questions and answers/ Exam 1 Health Assessment (Nclex Practice Questions)
2024 with correct questions and answers/ Exam 1 Health Assessment (Nclex
Practice Questions) 2024 with correct questions and answers
A newly admitted patient is in acute pain, has not been sleeping well lately, and
is having difficult breathing. How should the nurse prioritize these problems?
A. Breathing, pain, and sleep
B. Breathing, sleep, and pain
C. Sleep, breathing, pain
D. Sleep, pain, breathing - CORRECT ANSWER-A. Breathing, pain, sleep
The nurse is performing a physical assessment on a newly admitted patient.
Which is an example of objective information obtained during the physical
assessment?
A. Patients history of allergies
B. Patients use of medications at home
C. Last menstrual period 1 month ago
D. 2 x 5 cm scar on the lower right forearm - CORRECT ANSWER-D. 2x5 cm scar
on arm
In which situation is it most appropriate for the nurse to perform a focused or
problem centered history?
A. Patient is admitted to a long term care facility
B. Patient has a sudden and severe shortness of breath
C. Patient is admitted to the hospital for a scheduled surgery
,D. Patient in an outpatient clinic has cold and influenza like symptoms -
CORRECT ANSWER-D. Patient in an outpatient clinic has cold and flu like
symptoms
Which of the following behaviors demonstrated by an individual may be
indicative of hearing loss?
A. Not looking at the examiner when being questions
B. Frequently asking for the question to be repeated
C. Talking in a high pitched voice
D. Speaking slowly with well articulated consonants - CORRECT ANSWER-B.
Frequently asking question to be repeated
A sever deficiency of thyroid hormone leading to non pitting edema, coarse
facial features, dry skin, and dry coarse hair is known as
A. Congenital hypothyroidism
B. Scleroderma
C. Myxedema
D. Hasimoto thyroiditis - CORRECT ANSWER-C. Myxedema
A patient reports excruciating headache pain on one side of his head, especially
around his eye, forehead, and check that has lasted approx. 1/2 to 2 hours,
occurring once or twice each day. What should the nurse suspect?
A. Hypertension
, B. Cluster headaches
C. Tension headaches
D. Migraine headaches - CORRECT ANSWER-B. Cluster headaches
A patient's thyroid gland is enlarged, and the nurse is preparing to auscultation
the thyroid gland for the presence of a bruit. What technique should the nurse
use to assess for a bruit.
A. Palpate the thyroid while patient is swallowing
B. Auscultation the thyroid with the bell of the stethoscope
C. Palpate the thyroid while the patient holds their breath
D. Auscultation the thyroid with the diaphragm of the stethoscope - CORRECT
ANSWER-B. Auscultate the thyroid with the bell of the stethoscope
When assessing the pupillary light reflex, the nurse should use which technique?
A. Shine penlight from directly in front of the patient, and inspect for pupillary
constriction.
B. Ask patient to follow the penlight in each directions, and observe for bilateral
pupil constriction.
C. Shine a light across the pupil from the side, and observe for direct and
consensual pupillary constriction.
Which of the following is an example of objective data?
Dizziness
An earache