HEALTH ASSESSMENT – RLE B.

Areas that need continuous

care.
(NUR 098) C. Areas that need in-hospital care.
D. Areas that need referral to a
WEEK – 2 POST TEST specialist.

ANSWER: A

Name: RATIONALE: Through the health assessment

Section: nurses are able to detect areas in need of
Date: health adjustments.

3. According to WHO it is “a state of

Directions: Read each question carefully and complete physical, mental, and social
choose the best answer from the choices given. well-being and not merely the absence
Please refrain from erasures upon answering the of disease or infirmity.”
exam. Refrain also from talking and making A. Health C. Holistic
noises while taking the exam. Any questions will B. Wellness D. Fitness
be address only to your CI. Any form of cheating
is not allowed. ANSWER: A

RATIONALE: Health is “a state of complete

1. It is a structured framework for
organizing patient information in written
or verbal form for other health care
providers:
A. Interview
B. Data Gathering
C. Health history format
D. Pre-interview
ANSWER: C
RATIONALE: The health history format is a
structured framework for organizing patient
information in written or verbal form for
other health care providers; it focuses the
nurse’s attention on specific kinds of
information that must be obtained from the
patient.
2. What are nurses able to detect through
the health assessment?
A. Areas in need of health
adjustments.
physical, mental, and social well-being and
not merely the absence of disease or
infirmity.” (WHO)
4. It is the process by which the nurse and
patient together identify needs and
concerns. It is seen as the cornerstone of
individualized care, a way in which the
uniqueness of each patient can be
recognized and considered in the care
process (Holt 1995).
A. Evaluation C. Assessment
B. Diagnosis D. Intervention
ANSWER: C
RATIONALE: Assessment is the systematic
and continuous collection, organization,
validation and documentation of
information (Berman et al. 2010). It is a
deliberate and interactive process that
underpins every aspect of nursing care
(Heaven and
Maguire 1996). It is the process by which the
nurse and patient together identify needs
and concerns.
5. This is a type of data that can be
described only by the patient / the
person experiencing it.
A. Primary data
B. Secondary data
C. Objective data
D. Subjective data
ANSWER: D
RATIONALE: Subjective - Those that can be
described only by the patient / the person
experiencing it.
6. This is a type of data that can be
observed and measured.
A. Primary data
B. Secondary data
C. Objective data
D. Subjective data
ANSWER: C
RATIONALE: Objective - Those that can be
observed and measured.
7. You are in the Emergency room and a
victim of a trauma came-in with multiple
injuries from a car crash. What type of an
assessment should you most likely to
utilize at this point of time?
A. Focused assessment
B. Emergency assessment
C. Ongoing assessment
D. Comprehensive assessment
ANSWER: B
RATIONALE: Emergency assessment is based
on a quick visual and physical assessment.
8. You are the office nurse admitting a new
patient to the clinic. You have gained
your patient’s trust, gathered a detailed
history, and finished your portion of the
physical examination. What is your next
step in caring for this patient?
A. Formulate nursing diagnoses
B. Order the appropriate
laboratory tests
C. Identify the patient’s problems
D. Notify the physician of your
findings
ANSWER: C
RATIONALE: During the time spent with your
patient, you have gained your patient’s trust,
gathered a detailed history, and completed
the requisite portions of the physical
examination. You have reached the critical
step of formulating your Assessment,
Nursing Diagnosis, and Plan. You must now
analyze your findings and identify the
patient’s problems, then share your
impressions with the patient, eliciting any
concerns and making sure that he or she
understands and agrees to the steps ahead.
9. What occurs during the termination
phase of an interview?
A. Plan for follow-up care
B. Address topics that have not yet
been addressed
C. Assess the patient’s mental
status
D. Let the patient know you
understood all he or she has told
you
ANSWER: A
RATIONALE: Termination phase: planning
for follow- up and closing.
10. While interviewing a new patient, you ANSWER: B
notice that he is mirroring your position.
RATIONALE: The health history provides a
What can this signify?
detailed picture of the patient’s past and
A. An increasing sense of
present health. The components of health
connectedness
history are as follows: 1. Biographic data, 2.
B. A desire to be on an equal power
Reasons for seeking health care/ Chief
level
complaint, 3. History (Present illness, past
C. A desire for increased rapport
health history, family health history, current
D. The patient does not take you
medication, lifestyle, developmental level
seriously
and psychosocial history.
ANSWER: A

RATIONALE: Matching your position to the
patients can signify increased rapport; just as
mirroring your position can signify the
patient’s increasing sense of connectedness.
11. At its most basic level, the purpose of
conversation with a patient is threefold,
except one:
A. To establish a trusting
relationship and support
relationship.
B. To gather information
C. To determine the patient’s
condition
D. To offer information
ANSWER: C
RATIONALE: At its most basic level, the
purpose of conversation with a patient is
threefold: (1) To establish a trusting
relationship and support relationship, (2) To
gather information and (3) To offer
information.
12. The health history provides a detailed
picture of the patient’s past and present
health. The components of health
history are as follows, except one:
A. Biographic data
B. Vital signs
C. Chief complaint
D. History
13. It is a brief spontaneous statement in the
patient’s own words that describes the
reason for the visit. It states one / two
signs and symptoms and their duration:
A. Biographic data
B. Vital signs
C. Chief complaint
D. History
ANSWER: C
RATIONALE: Reason for Seeking Care (Chief
Complaint) is a brief spontaneous statement
in the patient’s own words that describes the
reason for the visit. It states one / two signs
and symptoms and their duration.
14. As we assess pain - we will be using
PQRSTU mnemonic. This question
“What brings it on? What were you
doing when you first notice it? What
makes it better? Worse?” reflects what
part of PQRST?
A. Provocation / palliative
B. Quality / quantity
C. Region / radiation
D. Severity scale
ANSWER: A
RATIONALE: “What brings it on? What were
you doing when you first notice it? What
makes it better? Worse?” – are the questions
being used to assess provocation in PQRST.
15. As we assess pain - we will be using
PQRSTU mnemonic. This question “How
does it look, feel, sound? How intense or
severe is it?” reflects what part of
PQRST?
A. Provocation / palliative
B. Quality / quantity
C. Region / radiation
D. Severity scale
ANSWER: B
RATIONALE: “How does it look, feel, sound?
How intense or severe is it?” – are the
questions being used to assess the quality or
quantity in pqrst.
16. You are collecting data for a
comprehensive health history on a
patient new to your clinic. Under what
component of the health history would
you place data on a chronic childhood
illness?
A. Past history
B. Health maintenance
C. General information
D. Risk factors
ANSWER: A
RATIONALE: Past History—Childhood
illnesses, such as measles, rubella, mumps,
whooping cough, chickenpox, rheumatic
fever, scarlet fever, and polio, are included in
the Past History. Also included are any
chronic childhood illnesses.
17. A patient comes into the clinic for a
routine annual physical. Where would
you document this information?
A. Initial information
B. History of present illness
C. Health maintenance
D. Chief complaint
ANSWER: D
RATIONALE: Chief Complaint(s)—sometimes
patients have no specific complaints. Report
their goals instead. For example, “I have
come for my regular check-up” or “I’ve been
admitted for a thorough evaluation of my
heart.”
18. While gathering data for the family
history portion of the health history,
what would you ask about?
A. Suicide
B. Number of siblings
C. Family ethnicity
D. Religion
ANSWER: A
RATIONALE: Review each of the following
conditions and record whether they are
present or absent in the family:
hypertension, coronary artery disease,
elevated cholesterol levels, stroke, diabetes,
thyroid or renal disease, arthritis,
tuberculosis, asthma or lung disease,
headache, seizure disorder, mental ill- ness,
suicide, substance abuse, and allergies, as
well as symptoms reported by the patient.
19. This is a woman who is or has been
pregnant, regardless of pregnancy
outcome; regardless of the number of
the fetus:
A. Gravidity C. Primigravida
B. Nulligravida D. Multigravida
ANSWER: A
RATIONALE: Gravidity - woman who is or has
been pregnant, regardless of pregnancy
outcome; regardless of the number of the
fetus
20. This is a woman who is not now and
never has been pregnant:
A. Gravidity C. Primigravida
B. Nulligravida D. Multigravida
ANSWER: B B. Fine motor skills
C. Language skills
RATIONALE: Nulligravida – woman who is
D. Personal – social skills
not now and never has been pregnant.
ANSWER: B

21. This is a woman who is pregnant for the RATIONALE: Fine motor skills - brings hands
first time: to mouth, pincer grasps, stacks blocks, feeds
A. Gravidity C. Primigravida self, uses crayons to draw, uses scissors
B. Nulligravida D. Multigravida

ANSWER: C 25. During an interview for health history,

the student nurse asks, “Mrs. Cassandra
RATIONALE: Primigravida - a woman who is
O’Connor, what do you do when you
pregnant for the first time
experience chest pain?” the student
22. This is a woman who has been pregnant nurse is seeking which of the following
more than once: information?
A. Gravidity C. Primigravida A. The client’s perception of the
B. Nulligravida D. Multigravida problem.
B. Aggravating or relieving factors
ANSWER: D C. The frequency of the problem
RATIONALE: Multigravida - woman who has D. The severity of the problem
been pregnant more than once ANSWER: B

RATIONALE: The statement seeks to

23. It is a type of developmental skill of a assess relieving factors to the problem.
child when he was able to smile, follows
movement with eyes, turns head toward
sounds, recognizes own name:
A. Gross motor skills
B. Fine motor skills
C. Language skills
“You are capable of
ANSWER: D
D. Personal – social skills
more than you know.
RATIONALE: Personal/social skills – smiles, Aim high. Behave
follows movement with eyes, turns head
toward sounds, recognizes own name honorably.”
– E.O. Wilson, American biologist, 1929-2021
24. It is a type of developmental skill of a
child when he was able to brings hands
to mouth, pincer grasps, stacks blocks,
feeds self, uses crayons to draw, uses
scissors:
A. Gross motor skills