Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
A nurse is assessing a patient for possible fluid overload.
Which assessment finding is most consistent with this
diagnosis
-Boggy eyeball
-Moist, plump tongue
-Distended neck veins w/ head elevated at 45 degrees
-venous filling of 3 second - Correct Answers ✅Distended
neck veins w/ head elevated at 45 degrees
The nurse is preparing to perform a physical examination on
a female patient who has been transferred to the medical
unit from the emergency department. The nurse should begin
the collection of objective data with which examination?
-Head and neck examination.
-Palpation of lymph nodes.
-Vital signs.
-Breast examination - Correct Answers ✅-Vital signs.
The nurse is assessing an older adult patient's mental status.
Consistently, the patient pauses after the nurse poses a
question, but then provides a response that is correct or
appropriate. How should the nurse best interpret this
characteristic of the patient?
,Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
-The patient is displaying a sign of early Alzheimer disease.
-Slight delays in mental processing are normal in older adults.
-The patient may be trying to anticipate the nurse's desired
response.
-The patient may be experiencing an early sign of delirium. -
Correct Answers ✅-Slight delays in mental processing are
normal in older adults.
After teaching a group of students about the external and
internal structures of the eye, the instructor determines that
the teaching was successful when the students identify which
of the following as external structures? SELECT ALL THAT
APPLY
-Lacrimal apparatus
-Conjunctiva
-Lens
-Iris
-Sclera
-Caruncle - Correct Answers ✅-conjunctiva
-lens
-iris
,Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
The nurse has completed the comprehensive health
assessment of a patient who has been admitted for the
treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically
performs a partial assessment primarily for which reason?
-Provide information for the client's record.
-Address areas previously omitted.
-To determine the need for crisis intervention.
-To reassess previously detected problems. - Correct
Answers ✅-To reassess previously detected problems.
A nurse is reviewing the four basic physical examination
techniques and their sequence prior to receiving a new
patient from post-anesthetic recovery. The nurse should plan
to perform which technique first?
-Inspection
-Palpation
-Percussion
-Auscultation - Correct Answers ✅-Inspection
The nurse collects vital signs on a hospital patient who has
recently been experiencing pain. Which finding would
indicate the patient is currently experiencing pain?
, Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
-Respiratory rate of 18 breaths/min.
-Temperature of 37.3°C (99.1°F).
-Heart rate of 110 beats/min.
-Blood pressure of 115/65 mm Hg - Correct Answers ✅-
Heart rate of 110 beats/min.
The nurse has identified abnormal findings when reviewing a
young adult patient's health history. Within Kohlberg theory of
moral development, what behavioral characteristic is the
nurse most likely to observe?
-The patient is easily manipulated by others.
-The patient is unable to weigh options when presented with
a dilemma.
-The patient has difficulty trusting others.
-The patient makes decisions without considering the impact
on others. - Correct Answers ✅-The patient makes
decisions without considering the impact on others.
The nurse is percussing the area over the patient's lungs and
hears a loud, low-pitched, hollow sound. The nurse
documents this finding as which of the following?
-Tympany
with Complete Solutions (Latest 2025)
A nurse is assessing a patient for possible fluid overload.
Which assessment finding is most consistent with this
diagnosis
-Boggy eyeball
-Moist, plump tongue
-Distended neck veins w/ head elevated at 45 degrees
-venous filling of 3 second - Correct Answers ✅Distended
neck veins w/ head elevated at 45 degrees
The nurse is preparing to perform a physical examination on
a female patient who has been transferred to the medical
unit from the emergency department. The nurse should begin
the collection of objective data with which examination?
-Head and neck examination.
-Palpation of lymph nodes.
-Vital signs.
-Breast examination - Correct Answers ✅-Vital signs.
The nurse is assessing an older adult patient's mental status.
Consistently, the patient pauses after the nurse poses a
question, but then provides a response that is correct or
appropriate. How should the nurse best interpret this
characteristic of the patient?
,Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
-The patient is displaying a sign of early Alzheimer disease.
-Slight delays in mental processing are normal in older adults.
-The patient may be trying to anticipate the nurse's desired
response.
-The patient may be experiencing an early sign of delirium. -
Correct Answers ✅-Slight delays in mental processing are
normal in older adults.
After teaching a group of students about the external and
internal structures of the eye, the instructor determines that
the teaching was successful when the students identify which
of the following as external structures? SELECT ALL THAT
APPLY
-Lacrimal apparatus
-Conjunctiva
-Lens
-Iris
-Sclera
-Caruncle - Correct Answers ✅-conjunctiva
-lens
-iris
,Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
The nurse has completed the comprehensive health
assessment of a patient who has been admitted for the
treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically
performs a partial assessment primarily for which reason?
-Provide information for the client's record.
-Address areas previously omitted.
-To determine the need for crisis intervention.
-To reassess previously detected problems. - Correct
Answers ✅-To reassess previously detected problems.
A nurse is reviewing the four basic physical examination
techniques and their sequence prior to receiving a new
patient from post-anesthetic recovery. The nurse should plan
to perform which technique first?
-Inspection
-Palpation
-Percussion
-Auscultation - Correct Answers ✅-Inspection
The nurse collects vital signs on a hospital patient who has
recently been experiencing pain. Which finding would
indicate the patient is currently experiencing pain?
, Holistic Assessment Exam Questions
with Complete Solutions (Latest 2025)
-Respiratory rate of 18 breaths/min.
-Temperature of 37.3°C (99.1°F).
-Heart rate of 110 beats/min.
-Blood pressure of 115/65 mm Hg - Correct Answers ✅-
Heart rate of 110 beats/min.
The nurse has identified abnormal findings when reviewing a
young adult patient's health history. Within Kohlberg theory of
moral development, what behavioral characteristic is the
nurse most likely to observe?
-The patient is easily manipulated by others.
-The patient is unable to weigh options when presented with
a dilemma.
-The patient has difficulty trusting others.
-The patient makes decisions without considering the impact
on others. - Correct Answers ✅-The patient makes
decisions without considering the impact on others.
The nurse is percussing the area over the patient's lungs and
hears a loud, low-pitched, hollow sound. The nurse
documents this finding as which of the following?
-Tympany
