Which type of assessment includes a health history and physical assessment?

Focused

Comprehensive

Ongoing

Emergency

Answer and Explanation

The Correct Answer is B

A. Focused: A focused assessment targets specific concerns or symptoms rather than including a complete health history and physical examination.

B. Comprehensive: A comprehensive assessment includes both a detailed health history and a thorough physical assessment, providing a complete picture of the patient’s health.

C. Ongoing: Ongoing assessments are periodic evaluations to monitor changes or progress in a patient’s condition, not necessarily encompassing a full health history and physical examination.

D. Emergency: Emergency assessments are conducted quickly to address immediate life-threatening issues, not to gather a full health history or perform a comprehensive physical exam.

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Correct Answer is A

Explanation

A. It filters harmful substances from the body: The lymphatic system plays a crucial role in filtering lymph fluid and removing harmful substances, such as pathogens and toxins, through lymph nodes.

B. It drains capillary blood from the circulation: The lymphatic system does not directly drain capillary blood; instead, it collects interstitial fluid and returns it to the bloodstream.

C. It produces protective antibodies: Antibodies are produced by B lymphocytes in the immune system, not directly by the lymphatic system itself.

D. It manufactures T lymphocytes: While the lymphatic system is involved in the maturation and function of T lymphocytes, their manufacture occurs in the bone marrow and thymus rather than the lymphatic system itself.

A. Neuropathic ulcers B. Venous insufficiency ulcers C. Deep vein thrombosis D. Arterial insufficiency ulcers

Correct Answer is D

Explanation

A. Neuropathic ulcers: These ulcers are usually associated with diabetic neuropathy and not primarily with changes in skin color upon elevation or dependency.

B. Venous insufficiency ulcers: These are more commonly associated with symptoms such as swelling, brown pigmentation, and ulcers typically around the ankles.

C. Deep vein thrombosis: DVT is characterized by swelling, redness, and warmth, not typically by changes in skin color with position changes.

D. Arterial insufficiency ulcers: The color changes (pale when elevated and dark red when dependent) are indicative of arterial insufficiency, which can lead to arterial ulcers due to poor blood flow.

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Which type of assessment includes a health history and physical assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the function that the lymph system plays in the body. Which of the following would be most appropriate for the nurse to include when responding to the client?

Correct Answer is A

Explanation

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

Correct Answer is D

Explanation

When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

Cranial nerves involved in eye movements are:

A positive Murphy's sign is indicative of?

A group of nurses is reviewing several electrocardiograms (ECGs). The students demonstrate an understanding of the waveforms when they identify which component as indicating ventricular repolarization (relaxation).

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?