You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

head-to-toe assessment

focused assessment

complete assessment

system-by-system assessment

Answer and Explanation

The Correct Answer is B

A. Head-to-toe assessment – A head-to-toe assessment is a comprehensive evaluation of all body systems and is not appropriate for an urgent complaint.

B. Focused assessment – A focused assessment is used for specific complaints, such as severe abdominal pain, to quickly gather relevant information.

C. Complete assessment –. A complete assessment includes a full health history and physical examination, which is unnecessary in an acute situation.

D. System-by-system assessment – A system-by-system assessment is detailed and comprehensive but may be too broad for addressing an immediate concern.

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Correct Answer is A

Explanation

A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.

B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.

C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.

D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.

A. Percussion B. Auscultation C. inspection D. Palpation

Correct Answer is D

Explanation

A. Percussion – Percussion involves tapping the body to assess underlying structures, not feeling for texture or consistency.

B. Auscultation – Auscultation is listening to body sounds (e.g., heart, lungs, and bowels) using a stethoscope, not feeling structures.

C. Inspection – Inspection is visual observation, not a tactile assessment.

D. Palpation – Palpation involves using the hands to assess the texture, size, consistency, and location of body structures, such as organs or lymph nodes.

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You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

Correct Answer is A

Explanation

The technique used in physical examination where the examiner feels the texture, size, consistency and location of certain parts of the body with the hands s

Correct Answer is D

Explanation

The nurse is obtaining a history of the patient's present illness. The PQRST system is being used for the interview. In this system the R is:

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Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed:

Any disturbance of the structure or function of the body is a pathological condition. This condition is termed a/an:

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When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called: