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Nursing Final Exam Questions and Answers – Comprehensive Practice Test

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Master your nursing final exam with this comprehensive practice test featuring 200+ questions and answers covering health assessment, critical thinking, nursing process, pharmacology, lab values, and systems review. Updated for .

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Nursing Final Exam
Questions and Anwers
2026\2027
What data should the nurse collect during the interview portion of a health
assessment?
a. Physical
b. Historical
c. Objective
d. Subjective - Ans 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. - Ans 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." - Ans 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 - Ans 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 trAns cendence -
Ans d. A connection with something larger than oneself and belief in trAns
cendence

,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. - Ans c.
Cuff should be inflated 30 mm Hg above the point at which the palpated pulse
disappears.


A 42-year-old patient of Asian descent is being seen at the clinic for an initial
examination. Why is it important for the nurse to consider the basics of the
patient's culture during the patient's health assessment? a. Identify the cause of
his illness.
b. Make accurate disease diagnoses.
c. The U.S. is becoming increasingly diverse.
d. Provide culturally relevant health care. - Ans d. Provide culturally relevant health
care.


The nurse is performing a mental status examination. Which statement is true
regarding the assessment of mental status?
a. Mental status assessment diagnoses specific psychiatric disorders.

, b. Mental disorders occur in response to everyday life stressors.
c. Mental status functioning is inferred through the assessment of an individual's
behaviors.
d. Mental status can be directly assessed, similar to other systems of the body (e.g.,
heart sounds, breath sounds). - Ans c. Mental status functioning is inferred
through the assessment of an individual's behaviors.


The nurse is assessing a 75-year-old man. What should the nurse expect when
performing the mental status portion of the assessment?
a. Will have no decrease in any of his abilities, including response time.
b. Will have difficulty on tests of remote memory because this ability typically
decreases with age.
c. May take a little longer to respond, but his general knowledge and abilities should
not have declined.
d. Will exhibit a decrease in his response time because of the loss of language and a
decrease in general knowledge. - Ans c. May take a little longer to respond, but
his general knowledge and abilities should not have declined.


A nurse is helping at a health fair at a local mall. What should the nurse keep in
mind when taking blood pressures on a variety of people?
a. After menopause, blood pressure readings in women are usually lower than
those taken in men.
b. The blood pressure of an African-American adult is usually higher than that
of a non-Hispanic White adult of the same age.

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