Test Bank For Health Assessment in Nursing Weber 5th Edition

1. A client has presented to the clinic for the treatment of an ovarian cyst. Which of the following would be most important for the nurse to do immediately before performing this woman’s physical exam?
   1. A)  Explain the purpose of the interview to the client.
   2. B)  Construct the client’s family genogram.
   3. C)  Establish the client’s reliability as historian.
   4. D)  Collect necessary equipment essential to the exam.
2. A young adult client has come to the clinic for her scheduled Pap (Papanicolaou) test and pelvic examination. The nurse is implementing actions to help reduce a client’s anxiety during the physical exam. Which of the following would be most appropriate?
   1. A)  Ensuring client’s privacy by providing an examination gown
   2. B)  Providing a comfortable, warm room temperature
   3. C)  Arranging exam equipment on a bedside tray table
   4. D)  Explaining why standard precautions are being used
3. A nurse is admitting a new client to the subacute medical unit and is completing a comprehensive assessment. The nurse is appropriately applying standard precautions by performing which of the following actions?
   1. A)  Performing hand hygiene between examinations of each body part
   2. B)  Discarding in the trash can the safety pin that was used to assess sensory perception
   3. C)  Wearing gloves to palpate the tongue and buccal membranes
   4. D)  Wearing a gown, gloves, and mask during the physical exam
4. The nurse is using a Wood’s light for a client who has complaints of itching, burning, and peeling of the skin between his toes. The nurse is assessing for what etiology of the client’s symptoms?
   1. A)  Parasitic infection
   2. B)  Fungal infection
   3. C)  Bacterial infection
   4. D)  Allergic reaction
5. A nurse has gathered the necessary equipment for the physical assessment of an adult client. For which of the following assessments would it be most appropriate for a nurse to use a centimeter-scale ruler for measurement?
   1. A)  Mid-arm circumference
   2. B)  Client’s height
   3. C)  Skin lesion size
   4. D)  Pupillary size

6. The nurse is preparing to assess an older adult client’s near vision. Which of the following pieces of equipment would be most appropriate for the nurse to use?
   1. A)  Newspaper
   2. B)  Snellen chart
   3. C)  Ophthalmoscope
   4. D)  Penlight
7. A nurse practitioner is performing a comprehensive physical examination of a 51-year- old man. After performing a digital-rectal exam for prostate enlargement and tenderness, the nurse checks the fecal material on the gloved finger for the presence of which of the following?A) Parasites B) Blood C) Bacteria D) Fungus
8. The nurse is examining an older adult client and using a goniometer. Which of the following would the nurse be assessing?
   1. A)  Extremity edema
   2. B)  Joint flexion/extension
   3. C)  Two-point discrimination
   4. D)  Vibratory sensation
9. A female client is told that she needs a pelvic exam and Papanicolaou (Pap) smear. She says ìAbsolutely not! There’s no way I’ll let you do that to me!î Which response by the nurse would be most appropriate?
   1. A)  Explain the importance of the pelvic exam and Pap smear, but respect the client’swishes and omit the exam.
   2. B)  Tell the client that this is the only way she can be checked for cancer.
   3. C)  Ask the client if she would prefer another practitioner to perform the exam.
   4. D)  Proceed with the pelvic exam and document the client’s protests in the healthrecord.
10. The nurse is preparing to perform a physical examination on a female client who has been transferred to the medical unit from the emergency department. The nurse should begin the collection of objective data with which of the following examinations?
    1. A)  Head and neck examination
    2. B)  Palpation of lymph nodes
    3. C)  Breast examination
    4. D)  Vital signs

11. The nurse is to collect a throat culture from a client who has signs and symptoms of a respiratory infection, including frequent, productive coughing. The nurse demonstrates the best adherence to standard precautions by using which of the following pieces of equipment?
    1. A)  Eye goggles
    2. B)  Face mask
    3. C)  Cover gown
    4. D)  Face shield
12. The nurse is preparing to perform the physical examination of an older adult client who will begin rehabilitation from an ischemic stroke. Which of the following actions would

be most appropriate?

1. A)  Omit intrusive parts of the exam.
2. B)  Try to minimize position changes.
3. C)  Allow client to remain dressed.
4. D)  Dim the room light to ensure privacy.

13. The nurse is preparing to assess the peripheral pulses of a client. The nurse should place the client in which position?
    1. A)  Sitting upright
    2. B)  Supine
    3. C)  Sims position
    4. D)  Prone
14. When assessing the temperature of the feet of an older client with diabetes, the nurse would use which part of the hand to obtain the most accurate assessment data?
    1. A)  Finger pad surface
    2. B)  Palmar hand surface
    3. C)  Dorsal hand surface
    4. D)  Ulnar hand surface
15. A client has a documented history of hepatomegaly (liver enlargement), and the nurse recognizes the need to perform deep palpation during the physical assessment. The nurse should perform which of the following actions?
    1. A)  Use one hand and depress the skin 1 centimeter.
    2. B)  Use the dominant hand to depress the skin one-half to three-quarters of an inch.
    3. C)  Use both hands to depress the skin one-half of an inch.
    4. D)  Use both hands to depress the skin 1 to 2 inches.