North Palm College Health Assessment EXAM1

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Sample questions from North Palm College Health Assessment EXAM1

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which statement best describes the purpose of a comprehensive health assessment?

   • A.To document only abnormalities found during a physical examination
   • B.To confirm a medical diagnosis before treatment begins
   • C.To collect a broad baseline of a person's health status and identify areas for further assessment
   • D.To determine which medication a client should receive

   Rationale: A comprehensive assessment gathers a broad baseline, including health history and physical findings, and helps identify needs and strengths. Confirming a medical diagnosis is not the purpose of the nursing assessment. Limiting the record to abnormalities omits useful baseline data, and medication selection is not the assessment's purpose.

2. 2.During a clinic visit, a client says, "I feel dizzy when I stand." How should this information be classified?

   • A.Subjective data
   • B.Objective data
   • C.A validated physical finding
   • D.A nursing diagnosis

   Rationale: The statement is subjective data because it is the client's reported experience. Objective data are observed or measured, such as a documented change in blood pressure. The report may prompt further assessment, but it is not itself a nursing diagnosis or a measured finding.

3. 3.During an assessment, which findings are objective data? Select all that apply.

   • A.The client says, "My appetite is poor"
   • B.The nurse observes an unsteady gait
   • C.The client reports feeling short of breath
   • D.The client rates pain as 6 on a 0-to-10 scale
   • E.The client's oral temperature is 38.1 C

   Rationale: An oral temperature and an observed unsteady gait are objective because they are measured or directly observed. A pain rating, reported shortness of breath, and poor appetite are subjective reports, even when they are clinically important. Classify data by how they are obtained, not by how serious they sound.

4. 4.Which assessment database is most appropriate when a client presents to an urgent care clinic with a new, specific complaint of ankle pain?

   • A.Emergency database
   • B.Focused database
   • C.Follow-up database
   • D.Comprehensive database

   Answer and rationale are in the full material.

5. 5.A nurse reviews a client's history and notices that the client reports no medication allergies but the chart lists a prior reaction to penicillin. What is the best next step in the assessment process?

   • A.Delete the chart entry because the client denies allergies
   • B.Document both entries without further action
   • C.Assume the client has a penicillin allergy and end the interview
   • D.Validate the conflicting information with the client and clarify the prior reaction

   Answer and rationale are in the full material.