Exam 2026|2027 Actual Complete Real Exam Questions And Correct
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When a patient gives an inconsistent history because of confusion,
what should the nurse do? -ANSWER- Assess the patient's cognitive
status, clarify inconsistencies respectfully, and obtain additional
information from a reliable source when appropriate. This helps
establish an accurate history without dismissing the patient's account.
Why should the nurse assess a patient's baseline functional ability? -
ANSWER- It establishes how independently the patient performs daily
activities and helps identify changes that may indicate illness or
increasing care needs.
Which findings may suggest poor nutritional status during a general
assessment? -ANSWER- Unintentional weight loss, muscle wasting,
poor wound healing, and changes in skin or hair may suggest nutritional
problems. These findings require further assessment rather than a
diagnosis based on appearance alone.
What is the difference between a screening assessment and a
diagnostic assessment? -ANSWER- Screening identifies people who may
have a health problem, while diagnostic assessment investigates a
suspected problem to determine its nature. An abnormal screening
result usually requires additional evaluation.
,Why should the nurse inspect both sides of the body during a physical
examination? -ANSWER- Comparing corresponding areas helps identify
asymmetry, swelling, weakness, or other abnormalities. Symmetry can
provide useful clues, although some normal differences occur.
How should a nurse assess a patient who reports dizziness when
standing? -ANSWER- Obtain a detailed history, assess relevant vital
signs including orthostatic blood pressure and pulse when appropriate,
and evaluate fall risk. A significant postural blood pressure change may
indicate orthostatic hypotension.
What information should be documented when a patient reports a fall?
-ANSWER- Record the circumstances, time, possible cause, symptoms,
injuries, relevant assessment findings, and actions taken. Accurate
documentation supports continuity of care and helps identify
preventable risks.
Why is it important to assess a patient's medication use during the
health history? -ANSWER- Prescription medicines, over-the-counter
products, supplements, and substances may cause symptoms or
interact with one another. Medication reconciliation helps identify
discrepancies and potential safety problems.
What should the nurse do when a patient has difficulty understanding a
health-related question? -ANSWER- Rephrase the question in simple
language and ask one clear question at a time. An interpreter should be
used when a language barrier affects accurate communication.
, How can a nurse distinguish a patient's symptom from a physical sign? -
ANSWER- A symptom is a subjective experience reported by the
patient, such as nausea or dizziness. A sign is an observable or
measurable finding, such as a rash or elevated temperature.
What is the purpose of assessing a patient's health literacy? -ANSWER-
It helps the nurse determine whether the patient can understand
health information and use it to make decisions. Teaching should be
adapted to the patient's needs and understanding.
Why should a nurse ask about a patient's use of tobacco, alcohol, and
other substances without being judgmental? -ANSWER- A respectful
approach encourages honest disclosure and helps identify health risks.
Clear, neutral questions support appropriate screening and counseling.
What is the purpose of asking about family history? -ANSWER- Family
history may reveal inherited conditions or shared risk factors that
influence the patient's health. The nurse should document relevant
diseases and the affected relatives when possible.
How should the nurse respond when a patient becomes tearful during
an interview? -ANSWER- Pause, allow time for the patient to express
feelings, and respond with empathy. Rushing to the next question may
make the patient feel unheard and reduce trust.
What is the difference between open-ended and closed-ended
questions during an interview? -ANSWER- Open-ended questions