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 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.

A. Reduce all environmental noise. B. Percuss the region before auscultating. C. Palpate the region before auscultating. D. Assist the client to a sitting position.

Correct Answer is A

Explanation

A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.

B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.

C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.

D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Correct Answer is A

Explanation

Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

The nurse refers an older adult client for further evaluation after the nurse assesses warm skin and brown pigmentation around the ankles. The nurse suspects which of the following?

A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

A senior patient is being admitted due to lobar pneumonia to the med-surgical floor. When auscultating, the nurse would expect to listen to which of the following adventitious breath sounds?

When performing a head-to-toe assessment, during which part would the nurse evaluate cranial nerve (CN) IX, X, and XII?

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Cranial nerves involved in eye movements are:

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?