Health Assessment (Pearson)

Question 1

A patient has a stool that is black and tarry.

For which substance should the nurse assess the stool?

Answer 1

Blood

Question 2

For which reason should the technique of light palpation be performed before deep palpation?

Answer 2

Heavy pressure on the fingertips during deep palpation can dull the sense of touch.

(Light palpation should always precede deep palpation because heavy pressure on the fingertips can dull the sense of touch. Deep palpation helps determine mass borders.// With light palpation, the skin is slightly depressed with one hand, whereas deep palpation is performed with two hands, one applying pressure and one relaxed to perceive tactile sensations.)

Question 3

The nurse finds that a child has a bifid uvula.

For which health problem should the nurse assess the patient?

Answer 3

Cleft palate

Question 4

The nurse percusses the lung of a patient with emphysema.

Which sound should the nurse expect to hear?

Answer 4

Hyperresonance

Question 5

A patient with dark skin has nail beds that are light in color.

In which way should this finding be documented?

Answer 5

Normal

Question 6

The nurse notes that a patient has a face that is moon shaped.

For which health problem should the nurse assess the patient?

Answer 6

Adrenal excess

Question 7

For which reason should the patient be asked to self-report height and weight?

Answer 7

Ascertain the patient’s self-image

Question 8

The nurse palpates a bulge in a male patient’s abdomen.

For which health problem should the nurse assess the patient?

Answer 8

Hernia