NURSING ASSESSMENT ACTUAL EXAM
QUESTIONS WITH 100% CORRECT ANSWERS
Which info will the nurse elicit to help arrive at the probable cause when a patient is
reporting severe abdominal pain in the right iliac region?
Some questions about the digestive system
Which type of question is used when starting the assessment of a patient?
Open-ended
Which interview technique is the nurse using when asking "What else is bothering you?"
when collecting the history of a patient who reports shortness of air?
Probing
Which pattern will the nurse not include as a functional pattern in Gordon's model?
Dependence-Independence pattern
Which individual is identified by the nurse as the primary source of info when a 26-year-
old female is found unconscious by her mother at home and is transported to the hospital
by ambulance followed the the mother and her 1 yr old daughter?
mother
Which pattern of Gordon's functional health pattern is the nurse assessing when
questioning about bowel movements, urine output, and sweating in a patient admitted to
the hospital for severe dehydration?
Elimination pattern
Which health pattern describes the patient's spiritual attitude according to Gordon's
model?
Value-belief pattern
Which action will the nurse take when the patient's caregiver asks to view the patient's
medical records?
Politely tell the caregiver that disclosing the medical records to others is not in accordance with
the law
Which action indicates the need for further instruction regarding gathering info from and
elderly patient?
Sitting straight in the chair while taking with the patient
Which question will the nurse ask to strengthen the connection with a postoperative
patient?
, Tell me, how are you managing your pain at home?
Which assessment finding will the nurse document as the precipitating factor in a patient
with arthritis whose knee pain is worse during rest and climbing stairs but improves when
the patient is walking and with ibuprofen and acetaminophen for pain relief?
Rest, climbing up the stairs
Which stage of the interview consists of the nurse saying, "I have just 2 more question for
you" when assessing a patient with complaints of chest pain?
Terminating the interview
Which action is appropriate when the nurse finds a patient scheduled for an appendectomy
is crying and infers this is because of anxiety?
The nurse validates the inference by asking the patient about the crying behavior
Which type of assessment is the nurse performing when using a finger to apply light
pressure just above the intravenous site and asking the patient if any tenderness is felt after
noting inflammation at the site?
Problem focused
Which action will the nurse take during bedside hand-off at shift change?
share info about the patient's condition
Which response by the nurse is an example of probing when assessing a patient who states
"I've been sick to my stomach for 3 days" and reports vomiting twice the day before?
Is anything else bothering you?
Which question related to the complaint of pain will the nurse ask when caring for a 50 yr
old patient who had his gall bladder removed 2 days previously and is complaining of
discomfort and pain, with some oozing noted from the site of surgery?
Can you show me where exactly the pain is?
Have you turned or moved since last night?
On a scales of 0-10, how severe would you rate this pain?
Which statement is an appropriate open-ended question for the nurse to ask while
assessing a 65 yr old male patient with severe abdominal pain admitted to the hospital?
Describe the nature of your pain
What do you do to relieve this pain?
Tell me what makes the pain worse?
Which approach will the advanced practice nurse use during a routine examination when
assessing a 65 yr old patient with never deafness wearing bilateral hearing aids
QUESTIONS WITH 100% CORRECT ANSWERS
Which info will the nurse elicit to help arrive at the probable cause when a patient is
reporting severe abdominal pain in the right iliac region?
Some questions about the digestive system
Which type of question is used when starting the assessment of a patient?
Open-ended
Which interview technique is the nurse using when asking "What else is bothering you?"
when collecting the history of a patient who reports shortness of air?
Probing
Which pattern will the nurse not include as a functional pattern in Gordon's model?
Dependence-Independence pattern
Which individual is identified by the nurse as the primary source of info when a 26-year-
old female is found unconscious by her mother at home and is transported to the hospital
by ambulance followed the the mother and her 1 yr old daughter?
mother
Which pattern of Gordon's functional health pattern is the nurse assessing when
questioning about bowel movements, urine output, and sweating in a patient admitted to
the hospital for severe dehydration?
Elimination pattern
Which health pattern describes the patient's spiritual attitude according to Gordon's
model?
Value-belief pattern
Which action will the nurse take when the patient's caregiver asks to view the patient's
medical records?
Politely tell the caregiver that disclosing the medical records to others is not in accordance with
the law
Which action indicates the need for further instruction regarding gathering info from and
elderly patient?
Sitting straight in the chair while taking with the patient
Which question will the nurse ask to strengthen the connection with a postoperative
patient?
, Tell me, how are you managing your pain at home?
Which assessment finding will the nurse document as the precipitating factor in a patient
with arthritis whose knee pain is worse during rest and climbing stairs but improves when
the patient is walking and with ibuprofen and acetaminophen for pain relief?
Rest, climbing up the stairs
Which stage of the interview consists of the nurse saying, "I have just 2 more question for
you" when assessing a patient with complaints of chest pain?
Terminating the interview
Which action is appropriate when the nurse finds a patient scheduled for an appendectomy
is crying and infers this is because of anxiety?
The nurse validates the inference by asking the patient about the crying behavior
Which type of assessment is the nurse performing when using a finger to apply light
pressure just above the intravenous site and asking the patient if any tenderness is felt after
noting inflammation at the site?
Problem focused
Which action will the nurse take during bedside hand-off at shift change?
share info about the patient's condition
Which response by the nurse is an example of probing when assessing a patient who states
"I've been sick to my stomach for 3 days" and reports vomiting twice the day before?
Is anything else bothering you?
Which question related to the complaint of pain will the nurse ask when caring for a 50 yr
old patient who had his gall bladder removed 2 days previously and is complaining of
discomfort and pain, with some oozing noted from the site of surgery?
Can you show me where exactly the pain is?
Have you turned or moved since last night?
On a scales of 0-10, how severe would you rate this pain?
Which statement is an appropriate open-ended question for the nurse to ask while
assessing a 65 yr old male patient with severe abdominal pain admitted to the hospital?
Describe the nature of your pain
What do you do to relieve this pain?
Tell me what makes the pain worse?
Which approach will the advanced practice nurse use during a routine examination when
assessing a 65 yr old patient with never deafness wearing bilateral hearing aids