Health Assessment Final Exam (NCLEX-Style
Questions) and correct answer
1. The divisions of the spinal vertebrae include:
A. cervical, thoracic, scaphoid, sacral, and clavicular
B. scapular, clavicular, lumbar, scaphoid, and fasciculi
C. cervical, thoracic, lumbar, sacral, and coccygeal
D. cervical, lumbar, iliac, synovial, and capsular: C
2. A nurse is caring for a patient with hypersomnia. Which of the following is
LEAST LIKELY to be a causative factor?
A. Depression
B. Sleep Apnea
C. Eating Disorder
D. Alcohol Abuse: C
3. A confused patient is put to bed with the bed in the highest position and all
side rails down. The patient then falls out of bed and breaks a hip. What law
has been broken?
A. Battery
B. Assault
C. Civil Tort
D. Negligence: D
4. The nurse is obligated to follow the physician's order, unless
A. The order is an error, violates hospital policy, or would injure the client
B. The order is a verbal order
C. The order has not been transcribed into the medical record yet
D. The physician's handwriting is messy: A
5. When signing a form as a witness, your signature shows that the client
,Health Assessment Final Exam (NCLEX-Style
Questions) and correct answer
A. Was free to sign without pressure
B. Has signed that form and you saw it being done
C. Was awake and fully alert, and not medicated with any narcotics
D. Is fully informed and aware of all potential consequences: A
6. Nurses are bound by a variety of laws. Which of the following descriptions
of types of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that
defines the Nurse Practice Act (NPA)
B. Criminal law creates boards that pass rules and regulations to control safetyC.
Regulatory law includes prevention of harm for the public and punishment for those laws
that are broken
D. Common law protects the rights of the individual within society for fair and equal
treatment: A
7. Nurses need to consider what regarding bed side rails with confused
patients?
A. They will prevent the patient from wandering
B. Prior falls out of bed are insignificant, because they likely didn't have side rails at home
C. Alternative measures to raising all the side rails are usually insufficient
D. Smaller patients are at increased risk for injury from entrapment: D
8. A student nurse is explaining pressure ulcers to her classmates. Which
statement indicates a need for further teaching?
A. "Pressure ulcers are considered never events in hospitals"
B. "Pressure ulcers are staged on a 1-4 scale"
C. "Patients on bedrest are at a higher risk for developing a pressure ulcer"
D. "Patients with a lower Braden score are at a lower risk for pressure ulcers": D
, Health Assessment Final Exam (NCLEX-Style
Questions) and correct answer
9. The nurse performs a skin assessment and notices jaundiced skin and
yellow sclera. What does this indicate?
A. Dehydration
B. Malnutrition or Undernutrition
C. Liver Function Problem
D. Poor Oxygenation: C
10. A nursing instructor is teaching a class about domestic violence. Which
information should she include when outlining assessment findings indicating
possible child abuse? (Select all that apply)
A. Bruising in atypical places
B. Uncomfortable/awkward parent-child interaction
C. Bruising in immobile children
D. Signs of malnutrition: A, C, D
11. A nurse is performing an initial assessment on her patient. Which factor
places the patient at a higher risk for falls?
A. Use of glasses for reading
B. Use of pain medication
C. Generalized musculoskeletal weakness
D. Diagnosis of heart failure: C
12. The nurse is working in the emergency department. She is conducting an
interview with a victim of spousal abuse. Which step should the nurse take
first?
A. Contact the appropriate legal services
B. Ensure privacy for interviewing the victim away from the abuser
C. Establish a rapport with the victim and the abuser
Questions) and correct answer
1. The divisions of the spinal vertebrae include:
A. cervical, thoracic, scaphoid, sacral, and clavicular
B. scapular, clavicular, lumbar, scaphoid, and fasciculi
C. cervical, thoracic, lumbar, sacral, and coccygeal
D. cervical, lumbar, iliac, synovial, and capsular: C
2. A nurse is caring for a patient with hypersomnia. Which of the following is
LEAST LIKELY to be a causative factor?
A. Depression
B. Sleep Apnea
C. Eating Disorder
D. Alcohol Abuse: C
3. A confused patient is put to bed with the bed in the highest position and all
side rails down. The patient then falls out of bed and breaks a hip. What law
has been broken?
A. Battery
B. Assault
C. Civil Tort
D. Negligence: D
4. The nurse is obligated to follow the physician's order, unless
A. The order is an error, violates hospital policy, or would injure the client
B. The order is a verbal order
C. The order has not been transcribed into the medical record yet
D. The physician's handwriting is messy: A
5. When signing a form as a witness, your signature shows that the client
,Health Assessment Final Exam (NCLEX-Style
Questions) and correct answer
A. Was free to sign without pressure
B. Has signed that form and you saw it being done
C. Was awake and fully alert, and not medicated with any narcotics
D. Is fully informed and aware of all potential consequences: A
6. Nurses are bound by a variety of laws. Which of the following descriptions
of types of law is correct?
A. Statutory law is created by elected legislature, such as the state legislature that
defines the Nurse Practice Act (NPA)
B. Criminal law creates boards that pass rules and regulations to control safetyC.
Regulatory law includes prevention of harm for the public and punishment for those laws
that are broken
D. Common law protects the rights of the individual within society for fair and equal
treatment: A
7. Nurses need to consider what regarding bed side rails with confused
patients?
A. They will prevent the patient from wandering
B. Prior falls out of bed are insignificant, because they likely didn't have side rails at home
C. Alternative measures to raising all the side rails are usually insufficient
D. Smaller patients are at increased risk for injury from entrapment: D
8. A student nurse is explaining pressure ulcers to her classmates. Which
statement indicates a need for further teaching?
A. "Pressure ulcers are considered never events in hospitals"
B. "Pressure ulcers are staged on a 1-4 scale"
C. "Patients on bedrest are at a higher risk for developing a pressure ulcer"
D. "Patients with a lower Braden score are at a lower risk for pressure ulcers": D
, Health Assessment Final Exam (NCLEX-Style
Questions) and correct answer
9. The nurse performs a skin assessment and notices jaundiced skin and
yellow sclera. What does this indicate?
A. Dehydration
B. Malnutrition or Undernutrition
C. Liver Function Problem
D. Poor Oxygenation: C
10. A nursing instructor is teaching a class about domestic violence. Which
information should she include when outlining assessment findings indicating
possible child abuse? (Select all that apply)
A. Bruising in atypical places
B. Uncomfortable/awkward parent-child interaction
C. Bruising in immobile children
D. Signs of malnutrition: A, C, D
11. A nurse is performing an initial assessment on her patient. Which factor
places the patient at a higher risk for falls?
A. Use of glasses for reading
B. Use of pain medication
C. Generalized musculoskeletal weakness
D. Diagnosis of heart failure: C
12. The nurse is working in the emergency department. She is conducting an
interview with a victim of spousal abuse. Which step should the nurse take
first?
A. Contact the appropriate legal services
B. Ensure privacy for interviewing the victim away from the abuser
C. Establish a rapport with the victim and the abuser
