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While taking the history of a patient, you develop a genogram.

NU304 Health Assessment in Nursing

Week 3 Quiz   

Question 1While taking the history of a patient, you develop a genogram. Why do you do this?

Select one:

 

 a.To identify genetic and family health problems

 

 b.To identify non-genetic conditions

 

c.To identify her chief complaint

 

 d.To identify potential acute conditions

 

Question 2A patient had a normal corneal light reflex. What does this mean?

 

Select one:

 

a.The eye focuses the image in the center of the pupil

 

 b.Constriction of both pupils occurs in response to bright light

 

 

 

c.Light is reflected at the same spot in both eyes

 

 d.The eyes converge to focus on light

 

Question 3

 

When taking the family history, it is especially important to include:

 

Select one:

 

 a.Mental illness

 

 b.Emphysema

 

 c.Fractured bones

 

 d.Head trauma

 

Question 4

 

Which of the following statements best describes the purpose of a health history?

 

Select one:

 

 a.To provide an opportunity for interaction between patient and nurse

 

 b.To document the normal and abnormal findings of a full physician assessment

 

 c.To provide a forum for obtaining the patient’s biographical information

 

 d.To provide a database of subjective information about the patient’s past and present health

 

Question 5In performing the whisper test to assess for hearing, which of the following would the nurse do?

 

Select one:

 

 a.Whisper two syllable words and ask the patient to repeat them

 

 b.Stand 4 feet away to ensure that the patient can hear at this distance

 

 c.Cover your mouth so that the sound is muffled

 

 d.Ask the patient to cover the ear you are assessing to occlude outside noise

 

Question 6You notice a solid, elevated, circumscribed lesion less than 1 cm on your patient’s arm. How would you describe this in your note?

 

Select one:

 

 a.Tumor

 

 b.Wheal

 

 c.Papule

 

 d.Nodule

 

Question 7When checking a patient for a visual acuity, which of the following assessment tools would you use?

 

Select one:

 

 a.Pupillary light reflex

 

 b.Opthalmoscope

 

 c.Corneal light reflex

 

 d.Snellen chart

 

Question 8You are doing a fundoscopic exam on a patient. When you first place the ophthalmoscope to the eye, you see a red circle. What does this mean?

 

Select one:

 

 a.The light source is functioning appropriately

 

 b.She has begun to show some signs of retinal degneration

 

 c.This is a reflection of the retina

 

 d.She has an opacity, which is causing the light to reflect back

 

Question 9When examining the nasal cavity, which finding would you consider abnormal?

 

Select one:

 

 a.Pink, moist mucosa

 

 b.Large amounts of cilia

 

 c.Boggy, pale turbinates

 

 d.Patent nares

 

Question 10

 

Conductive type hearing loss involves:

 

Select one:

 

 a.Inflammation of the labyrinth

 

 b.Pathology of the inner ear or CNVIII

 

 c.A gradual nerve degeneration

 

 d.A mechanical dysfunction of the external or middle ear

 

Question 11When examining the inner ears of a patient, which of the following would be an abnormal finding?

 

Select one:

 

 a.Sticky, honey colored cerumen in the canal

 

 b.Presence of a cone of light bilaterally

 

 c.Gray tympanic membrane slightly concave

 

 d.A pink, tympanic membrane with injections and slight bulging

 

Question 12Which superficial group of nodes is palpated during the assessment of HEENT?

 

Select one:

 

 a.Inguinal nodes

 

 b.Cervical nodes

 

 c.Epitrochlear nodes

 

 d.Axillary nodes

 

Question 13The confrontation test is a gross measure of:

 

Select one:

 

 a.Visual acuity

 

 b.Extra ocular movements

 

 c.Eye strength and muscle movement

 

 d.Peripheral vision

 

Question 14You are in the process of assessing your patient’s thyroid gland. It is located:

 

Select one:

 

 a.Anterior to the uvula

 

 b.Above the hyoid bone

 

 c.Between occipital nodes

 

 d.Below the cricoid cartilage

 

Question 15A thorough skin assessment is very important because the skin holds information about:

 

Select one:

 

 a.Circulatory status

 

 b.Psychological wellness

 

 c.Support system

 

 d.Socioeconomic status

 

Question 16The temporomandibular joint is just below the temporal artery and anterior to the:

 

Select one:

 

 a.Tragus

 

 b.Mandible

 

 c.Hyoid bone

 

 d.Vagus nerve

 

Question 17You are assessing the ears of a two year old patient. The proper technique for using the otoscope is:

 

Select one:

 

 a.Pull the pinna down and back

 

 b.Pull the pinna up and back

 

 c.Insert speculum without manipulation of the pinna

 

 d.Pull the tragus forward

 

Question 18A normal response when assessing for extraocular movements (EOMs) is:

 

Select one:

 

 a.Asymmetry of the light reflex

 

 b.Conjunctival injection

 

 c.Parallel tracking of an object with both eyes

 

 d.Unequal pupillary response

 

Question 19During the neck exam, the nurse completed a lymph node assessment on a healthy 30 year old female patient. The nurse understands that most lymph nodes in healthy adults are:

 

Select one:

 

 a.Irregular shaped and mobile

 

 b.Not palpable or slightly palpable and mobile

 

 c.Large, firm and fixed

 

 d.Palpable and very tender

 

Question 20Which of the following statements best describes the purpose of history of present illness?

 

Select one:

 

 a.To provide a database of subjective information about the patient’s symptoms and chief complaint

 

 b.To document the normal and abnormal findings of a physical assessment

 

 c.To provide a forum for obtaining the patient’s biographical information

 

 d.To provide an opportunity for the interaction between patient and nurse

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