NURSG 125 EXAM 2 -HEALTH ASSESSMENT I
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The nurse is preparing to assess the remote memory of a client who has a diagnosis of
early stage Alzheimer's disease. Which question would be most appropriate for the nurse
to use?
A) Can you tell me what you have eaten in the last 24 hours?
B) When did you get your first job?
C) What did you do last evening?
D) How are an apple and orange the same?
CORRECT ANSWER
B) When did you get your first job?
Question 2
When assessing the mental status of a 67-year-old woman, the nurse detects some
difficulty with free-flow of thought and the woman's ability to follow directions. Which of
the following would the nurse do first?
A) Use a geriatric depression scale
B) Refer for further medical evaluation
C) Assess the client's vision and hearing
D) Refer the client to social services for home assistance
CORRECT ANSWER
1
, C) Assess the client's vision and hearing
Question 3
The nurse utilizes the Depression Questionnaire on a client who has recently moved to a
long-term care facility. The total score is 22. Which of the following would be most
appropriate for the nurse to do next?
A) Refer for further evaluation
B) Evaluate benefits vs risks of a mental health label
C) Assess further for dementia
D) Document this as a normal score
CORRECT ANSWER
A) Refer for further evaluation
Question 4
The nurse notes that an older adult client is wearing multiple layers of clothing on a warm
fall day. Which of the following would be the nurse's priority assessment at this time?
A) Asking whether the client often feels cold
B) Assessing the client's developmental level
C) Reviewing the client's culture for possible influence
D) Observing the client's overall hygiene
CORRECT ANSWER
A) Asking whether the client often feels cold
2
,Question 5
A nurse is working in a clinic in a low-income neighborhood and assesses as female adult
client who states that she has a urinary tract infection. The nurse notes that the client is
unkempt, wearing stained clothing, and has a strong body odor. The client mentions that
she was evicted from her apartment two weeks ago. Which nursing diagnosis would the
nurse most likely identify for this client?
A) Caregiver role stain related to fatigue
B) Impaired skin integrity related to neurologic deficits
C) Deficit fluid volume related to possible urinary tract infection
D) Self-care deficit related to possible homelessness
CORRECT ANSWER
D) Self-care deficit related to possible homelessness
Question 6
When preparing to obtain information about a client's mental and psychosocial status,
which of the following would the nurse need to do first?
A) Question the patient about his or her usual lifestyle and behaviors
B) Perform a neurologic examination to determine any deficits
C) Check the client's level of consciousness for changes
D) Explain the purpose of the exam and types of questions
CORRECT ANSWER
D) Explain the purpose of the exam and types of questions
Question 7
3
, A nursing student has been assigned to the care of a client whose history suggests the
need for mental status assessment. This client most likely has a history of health problems
affecting what body system?
A) Respiratory
B) Neurologic
C) Cardiovascular
D) Renal
CORRECT ANSWER
B) Neurologic
Question 8
The nurse begins the physical examination of newly admitted client by assessing the
client's mental status. What is the nurse's best rationale for performing the mental status
exam early in the assessment?
A) The client will be less anxious early, providing the nurse with more accurate and reliable
data
B) The exam can provide clues about the validity of the client's responses now and
throughout
C) The exam provides data about mental health problems that the client may be afraid to
report
D) The client's fears about having a serious illness may be alleviated by the results of the
exam
CORRECT ANSWER
B) The exam can provide clues about the validity of the client's responses now and
throughout
4
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The nurse is preparing to assess the remote memory of a client who has a diagnosis of
early stage Alzheimer's disease. Which question would be most appropriate for the nurse
to use?
A) Can you tell me what you have eaten in the last 24 hours?
B) When did you get your first job?
C) What did you do last evening?
D) How are an apple and orange the same?
CORRECT ANSWER
B) When did you get your first job?
Question 2
When assessing the mental status of a 67-year-old woman, the nurse detects some
difficulty with free-flow of thought and the woman's ability to follow directions. Which of
the following would the nurse do first?
A) Use a geriatric depression scale
B) Refer for further medical evaluation
C) Assess the client's vision and hearing
D) Refer the client to social services for home assistance
CORRECT ANSWER
1
, C) Assess the client's vision and hearing
Question 3
The nurse utilizes the Depression Questionnaire on a client who has recently moved to a
long-term care facility. The total score is 22. Which of the following would be most
appropriate for the nurse to do next?
A) Refer for further evaluation
B) Evaluate benefits vs risks of a mental health label
C) Assess further for dementia
D) Document this as a normal score
CORRECT ANSWER
A) Refer for further evaluation
Question 4
The nurse notes that an older adult client is wearing multiple layers of clothing on a warm
fall day. Which of the following would be the nurse's priority assessment at this time?
A) Asking whether the client often feels cold
B) Assessing the client's developmental level
C) Reviewing the client's culture for possible influence
D) Observing the client's overall hygiene
CORRECT ANSWER
A) Asking whether the client often feels cold
2
,Question 5
A nurse is working in a clinic in a low-income neighborhood and assesses as female adult
client who states that she has a urinary tract infection. The nurse notes that the client is
unkempt, wearing stained clothing, and has a strong body odor. The client mentions that
she was evicted from her apartment two weeks ago. Which nursing diagnosis would the
nurse most likely identify for this client?
A) Caregiver role stain related to fatigue
B) Impaired skin integrity related to neurologic deficits
C) Deficit fluid volume related to possible urinary tract infection
D) Self-care deficit related to possible homelessness
CORRECT ANSWER
D) Self-care deficit related to possible homelessness
Question 6
When preparing to obtain information about a client's mental and psychosocial status,
which of the following would the nurse need to do first?
A) Question the patient about his or her usual lifestyle and behaviors
B) Perform a neurologic examination to determine any deficits
C) Check the client's level of consciousness for changes
D) Explain the purpose of the exam and types of questions
CORRECT ANSWER
D) Explain the purpose of the exam and types of questions
Question 7
3
, A nursing student has been assigned to the care of a client whose history suggests the
need for mental status assessment. This client most likely has a history of health problems
affecting what body system?
A) Respiratory
B) Neurologic
C) Cardiovascular
D) Renal
CORRECT ANSWER
B) Neurologic
Question 8
The nurse begins the physical examination of newly admitted client by assessing the
client's mental status. What is the nurse's best rationale for performing the mental status
exam early in the assessment?
A) The client will be less anxious early, providing the nurse with more accurate and reliable
data
B) The exam can provide clues about the validity of the client's responses now and
throughout
C) The exam provides data about mental health problems that the client may be afraid to
report
D) The client's fears about having a serious illness may be alleviated by the results of the
exam
CORRECT ANSWER
B) The exam can provide clues about the validity of the client's responses now and
throughout
4
