HEALTH ASSESSMENT – RLE over the body and extremities.

What is your
patient’s APGAR score?
(NUR 098) A. APGAR 5 C. APGAR 12
B. APGAR 9 D. APGAR 6
WEEK – 3 POST TEST
4. You’re assessing the five-minute APGAR
score of a newborn baby. On assessment,
Name: you note the following about your newborn
Section: patient: pink body and hand with cyanotic
Date: feet, heart rate 109, grimace to stimulation,
flaccid, and irregular cry. What is your
patient’s APGAR score?
A. APGAR 2 C. APGAR 4
Directions: Read each question carefully and
B. APGAR 5 D. APGAR 8
choose the best answer from the choices given.
Please refrain from erasures upon answering
5. It is a simple and repeatable method to
the exam. Refrain also from talking and making
quickly and summarily assess the health of
noises while taking the exam. Any questions will
newborns immediately after childbirth.
be address only to your CI. Any form of cheating
A. The APGAR Score for Newborn
is not allowed.
B. Denver II Developmental Screening
Test (DDST)
C. KATZ INDEX of Independence in
1. You’re assessing the five-minute APGAR
Activities of daily living
score of a newborn baby. On assessment,
D. BARTHEL Activities of Daily Living
you note the following about your newborn
Index
patient: heart rate 97, no response to
stimulation, flaccid, absent respirations,
6. It is developed and used widely to screen
cyanotic throughout. What is your patient’s
young children from birth to six years of
APGAR score?
age.
A. APGAR 2 C. APGAR 0
Assesses the child’s performance on AGE-
B. APGAR 3 D. APGAR 1
APPROPRIATE tasks.
A. The APGAR Score for Newborn
2. The CAGE test is used to identify which of
B. Denver II Developmental Screening
the following conditions?
Test (DDST)
A. Use of illicit drugs
C. KATZ INDEX of Independence in
B. Tobacco / cigarette smoking
Activities of daily living
C. Alcoholism
D. BARTHEL Activities of Daily Living
D. Domestic violence
Index

3. You’re assessing the one-minute APGAR

7. It is the most appropriate instrument to
score of a newborn baby. On assessment,
assess functional status as a measurement
you note the following about your newborn
of the patient’s ability to perform activities
patient: weak cry, some flexion of the arm
of daily living INDEPENDENTLY.
and legs, active movement and cries to
A. The APGAR Score for Newborn
stimulation, heart rate 145, and pallor all
 B. Denver II Developmental Screening 12. A process of heat loss that involves transfer
Test (DDST) of heat form one surface to another is:
C. KATZ INDEX of Independence in A. Radiation C. Evaporation
Activities of daily living B. Convection D. Conduction
D. BARTHEL Activities of Daily Living
Index 13. Which of the following statement is true
about general survey?
8. It is consisting of 10 items that measure a A. It is done after physical
person’s daily functioning specially the examination.
activities of daily living and mobility. B. It is a study of the whole person.
A. The APGAR Score for Newborn C. It involves use of instrument
B. Denver II Developmental Screening D. It focuses on a particular body
Test (DDST) system.
C. KATZ INDEX of Independence in
Activities of daily living 14. It describes the quality of the pulse in terms
D. BARTHEL Activities of Daily Living of its fullness. It is assessed by the feel of
Index the blood flow through the vessel.
A. Circulation C. Amplitude
9. The general sequence for performing the B. Pulse rates D. Pulse rhythm
techniques of physical examination is as
follows: 15. It is the means by which cells receive
A. Inspection, Palpation, Percussion, nutrients and remove waste products of
Auscultation metabolism. Characteristics of the pulse,
B. Inspection, Percussion, Palpation, including rate, quality (amplitude), and
Auscultation rhythm provide information about the
C. Inspection, Auscultation, Palpation, effectiveness of the heart as a pump and
Percussion the adequacy of peripheral blood flow.
D. Inspection, Palpation, Auscultation, A. Circulation C. Amplitude
Percussion B. Pulse rates D. Pulse rhythm

10. The diaphragm of the stethoscope is used 16. It is being measured in beats per minute.
for which of the following sounds? A. Circulation C. Amplitude
A. Low-pitched sounds B. Pulse rates D. Pulse rhythm
B. Loud sounds
C. High-pitched sounds 17. It is the pattern of the pulsations and the
D. Soft sounds pauses between them. It is normally
regular; the pulsations and the pauses
11. When inspecting structures such as the between occur at regular intervals.
jugular venous pulse, what would be the A. Circulation C. Amplitude
best lighting to use? B. Pulse rates D. Pulse rhythm
A. Direct lighting
B. Tangential lighting 18. Which of the following factors is the most
C. Back lighting reliable indicator of pain in an adult
D. Diffuse lighting patient?
 A. Nonverbal behaviors. 23. It states that pain is perceived whenever
B. The patient’s self-report. the stimulus is intense enough.
C. Changes in the vital signs A. Pain theory
D. Changes in physical functioning. B. Stimuli theory
C. Pattern theory
D. Specificity theory
19. Which of the following measurements is
incorrect about pain? 24. It states that there are specific nerve
A. Pain exists whenever the patient receptors for particular stimuli.
says it does. A. Pain theory
B. Pain is always accompanied by B. Stimuli theory
changes in the vital signs. C. Pattern theory
C. Pain is whatever the patient says it D. Specificity theory
is.
D. Pain protects a patient from injury. 25. It is a sensation of physical or mental hurt
or suffering that causes distress or agony to
20. While examining a broken arm of a 4 –year- the one experiencing it.
old boy, which of the following is the A. Injury
appropriate assessment tool to evaluate his B. Burnout
pain status? C. Pain
A. 0-10 numeric rating scale D. Stress
B. 0 – 5 Numeric rating Scale
C. Simple descriptor scale
D. The Wong – Baker Scale

21. To assess the SITE of pain, which of the

following questions should be asked by the
nurse?
A. When did your pain start?
B. Where is your pain?
C. What makes your pain better?
D. How much pain do you have now?

22. You are a nurse working in a surgical ward

and caring for a 53-year-old man who had
an above the knee amputation in his right
leg. He complained of severe pain from his
right lower leg. You are knowledgeable that
this is:
A. Intractable pain
B. Phantom pain
C. Psychogenic pain
D. Radiating pain