Advanced Physical Assessment Exam 2 (NP
Assessment) (2025/2026 Edition) – Real
Exam Questions & Correctly Solved Answers
(100% Pass) – Chamberlain College of
Nursing
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CHAPTER 6
1. The nurse is preparing to assess the remote memory of a client who has a diagnosis of early
stage Alzheimer's disease. Which question would be most appropriate for the nurse to use?
A) Can you tell me what you have eaten in the last 24 hours?
B)When did you get your first job?
C)What did you do last evening?
D)How are an apple and orange the same?
Answer B
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2. When assessing the mental status of a 67-year-old woman, the nurse detects some difficulty
with free-flow of thought and the woman's ability to follow directions. Which of the following
would the nurse do first?
A) Use a Geriatric Depression Scale.
B) Refer for further medical evaluation.
C) Assess the client's vision and hearing.
D) Refer the client to social services for home assistance.
Answer C
3. The nurse utilizes the Depression Questionnaire on a client who has recently moved to a long-
term care facility. The total score is 22. Which of the following would be most appropriate for
the nurse to do next?
A) Refer for further evaluation.
B) Evaluate benefits versus risks of a mental health label.
C) Assess further for dementia.
D) Document this as a normal score.
Answer A
4. The nurse notes that an older adult client is wearing multiple layers of clothing on a warm fall
day. Which of the following would be the nurse's priority assessment at this time?
A) Asking whether the client often feels cold
B) Assessing the client's developmental level
C) Reviewing the client's culture for possible influence
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D) Observing the client's overall hygiene
Answer A
5. A nurse is working in a clinic in a low-income neighborhood and assesses a female adult client
who states that she has a urinary tract infection. The nurse notes that the client is unkempt,
wearing stained clothing, and has a strong body odor. The client mentions that she was evicted
from her apartment two weeks ago. Which nursing diagnosis would the nurse most likely
identify for this client?
A) Caregiver role strain related to fatigue
B) Impaired skin integrity related to neurologic deficits
C) Deficient fluid volume related to possible urinary tract infection
D) Self-care deficit related to possible homelessness
Answer D
6. When preparing to obtain information about a client's mental and psychosocial status, which
of the following would the nurse need to do first?
A) Question the patient about his or her usual lifestyle and behaviors.
B) Perform a neurologic examination to determine any deficits.
C) Check the client's level of consciousness for changes.
D) Explain the purpose of the exam and types of questions.
Answer D
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7. A nursing student has been assigned to the care of a client whose history suggests the need for
a mental status assessment. This client most likely has a history of health problems affecting
what body system?
A) Respiratory
B) Neurologic
C) Cardiovascular
D) Renal
Answer B
8. The nurse begins the physical examination of a newly admitted client by assessing the client's
mental status. What is the nurse's best rationale for performing the mental status exam early in
the assessment?
A) The client will be less anxious early, providing the nurse with more accurate and
reliable data.
B) The exam can provide clues about the validity of the client's responses now and
throughout.
C) The exam provides data about mental health problems that the client may be afraid
to report.
D) The client's fears about having a serious illness may be alleviated by the results of
the exam.
Answer B
9. A client's recent episode of becoming lost near his home has prompted the nurse to use the
Saint Louis University Mental Status (SLUMS) Assessment Tool. The nurse should begin this
assessment by asking what question?
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