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Question 1
What are the three major components of a comprehensive Health Assessment?
A) Inspection, palpation, and percussion
B) Health history, physical assessment, and interpretation of data
C) Nursing diagnosis, planning, and implementation
D) Subjective data, objective data, and family history
E) Biographic data, review of systems, and ADLs
Correct Answer: B) Health history, physical assessment, and interpretation of data
Rationale: A complete health assessment is not just the physical exam; it begins with the
patient’s history, moves to the physical examination, and concludes with the nurse’s clinical
judgment and interpretation of the collected data.
Question 2
A nurse acknowledges that they may have unconscious associations regarding older adults or
non-English speaking patients. This is an example of:
A) Cultural competence
B) Explicit prejudice
C) Implicit bias
D) Ethical dilemma
E) Social Determinants of Health
Correct Answer: C) Implicit bias
Rationale: Implicit bias refers to the unconscious attitudes or stereotypes that affect our
understanding, actions, and decisions. Recognizing these biases is the first step in providing
equitable care.
Question 3
Social Determinants of Health (SDOH) are defined as the conditions in which people are:
A) Educated, employed, and retired
B) Born, grow, work, live, and age
C) Diagnosed, treated, and rehabilitated
D) Insured, medicated, and hospitalized
E) Fed, housed, and clothed
Correct Answer: B) Born, grow, work, live, and age
Rationale: SDOH are non-medical factors such as environment, education, and
socioeconomic status that significantly influence health outcomes and life expectancy.
Question 4
Which type of assessment is performed every time a nurse sees a client to determine the
immediate urgency of their condition?
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A) Complete health assessment
B) Focused assessment
C) Rapid assessment
D) Emergency assessment
E) Follow-up assessment
Correct Answer: C) Rapid assessment
Rationale: A rapid assessment is a quick survey of the patient’s level of consciousness,
breathing ease, and body position to gauge if immediate intervention is needed before
proceeding.
Question 5
A nurse finds a patient in a hospital gown sitting on the floor gasping for air. This is an example
of which assessment finding?
A) Non-urgent rapid assessment
B) Focused respiratory assessment
C) Urgent rapid assessment
D) Comprehensive history
E) Biographic data collection
Correct Answer: C) Urgent rapid assessment
Rationale: An urgent finding in a rapid assessment indicates a potential threat to the ABCs
(Airway, Breathing, Circulation), requiring immediate nursing or medical action.
Question 6
A patient is visiting a new primary care provider for the first time. The nurse conducts a detailed
history and a head-to-toe physical exam. This is a:
A) Focused assessment
B) Follow-up assessment
C) Complete health assessment
D) Rapid assessment
E) Episodic assessment
Correct Answer: C) Complete health assessment
Rationale: A complete (comprehensive) assessment establishes the baseline medical
database and is typically performed during a first visit or a new admission.
Question 7
A nurse enters a room and notes the patient has a productive cough. The nurse immediately
listens to lung sounds and checks oxygen saturation. This is a:
A) Complete health assessment
B) Emergency assessment
C) Focused assessment
D) Follow-up assessment
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E) Rapid assessment
Correct Answer: C) Focused assessment
Rationale: A focused assessment is used to evaluate specific concerns or abnormal findings
related to a particular body system identified during the initial encounter.
Question 8
Which assessment determines the effectiveness of a treatment, such as checking a patient 30
minutes after giving pain medication?
A) Focused assessment
B) Follow-up assessment
C) Rapid assessment
D) Emergency assessment
E) Baseline assessment
Correct Answer: B) Follow-up assessment
Rationale: A follow-up assessment evaluates the patient’s response to a specific intervention
or the progress of a known condition over time.
Question 9
In an emergency situation, the nurse uses the ABCDE mnemonic. What does the "D" stand for?
A) Diagnosis
B) Dehydration
C) Disabilities
D) Distension
E) Drainage
Correct Answer: C) Disabilities
Rationale: In emergency triage, ABCDE stands for Airway, Breathing, Circulation,
Disabilities (neurological status), and Exposure (environmental control).
Question 10
The nurse speaks loudly and gently shakes the arm of a patient who has their eyes closed. The
patient does not respond, but their breathing and pulse are normal. The nurse is performing a:
A) Complete assessment
B) Focused assessment
C) Rapid assessment
D) Follow-up assessment
E) Subjective assessment
Correct Answer: C) Rapid assessment
Rationale: Determining the level of consciousness (shaking and shouting) is a key
component of a rapid assessment to prioritize care urgency.
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Question 11
According to Maslow’s Hierarchy of Needs, which is the most basic level that must be met first?
A) Safety and security
B) Love and belonging
C) Physiological needs
D) Self-esteem
E) Self-actualization
Correct Answer: C) Physiological needs
Rationale: Physiological needs (oxygen, water, food, elimination) are the foundation of
Maslow’s hierarchy and must be prioritized for survival.
Question 12
Margaret, 79, is post-op hip surgery. She is crying because she is afraid her grandson will return
to her home and steal more items while she is in the hospital. According to Maslow, this is a
concern of:
A) Physiological needs
B) Safety and security
C) Love and belonging
D) Self-esteem
E) Self-actualization
Correct Answer: B) Safety and security
Rationale: Concerns about home security and protection from harm fall under the second
level of Maslow’s hierarchy: Safety and Security.
Question 13
Which of the following is considered a First-level priority problem?
A) Acute pain
B) Active bleeding
C) Choking
D) Mental status change
E) Lack of knowledge
Correct Answer: C) Choking
Rationale: First-level priorities are immediate threats to life (ABCs). Choking is an
immediate airway obstruction.
Question 14
Second-level priority problems include which of the following?
A) Cardiac arrest
B) Affording medication
C) Acute pain and mental status changes
D) Homelessness