HEALTH ASSESSMENT FINAL EXAM (NCLEX-STYLE QUESTIONS)
QUESTIONS AND ANSWERS 20025 100% VERIFIED GRADED A+
The divisions of the spinal vertebrae include:
A. cervical, thoracic, scaphoid, sacral, and clavicular
B. scapular, clavicular, lumbar, scaphoid, and fasciculi
C. cervical, thoracic, lumbar, sacral, and coccygeal
D. cervical, lumbar, iliac, synovial, and capsular - ANS>> C
A nurse is caring for a patient with hypersomnia. Which of the following is LEAST LIKELY to be a
causative factor?
A. Depression
B. Sleep Apnea
C. Eating Disorder
D. Alcohol Abuse - ANS>> C
A confused patient is put to bed with the bed in the highest position and all side rails down. The patient
then falls out of bed and breaks a hip. What law has been broken?
A. Battery
B. Assault
C. Civil Tort
D. Negligence - ANS>> D
The nurse is obligated to follow the physician's order, unless
A. The order is an error, violates hospital policy, or would injure the client
B. The order is a verbal order
,C. The order has not been transcribed into the medical record yet
D. The physician's handwriting is messy - ANS>> A
When signing a form as a witness, your signature shows that the client
A. Was free to sign without pressure
B. Has signed that form and you saw it being done
C. Was awake and fully alert, and not medicated with any narcotics
D. Is fully informed and aware of all potential consequences - ANS>> A
Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that defines the Nurse
Practice Act (NPA)
B. Criminal law creates boards that pass rules and regulations to control safety
C. Regulatory law includes prevention of harm for the public and punishment for those laws that are
broken
D. Common law protects the rights of the individual within society for fair and equal treatment - ANS>>
A
Nurses need to consider what regarding bed side rails with confused patients?
A. They will prevent the patient from wandering
B. Prior falls out of bed are insignificant, because they likely didn't have side rails at home
C. Alternative measures to raising all the side rails are usually insufficient
D. Smaller patients are at increased risk for injury from entrapment - ANS>> D
A student nurse is explaining pressure ulcers to her classmates. Which statement indicates a need for
further teaching?
, A. "Pressure ulcers are considered never events in hospitals"
B. "Pressure ulcers are staged on a 1-4 scale"
C. "Patients on bedrest are at a higher risk for developing a pressure ulcer"
D. "Patients with a lower Braden score are at a lower risk for pressure ulcers" - ANS>> D
The nurse performs a skin assessment and notices jaundiced skin and yellow sclera. What does this
indicate?
A. Dehydration
B. Malnutrition or Undernutrition
C. Liver Function Problem
D. Poor Oxygenation - ANS>> C
A nursing instructor is teaching a class about domestic violence. Which information should she include
when outlining assessment findings indicating possible child abuse? (Select all that apply)
A. Bruising in atypical places
B. Uncomfortable/awkward parent-child interaction
C. Bruising in immobile children
D. Signs of malnutrition - ANS>> A, C, D
A nurse is performing an initial assessment on her patient. Which factor places the patient at a higher
risk for falls?
A. Use of glasses for reading
B. Use of pain medication
C. Generalized musculoskeletal weakness
D. Diagnosis of heart failure - ANS>> C
QUESTIONS AND ANSWERS 20025 100% VERIFIED GRADED A+
The divisions of the spinal vertebrae include:
A. cervical, thoracic, scaphoid, sacral, and clavicular
B. scapular, clavicular, lumbar, scaphoid, and fasciculi
C. cervical, thoracic, lumbar, sacral, and coccygeal
D. cervical, lumbar, iliac, synovial, and capsular - ANS>> C
A nurse is caring for a patient with hypersomnia. Which of the following is LEAST LIKELY to be a
causative factor?
A. Depression
B. Sleep Apnea
C. Eating Disorder
D. Alcohol Abuse - ANS>> C
A confused patient is put to bed with the bed in the highest position and all side rails down. The patient
then falls out of bed and breaks a hip. What law has been broken?
A. Battery
B. Assault
C. Civil Tort
D. Negligence - ANS>> D
The nurse is obligated to follow the physician's order, unless
A. The order is an error, violates hospital policy, or would injure the client
B. The order is a verbal order
,C. The order has not been transcribed into the medical record yet
D. The physician's handwriting is messy - ANS>> A
When signing a form as a witness, your signature shows that the client
A. Was free to sign without pressure
B. Has signed that form and you saw it being done
C. Was awake and fully alert, and not medicated with any narcotics
D. Is fully informed and aware of all potential consequences - ANS>> A
Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that defines the Nurse
Practice Act (NPA)
B. Criminal law creates boards that pass rules and regulations to control safety
C. Regulatory law includes prevention of harm for the public and punishment for those laws that are
broken
D. Common law protects the rights of the individual within society for fair and equal treatment - ANS>>
A
Nurses need to consider what regarding bed side rails with confused patients?
A. They will prevent the patient from wandering
B. Prior falls out of bed are insignificant, because they likely didn't have side rails at home
C. Alternative measures to raising all the side rails are usually insufficient
D. Smaller patients are at increased risk for injury from entrapment - ANS>> D
A student nurse is explaining pressure ulcers to her classmates. Which statement indicates a need for
further teaching?
, A. "Pressure ulcers are considered never events in hospitals"
B. "Pressure ulcers are staged on a 1-4 scale"
C. "Patients on bedrest are at a higher risk for developing a pressure ulcer"
D. "Patients with a lower Braden score are at a lower risk for pressure ulcers" - ANS>> D
The nurse performs a skin assessment and notices jaundiced skin and yellow sclera. What does this
indicate?
A. Dehydration
B. Malnutrition or Undernutrition
C. Liver Function Problem
D. Poor Oxygenation - ANS>> C
A nursing instructor is teaching a class about domestic violence. Which information should she include
when outlining assessment findings indicating possible child abuse? (Select all that apply)
A. Bruising in atypical places
B. Uncomfortable/awkward parent-child interaction
C. Bruising in immobile children
D. Signs of malnutrition - ANS>> A, C, D
A nurse is performing an initial assessment on her patient. Which factor places the patient at a higher
risk for falls?
A. Use of glasses for reading
B. Use of pain medication
C. Generalized musculoskeletal weakness
D. Diagnosis of heart failure - ANS>> C
