FUNDAMENTALS OF NURSING AND NURSING
HEALTH ASSESSMENT QUESTION BANK WITH
VERIFIED ANSWERS AND RATIONALES
1. Using the principles of standard precautions, the nurse would wear gloves in what nursing
interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign in an alert client admitted to the hospital with
dehydration secondary to vomiting and diarrhea. What is the best method used to assess the
client’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document
these findings as:
A. Tachypnea
B. Hyperpyrexia
C. Arrhythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide base support when
assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
,5. A client had oral surgery following a motor vehicle accident. The nurse assessing the client
finds the skin flushed and warm. Which of the following would be the best method to take the
client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performing a mouth care, the
best position of a client is:
A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actions ensure the safety of
the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea.
The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being
implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning and providing nursing care for
individual, families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
,D. Implementation
10. Exchange of gases takes place in which of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which is used for temporary
storage of food…
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
13. The ability of the body to defend itself against scientific invading agent such as baceria,
toxin, viruses and foreign body
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of Langerhans
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that focuses the light that enters the eyes to the retina.
, A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in Orem’s theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belongingness
D. Physiologic needs
17. Which of the following cluster of data belong to Maslow’s hierarchy of needs
A. Love and belonging
B. Physiologic needs
C. Self actualization
D. All of the above
18. This is characterized by severe symptoms relatively of short duration.
A. Chronic Illness
B. Acute Illness
C. Pain
D. Syndrome
19. Which of the following is the nurse’s role in the health promotion
A. Health risk appraisal
B. Teach client to be effective health consumer
C. Worksite wellness
D. None of the above
20. It is described as a collection of people who share some attributes of their lives.
A. Family
B. Illness
HEALTH ASSESSMENT QUESTION BANK WITH
VERIFIED ANSWERS AND RATIONALES
1. Using the principles of standard precautions, the nurse would wear gloves in what nursing
interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign in an alert client admitted to the hospital with
dehydration secondary to vomiting and diarrhea. What is the best method used to assess the
client’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document
these findings as:
A. Tachypnea
B. Hyperpyrexia
C. Arrhythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide base support when
assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
,5. A client had oral surgery following a motor vehicle accident. The nurse assessing the client
finds the skin flushed and warm. Which of the following would be the best method to take the
client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performing a mouth care, the
best position of a client is:
A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actions ensure the safety of
the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea.
The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being
implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning and providing nursing care for
individual, families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
,D. Implementation
10. Exchange of gases takes place in which of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which is used for temporary
storage of food…
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
13. The ability of the body to defend itself against scientific invading agent such as baceria,
toxin, viruses and foreign body
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of Langerhans
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that focuses the light that enters the eyes to the retina.
, A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in Orem’s theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belongingness
D. Physiologic needs
17. Which of the following cluster of data belong to Maslow’s hierarchy of needs
A. Love and belonging
B. Physiologic needs
C. Self actualization
D. All of the above
18. This is characterized by severe symptoms relatively of short duration.
A. Chronic Illness
B. Acute Illness
C. Pain
D. Syndrome
19. Which of the following is the nurse’s role in the health promotion
A. Health risk appraisal
B. Teach client to be effective health consumer
C. Worksite wellness
D. None of the above
20. It is described as a collection of people who share some attributes of their lives.
A. Family
B. Illness
