Assessment Exam with Questions and
Correct Answers 2025
A ,nurse ,is ,completing ,a ,nutritional ,assessment ,on ,a ,client ,and ,measures ,body ,mass
,index ,(BMI). ,Which ,of ,the ,following ,readings ,correlates ,with ,a ,BMI ,of ,an ,overweight
,client? ,
A. ,18.5
B. ,24.9
C. ,25
D. ,32 ,- ,CORRECT ,ANSWER-C. ,25 ,
Rationale: ,Healthy ,weight ,is ,indicated ,by ,a ,BMI ,of ,18.5-24.9. ,Overweight ,is ,defined
,as ,an ,increased ,body ,weight ,in ,relation ,to ,height. ,It ,is ,indicated ,by ,a ,BMI ,of ,25-29.9.
,Obesity ,is ,an ,excess ,amount ,of ,body ,fat. ,It ,is ,indicated ,by ,a ,BMI ,greater ,than ,or
,equal ,to ,30. ,
Underweight- ,less ,than ,18.5
A ,nurse ,is ,verifying ,nasogastric ,tube ,placement ,by ,the ,pH ,of ,aspirated ,gastric ,fluid.
,Which ,of ,the ,following ,pH ,values ,provides ,a ,good ,indication ,of ,correct ,tube
,placement? ,
A. ,2
B. ,5
C. ,7
D. ,9 ,- ,CORRECT ,ANSWER-A. ,2
Rationale: ,A ,good ,indication ,of ,appropriate ,placement ,is ,obtaining ,gastric ,contents
,with ,a ,pH ,between ,0 ,and ,4.
A ,nurse ,is ,caring ,for ,a ,client ,with ,a ,closed ,head ,injury. ,When ,pressure ,is ,applied ,to
,the ,client's ,nail ,beds, ,the ,client's ,eyes ,open ,and ,the ,adduction ,of ,the ,arms ,with
,flexion ,of ,the ,elbows ,and ,wrists ,is ,noted. ,The ,client ,also ,moans ,with ,stimulation.
,What ,is ,the ,client's ,Glascow ,Coma ,Score? ,
A. ,4
, B. ,7
C. ,9
D. ,10 ,- ,CORRECT ,ANSWER-B. ,7 ,(comatose) ,
Rationale: ,
Eye ,Opening ,(ranges ,from ,4-1)
4 ,= ,spontaneous ,
3 ,= ,to ,voice ,
2 ,= ,to ,pain
1 ,= ,none ,
Verbal ,(ranges ,from ,5-1)
5 ,= ,oriented ,
4 ,= ,confused ,
3 ,= ,inappropriate ,words
2 ,= ,incomprehensible ,sounds ,
1= ,none
Motor ,(raged ,from ,6-1)
6 ,= ,obeys ,command ,
5 ,= ,localizes ,pain
4 ,= ,withdraws ,
3 ,= ,flexion ,(decorticate ,posturing)
2 ,= ,extension ,(decerebrate ,posturing)
1 ,= ,none
A ,nurse ,should ,teach ,which ,of ,the ,following ,clients ,requiring ,crutches ,about ,how ,to
,use ,a ,three-point ,gait? ,
A. ,A ,client ,who ,is ,able ,to ,bear ,full ,weight ,on ,both ,lower ,extremities. ,
B. ,A ,client ,who ,has ,bilateral ,leg ,braces ,due ,to ,paralysis ,of ,the ,lower ,extremities. ,
C. ,A ,client ,who ,has ,a ,right ,femur ,fracture ,with ,no ,weight ,bearing ,on ,the ,affected ,leg. ,
D. ,A ,client ,who ,has ,bilateral ,knee-replacements ,with ,partial ,weight ,bearing ,on ,both
,legs. ,- ,CORRECT ,ANSWER-C. ,A ,client ,who ,has ,a ,right ,femur ,fracture ,with ,no
,weight ,bearing ,on ,the ,affected ,leg.
Rationale: ,A ,three-point ,gait ,requires ,the ,client ,to ,bear ,all ,of ,his ,weight ,on ,one ,foot.
,With ,a ,three-point ,gait, ,the ,client ,bears ,weight ,on ,both ,crutches ,and ,then ,on ,the
,uninvolved ,leg, ,repeating ,the ,sequence. ,The ,affected ,leg ,does ,not ,touch ,the ,ground.
A ,nurse ,is ,providing ,teaching ,about ,the ,Mediterranean ,diet ,to ,a ,client ,who ,has ,a ,new
,diagnosis ,if ,hypertension. ,Which ,of ,the ,following ,statements ,by ,the ,client ,indicates ,a
,need ,for ,further ,teaching? ,
A. ,"I ,will ,limit ,my ,intake ,of ,red ,meat ,to ,twice ,weekly."
B. ,"I ,can ,have ,dairy ,in ,moderate ,portions ,daily."
C. ,"I ,can ,have ,fish ,two ,times ,a ,week."
D. ,"I ,can ,drink ,wine ,in ,moderation." ,- ,CORRECT ,ANSWER-A. ,"I ,will ,limit ,my ,intake
,of ,red ,meat ,to ,twice ,weekly."
Rationale: ,Following ,the ,Mediterranean ,diet, ,red ,meat ,should ,be ,limited ,to ,two ,times
,monthly. ,The ,client ,should ,have ,dairy ,in ,moderate ,portions ,daily ,to ,weekly. ,The