AND ANSWERS VERIFIED GRADED A
1. A nurse is caring for a client who asks about how their privacy will be protected. Which of
the following is an appropriate response?
a. "I will provide their information to anyone who requests it."
b. "I will make sure my password is the same one I use for everything else."
c. "I will talk to my friends about the client to get advice."
d. "I will log off the computer in between seeing clients."
Answer: d
,Rationale: Logging off between clients prevents unauthorized access to personal health
information, in accordance with HIPAA. Leaving a screen open could lead to a privacy breach.
2. Which factors affect health promotion and disease prevention throughout the lifespan?
a. Genetics, gender, and diet only
b. Education and race only
c. Gender, genetics, education, socioeconomic status, ethnicity, lifestyle, chronic
illness/disability, and race
d. Only chronic illness and socioeconomic status
Answer: c
Rationale: Health outcomes are influenced by a variety of factors, including both biological and
social determinants of health.
3. Which of the following are components of a functional assessment? (Select all that apply)
a. Vision and hearing
b. Mobility
c. Continence
d. Nutrition
e. Activities of Daily Living (ADLs) and Instrumental ADLs (IADLs)
Answer: a, b, c, d, e
Rationale: Functional assessments cover physical, cognitive, and psychosocial factors. All these
elements contribute to evaluating a person’s ability to function independently.
4. What is key to understanding cultural diversity in healthcare?
a. Learning all major world religions
b. Memorizing dietary restrictions of different cultures
c. Being self-aware and understanding your own culture
d. Asking patients to conform to the dominant culture
Answer: c
Rationale: Self-awareness helps nurses recognize bias and provide respectful, culturally
sensitive care.
5. What does the acronym FICA stand for in spiritual assessment?
a. Faith, Inspiration, Culture, Affiliation
b. Faith, Importance, Community, Address/Action
c. Fellowship, Introspection, Care, Advocacy
,d. Focus, Identity, Comfort, Awareness
Answer: b
Rationale: FICA is used to explore a patient’s spiritual beliefs and how they influence care.
6. What should be assessed during a cultural assessment?
a. Only language and religion
b. Only dietary restrictions and health practices
c. Heritage, health practices, communication, family roles, nutrition, pregnancy,
spirituality/religion, death, and provider roles
d. Only beliefs about medication and treatment
Answer: c
Rationale: A comprehensive cultural assessment helps ensure respectful and effective care.
7. Which of the following is an example of referred pain?
a. Pain from a paper cut
b. Pain from a broken bone
c. Pain from appendicitis
d. Left arm pain during a heart attack
Answer: d
Rationale: Referred pain occurs when pain is felt at a different location than its source, such as
arm pain during an MI.
8. A patient says, "Please get me something to relieve this pain." What should the nurse do
first?
a. Check for a medication order and give meds immediately
b. Assess pain, ask what helps, give meds, and reassess
c. Use a 0–10 scale and give meds based on number only
d. Reposition the patient and reassess later
Answer: b
Rationale: Effective pain management starts with a thorough assessment, involves the patient,
and requires reassessment.
9. Pain is always:
a. Objective
b. Visible
c. Subjective
, d. Diagnosable by imaging
Answer: c
Rationale: Pain is what the patient says it is; it cannot be measured objectively.
10. A patient says pain improves with massage and cold. Which PQRST component does this
reflect?
a. Severity Scale
b. Quality
c. Region
d. Provocation/Palliation
Answer: d
Rationale: The patient is describing what makes the pain better, which is the
Provocation/Palliation component.
11. What are the stages of edema?
a. 1+ mild, 2+ moderate, 3+ deep, 4+ very deep
b. Stage 1, Stage 2, Stage 3, Stage 4
c. Mild, Moderate, Severe, Critical
d. Soft, Firm, Hard, Rigid
Answer: a
Rationale: Edema is graded 1+ to 4+ based on depth and duration of indentation.
12. Which of the following are components of a head-to-toe skin assessment? (Select all that
apply)
a. Temperature and skin turgor
b. Edema and pulses
c. Capillary refill
d. Inspection for lesions or tattoos
Answer: a, b, c, d
Rationale: A complete skin assessment includes visual, tactile, and circulatory checks.
13. Which cranial nerve is tested when a patient clenches their jaw and responds to facial
touch?
a. CN VII
b. CN V (trigeminal)
c. CN IX