health assessment final exam questions and
answers 2025/2026 latest update
The nurse is caring for patients on the surgical floor and has just received report from the previous shift.
Which of the following patients should the nurse see FIRST?
A. A 35-year-old admitted three hours ago with a gunshot would; 1.5 cm area of dark drainage noted on
the dressing
B. A 43-year-old who had a masectomy tow days ago; 23 cc of serosanguinous fluid noted in the
Jackson-Pratt drain
C. A 59-year-old with a collapsed lung due to an accident; no drainage noted in the previous eight hours
D. A 62-year-old who had an abdominal-perineal resection three days ago; patient complains of chills -
answerD
The nurse is caring for patients in the outpatient clinic. Which of the following phone calls should the
nurse return first?
A. A client with hepatitis A who states "My arms and legs are itching."
B. A client with a cast on the right leg who states, " I have a funny feeling in my right leg."
C. A client with osteomylitis of the spine who states, " I am so nauseous that I can't eat."
D. A client with rheumatoid arthritis who states, " I am having trouble sleeping." - answerB
high priority - answerAirway
Breathing
,Circulaltion
Vital Signs
Second priority - answermental status change
untreated medical problem
acute pain
acute urinary elimination problem
abnormal lab value
risk of infection
cultural consideration hispanic - answerCuranderos use herbs, aromas, and rituals to treat the ills of the
body, mind and spirit.
have a higher rate of diabetes
cultural consideration chinese - answereldest son holds responsibility for family
Control of emotions, restraint, obedience to authority, conforming and "face" are highly valued and
important
balance between hot foods and cold foods
lung (worry), gallbladder/liver (anger), heart (happy), kidney (fear), spleen (desire)
considerations japanese - answerdiabetes, cancer, dementia
muslim consideration - answerfemale/female or male/male for nursing care as they place high value on
modesty
left hand=dirty
what distance should you be from patient when you are conducting interview - answer4-5 feet
ten traps of interviewing - answerfalse assurances
giving unwanted advice
, using authority
using avoidance language
engaging in distancing
using professional jargon
using leading or biased questions
talking too much
interrupting
using why questions
this age uses telegraphic speech so it is best to keep explainations simple - answerpreschooler
this age can tolerate and understand others viewpoints, more objective and realistic, able to reason very
curious - answerschool age
value peers, crave acceptance, think that no adult can understand them - answeradolescent
broca's aphsia - answercan understand language but cannot express it himself nonfluent, dysarthic,
effortful speech
wernickes aphasia - answercan hear sounds but cannot relate them to previous experiences speech is
fluent, effortless and well articulated but has many paraphasias and made up words
subjective data - answer"Lately I just don't feel like myself"
objective data - answerHR=80 BP=125/80 T=38 RR=18
skin feels cool, & clammy etc
interpreter - answerdont use family member
must use trained medical interpreter
answers 2025/2026 latest update
The nurse is caring for patients on the surgical floor and has just received report from the previous shift.
Which of the following patients should the nurse see FIRST?
A. A 35-year-old admitted three hours ago with a gunshot would; 1.5 cm area of dark drainage noted on
the dressing
B. A 43-year-old who had a masectomy tow days ago; 23 cc of serosanguinous fluid noted in the
Jackson-Pratt drain
C. A 59-year-old with a collapsed lung due to an accident; no drainage noted in the previous eight hours
D. A 62-year-old who had an abdominal-perineal resection three days ago; patient complains of chills -
answerD
The nurse is caring for patients in the outpatient clinic. Which of the following phone calls should the
nurse return first?
A. A client with hepatitis A who states "My arms and legs are itching."
B. A client with a cast on the right leg who states, " I have a funny feeling in my right leg."
C. A client with osteomylitis of the spine who states, " I am so nauseous that I can't eat."
D. A client with rheumatoid arthritis who states, " I am having trouble sleeping." - answerB
high priority - answerAirway
Breathing
,Circulaltion
Vital Signs
Second priority - answermental status change
untreated medical problem
acute pain
acute urinary elimination problem
abnormal lab value
risk of infection
cultural consideration hispanic - answerCuranderos use herbs, aromas, and rituals to treat the ills of the
body, mind and spirit.
have a higher rate of diabetes
cultural consideration chinese - answereldest son holds responsibility for family
Control of emotions, restraint, obedience to authority, conforming and "face" are highly valued and
important
balance between hot foods and cold foods
lung (worry), gallbladder/liver (anger), heart (happy), kidney (fear), spleen (desire)
considerations japanese - answerdiabetes, cancer, dementia
muslim consideration - answerfemale/female or male/male for nursing care as they place high value on
modesty
left hand=dirty
what distance should you be from patient when you are conducting interview - answer4-5 feet
ten traps of interviewing - answerfalse assurances
giving unwanted advice
, using authority
using avoidance language
engaging in distancing
using professional jargon
using leading or biased questions
talking too much
interrupting
using why questions
this age uses telegraphic speech so it is best to keep explainations simple - answerpreschooler
this age can tolerate and understand others viewpoints, more objective and realistic, able to reason very
curious - answerschool age
value peers, crave acceptance, think that no adult can understand them - answeradolescent
broca's aphsia - answercan understand language but cannot express it himself nonfluent, dysarthic,
effortful speech
wernickes aphasia - answercan hear sounds but cannot relate them to previous experiences speech is
fluent, effortless and well articulated but has many paraphasias and made up words
subjective data - answer"Lately I just don't feel like myself"
objective data - answerHR=80 BP=125/80 T=38 RR=18
skin feels cool, & clammy etc
interpreter - answerdont use family member
must use trained medical interpreter
