EXAM 1 PRACTICE TEST QUESTIONS AND ANSWERS | LATEST
UPDATE 2026/2027 | GRADED A+.
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - CORRECT ANSWER-C
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items - CORRECT ANSWER-B
Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you
notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It
sounds like a triplet rather than the usual "lub dup." How would you document your
examination?
A) Regular rate and rhythm
B) Irregularly irregular rhythm
C) Regularly irregular rhythm
D) Bradycardia - CORRECT ANSWER-C
The nurse is performing a general survey. Which action is a component of the general survey?
A Observing the patients body stature and nutritional status
B Interpreting the subjective information the patient has reported
C Measuring the patients temperature, pulse, respirations, and blood pressure
,D Observing specific body systems while performing the physical assessment - CORRECT
ANSWER-A When measuring a patients weight, the nurse is aware of which of these
guidelines?
A The patient is always weighed wearing only his or her undergarments. B The
type of scale does not matter, as long as the weights are similar from day to day.
c The patient may leave on his or her jacket and shoes as long as these are documented
next to the weight.
D Attempts should be made to weigh the patient at approximately the same time
of day, if a sequence of weights is necessary. - CORRECT ANSWER-D
During an examination of a child, the nurse considers that physical growth is the best index of
a childs:
a General health.
B Genetic makeup.
C Nutritional status.
D Activity and exercise patterns. - CORRECT ANSWER-A
A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32
cm. Based on the interpretation of these findings, the nurse would: a Refer the infant to a
physician for further evaluation.
B Consider these findings normal for a 1-month-old infant.
C Expect the chest circumference to be greater than the head circumference.
D Ask the parent to return in 2 weeks to re-evaluate the head and chest
circumferences. - CORRECT ANSWER-B
The nurse is assessing an 80-year-old male patient. Which assessment findings would be
considered normal?
a Increase in body weight from his younger years b Additional deposits of
fat on the thighs and lower legs c Presence of kyphosis and flexion in the
knees and hips d Change in overall body proportion, including a longer
trunk and shorter extremities - CORRECT ANSWER-C
,The nurse should measure rectal temperatures in which of these patients?
a School-age child b Older adult c Comatose adult d Patient
receiving oxygen by nasal cannula - CORRECT ANSWER-C
A patients weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg
and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood
pressure falls within which blood pressure category?
A Normal blood pressure
B Prehypertension
C Stage 1 hypertension
D Stage 2 hypertension - CORRECT ANSWER-B
The nurse is preparing to measure the length, weight, chest, and head circumference of a 6-
month-old infant. Which measurement technique is correct?
a Measuring the infants length by using a tape measure b Weighing the
infant by placing him or her on an electronic standing scale c Measuring the
chest circumference at the nipple line with a tape measure
d Measuring the head circumference by wrapping the tape measure over the nose and cheekbones -
CORRECT ANSWER-C
The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that:
a Rapid measurement is useful for uncooperative younger children.
b Using the TMT is the most accurate method for measuring body temperature in newborn
infants.
c Measuring temperature using the TMT is inexpensive.
d Studies strongly support the use of the TMT in children under the age 6 years. - CORRECT
ANSWER-A
When assessing an older adult, which vital sign changes occur with aging?
A Increase in pulse rate
, B Widened pulse pressure C Increase in body temperature d Decrease in
diastolic blood pressure - CORRECT ANSWER-B
When evaluating the temperature of older adults, the nurse should remember which aspect
about an older adults body temperature?
A The body temperature of the older adult is lower than that of a younger adult. B
An older adults body temperature is approximately the same as that of a young
child.
C Body temperature depends on the type of thermometer used.
D In the older adult, the body temperature varies widely because of less effective heat
control mechanisms. - CORRECT ANSWER-A
A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen
today in the clinic for an unexplained weight loss of 10 pounds over the last 6 weeks. The nurse
knows that:
a Weight loss is probably the result of unhealthy eating habits.
B Chronic diseases such as hypertension cause weight loss.
C Unexplained weight loss often accompanies short-term illnesses.
D Weight loss is probably the result of a mental health dysfunction. - CORRECT ANSWER-C
When assessing a 75-year-old patient who has asthma, the nurse notes that he assumes a
tripod position, leaning forward with arms braced on the chair. On the basis of this observation,
the nurse should: a Assume that the patient is eager and interested in participating in the
interview. B Evaluate the patient for abdominal pain, which may be exacerbated in the
sitting position.
C Assume that the patient is having difficulty breathing and assist him to a
supine position.
D Recognize that a tripod position is often used when a patient is having
respiratory difficulties. - CORRECT ANSWER-D