NU518 2026 TEST PAPER SOLVED
QUESTIONS AND SOLUTIONS
◉ The nurse is performing a physical assessment on a newly
admitted patient. An example of
objective information obtained during the physical assessment
includes the:
a Patients history of allergies.
B Patients use of medications at home.
C Last menstrual period 1 month ago.
D 2 5 cm scar on the right lower forearm.. Answer: D
◉ A visiting nurse is making an initial home visit for a patient who
has many chronic medical
problems. Which type of data base is most appropriate to collect in
this setting?
A A follow-up data base to evaluate changes at appropriate intervals
B An episodic data base because of the continuing, complex medical
problems of
,this patient
c A complete health data base because of the nurses primary
responsibility for
monitoring the patients health
d An emergency data base because of the need to collect information
and make
accurate diagnoses rapidly. Answer: C
◉ Which situation is most appropriate during which the nurse
performs a focused or problemcentered history?
A Patient is admitted to a long-term care facility.
B Patient has a sudden and severe shortness of breath.
C Patient is admitted to the hospital for surgery the following day.
D Patient in an outpatient clinic has cold and influenza-like
symptoms.. Answer: D
◉ A patient is at the clinic to have her blood pressure checked. She
has been coming to the
clinic weekly since she changed medications 2 months ago. The
nurse should:
a Collect a follow-up data base and then check her blood pressure.
B Ask her to read her health record and indicate any changes since
her last visit.
,C Check only her blood pressure because her complete health
history was
documented 2 months ago.
D Obtain a complete health history before checking her blood
pressure because
much of her history information may have changed.. Answer: A
◉ A patient is brought by ambulance to the emergency department
with multiple traumas received in an automobile accident. He is
alert and cooperative, but his injuries are quite severe.
How would the nurse proceed with data collection?
a Collect history information first, then perform the physical
examination and
institute life-saving measures.
B Simultaneously ask history questions while performing the
examination and
initiating life-saving measures.
C Collect all information on the history form, including social
support patterns, strengths, and coping patterns.
D Perform life-saving measures and delay asking any history
questions until the patient is transferred to the intensive care unit..
Answer: B
, ◉ A 42-year-old patient of Asian descent is being seen at the clinic
for an initial examination.
The nurse knows that including cultural information in his health
assessment is important to:
a Identify the cause of his illness.
b Make accurate disease diagnoses.
c Provide cultural health rights for the individual.
d Provide culturally sensitive and appropriate care.. Answer: D
◉ A patient presents for evaluation of a sharp, aching chest pain
which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine. Answer: A
◉ A patient comes to the emergency room for evaluation of
shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
QUESTIONS AND SOLUTIONS
◉ The nurse is performing a physical assessment on a newly
admitted patient. An example of
objective information obtained during the physical assessment
includes the:
a Patients history of allergies.
B Patients use of medications at home.
C Last menstrual period 1 month ago.
D 2 5 cm scar on the right lower forearm.. Answer: D
◉ A visiting nurse is making an initial home visit for a patient who
has many chronic medical
problems. Which type of data base is most appropriate to collect in
this setting?
A A follow-up data base to evaluate changes at appropriate intervals
B An episodic data base because of the continuing, complex medical
problems of
,this patient
c A complete health data base because of the nurses primary
responsibility for
monitoring the patients health
d An emergency data base because of the need to collect information
and make
accurate diagnoses rapidly. Answer: C
◉ Which situation is most appropriate during which the nurse
performs a focused or problemcentered history?
A Patient is admitted to a long-term care facility.
B Patient has a sudden and severe shortness of breath.
C Patient is admitted to the hospital for surgery the following day.
D Patient in an outpatient clinic has cold and influenza-like
symptoms.. Answer: D
◉ A patient is at the clinic to have her blood pressure checked. She
has been coming to the
clinic weekly since she changed medications 2 months ago. The
nurse should:
a Collect a follow-up data base and then check her blood pressure.
B Ask her to read her health record and indicate any changes since
her last visit.
,C Check only her blood pressure because her complete health
history was
documented 2 months ago.
D Obtain a complete health history before checking her blood
pressure because
much of her history information may have changed.. Answer: A
◉ A patient is brought by ambulance to the emergency department
with multiple traumas received in an automobile accident. He is
alert and cooperative, but his injuries are quite severe.
How would the nurse proceed with data collection?
a Collect history information first, then perform the physical
examination and
institute life-saving measures.
B Simultaneously ask history questions while performing the
examination and
initiating life-saving measures.
C Collect all information on the history form, including social
support patterns, strengths, and coping patterns.
D Perform life-saving measures and delay asking any history
questions until the patient is transferred to the intensive care unit..
Answer: B
, ◉ A 42-year-old patient of Asian descent is being seen at the clinic
for an initial examination.
The nurse knows that including cultural information in his health
assessment is important to:
a Identify the cause of his illness.
b Make accurate disease diagnoses.
c Provide cultural health rights for the individual.
d Provide culturally sensitive and appropriate care.. Answer: D
◉ A patient presents for evaluation of a sharp, aching chest pain
which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine. Answer: A
◉ A patient comes to the emergency room for evaluation of
shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
