Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
The nurse is preparing to assess the remote memory of a client who has a diagnosis of
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early stage Alzheimer's disease. Which question would be most appropriate for the nurse to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
use?
VV VV
A) Can you tell me what you have eaten in the last 24 hours?
VV VV VV VV VV VV VV VV VV VV VV VV VV
B) When did you get your first job?
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C) What did you do last evening?
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D) How are an apple and orange the same? -ANSWER-B) When did you get your first job?
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When assessing the mental status of a 67-year-old woman, the nurse detects some difficulty
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with free-flow of thought and the woman's ability to follow directions. Which of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
following would the nurse do first?
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A) Use a geriatric depression scale
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B) Refer for further medical evaluation
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C) Assess the client's vision and hearing
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D) Refer the client to social services for home assistance -ANSWER-C) Assess the client's
VV VV VV VV VV VV VV VV VV VV VV VV VV
vision and hearing
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The nurse utilizes the Depression Questionnaire on a client who has recently moved to a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
long-term care facility. The total score is 22. Which of the following would be most
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
appropriate for the nurse to do next?
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A) Refer for further evaluation
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B) Evaluate benefits vs risks of a mental health label
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,Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
C) Assess further for dementia
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D) Document this as a normal score -ANSWER-A) Refer for further evaluation
VV VV VV VV VV VV VV VV VV VV VV
The nurse notes that an older adult client is wearing multiple layers of clothing on a warm
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
fall day. Which of the following would be the nurse's priority assessment at this time?
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
A) Asking whether the client often feels cold
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B) Assessing the client's developmental level
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C) Reviewing the client's culture for possible influence
VV VV VV VV VV VV VV VV
D) Observing the client's overall hygiene -ANSWER-A) Asking whether the client often feels
VV VV VV VV VV VV VV VV VV VV VV VV
cold
VV
A nurse is working in a clinic in a low-income neighborhood and assesses as female adult
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
client who states that she has a urinary tract infection. The nurse notes that the client is
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
unkempt, wearing stained clothing, and has a strong body odor. The client mentions that
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she was evicted from her apartment two weeks ago. Which nursing diagnosis would the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
nurse most likely identify for this client?
VV VV VV VV VV VV VV VV
A) Caregiver role stain related to fatigue
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B) Impaired skin integrity related to neurologic deficits
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C) Deficit fluid volume related to possible urinary tract infection
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D) Self-care deficit related to possible homelessness -ANSWER-D) Self-care deficit related to
VV VV VV VV VV VV VV VV VV VV VV
possible homelessness
VV VV
,Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
When preparing to obtain information about a client's mental and psychosocial status, which
VV VV VV VV VV VV VV VV VV VV VV VV
of the following would the nurse need to do first?
VV VV VV VV VV VV VV VV VV VV VV
A) Question the patient about his or her usual lifestyle and behaviors
VV VV VV VV VV VV VV VV VV VV VV VV
B) Perform a neurologic examination to determine any deficits
VV VV VV VV VV VV VV VV
C) Check the client's level of consciousness for changes
VV VV VV VV VV VV VV VV VV
D) Explain the purpose of the exam and types of questions -ANSWER-D) Explain the purpose
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of the exam and types of questions
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A nursing student has been assigned to the care of a client whose history suggests the need
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
for mental status assessment. This client most likely has a history of health problems
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
affecting what body system?
VV VV VV VV VV
A) Respiratory
VV VV
B) Neurologic
VV
C) Cardiovascular
VV
D) Renal -ANSWER-B) Neurologic
VV VV VV
The nurse begins the physical examination of newly admitted client by assessing the client's
VV VV VV VV VV VV VV VV VV VV VV VV VV
mental status. What is the nurse's best rationale for performing the mental status exam
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
early in the assessment?
VV VV VV VV VV
A) The client will be less anxious early, providing the nurse with more accurate and reliable
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
data
VV
, Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
B) The exam can provide clues about the validity of the client's responses now and
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
throughout
VV VV
C) The exam provides data about mental health problems that the client may be afraid to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
report
VV
D) The client's fears about having a serious illness may be alleviated by the results of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
exam -ANSWER-B) The exam can provide clues about the validity of the client's responses
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
now and throughout
VV VV VV
A client's recent episode of becoming lost near his home has prompted the nurse to use
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the Saint Louis University Mental Status (SLUMS) Assessment Tool. The nurse should begin
VV VV VV VV VV VV VV VV VV VV VV VV VV
this assessment by asking what question?
VV VV VV VV VV VV VV
A) How would you respond if someone said that you might have dementia?
VV VV VV VV VV VV VV VV VV VV VV VV VV
B)Can I ask you some questions about your memory?
VV VV VV VV VV VV VV VV VV
C) Do you generally consider yourself to be an intelligent person?
VV VV VV VV VV VV VV VV VV VV
D) I want to ask you some questions to see if you have Alzheimer's -ANSWER-B) Can I ask
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
you some questions about your memory?
VV VV VV VV VV VV
Assessment of a client who has suffered a recent stroke reveals that he is unresponsive to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
all stimuli and his eyes remain closed. The nurse documents the clients level of
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
consciousness as which of the following?
VV VV VV VV VV VV VV
A) Obtunded
VV
B) Stupor
VV
C) Coma
VV
D) Lethargy -ANSWER-C) Coma
VV VV VV
Questions & Answers, Nursing Study
Guide & Exam Prep
The nurse is preparing to assess the remote memory of a client who has a diagnosis of
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
early stage Alzheimer's disease. Which question would be most appropriate for the nurse to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
use?
VV VV
A) Can you tell me what you have eaten in the last 24 hours?
VV VV VV VV VV VV VV VV VV VV VV VV VV
B) When did you get your first job?
VV VV VV VV VV VV VV
C) What did you do last evening?
VV VV VV VV VV VV
D) How are an apple and orange the same? -ANSWER-B) When did you get your first job?
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
When assessing the mental status of a 67-year-old woman, the nurse detects some difficulty
VV VV VV VV VV VV VV VV VV VV VV VV VV
with free-flow of thought and the woman's ability to follow directions. Which of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
following would the nurse do first?
VV VV VV VV VV VV
A) Use a geriatric depression scale
VV VV VV VV VV
B) Refer for further medical evaluation
VV VV VV VV VV VV
C) Assess the client's vision and hearing
VV VV VV VV VV VV
D) Refer the client to social services for home assistance -ANSWER-C) Assess the client's
VV VV VV VV VV VV VV VV VV VV VV VV VV
vision and hearing
VV VV VV
The nurse utilizes the Depression Questionnaire on a client who has recently moved to a
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
long-term care facility. The total score is 22. Which of the following would be most
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
appropriate for the nurse to do next?
VV VV VV VV VV VV VV VV
A) Refer for further evaluation
VV VV VV VV
B) Evaluate benefits vs risks of a mental health label
VV VV VV VV VV VV VV VV VV VV
,Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
C) Assess further for dementia
VV VV VV VV
D) Document this as a normal score -ANSWER-A) Refer for further evaluation
VV VV VV VV VV VV VV VV VV VV VV
The nurse notes that an older adult client is wearing multiple layers of clothing on a warm
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
fall day. Which of the following would be the nurse's priority assessment at this time?
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
A) Asking whether the client often feels cold
VV VV VV VV VV VV VV VV
B) Assessing the client's developmental level
VV VV VV VV VV VV
C) Reviewing the client's culture for possible influence
VV VV VV VV VV VV VV VV
D) Observing the client's overall hygiene -ANSWER-A) Asking whether the client often feels
VV VV VV VV VV VV VV VV VV VV VV VV
cold
VV
A nurse is working in a clinic in a low-income neighborhood and assesses as female adult
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
client who states that she has a urinary tract infection. The nurse notes that the client is
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
unkempt, wearing stained clothing, and has a strong body odor. The client mentions that
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
she was evicted from her apartment two weeks ago. Which nursing diagnosis would the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
nurse most likely identify for this client?
VV VV VV VV VV VV VV VV
A) Caregiver role stain related to fatigue
VV VV VV VV VV VV VV
B) Impaired skin integrity related to neurologic deficits
VV VV VV VV VV VV VV
C) Deficit fluid volume related to possible urinary tract infection
VV VV VV VV VV VV VV VV VV
D) Self-care deficit related to possible homelessness -ANSWER-D) Self-care deficit related to
VV VV VV VV VV VV VV VV VV VV VV
possible homelessness
VV VV
,Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
When preparing to obtain information about a client's mental and psychosocial status, which
VV VV VV VV VV VV VV VV VV VV VV VV
of the following would the nurse need to do first?
VV VV VV VV VV VV VV VV VV VV VV
A) Question the patient about his or her usual lifestyle and behaviors
VV VV VV VV VV VV VV VV VV VV VV VV
B) Perform a neurologic examination to determine any deficits
VV VV VV VV VV VV VV VV
C) Check the client's level of consciousness for changes
VV VV VV VV VV VV VV VV VV
D) Explain the purpose of the exam and types of questions -ANSWER-D) Explain the purpose
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
of the exam and types of questions
VV VV VV VV VV VV VV
A nursing student has been assigned to the care of a client whose history suggests the need
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
for mental status assessment. This client most likely has a history of health problems
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
affecting what body system?
VV VV VV VV VV
A) Respiratory
VV VV
B) Neurologic
VV
C) Cardiovascular
VV
D) Renal -ANSWER-B) Neurologic
VV VV VV
The nurse begins the physical examination of newly admitted client by assessing the client's
VV VV VV VV VV VV VV VV VV VV VV VV VV
mental status. What is the nurse's best rationale for performing the mental status exam
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
early in the assessment?
VV VV VV VV VV
A) The client will be less anxious early, providing the nurse with more accurate and reliable
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
data
VV
, Health Assessment I Quiz 2 2026/2027 –
Questions & Answers, Nursing Study
Guide & Exam Prep
B) The exam can provide clues about the validity of the client's responses now and
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
throughout
VV VV
C) The exam provides data about mental health problems that the client may be afraid to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
report
VV
D) The client's fears about having a serious illness may be alleviated by the results of the
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
exam -ANSWER-B) The exam can provide clues about the validity of the client's responses
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
now and throughout
VV VV VV
A client's recent episode of becoming lost near his home has prompted the nurse to use
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
the Saint Louis University Mental Status (SLUMS) Assessment Tool. The nurse should begin
VV VV VV VV VV VV VV VV VV VV VV VV VV
this assessment by asking what question?
VV VV VV VV VV VV VV
A) How would you respond if someone said that you might have dementia?
VV VV VV VV VV VV VV VV VV VV VV VV VV
B)Can I ask you some questions about your memory?
VV VV VV VV VV VV VV VV VV
C) Do you generally consider yourself to be an intelligent person?
VV VV VV VV VV VV VV VV VV VV
D) I want to ask you some questions to see if you have Alzheimer's -ANSWER-B) Can I ask
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
you some questions about your memory?
VV VV VV VV VV VV
Assessment of a client who has suffered a recent stroke reveals that he is unresponsive to
VV VV VV VV VV VV VV VV VV VV VV VV VV VV VV
all stimuli and his eyes remain closed. The nurse documents the clients level of
VV VV VV VV VV VV VV VV VV VV VV VV VV VV
consciousness as which of the following?
VV VV VV VV VV VV VV
A) Obtunded
VV
B) Stupor
VV
C) Coma
VV
D) Lethargy -ANSWER-C) Coma
VV VV VV
