HEALTH ASSESSMENT FINAL EXAM
(NCLEX-STYLE QUESTIONS)
The sdivisions sof sthe sspinal svertebrae sinclude:
A. scervical, sthoracic, sscaphoid, ssacral, sand sclavicular
B. sscapular, sclavicular, slumbar, sscaphoid, sand sfasciculi
C. scervical, sthoracic, slumbar, ssacral, sand scoccygeal
D. scervical, slumbar, siliac, ssynovial, sand scapsular s- s✔✔C
A snurse sis scaring sfor sa spatient swith shypersomnia. sWhich sof sthe sfollowing sis
sLEAST sLIKELY sto sbe sa scausative sfactor?
A. sDepression
B. sSleep sApnea
C. sEating sDisorder
D. sAlcohol sAbuse s- s✔✔C
A sconfused spatient sis sput sto sbed swith sthe sbed sin sthe shighest sposition sand sall sside
srails sdown. sThe spatient sthen sfalls sout sof sbed sand sbreaks sa ship. sWhat slaw shas
sbeen sbroken?
A. sBattery
B. sAssault
C. sCivil sTort
D. sNegligence s- s✔✔D
The snurse sis sobligated sto sfollow sthe sphysician's sorder, sunless
A. sThe sorder sis san serror, sviolates shospital spolicy, sor swould sinjure sthe sclient
B. sThe sorder sis sa sverbal sorder
C. sThe sorder shas snot sbeen stranscribed sinto sthe smedical srecord syet
D. sThe sphysician's shandwriting sis smessy s- s✔✔A
When ssigning sa sform sas sa switness, syour ssignature sshows sthat sthe sclient
A. sWas sfree sto ssign swithout spressure
B. sHas ssigned sthat sform sand syou ssaw sit sbeing sdone
C. sWas sawake sand sfully salert, sand snot smedicated swith sany snarcotics
,D. sIs sfully sinformed sand saware sof sall spotential sconsequences s- s✔✔A
Nurses sare sbound sby sa svariety sof slaws. sWhich sof sthe sfollowing sdescriptions sof
stypes sof slaw sis scorrect?
A. sStatutory slaw sis screated sby selected slegislature, ssuch sas sthe sstate slegislature
sthat sdefines sthe sNurse sPractice sAct s(NPA)
B. sCriminal slaw screates sboards sthat spass srules sand sregulations sto scontrol ssafety
C. sRegulatory slaw sincludes sprevention sof sharm sfor sthe spublic sand spunishment sfor
sthose slaws sthat sare sbroken
D. sCommon slaw sprotects sthe srights sof sthe sindividual swithin ssociety sfor sfair sand
sequal streatment s- s✔✔A
Nurses sneed sto sconsider swhat sregarding sbed sside srails swith sconfused spatients?
A. sThey swill sprevent sthe spatient sfrom swandering
B. sPrior sfalls sout sof sbed sare sinsignificant, sbecause sthey slikely sdidn't shave sside
srails sat shome
C. sAlternative smeasures sto sraising sall sthe sside srails sare susually sinsufficient
D. sSmaller spatients sare sat sincreased srisk sfor sinjury sfrom sentrapment s- s✔✔D
A sstudent snurse sis sexplaining spressure sulcers sto sher sclassmates. sWhich sstatement
sindicates sa sneed sfor sfurther steaching?
A. s"Pressure sulcers sare sconsidered snever sevents sin shospitals"
B. s"Pressure sulcers sare sstaged son sa s1-4 sscale"
C. s"Patients son sbedrest sare sat sa shigher srisk sfor sdeveloping sa spressure sulcer"
D. s"Patients swith sa slower sBraden sscore sare sat sa slower srisk sfor spressure sulcers" s-
s✔✔D
The snurse sperforms sa sskin sassessment sand snotices sjaundiced sskin sand syellow
ssclera. sWhat sdoes sthis sindicate?
A. sDehydration
B. sMalnutrition sor sUndernutrition
C. sLiver sFunction sProblem
D. sPoor sOxygenation s- s✔✔C
A snursing sinstructor sis steaching sa sclass sabout sdomestic sviolence. sWhich
sinformation sshould sshe sinclude swhen soutlining sassessment sfindings sindicating
spossible schild sabuse? s(Select sall sthat sapply)
A. sBruising sin satypical splaces
B. sUncomfortable/awkward sparent-child sinteraction
C. sBruising sin simmobile schildren
D. sSigns sof smalnutrition s- s✔✔A, sC, sD
, A snurse sis sperforming san sinitial sassessment son sher spatient. sWhich sfactor splaces
sthe spatient sat sa shigher srisk sfor sfalls?
A. sUse sof sglasses sfor sreading
B. sUse sof spain smedication
C. sGeneralized smusculoskeletal sweakness
D. sDiagnosis sof sheart sfailure s- s✔✔C
The snurse sis sworking sin sthe semergency sdepartment. sShe sis sconducting san
sinterview swith sa svictim sof sspousal sabuse. sWhich sstep sshould sthe snurse stake sfirst?
A. sContact sthe sappropriate slegal sservices
B. sEnsure sprivacy sfor sinterviewing sthe svictim saway sfrom sthe sabuser
C. sEstablish sa srapport swith sthe svictim sand sthe sabuser
D. sRequest sthe spresence sof sa ssecurity sguard s- s✔✔B
The sstudent snurse srecognizes swhich ssymptoms sas sindicative sof sobstructive ssleep
sapnea?
A. sAbdominal sdiscomfort swhen swaking sup sin sthe smorning
B. sEnuresis
C. sHeadaches sand sfatigue sduring sthe sday
D. sDifficulty sfalling sasleep s- s✔✔C
A spatient swith ssleep sdifficulties sasks sthe snurse sfor sa ssnack sbefore sbed. sWhat
soption swould sbe sthe smost sappropriate?
A. sChocolate schip smuffin sand shot schocolate
B. sRitz scrackers sand smilk
C. sSliced sapples sand sgrapes
D. sToast swith snutella sand sblack stea s- s✔✔B
A snurse sis sworking son sa sproject sto simprove spatient ssleep sin sthe sICU. sWhat
sintervention swould sbe smost sappropriate?
A. sTurn smonitors sand salarms sdown sat snight
B. sDim sthe slights sin sthe shallways sto spromote smelatonin sproduction
C. sAvoid swaking sthe spatient sfor sassessments sfor sat sleast s8 shours sduring sthe snight
D. sTurn sup sthe sheat son sthe sfloor sat snight s- s✔✔B
Dehydration sand smalnutrition scan sbe smanifestations sof s_____ sin solder sadults
A. sphysical sabuse
B. sintimate spartner sviolence
C. spsychological sabuse
(NCLEX-STYLE QUESTIONS)
The sdivisions sof sthe sspinal svertebrae sinclude:
A. scervical, sthoracic, sscaphoid, ssacral, sand sclavicular
B. sscapular, sclavicular, slumbar, sscaphoid, sand sfasciculi
C. scervical, sthoracic, slumbar, ssacral, sand scoccygeal
D. scervical, slumbar, siliac, ssynovial, sand scapsular s- s✔✔C
A snurse sis scaring sfor sa spatient swith shypersomnia. sWhich sof sthe sfollowing sis
sLEAST sLIKELY sto sbe sa scausative sfactor?
A. sDepression
B. sSleep sApnea
C. sEating sDisorder
D. sAlcohol sAbuse s- s✔✔C
A sconfused spatient sis sput sto sbed swith sthe sbed sin sthe shighest sposition sand sall sside
srails sdown. sThe spatient sthen sfalls sout sof sbed sand sbreaks sa ship. sWhat slaw shas
sbeen sbroken?
A. sBattery
B. sAssault
C. sCivil sTort
D. sNegligence s- s✔✔D
The snurse sis sobligated sto sfollow sthe sphysician's sorder, sunless
A. sThe sorder sis san serror, sviolates shospital spolicy, sor swould sinjure sthe sclient
B. sThe sorder sis sa sverbal sorder
C. sThe sorder shas snot sbeen stranscribed sinto sthe smedical srecord syet
D. sThe sphysician's shandwriting sis smessy s- s✔✔A
When ssigning sa sform sas sa switness, syour ssignature sshows sthat sthe sclient
A. sWas sfree sto ssign swithout spressure
B. sHas ssigned sthat sform sand syou ssaw sit sbeing sdone
C. sWas sawake sand sfully salert, sand snot smedicated swith sany snarcotics
,D. sIs sfully sinformed sand saware sof sall spotential sconsequences s- s✔✔A
Nurses sare sbound sby sa svariety sof slaws. sWhich sof sthe sfollowing sdescriptions sof
stypes sof slaw sis scorrect?
A. sStatutory slaw sis screated sby selected slegislature, ssuch sas sthe sstate slegislature
sthat sdefines sthe sNurse sPractice sAct s(NPA)
B. sCriminal slaw screates sboards sthat spass srules sand sregulations sto scontrol ssafety
C. sRegulatory slaw sincludes sprevention sof sharm sfor sthe spublic sand spunishment sfor
sthose slaws sthat sare sbroken
D. sCommon slaw sprotects sthe srights sof sthe sindividual swithin ssociety sfor sfair sand
sequal streatment s- s✔✔A
Nurses sneed sto sconsider swhat sregarding sbed sside srails swith sconfused spatients?
A. sThey swill sprevent sthe spatient sfrom swandering
B. sPrior sfalls sout sof sbed sare sinsignificant, sbecause sthey slikely sdidn't shave sside
srails sat shome
C. sAlternative smeasures sto sraising sall sthe sside srails sare susually sinsufficient
D. sSmaller spatients sare sat sincreased srisk sfor sinjury sfrom sentrapment s- s✔✔D
A sstudent snurse sis sexplaining spressure sulcers sto sher sclassmates. sWhich sstatement
sindicates sa sneed sfor sfurther steaching?
A. s"Pressure sulcers sare sconsidered snever sevents sin shospitals"
B. s"Pressure sulcers sare sstaged son sa s1-4 sscale"
C. s"Patients son sbedrest sare sat sa shigher srisk sfor sdeveloping sa spressure sulcer"
D. s"Patients swith sa slower sBraden sscore sare sat sa slower srisk sfor spressure sulcers" s-
s✔✔D
The snurse sperforms sa sskin sassessment sand snotices sjaundiced sskin sand syellow
ssclera. sWhat sdoes sthis sindicate?
A. sDehydration
B. sMalnutrition sor sUndernutrition
C. sLiver sFunction sProblem
D. sPoor sOxygenation s- s✔✔C
A snursing sinstructor sis steaching sa sclass sabout sdomestic sviolence. sWhich
sinformation sshould sshe sinclude swhen soutlining sassessment sfindings sindicating
spossible schild sabuse? s(Select sall sthat sapply)
A. sBruising sin satypical splaces
B. sUncomfortable/awkward sparent-child sinteraction
C. sBruising sin simmobile schildren
D. sSigns sof smalnutrition s- s✔✔A, sC, sD
, A snurse sis sperforming san sinitial sassessment son sher spatient. sWhich sfactor splaces
sthe spatient sat sa shigher srisk sfor sfalls?
A. sUse sof sglasses sfor sreading
B. sUse sof spain smedication
C. sGeneralized smusculoskeletal sweakness
D. sDiagnosis sof sheart sfailure s- s✔✔C
The snurse sis sworking sin sthe semergency sdepartment. sShe sis sconducting san
sinterview swith sa svictim sof sspousal sabuse. sWhich sstep sshould sthe snurse stake sfirst?
A. sContact sthe sappropriate slegal sservices
B. sEnsure sprivacy sfor sinterviewing sthe svictim saway sfrom sthe sabuser
C. sEstablish sa srapport swith sthe svictim sand sthe sabuser
D. sRequest sthe spresence sof sa ssecurity sguard s- s✔✔B
The sstudent snurse srecognizes swhich ssymptoms sas sindicative sof sobstructive ssleep
sapnea?
A. sAbdominal sdiscomfort swhen swaking sup sin sthe smorning
B. sEnuresis
C. sHeadaches sand sfatigue sduring sthe sday
D. sDifficulty sfalling sasleep s- s✔✔C
A spatient swith ssleep sdifficulties sasks sthe snurse sfor sa ssnack sbefore sbed. sWhat
soption swould sbe sthe smost sappropriate?
A. sChocolate schip smuffin sand shot schocolate
B. sRitz scrackers sand smilk
C. sSliced sapples sand sgrapes
D. sToast swith snutella sand sblack stea s- s✔✔B
A snurse sis sworking son sa sproject sto simprove spatient ssleep sin sthe sICU. sWhat
sintervention swould sbe smost sappropriate?
A. sTurn smonitors sand salarms sdown sat snight
B. sDim sthe slights sin sthe shallways sto spromote smelatonin sproduction
C. sAvoid swaking sthe spatient sfor sassessments sfor sat sleast s8 shours sduring sthe snight
D. sTurn sup sthe sheat son sthe sfloor sat snight s- s✔✔B
Dehydration sand smalnutrition scan sbe smanifestations sof s_____ sin solder sadults
A. sphysical sabuse
B. sintimate spartner sviolence
C. spsychological sabuse
