Health History
Assessment Techniques
Measurements
General Survey
Vital Signs
100
This assessment provides subjective data about the patient's past and present health
What is a Health History
100
This is the first technique in assessment
What is inspection?
100
The specific guideline when taking the patient's weight
What is weighing the patient at the same time and place?
100
This part of the physical assessment is observing the patient’s body stature and nutritional status?
What is the general survey?
100
A patient’s blood pressure is 118/82. He asks the nurse to explain “what the numbers mean.
What is stroke volume with the systolic pressure?
200
The patient provided consistent information throughout the interview
What is the reliability of the patient
200
The technique uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient
What is palpation?
200
A patient’s weekly blood pressure readings for 2 months have ranged between 130/88 and 136/92 mm Hg, with an average reading of 133/90 mm Hg.
What is prehypertension?
200
The nurse is assessing an 80-year-old male patient. An assessment findings that would be considered normal includes:
What is Kyphosis?
200
The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
What is falsely high Blood Pressure?
300
Mr. J.D. is a 65 year old male and states, "I have had pain in my back for 3 days." The correct way for the nurse to document the reason for seeking care is:
Who is Mr. J.D. a 65 year old is here for complaints of pain in his back for the past 3 day.
300
The technique to assess density to the abdomen
What is percussion?
300
During an examination of a child, the nurse considers that physical growth is the best index of a child’s:
What is the general health?
300
To accurately assess a rectal temperature on an adult, the nurse would:
What is lubricate the tip of the theomometer?
300
The nurse is taking an initial blood pressure on a 72-year-old patient with documented hypertension. The nurse should proceed with
What is inflate the blood pressure cuff 30 mm Hg above the point at which the palpated pulse disappears?
400
A 30-year-old woman tells the nurse that she has “excruciating pain” in her back. The correct response from the nurse includes:
What is ”How would you say the pain affects your ability to do your daily activities?"
400
This part of the stethoscope is used for high pitch sounds
What is the diaphragm?
400
The nurse should measure rectal temperatures with this type of patients?
What is a comatose patient?
400
The correct technique when the nurse is assessing the radial pulse of a patient? Count the:
What is count the radial pulse for one full minute is irregular?
400
When auscultating the blood pressure of a 25-year-old patient, the nurse notices the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg the Korotkoff sounds muffle. At 92 mm Hg the Korotkoff sounds disappear. The correct BP reading"
What is 200/92?
500
Patient states, "I’m able to transfer myself from the wheelchair to the bed without help.”
What is a functional assessment?
500
The primary prevention for infection
What is hand washing?
500
When assessing an older adult, the nurse keeps in mind that this change in vital signs
What is widening pulse pressure?
500
The nurse is assessing the vital signs of a 22-year-old male marathon runner and documents the following vital signs: temperature—97 F; pulse—46 beats per minute; respirations—14 per minute; blood pressure—104/68 mm Hg. Which statement
What are normal vital signs for an athlete?
500
A 70-year-old man has a blood pressure of 150/90 mm Hg in a lying position, 130/80 mm Hg in a sitting position, and 100/60 mm Hg in a standing position.
What is orthostatic BP?
M
e
n
u