Chapter 30 Health Assessment in Nursing 5th Edition

Chapter 30  Health Assessment in Nursing 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1. When assessing a newborn, the nurse observes that the infant’s hands and feet are bluish
in color. The nurse interprets this finding as being suggestive of which of the following?
A) Cardiopulmonary dysfunction
B) Peripheral vascular disease
C) Acidñbase imbalance
D) Ineffective temperature regulation

2. A new mother asks the nurse, ìWhat are those small white spots on my baby’s nose?î
Which response by the nurse would be most appropriate?
A) ìThose are small glands that look like whiteheads but will disappear soon.î
B) ìThose white spots are lesions containing pus and are caused by a minor skin

infection.î
C) ìNewborns retain sweat, which causes those white bumps on their skin.î
D) ìOften newborns have a rash of this type, which fades in a few days.î

3. The nurse completes the initial newborn assessment and notes the presence of fine,
downy hair on the infant’s shoulders and back. The nurse documents the presence of
which of the following?
A) Vernix
B) Milia
C) Lanugo
D) Nevi

4. The nurse is assessing the anterior fontanelle of a 4-month-old infant brought to the
clinic for a well-child exam. Which of the following would the nurse expect to assess?
A) Sunken fontanelles
B) Closed fontanelles
C) Bulging fontanelles
D) Flat fontanelles

5. The nurse is performing an otoscopic examination of an infant’s ears. Which of the
following actions should the nurse do?
A) Pull the pinna forward and down.
B) Pull the pinna up and back.
C) Pull the pinna straight back.
D) Pull the pinna down and back.

Answer Key

1. D
2. A
3. C
4. D
5. D