NURS 305 HEALTH
ASSESSMENT LECTURE
FINAL WITH QUALIFIED
CORRECT ANSWERS 2026
a. How do you usually feel? Is this normal behavior for you?
b. I am going to say four words. In a few minutes, I will ask you to
recall them.
c. Describe the meaning of the phrase, Looking through rose-colored
glasses.
d. Pick up the pencil in your left hand, move it to your right hand, and
place it on the table. - CORRECT ANSWER- D
The nurse is planning health teaching for a 65-year-old woman who
has had a cerebrovascular accident (stroke) and has aphasia. Which
of these questions is most important to use when assessing mental
status in this patient?
a. Please count backward from 100 by seven.
b. I will name three items and ask you to repeat them in a few
minutes.
c. Please point to articles in the room and parts of the body as I name
them.
d. What would you do if you found a stamped, addressed envelope on
the sidewalk? - CORRECT ANSWER- C
A 30-year-old female patient is describing feelings of hopelessness
and depression. She has attempted self-mutilation and has a history
of suicide attempts. She describes difficulty sleeping at night and has
lost 10 pounds in the past month. Which of these statements or
questions is the nurses best response in this situation?
,a. Do you have a weapon?
b. How do other people treat you?
c. Are you feeling so hopeless that you feel like hurting yourself now?
d. People often feel hopeless, but the feelings resolve within a few
weeks. - CORRECT ANSWER- C
The nurse is providing instructions to newly hired graduates for the
minimental state examination (MMSE). Which statement best
describes this examination?
a. Scores below 30 indicate cognitive impairment.
b. The MMSE is a good tool to evaluate mood and thought processes.
c. This examination is a good tool to detect delirium and dementia and
to differentiate these from psychiatric mental illness.
d. The MMSE is useful tool for an initial evaluation of mental status.
Additional tools are needed to evaluate cognition changes over time.
- CORRECT ANSWER- C
The nurse discovers speech problems in a patient during an
assessment. The patient has spontaneous speech, but it is mostly
absent or is reduced to a few stereotypical words or sounds. This
finding reflects which type of aphasia?
a. Global
b. Brocas
c. Dysphonic
d. Wernickes - CORRECT ANSWER- A
A patient repeats, I feel hot. Hot, cot, rot, tot, got. I'm a spot. The
nurse documents this as an illustration of:
a. Blocking
b. Clanging
c. Echolalia
d. Neologism - CORRECT ANSWER- B
,During an interview, the nurse notes that the patient gets up several
times to wash her hands even though they are not dirty. This behavior
is an example of:
a. Social phobia
b. Compulsive disorder
c. Generalized anxiety disorder
d. Posttraumatic stress disorder - CORRECT ANSWER- B
The nurse is administering a Mini-Cog test to an older adult woman.
When asked to draw a clock showing the time of 10:45, the patient
drew a clock with the numbers out of order and with an incorrect time.
This result indicates which finding?
a. Cognitive impairment
b. Amnesia
c. Delirium
d. Attention-deficit disorder - CORRECT ANSWER- A
During morning rounds, the nurse asks a patient, How are you today?
The patient responds, You today, you today, you today! and mumbles
the words. This speech pattern is an example of:
a. Echolalia
b. Clanging
c. Word salad
d. Perseveration - CORRECT ANSWER- A
The nurse is assessing a patient who is admitted with possible
delirium. Which of these are manifestations of delirium? Select all that
apply.
a. Develops over a short period.
b. Person is experiencing apraxia.
c. Person is exhibiting memory impairment or deficits.
, d. Occurs as a result of a medical condition, such as systemic
infection.e. Person is experiencing agnosia. - CORRECT ANSWER-
A,C,D
When considering priority setting of problems, the nurse keeps in mind
that second-level priority problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs - CORRECT ANSWER- C
Which critical thinking skill helps the nurse see relationships among
the data?
a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant - CORRECT ANSWER- B
When listening to a patients breath sounds, the nurse is unsure of a
sound that is heard. The nurses next action should be to:
a.
Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
ASSESSMENT LECTURE
FINAL WITH QUALIFIED
CORRECT ANSWERS 2026
a. How do you usually feel? Is this normal behavior for you?
b. I am going to say four words. In a few minutes, I will ask you to
recall them.
c. Describe the meaning of the phrase, Looking through rose-colored
glasses.
d. Pick up the pencil in your left hand, move it to your right hand, and
place it on the table. - CORRECT ANSWER- D
The nurse is planning health teaching for a 65-year-old woman who
has had a cerebrovascular accident (stroke) and has aphasia. Which
of these questions is most important to use when assessing mental
status in this patient?
a. Please count backward from 100 by seven.
b. I will name three items and ask you to repeat them in a few
minutes.
c. Please point to articles in the room and parts of the body as I name
them.
d. What would you do if you found a stamped, addressed envelope on
the sidewalk? - CORRECT ANSWER- C
A 30-year-old female patient is describing feelings of hopelessness
and depression. She has attempted self-mutilation and has a history
of suicide attempts. She describes difficulty sleeping at night and has
lost 10 pounds in the past month. Which of these statements or
questions is the nurses best response in this situation?
,a. Do you have a weapon?
b. How do other people treat you?
c. Are you feeling so hopeless that you feel like hurting yourself now?
d. People often feel hopeless, but the feelings resolve within a few
weeks. - CORRECT ANSWER- C
The nurse is providing instructions to newly hired graduates for the
minimental state examination (MMSE). Which statement best
describes this examination?
a. Scores below 30 indicate cognitive impairment.
b. The MMSE is a good tool to evaluate mood and thought processes.
c. This examination is a good tool to detect delirium and dementia and
to differentiate these from psychiatric mental illness.
d. The MMSE is useful tool for an initial evaluation of mental status.
Additional tools are needed to evaluate cognition changes over time.
- CORRECT ANSWER- C
The nurse discovers speech problems in a patient during an
assessment. The patient has spontaneous speech, but it is mostly
absent or is reduced to a few stereotypical words or sounds. This
finding reflects which type of aphasia?
a. Global
b. Brocas
c. Dysphonic
d. Wernickes - CORRECT ANSWER- A
A patient repeats, I feel hot. Hot, cot, rot, tot, got. I'm a spot. The
nurse documents this as an illustration of:
a. Blocking
b. Clanging
c. Echolalia
d. Neologism - CORRECT ANSWER- B
,During an interview, the nurse notes that the patient gets up several
times to wash her hands even though they are not dirty. This behavior
is an example of:
a. Social phobia
b. Compulsive disorder
c. Generalized anxiety disorder
d. Posttraumatic stress disorder - CORRECT ANSWER- B
The nurse is administering a Mini-Cog test to an older adult woman.
When asked to draw a clock showing the time of 10:45, the patient
drew a clock with the numbers out of order and with an incorrect time.
This result indicates which finding?
a. Cognitive impairment
b. Amnesia
c. Delirium
d. Attention-deficit disorder - CORRECT ANSWER- A
During morning rounds, the nurse asks a patient, How are you today?
The patient responds, You today, you today, you today! and mumbles
the words. This speech pattern is an example of:
a. Echolalia
b. Clanging
c. Word salad
d. Perseveration - CORRECT ANSWER- A
The nurse is assessing a patient who is admitted with possible
delirium. Which of these are manifestations of delirium? Select all that
apply.
a. Develops over a short period.
b. Person is experiencing apraxia.
c. Person is exhibiting memory impairment or deficits.
, d. Occurs as a result of a medical condition, such as systemic
infection.e. Person is experiencing agnosia. - CORRECT ANSWER-
A,C,D
When considering priority setting of problems, the nurse keeps in mind
that second-level priority problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs - CORRECT ANSWER- C
Which critical thinking skill helps the nurse see relationships among
the data?
a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant - CORRECT ANSWER- B
When listening to a patients breath sounds, the nurse is unsure of a
sound that is heard. The nurses next action should be to:
a.
Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
