HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A common error in blood pressure measurement is:
A. taking the blood pressure in an arm that is at the level of the heart.
B. waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.
C. deflating the cuff about 2 mm Hg per heartbeat.
D. using a blood pressure cuff whose bladder length is 80% of the arm circumference. - ansB
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm will result
in a falsely high diastolic pressure related to venous congestion in the forearm.
The patient's arm should be positioned at the level of the heart when obtaining a blood pressure
measurement.
The cuff should be deflated at a rate of 2 mm Hg per heartbeat.
The blood pressure cuff bladder length should be about 80% of the arm circumference.
A complete database is:
A. used to collect data rapidly and is often compiled concurrently with lifesaving measures.
B. used for a limited or short-term problem usually consisting of one problem, one cue complex, or one
body system.
C. used to evaluate the cause or etiology of disease.
D. used to perform a thorough or comprehensive health history and physical examination. - ansD
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a baseline against which all future changes can be measured.
An emergency database is rapid collection of data often obtained concurrently with lifesaving measures.
An episodic database is for a limited or short-term problem; this database concerns mainly one problem,
one cue complex, or one body system.
Medical diagnoses are used to evaluate the cause or etiology of disease.
,HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A flat macular hemorrhage is called a(n):
A. purpura.
B. ecchymosis.
C. petechiae.
D. hemangioma. - ansA
Purpura is a flat, macular, red-to-purple hemorrhage that is a confluent and extensive patch of petechiae
and ecchymoses greater than 3 mm.
An ecchymosis is a hemorrhage that is greater than 3 mm.
Petechiae are tiny punctate hemorrhages that are 1 to 3 mm; round and discrete; and dark red, purple,
or brown caused by bleeding from superficial capillaries.
Hemangiomas are vascular lesions caused by a benign proliferation of blood vessels in the dermis.
A funduscopic examination is an examination of the:
A. inner ear.
B. pharynx.
C. internal structures of the eye.
D. nasal turbinates. - ansA
An ophthalmoscope is used for a funduscopic examination, which is an examination of the internal
structures of the eye.
An otoscope is used to visualize the ear canal and tympanic membrane.
A flashlight or penlight and tongue depressor are used to examine the pharynx.
An otoscope may also be used with a short, broad speculum to view the nasal turbinates and nares.
A medical diagnosis is used to evaluate:
,HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A. a person's state of health.
B. the response of the whole person to actual or potential health problems.
C. a person's culture.
D. the cause of disease. - ansD.
Medical diagnoses are used to evaluate the cause or etiology of disease.
Nursing diagnoses are clinical judgments about a person's response to an actual or potential health
state.
Nursing diagnoses are used to evaluate the response of the whole person to actual or potential health
problems.
The holistic model of health care is used in nursing, and culture is an important factor to consider in a
nursing assessment.
A nursing diagnosis is best described as:
A. a determination of the etiology of disease.
B. a pattern of coping.
C. an individual's perception of health.
D. a concise statement of actual or potential health concerns or level of wellness. - ansD
Nursing diagnoses are clinical judgments about a person's response to an actual or potential health
state.
Medical diagnoses determine the cause or etiology of disease.
Coping patterns include methods to relieve stress.
Health perception is how the person describes and defines personal health.
A patient admitted to the hospital with asthma has the following problems identified based on an
admission health history and physical assessment. Which problem is a first-level priority?
, HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A. Ineffective self-health management
B. Risk for infection
C. Impaired gas exchange
D. Readiness for enhanced spiritual well-being - ansC
First-level priority problems are problems that are emergent, life-threatening, and immediate. Impaired
gas exchange is an emergent and immediate problem.
Third-level priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Ineffective self-health management is an
example of a third-level priority.
Second-level priority problems are problems that are next in urgency; these problems require prompt
intervention to forestall further deterioration. Risk for infection is an example of a second-level priority.
Third-level priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Wellness diagnoses are third-level priority
problems.
A patient is admitted to the emergency department after a motor vehicle accident. The trachea is
deviated to the left side. This finding is characteristic of:
A right pneumothorax.
B aortic arch aneurysm.
C right pleural adhesion.
D right-sided atelectasis. - ansA
The trachea is normally midline; with a right pneumothorax, the trachea is deviated to the unaffected
side (left).
The trachea is pulled downward with systole of an aortic arch aneurysm.
With a large right-sided pleural adhesion, the trachea is deviated to the affected side (right).
With a large right-sided atelectasis, the trachea is deviated to the affected side (right).
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A common error in blood pressure measurement is:
A. taking the blood pressure in an arm that is at the level of the heart.
B. waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm.
C. deflating the cuff about 2 mm Hg per heartbeat.
D. using a blood pressure cuff whose bladder length is 80% of the arm circumference. - ansB
Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm will result
in a falsely high diastolic pressure related to venous congestion in the forearm.
The patient's arm should be positioned at the level of the heart when obtaining a blood pressure
measurement.
The cuff should be deflated at a rate of 2 mm Hg per heartbeat.
The blood pressure cuff bladder length should be about 80% of the arm circumference.
A complete database is:
A. used to collect data rapidly and is often compiled concurrently with lifesaving measures.
B. used for a limited or short-term problem usually consisting of one problem, one cue complex, or one
body system.
C. used to evaluate the cause or etiology of disease.
D. used to perform a thorough or comprehensive health history and physical examination. - ansD
A complete database includes a complete health history and a full physical examination; it describes the
current and past health state and forms a baseline against which all future changes can be measured.
An emergency database is rapid collection of data often obtained concurrently with lifesaving measures.
An episodic database is for a limited or short-term problem; this database concerns mainly one problem,
one cue complex, or one body system.
Medical diagnoses are used to evaluate the cause or etiology of disease.
,HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A flat macular hemorrhage is called a(n):
A. purpura.
B. ecchymosis.
C. petechiae.
D. hemangioma. - ansA
Purpura is a flat, macular, red-to-purple hemorrhage that is a confluent and extensive patch of petechiae
and ecchymoses greater than 3 mm.
An ecchymosis is a hemorrhage that is greater than 3 mm.
Petechiae are tiny punctate hemorrhages that are 1 to 3 mm; round and discrete; and dark red, purple,
or brown caused by bleeding from superficial capillaries.
Hemangiomas are vascular lesions caused by a benign proliferation of blood vessels in the dermis.
A funduscopic examination is an examination of the:
A. inner ear.
B. pharynx.
C. internal structures of the eye.
D. nasal turbinates. - ansA
An ophthalmoscope is used for a funduscopic examination, which is an examination of the internal
structures of the eye.
An otoscope is used to visualize the ear canal and tympanic membrane.
A flashlight or penlight and tongue depressor are used to examine the pharynx.
An otoscope may also be used with a short, broad speculum to view the nasal turbinates and nares.
A medical diagnosis is used to evaluate:
,HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A. a person's state of health.
B. the response of the whole person to actual or potential health problems.
C. a person's culture.
D. the cause of disease. - ansD.
Medical diagnoses are used to evaluate the cause or etiology of disease.
Nursing diagnoses are clinical judgments about a person's response to an actual or potential health
state.
Nursing diagnoses are used to evaluate the response of the whole person to actual or potential health
problems.
The holistic model of health care is used in nursing, and culture is an important factor to consider in a
nursing assessment.
A nursing diagnosis is best described as:
A. a determination of the etiology of disease.
B. a pattern of coping.
C. an individual's perception of health.
D. a concise statement of actual or potential health concerns or level of wellness. - ansD
Nursing diagnoses are clinical judgments about a person's response to an actual or potential health
state.
Medical diagnoses determine the cause or etiology of disease.
Coping patterns include methods to relieve stress.
Health perception is how the person describes and defines personal health.
A patient admitted to the hospital with asthma has the following problems identified based on an
admission health history and physical assessment. Which problem is a first-level priority?
, HEALTH ASSESSMENT NCLEX QUESTIONS AND
ANSWERS LATEST 2025 VERSION VERIFIED
RATIONALE GRADED A+
A. Ineffective self-health management
B. Risk for infection
C. Impaired gas exchange
D. Readiness for enhanced spiritual well-being - ansC
First-level priority problems are problems that are emergent, life-threatening, and immediate. Impaired
gas exchange is an emergent and immediate problem.
Third-level priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Ineffective self-health management is an
example of a third-level priority.
Second-level priority problems are problems that are next in urgency; these problems require prompt
intervention to forestall further deterioration. Risk for infection is an example of a second-level priority.
Third-level priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Wellness diagnoses are third-level priority
problems.
A patient is admitted to the emergency department after a motor vehicle accident. The trachea is
deviated to the left side. This finding is characteristic of:
A right pneumothorax.
B aortic arch aneurysm.
C right pleural adhesion.
D right-sided atelectasis. - ansA
The trachea is normally midline; with a right pneumothorax, the trachea is deviated to the unaffected
side (left).
The trachea is pulled downward with systole of an aortic arch aneurysm.
With a large right-sided pleural adhesion, the trachea is deviated to the affected side (right).
With a large right-sided atelectasis, the trachea is deviated to the affected side (right).
