1. Which of the following is the first step in the health assessment process?
a) Diagnosis
b) Planning
c) Data collection
d) Implementation
Answer: c) Data collection
2. In a physical examination, which of the following techniques is used to assess the heart rate?
a) Inspection
b) Palpation
c) Percussion
d) Auscultation
Answer: d) Auscultation
3. When performing inspection of a patient, which of the following should be observed?
a) Body temperature
b) Heart sounds
c) Skin color and condition
d) Abdominal tenderness
Answer: c) Skin color and condition
4. To assess respiratory rate, a nurse should:
a) Measure the number of breaths taken in one minute
b) Count the number of heartbeats in one minute
c) Evaluate the depth and pattern of the breath
d) Check for peripheral pulses
Answer: a) Measure the number of breaths taken in one minute
5. Which of the following is a normal finding when assessing the pupils during a neurological examination?
a) Unequal pupils
b) Pupils constricting equally to light
c) Fixed dilated pupils
d) Non-reactive pupils
Answer: b) Pupils constricting equally to light
6. When assessing blood pressure, which of the following should the nurse do to ensure an accurate measurement?
a) Use a cuff that is too small for the patient’s arm
b) Position the patient’s arm at heart level
c) Inflate the cuff while the patient is standing
d) Wait less than 30 seconds between readings
Answer: b) Position the patient’s arm at heart level
7. During a head-to-toe assessment, which of the following areas should be assessed last?
a) Vital signs
b) Neurological status
c) Skin
d) Abdominal examination
Answer: d) Abdominal examination
8. In assessing abdominal girth, the nurse should:
a) Measure at the level of the umbilicus
b) Measure the distance between the rib cage and pelvic bone
c) Assess for the presence of rebound tenderness
d) Use a stethoscope to listen for bowel sounds
Answer: a) Measure at the level of the umbilicus
9. When assessing the musculoskeletal system, which of the following should be evaluated?
a) Joint range of motion
b) Skin temperature
c) Heart rate
d) Respiratory rate
Answer: a) Joint range of motion
10. In performing a cardiovascular assessment, which finding would be considered abnormal?
a) Presence of an S3 heart sound in a young athlete
b) Regular heart rate and rhythm
c) Jugular venous distention
d) No audible murmurs
Answer: c) Jugular venous distention