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Intro to Health Assessment 3.0 Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the primary purpose of performing a health assessment?✔✔ To collect data that will guide clinical decisions and provide care for the patient
What should a nurse do before starting a physical assessment?✔✔ Ensure the patient is comfortable, explain the process, and provide privacy
During a focused health assessment, what would be the most important area of focus for a patient presenting with shortness of breath?✔✔ Respiratory system
When performing palpation during a health assessment, what should the nurse be aware of?✔✔ The patient’s comfort level and any areas of tenderness
What does an increase in the diameter of the jugular veins when a patient is sitting up indicate?✔✔ Possible right-sided heart failure or fluid overload 1 / 2
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What would be the primary concern when a patient’s blood pressure is significantly higher than their baseline?✔✔ It may indicate hypertension, which requires immediate attention and possible intervention
How does the nurse assess the range of motion in a patient's joints?✔✔ By asking the patient to move the joints through their full range and observing any limitations or discomfort
When auscultating a patient's heart, what should the nurse listen for?✔✔ Heart rate, rhythm, and any abnormal sounds like murmurs or extra heart sounds
What is the significance of a positive Murphy’s sign during an abdominal assessment?✔✔ It suggests possible inflammation of the gallbladder, often indicative of cholecystitis
When checking for pitting edema, how should the nurse perform the assessment?✔✔ By pressing a finger into the skin over a bony area and observing for an indentation that remains
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