NURSING EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning
of the visit, the nurse focuses attention away from the toddler, but as the interview progresses,
the toddler begins to "warm up" and is smiling shyly at the nurse. The nurse will be most
successful in interacting with the toddler if which is done next?
a. Tickle the toddler, and get her to laugh.
b. Stoop down to her level, and ask her about the toy she is holding.
c. Continue to ignore her until it is time for the physical examination.
d. Ask the mother to leave during the examination of the toddler, because toddlers often fuss less
if their parent is not in view.
b. Stoop down to her level, and ask her about the toy she is holding.
The nurse is examining a 3-year-old child who was brought to the emergency department after a
fall. Which bruise, if found, would be of most concern?
a. Bruises on the knee
b. Bruises on the elbow
c. Bruises on the abdomen
d. Bruises on both of the shins
c. Bruises on the abdomen
,The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
a. Increase in body weight from his younger years
b. Additional deposits of fat in the cheeks and forearms
c. Presence of kyphosis and flexion in bilateral knees and hips
d. Change in overall body proportion, including a longer trunk and shorter extremities
c. Presence of kyphosis and flexion in bilateral knees and hips
When performing a physical examination, safety must be considered to protect the examiner and
the patient against the spread of infection. Which of these statements describes the most
appropriate action the nurse should take when performing a physical examination?
a. Washing one's hands after removing gloves is not necessary, as long as the gloves are still
intact.
b. Hands are washed before and after every physical patient encounter.
c. Hands are washed before the examination of each body system to prevent the spread of
bacteria from one part of the body to another.
d. Gloves are worn throughout the entire examination to demonstrate to the patient concern
regarding the spread of infectious diseases.
b. Hands are washed before and after every physical patient encounter.
What data should the nurse collect during the interview portion of a health assessment?
a. Physical
b. Historical
c. Objective
,d. Subjective
d. Subjective
A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black
stools" for the last 24 hours. How would the nurse best document his reason for seeking care?
a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24
hours.
d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24
hours.
The nurse is nearing the end of an interview. Which statement is appropriate at this time?
a. "Did we forget something?"
b. "Is there anything else you would like to mention?"
c. "I need to go on to the next patient. I'll be back."
d. "While I'm here, let's talk about your upcoming surgery."
b. "Is there anything else you would like to mention?"
When the nurse asks for a description of who lives with a child, the method of discipline, and the
support system of the child, what part of the assessment is being performed?
a. Family history
, b. Review of systems
c. Functional assessment
d. Reason for seeking care
c. Functional assessment
The nurse is comparing the concepts of religion and spirituality. Which statement describes an
appropriate component of one's spirituality?
a. Belief in and the worship of God or gods
b. Being closely tied to one's ethnic background
c. Attendance at a specific church or place of worship
d. A connection with something larger than oneself and belief in transcendence
d. A connection with something larger than oneself and belief in transcendence
The nurse is taking an initial blood pressure reading on a 72-year-old patient with documented
hypertension. How should the nurse proceed?
a. Cuff should be placed on the patient's arm and inflated 30 mm Hg above the patient's pulse
rate.
b. Cuff should be inflated to 200 mm Hg in an attempt to obtain the most accurate systolic
reading.
c. Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears.
d. After confirming the patient's previous blood pressure readings, the cuff should be inflated 30
mm Hg above the highest systolic reading recorded.
c. Cuff should be inflated 30 mm Hg above the point at which the palpated pulse disappears.