 False.
 A partial or ongoing assessment of the client
HEALTH ASSESSMENT CLASS QUESTIONS
CHAPTER 1-8 (IN ORDER)
CHAPTER 1
❓QUESTION #1❓
 Is the following statement true or false?
 Physical medical assessment collects holistic
subjective and objective data to determine a
client's overall level of functioning in order to
make a professional clinical judgment.
✅ANSWER TO QUESTION #1✅
 False.
 Holistic nursing assessment collects holistic
subjective and objective data to determine a
client's overall level of functioning in order to
make a professional clinical judgment. Physical
medical assessment focuses primarily on the
client's physiologic development status.
❓QUESTION #2❓
 What occurs during the assessment phase of the
nursing process?
 A. Collect subjective and bjective data.
 B. Determine outcome criteria and develop a plan
of care.
 C. Carry out the plan.
 D. Assess whether outcome criteria have been met
and —
✅ANSWER TO QUESTION #2✅
 A. Collect subjective and objective data.
 Assessment is collection of subjective and
objective data.
 Planning is determining outcome criteria and
developing a plan. Implementation is carrying out
the plan.
 Evaluation is assessing whether outcome criteria
have been met and revising the plan as necessary.
❓QUESTION #3❓
 Is the following statement true or false?
 A partial assessment is done when the client first
enters a health care facility.
✅ANSWER TO QUESTION #3✅
consists of data collection that occurs after the
comprehensive database is established. This takes
place after the client is admitted to the health care
facility.
❓QUESTION #4❓
 Is the following statement true or false?
 Subjective data are sensations or symptoms,
perceptions, desires, preferences, beliefs, ideas,
values, and personal information that can be
elicited and verified only by the client.
✅ANSWER TO QUESTION #4✅
 True.
 Subjective data are sensations or symptoms,
perceptions, desires, preferences, beliefs, ideas,
values, and personal information that can be
elicited and verified only by the client.
CHAPTER 2
❓QUESTION #1❓
 Is the following statement true or false?
 A client's feelings and perceptions may be
recorded as subjective data.
✅ANSWER TO QUESTION #1✅
 True.
 A client's feelings and perceptions may be
recorded as subjective data.
❓QUESTION #2❓
 Is the following statement true or false?
 The nurse should use closed-ended questions to
elicit the client's feelings and perceptions.
✅ANSWER TO QUESTION #2✅
 False.
 The nurse should use open-ended questions to
elicit the client's feelings and perceptions. Closed-
ended questions should be used to obtain facts
and to focus on specific information.
❓QUESTION #3❓
 Which sign in a genogram indicates adoption?
 A. A horizontal dotted line
 B. A vertical dotted line
 C. An X in a circle
 D. An X in a square
✅ANSWER TO QUESTION #3✅
 B. A vertical dotted line.
 Rationale: In a genogram, a vertical dotted line
may be used to indicate adoption A horizontal
dotted line is used to indicate the client's spouse.
An X in a circle indicates a deceased female client.
An X in a square indicates a deceased male client.
CHAPTER 3
❓QUESTION #1❓
 Is the following statement true or false?
 Good overhead lighting is an effective substitute
for sunlight during an assessment.
✅ANSWER TO QUESTION #1✅
 False.
 It is best to use sunlight when avalable. However,
good overhead lighting is sufficient. A portable
lamp is helpful for illuminating the skin and for
viewing shadows or contours.
❓QUESTION #2❓
 Is the following statement true or false?
 There are times when gloves must be changed
between procedures on the same patient.
✅ANSWER TO QUESTION #2✅
 True.
 Gloves must be changed between tasks and
procedures on the same patient after contact with
material that may contain a high concentration of
microorganisms.
❓QUESTION #3❓
 Is the following statement true or false?
 Sitting upright on the side of the examination table
is a useful position while examining the client as it
allows full expansion of the lungs.
✅ANSWER TO QUESTION #3✅
 True.
 Sitting upright on the side of the examination
table, the edge of a chair, or a bed is a good
position for evaluating the head, lneck, lungs,
chest, back, breasts, axillae, heart, vital signs, and
upper extremities. This position is also useful
because it permits full expansion of the lungs and
allows the examiner to assess symmetry of upper
body parts.
❓QUESTION #4❓
 Depressing the skin surface with the dominant
hand and using a circular motion to palpate falls
under which palpation type?
 A. Moderate palpation
 B. Deep palpation
 C. Bimanual palpation
 D. Light palpation
✅ANSWER TO QUESTION #4✅
 A. moderate palpation
 Rationale: moderate palpation involves depressing
the skin surface 1 to 2 cm with the dominant hand
and using a circular motion to feel for easily
palpable body organs and masses.
❓QUESTION #5❓
 Is the following statement true or false?
 Percussion that is used to detect tenderness over
organs by placing one hand flat on the body
surface and using the mash fist of the other hand
to strike the back of the hand flat on the body,
surface is known as direct percussion.
✅ANSWER TO QUESTION #5✅
 False.
 Blunt percussion is used to detect tenderness over
organs by placing one hand flat on the body
surface and using the fist of the other hand to
strike the back of the hand flat on the body
surface.
CHAPTER 4
❓QUESTION #1❓
 Which guideline should the nurse follow for
documentation?
 A. Write "normal" for normal findings.
 B. Use phrases instead of sentences.
 C. Exclude client's understanding.
 D. Describe how data were obtained.
✅ANSWER TO QUESTION #1✅
 B. Use phrases instead of sentences.
 When documenting, the nurse should remember
to use phrases instead of sentences, avoid using
the word "normal" for normal findings, include the
client's understanding, and record data findings,
not how they were obtained.
❓QUESTION #2❓
 Which is a feature of an open-ended
documentation form?
 A. Consists of check boxes.
 B. Promotes use by different caregivers.
 C. Promotes rapid documentation.
 D. Provides narrative description.
✅ANSWER TO QUESTION #2✅
 D. Provides narrative description.
 An open-ended documentation form provides a
narrative description of problems. A checklist form
uses check boxes and promotes rapid
documentation. An integrated cued checklist and a
nursing minimum data set promote use by
different caregivers.
❓QUESTION #3❓
 Is the following statement true or false?
 In a cued or checklist form, there is a possibility of
missing a significant piece of information.
✅ANSWER TO QUESTION #3✅
 True.
 In a cued or checklist form, there is a possibility of
missing a significant piece of information because
the checklist does not include the area of concern.
CHAPTER 5
❓QUESTION #1❓
 Is the following statement true or false?
 Identified strengths are used in formulating health
promotion diagnoses.
✅ANSWER TO QUESTION #1✅
 True.
 Identified strengths are used in formulating health
promotion diagnoses.
❓QUESTION #2❓
 Is the following statement true or false?
 An actual nursing diagnosis indicates that the client
has the opportunity for enhancement of a health
state.
✅ANSWER TO QUESTION #2✅
 False.
 An actual nursing diagnosis indicates that the client
is currently experiencing the stated problem or has
a dysfunctional pattern. A health promotion
diagnosis indicates that the client has the
opportunity for enhancement of a health state.
❓QUESTION #3❓
 Is the following statement true or false?
 A risk diagnosis describes a situation in which an
actual diagnosis will most likely occur if the nurse
does not intervene.
✅ANSWER TO QUESTION #3✅
 True.
 A risk diagnosis describes a situation in which an
actual diagnosis will most likely occur if the nurse
does not intervene.
CHAPTER 6
❓QUESTION #1❓
 Is the following statement true or false?
 Evaluating level of consciousness is part of a
mental status exam.
✅ANSWER TO QUESTION #1✅
 True.
 Evaluating level of consciousness is part of a
mental status exam.
❓QUESTION #2❓
 Which describes a client who is stuporous?
 A. Awakes to vigorous shake or painful stimulus
but returns to unresponsive sleep.
 B. Remains unresponsive to all stimuli; eyes stay
closed.
 C. Opens eyes to loud voice, responds slowly with
confusion, seems unaware of environment.
 D. Opens eyes, answers questions, and falls back to
sleep.
✅ANSWER TO QUESTION #2✅
 A. Awakes to vigorous shake or painful stimulus
but returns to unresponsive sleep. ✅ANSWER TO QUESTION #1✅
 Stuporous is awakening to vigorous shake or
 False.
painful stimulus but returning to unresponsive
 The rectal temperature is between 0.4°C and 0.5°C
sleep. Coma is remaining unresponsive to all
(0.7°F and 1°F) higher than the normal oral
stimuli; eyes stay closed.
temperature.
 Obtunded is opening eyes to loud voice,
responding slowly with confusion, seeming
unaware of environment. ❓QUESTION #2❓
 Lethargy is opening eyes, answering questions,  Is the following statement true or false?
and falling back to sleep.  Normally, pulsation is slightly stronger in the left
wrist.

✅ANSWER TO QUESTION #2✅

CHAPTER 7  False.
 Normally, pulsation is equally strong in both wrists.

❓QUESTION #1❓
 Is the following statement true or false?
 Erikson's developmental task for young adults is
intimacy versus isolation.

✅ANSWER TO QUESTION #1✅

 True.
 Erikson's developmental task for young adults is
intimacy versus isolation.

❓QUESTION #2❓
 Which assessment tool is used to identify cognitive
development?
 A. Freud
 B. Erikson
 C. Piaget
 D. Kohlberg

✅ANSWER TO QUESTION #2✅

 C. Piaget.
 Piaget assesses cognitive development. Freud
assesses stages of psychosexual development.
Erikson assesses psychosocial development.
Kohlberg assesses moral development.

CHAPTER 8

❓QUESTION #1❓
 Is the following statement true or false?
 The rectal temperature is lower than the normal
oral temperature.