer/s
A
Body movements
B
Intake and output
C
Reasons for contact with the health care system
D
Comments of family members about his condition
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Question 12
Multiple Choice

When assessing the circulation to the lower leg of a client who has had knee surgery, which action should the nurse take first?

Choose correct answer/s
A
Feel for the temperature of the foot.
B
Visually inspect the colour of the foot.
C
Check the client's pedal pulses using the fingertips.
D
Compress the nail beds to determine capillary refill time.
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Question 13
Multiple Choice

When assessing a client's abdomen during the admission assessment, which of these actions should the nurse take first?

Choose correct answer/s
A
Feel for any masses.
B
Palpate the abdomen.
C
Percuss the liver borders.
D
Listen to the bowel sounds.
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Question 14
Multiple Choice

When admitting a client who has just arrived on the medical unit with severe abdominal pain, what should the nurse do first?

Choose correct answer/s
A
Complete only basic demographic data before addressing the client's abdominal pain.
B
Medicate the client for the abdominal pain before attending to the health history and examination.
C
Inform the client that the abdominal pain will be treated as soon as the health history is completed.
D
Take the initial vital signs and then deal with the abdominal pain before completing the health history.
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Question 15
Multiple Choice

The nurse is completing a neurological assessment on an adult client. Which of the following assessments should the nurse include when assessing the client's coordination? (Select all that apply.)

Choose correct answer/s
A
Toe walk
B
Finger to nose
C
Drift
D
Romberg
E
Heel to opposite shin
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