NGNHESIHEALTHASSESSMENTNURSINGRN2023/2024100
QuestionswithanswersGRADEDA+PASS
1.Duringamentalstatusexamination,thenursewantstoassessapatient’saffect.Thenurse
shouldaskthepatientwhichquestion?
“Howdoyoufeeltoday?”
2.Thenurseisplanningtoassessnewmemorywithapatient.Thebestwayforthenurseto
dothiswouldbeto:
GivehimtheFourUnrelatedWordsTest.
3.A45-year-oldwomanisattheclinicforamentalstatusassessment.IngivinghertheFour
UnrelatedWordsTest,thenursewouldbeconcernedifshecouldnot fourunrelated
words .
Recall;aftera30-minutedelay
4.Duringamentalstatusassessment,whichquestionbythenursewouldbestassessa
person’sjudgment?
“Tellmewhatyouplantodoonceyouaredischargedfromthehospital.”
5.Whichoftheseindividualswouldthenurseconsiderathighestriskforasuicideattempt?
Olderadultmanwhotellsthenursethatheisgoingto“joinhiswifeinheaven”tomorrow
and
planstouseagun
6.Whenreviewingtheuseofalcoholbyolderadults,thenursenotesthatolderadultshave
severalcharacteristicsthatcanincreasetheriskofalcoholuse.Whichwouldincreasethe
bioavailabilityofalcoholinthebloodforlongerperiodsintheolderadult?
Decreasedliverandkidneyfunctioning
7.Duringanassessment,thenurseasksafemalepatient,“Howmanyalcoholicdrinksdoyou
haveaweek?”Whichanswerbythepatientwouldindicateat-riskdrinking?
“Ihavesevenoreightdrinksaweek,butInevergetdrunk.”
8.Thenurseisaskinganadolescentaboutillicitsubstanceabuse.Theadolescentanswers,
“Yes,I’veusedmarijuanaatpartieswithmyfriends.”Whatisthenextquestionthenurse
shouldask?
“Whenwasthelasttimeyouusedmarijuana?”
9.Thenursehascompletedanassessmentonapatientwhocametotheclinicforaleginjury.
Asaresultoftheassessment,thenursehasdeterminedthatthepatienthasat-riskalcoholuse.
Whichactionbythenurseismostappropriateatthistime?
State,“Youaredrinkingmorethanismedicallysafe.Istronglyrecommendthatyouquit
drinking,andI’mwillingtohelpyou.” 10.Apatientisbroughttotheemergencydepartment.Heisrestless,hasdilatedpupils,is
sweating,hasarunnynoseandtearingeyes,andcomplainsofmuscleandjointpains.His
girlfriendthinkshehasinfluenza,butshebecameconcernedwhenhistemperaturewentup
to39.4°C.Sheadmitsthathehasbeenaheavydruguser,buthehasbeentryingtostoponhis
own.Thenursesuspectsthatthepatientisexperiencingwithdrawalsymptomsfromwhich
substance?
Heroin
11.Patienttakingipratropiumreportsnausea,blurredvision,has,insomniaafterusingthe
inhaler.RNactiontoimplement
-withholdmedandreportsymptoms
12.Apatienthassuddenlydevelopedshortnessofbreathandappearstobeinsignificant
respiratorydistress.Aftercallingthephysicianandplacingthepatientonoxygen,whichof
theseactionsisthebestforthenursetotakewhenfurtherassessingthepatient?
Bilaterallypercussthethorax,notinganydifferencesinpercussiontones.
13.Thenurseisteachingaclassonbasicassessmentskills.Whichofthesestatementsistrue
regardingthestethoscopeanditsuse?
Althoughthestethoscopedoesnotmagnifysound,itdoesblockoutextraneousroom
noise.
14.Thenurseispreparingtouseastethoscopeforauscultation.Whichstatementistrue
regardingthediaphragmofthestethoscope?Thediaphragm:
Isusedtolistenforhigh-pitchedsounds.
15.Beforeauscultatingtheabdomenforthepresenceofbowelsoundsonapatient,thenurse
should:
Checkthetemperatureoftheroom,andofferblanketstothepatientifheorshefeelscold.
16.Whilemeasuringapatient’sbloodpressure,thenurserecallsthatcertainfactors,suchas
,helpdeterminebloodpressure.
Peripheralvascularresistance
17.Anurseishelpingatahealthfairatalocalmall.Whentakingbloodpressuresonavarietyof
people,thenursekeepsinmindthat:
ThebloodpressureofaBlackadultisusuallyhigherthanthatofaWhiteadultofthesame
age.
8.Thenursenoticesacolleagueispreparingtocheckthebloodpressureofapatientwhois
obesebyusingastandard-sizedbloodpressurecuff.Thenurseshouldexpectthereadingto:
Yieldafalselyhighbloodpressure.
Astudentislateforhisappointmentandhasrushedacrosscampustothehealthclinic.The
nurseshould:
Allow5minutesforhimtorelaxandrestbeforecheckinghisvitalsigns.
QuestionswithanswersGRADEDA+PASS
1.Duringamentalstatusexamination,thenursewantstoassessapatient’saffect.Thenurse
shouldaskthepatientwhichquestion?
“Howdoyoufeeltoday?”
2.Thenurseisplanningtoassessnewmemorywithapatient.Thebestwayforthenurseto
dothiswouldbeto:
GivehimtheFourUnrelatedWordsTest.
3.A45-year-oldwomanisattheclinicforamentalstatusassessment.IngivinghertheFour
UnrelatedWordsTest,thenursewouldbeconcernedifshecouldnot fourunrelated
words .
Recall;aftera30-minutedelay
4.Duringamentalstatusassessment,whichquestionbythenursewouldbestassessa
person’sjudgment?
“Tellmewhatyouplantodoonceyouaredischargedfromthehospital.”
5.Whichoftheseindividualswouldthenurseconsiderathighestriskforasuicideattempt?
Olderadultmanwhotellsthenursethatheisgoingto“joinhiswifeinheaven”tomorrow
and
planstouseagun
6.Whenreviewingtheuseofalcoholbyolderadults,thenursenotesthatolderadultshave
severalcharacteristicsthatcanincreasetheriskofalcoholuse.Whichwouldincreasethe
bioavailabilityofalcoholinthebloodforlongerperiodsintheolderadult?
Decreasedliverandkidneyfunctioning
7.Duringanassessment,thenurseasksafemalepatient,“Howmanyalcoholicdrinksdoyou
haveaweek?”Whichanswerbythepatientwouldindicateat-riskdrinking?
“Ihavesevenoreightdrinksaweek,butInevergetdrunk.”
8.Thenurseisaskinganadolescentaboutillicitsubstanceabuse.Theadolescentanswers,
“Yes,I’veusedmarijuanaatpartieswithmyfriends.”Whatisthenextquestionthenurse
shouldask?
“Whenwasthelasttimeyouusedmarijuana?”
9.Thenursehascompletedanassessmentonapatientwhocametotheclinicforaleginjury.
Asaresultoftheassessment,thenursehasdeterminedthatthepatienthasat-riskalcoholuse.
Whichactionbythenurseismostappropriateatthistime?
State,“Youaredrinkingmorethanismedicallysafe.Istronglyrecommendthatyouquit
drinking,andI’mwillingtohelpyou.” 10.Apatientisbroughttotheemergencydepartment.Heisrestless,hasdilatedpupils,is
sweating,hasarunnynoseandtearingeyes,andcomplainsofmuscleandjointpains.His
girlfriendthinkshehasinfluenza,butshebecameconcernedwhenhistemperaturewentup
to39.4°C.Sheadmitsthathehasbeenaheavydruguser,buthehasbeentryingtostoponhis
own.Thenursesuspectsthatthepatientisexperiencingwithdrawalsymptomsfromwhich
substance?
Heroin
11.Patienttakingipratropiumreportsnausea,blurredvision,has,insomniaafterusingthe
inhaler.RNactiontoimplement
-withholdmedandreportsymptoms
12.Apatienthassuddenlydevelopedshortnessofbreathandappearstobeinsignificant
respiratorydistress.Aftercallingthephysicianandplacingthepatientonoxygen,whichof
theseactionsisthebestforthenursetotakewhenfurtherassessingthepatient?
Bilaterallypercussthethorax,notinganydifferencesinpercussiontones.
13.Thenurseisteachingaclassonbasicassessmentskills.Whichofthesestatementsistrue
regardingthestethoscopeanditsuse?
Althoughthestethoscopedoesnotmagnifysound,itdoesblockoutextraneousroom
noise.
14.Thenurseispreparingtouseastethoscopeforauscultation.Whichstatementistrue
regardingthediaphragmofthestethoscope?Thediaphragm:
Isusedtolistenforhigh-pitchedsounds.
15.Beforeauscultatingtheabdomenforthepresenceofbowelsoundsonapatient,thenurse
should:
Checkthetemperatureoftheroom,andofferblanketstothepatientifheorshefeelscold.
16.Whilemeasuringapatient’sbloodpressure,thenurserecallsthatcertainfactors,suchas
,helpdeterminebloodpressure.
Peripheralvascularresistance
17.Anurseishelpingatahealthfairatalocalmall.Whentakingbloodpressuresonavarietyof
people,thenursekeepsinmindthat:
ThebloodpressureofaBlackadultisusuallyhigherthanthatofaWhiteadultofthesame
age.
8.Thenursenoticesacolleagueispreparingtocheckthebloodpressureofapatientwhois
obesebyusingastandard-sizedbloodpressurecuff.Thenurseshouldexpectthereadingto:
Yieldafalselyhighbloodpressure.
Astudentislateforhisappointmentandhasrushedacrosscampustothehealthclinic.The
nurseshould:
Allow5minutesforhimtorelaxandrestbeforecheckinghisvitalsigns.
