EXAM WITH CORRECT
ANSWERS 2025
During a mental status examination, the nurse wants to assess a patient's
affect. The nurse should ask the patient which question?
A) "How do you feel today?"
B) "Would you please repeat the following words?"
C) "Have these medications had any effect on your pain?"
D) "Has this pain affected your ability to get dressed by ( correct
yourself?" answers )
E) How do you feel today?
The nurse is planning to assess new memory with a patient. The best way
for the nurse to do this would be ( correct answers ) Give him the
Four Unrelated Words Test
A 45 year old woman is at the clinic for a mental status assessment. In
giving her the Four Unrelated Words Test, the nurse would be concerned if
she could not four unrelated words
. ( correct answers ) Recall; after a 30-
minute delay
During a mental status assessment, which question by the nurse would
best assess a person's judgment?
A. "Do you feel that you are being watched, followed, or controlled?"
B. "Tell me what you plan to do once you are discharged from the hospital."
C."What does the statement, 'People in glass houses shouldn't throw
stones,' mean to you?"
D."What would you do if you found a stamped, addressed envelope
lying on the sidewalk?" ( correct answers ) B. "Tell me what you plan
to do once you are
discharged from the hospital."
Which of these individuals would the nurse consider at highest risk
for a suicide attempt?
E. Man who jokes about death
F. Woman who, during a past episode of major depression, attempted
suicide
G.Adolescent who just broke up with her boyfriend and states that she
would like to kill herself
H.Older adult man who tells the nurse that he is going to "join his wife
in heaven" tomorrow and plans to use a gun ( correct answers ) D.
Older adult man who tells
the nurse that he is going to "join his wife in heaven" tomorrow and plans
GRADED
to use a gun
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When reviewing the use of alcohol by older adults, the nurse notes that
older adults have several characteristics that can increase the risk of
alcohol use. Which would
,increase the bioavailability of alcohol in the blood for longer periods in the
older adult? ( correct answers ) Decreased liver and kidney functioning
During an assessment, the nurse asks a female patient, "How many
alcoholic drinks do you have a week?" Which answer by the patient would
indicate at-risk drinking?
( correct answers ) "I
have seven or eight drinks a week, but i never get drunk."
The nurse is asking an adolescent about illicit substance abuse. The
adolescent answers,"Yes, I've used marijuana at parties with my friends."
What is the next question the nurse should ask?( correct answers ) "When
was the last time you used marijuana."
The nurse has completed an assessment on a patient who came to the
clinic for a leg injury. As a result of the assessment, the nurse has
determined that the patient has at- risk alcohol use. Which action by the
nurse is most appropriate at this time?
( correct answers ) State, "You are drinking more than is medically safe. I
strongly recommend that you quit drinking, and I am willing to help you."
A patient is brought to the emergency department. He is restless, is
sweating, has a runny nose and tearing eyes, and complains of muscle
and joint pains. His girlfriend thinks he has influenza, but she became
concerned when his temperature went up to
39.4C. She admits that he has been a heavy drug user, but he has been
trying to stop
on his own. The nurse suspects that the patient is experiencing withdrawal
symptoms from which substance? ( correct answers ) Heroin
Patient taking ipratropium reports nausea, blurred vision, has insomnia
after using the inhaler. RN action to implement ( correct answers )
Withhold medication and report symptoms
A patient has suddenly developed shortness of breath and appears to be in
significant respiratory distress. After calling the physician and placing the
patient on oxygen, which of these actions is best for the nurse to take when
further assessing the patient?
a) Count the patient's respirations.
b) Percuss the thorax bilaterally, noting any differences in percussion tones.
c) Call for a chest x-ray and wait for the results before beginning an
assessment.
d)Inspect the thorax for any new masses and bleeding associated with
respirations. ( correct answers )
b) Percuss the thorax bilaterally, noting any differences in percussion tones.
The nurse is teaching a class on basic assessment skills. Which of these
statements is true regarding the stethoscope and its use?
e) The slope of the earpieces should point posteriorly (toward the occiput).
GRADED
f) The stethoscope does not magnify sound but does block out extraneous
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room noise.
g)The fit and quality of the stethoscope are not as important as its
ability to magnify sound.
, d) The ideal tubing length should be 22 inches to dampen distortion of sound.
( correct answers ) b) The stethoscope does not magnify sound but does
block out extraneous room noise.
The nurse is preparing to use a stethoscope for auscultation. Which
statement is true regarding the diaphragm of the stethoscope? The
diaphragm:
a) The diaphragm is used to listen for high-pitched sounds.
b) The diaphragm is used to listen for low-pitched sounds.
c)The diaphragm should be held lightly against the person's skin to
block out low- pitched
sounds.
d)The diaphragm should be held lightly against the person's skin to listen
for extra heart sounds
and murmurs. ( correct answers ) a) The diaphragm is used to listen for
high-pitched
sounds.
Before auscultating the abdomen for the presence of bowel sounds on a
patient, the nurse should
e)Warm the end piece of the stethoscope by placing it in warm water
f) Leave the gown on so that the patient does not get chilled during the
examination
g) Make sure that the bell side of the stethoscope is
turned to the on position
h) Check the temperature of the room and offer blankets to the patient if he
or she feels cold ( correct answers ) d)Check the temperature of
the room and offer blankets to
the patient if he or she
feels cold
While measuring a patients blood pressure, the nurse recalls that certain
factors, such as , help determine blood pressure.
A. Pulse rate
B. Pulse pressure
C. Vascular output
D.Peripheral vascular resistance ( correct answers )
D. Peripheral vascular resistance
A nurse is helping at a health fair at a local mall. When taking blood
pressures on a variety of people, the nurse keeps in mind that:
A. After menopause, blood pressure in women is usually lower than in
men.
B. A black adult's blood pressure is usually higher than that of whites of
the same age.
C.Blood pressure measurements in overweight people should be the
same as those of normal weight.
D. A teen's blood pressure reading will be lower than that of an adult.
GRADED
( correct
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answers ) B. A black adult's blood pressure is usually higher than that of
whites of the same age.