Health Assessment Exam 2 PRACTICE QUESTIONS
NSG3160 (Neuro Mental Status Substance Use Pain HEENT
Eyes Ears Nose Mouth Throat Skin Hair Nails) Questions
Questions With Complete Solutions
A 19-year-old woman comes to the clinic at the insistence of her
brother. She is wearing black combat boots and a black lace
nightgown over the top of her other clothes. Her hair is dyed
pink with black streaks throughout. She has several pierced
holes in her nares and ears and is wearing an earring through her
eyebrow and heavy black makeup. Which is an appropriate
conclusion for the nurse draw?
A She is only trying to shock people and that her dress should be
ignored.
B She has a manic syndrome because of her abnormal dress and
grooming.
C She probably does not have any problems.
D More information should be gathered to decide whether her
dress is appropriate. Correct Answers D More information
should be gathered to decide whether her dress is appropriate.
A 20-year-old construction worker has been brought into the
emergency department with heat stroke. He has delirium as a
result of a fluid and electrolyte imbalance. When conducting the
mental status examination for this patient, what should the nurse
assess first?
,A Memory and affect
B Level of consciousness
C Cognitive abilities
D Affect and mood Correct Answers B Level of consciousness
A 21-year-old patient has a head injury resulting from trauma
and is unconscious. There are no other injuries. During the
assessment what would the nurse expect to find when testing the
patient's deep tendon reflexes?
A Reflexes will be normal.
B Some reflexes will be present, depending on the area of
injury.
C Reflexes cannot be elicited.
D All reflexes will be diminished but present. Correct Answers
A Reflexes will be normal.
A 22-year-old woman comes to the clinic because of severe
sunburn and states, "I was out in the sun for just a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class?
A Nonsteroidal anti-inflammatory drugs for pain
B Tetracyclines for acne
C Proton pump inhibitors for heartburn
D Thyroid replacement hormone for hypothyroidism Correct
Answers B Tetracyclines for acne
A 30-year-old female patient is describing feelings of
hopelessness and depression. She has attempted self-mutilation
and has a history of suicide attempts. She describes difficulty
,sleeping at night and has lost 10 pounds in the past month.
Which of these statements or questions is the nurse's best
response in this situation?
A "Are you feeling so hopeless that you feel like hurting
yourself now?"
B "People often feel hopeless, but the feelings resolve within a
few weeks."
C "How do other people treat you?"
D "Do you have a weapon?" Correct Answers A "Are you
feeling so hopeless that you feel like hurting yourself now?"
A 4-year-old boy is brought to the emergency department by his
mother. She says he points to his stomach and says, "It hurts so
bad." Which pain assessment tool would be the best choice
when assessing this child's pain?
A Numeric rating scale
B Descriptor scale
C Brief pain inventory
D Faces Pain Scale—Revised (FPS-R) Correct Answers D
Faces Pain Scale—Revised (FPS-R)
A 42-year-old woman states that she has noticed several small,
slightly raised, bright red dots on her chest. On examination, the
nurse confirms the presence of these "dots." How should the
nurse document these findings?
, A Scleroderma
B Anasarca
C Latent myeloma
D Senile angiomas Correct Answers D Senile angiomas
A 45-year-old woman is at the clinic for a mental status
assessment. Which describes the expecting findings on the Four
Unrelated Words Test?
A Recalls four unrelated words after a 60-minute delay
B Recalls four unrelated words after a 30-minute delay
C Invents four unrelated words within 5 minutes
D Invents four unrelated words within 30 seconds Correct
Answers B Recalls four unrelated words after a 30-minute delay
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A Complete neurologic examination
B Glasgow Coma Scale
C Screening neurologic examination
D Neurologic recheck examination Correct Answers A
Complete neurologic examination
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A Glasgow Coma Scale
B Complete neurologic examination
NSG3160 (Neuro Mental Status Substance Use Pain HEENT
Eyes Ears Nose Mouth Throat Skin Hair Nails) Questions
Questions With Complete Solutions
A 19-year-old woman comes to the clinic at the insistence of her
brother. She is wearing black combat boots and a black lace
nightgown over the top of her other clothes. Her hair is dyed
pink with black streaks throughout. She has several pierced
holes in her nares and ears and is wearing an earring through her
eyebrow and heavy black makeup. Which is an appropriate
conclusion for the nurse draw?
A She is only trying to shock people and that her dress should be
ignored.
B She has a manic syndrome because of her abnormal dress and
grooming.
C She probably does not have any problems.
D More information should be gathered to decide whether her
dress is appropriate. Correct Answers D More information
should be gathered to decide whether her dress is appropriate.
A 20-year-old construction worker has been brought into the
emergency department with heat stroke. He has delirium as a
result of a fluid and electrolyte imbalance. When conducting the
mental status examination for this patient, what should the nurse
assess first?
,A Memory and affect
B Level of consciousness
C Cognitive abilities
D Affect and mood Correct Answers B Level of consciousness
A 21-year-old patient has a head injury resulting from trauma
and is unconscious. There are no other injuries. During the
assessment what would the nurse expect to find when testing the
patient's deep tendon reflexes?
A Reflexes will be normal.
B Some reflexes will be present, depending on the area of
injury.
C Reflexes cannot be elicited.
D All reflexes will be diminished but present. Correct Answers
A Reflexes will be normal.
A 22-year-old woman comes to the clinic because of severe
sunburn and states, "I was out in the sun for just a couple of
minutes." The nurse begins a medication review with her,
paying special attention to which medication class?
A Nonsteroidal anti-inflammatory drugs for pain
B Tetracyclines for acne
C Proton pump inhibitors for heartburn
D Thyroid replacement hormone for hypothyroidism Correct
Answers B Tetracyclines for acne
A 30-year-old female patient is describing feelings of
hopelessness and depression. She has attempted self-mutilation
and has a history of suicide attempts. She describes difficulty
,sleeping at night and has lost 10 pounds in the past month.
Which of these statements or questions is the nurse's best
response in this situation?
A "Are you feeling so hopeless that you feel like hurting
yourself now?"
B "People often feel hopeless, but the feelings resolve within a
few weeks."
C "How do other people treat you?"
D "Do you have a weapon?" Correct Answers A "Are you
feeling so hopeless that you feel like hurting yourself now?"
A 4-year-old boy is brought to the emergency department by his
mother. She says he points to his stomach and says, "It hurts so
bad." Which pain assessment tool would be the best choice
when assessing this child's pain?
A Numeric rating scale
B Descriptor scale
C Brief pain inventory
D Faces Pain Scale—Revised (FPS-R) Correct Answers D
Faces Pain Scale—Revised (FPS-R)
A 42-year-old woman states that she has noticed several small,
slightly raised, bright red dots on her chest. On examination, the
nurse confirms the presence of these "dots." How should the
nurse document these findings?
, A Scleroderma
B Anasarca
C Latent myeloma
D Senile angiomas Correct Answers D Senile angiomas
A 45-year-old woman is at the clinic for a mental status
assessment. Which describes the expecting findings on the Four
Unrelated Words Test?
A Recalls four unrelated words after a 60-minute delay
B Recalls four unrelated words after a 30-minute delay
C Invents four unrelated words within 5 minutes
D Invents four unrelated words within 30 seconds Correct
Answers B Recalls four unrelated words after a 30-minute delay
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A Complete neurologic examination
B Glasgow Coma Scale
C Screening neurologic examination
D Neurologic recheck examination Correct Answers A
Complete neurologic examination
A 50-year-old woman is in the clinic for weakness in her left
arm and leg that she has noticed for the past week. The nurse
should perform which type of neurologic examination?
A Glasgow Coma Scale
B Complete neurologic examination
