EXAM PRACTICE QUESTIONS AND ANSWERS: THE
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Description:
This 150-question multiple-choice examination evaluates comprehensive knowledge and
application of Nursing Health Assessment. It includes foundational theory, clinical reasoning,
communication, documentation, cultural competence, ethics, legal standards, infection control,
vital signs, pain assessment, head-to-toe assessment (all body systems), lifespan considerations
(pediatric, adult, geriatric), mental health assessment, emergency recognition, health promotion,
and professional standards.
1. The primary purpose of a comprehensive health assessment is to:
A. Establish a medical diagnosis
B. Prescribe medications
C. Collect holistic data to identify actual and potential health problems
D. Replace laboratory investigations
Rationale: The comprehensive assessment gathers subjective and objective data to
identify actual and potential health problems for nursing care planning.
2. During an interview, the most therapeutic communication technique is:
A. Providing advice
B. Changing the subject
C. Using open-ended questions
D. Offering personal opinions
Rationale: Open-ended questions encourage patients to express concerns freely
and provide detailed information.
, 3. Which phase of the interview includes summarizing findings?
A. Orientation
B. Working
C. Termination
D. Planning
Rationale: The termination phase involves summarizing and validating collected
information.
4. A patient states, “I feel tired all the time.” This is:
A. Objective data
B. Secondary data
C. Subjective data
D. Measurable data
Rationale: Subjective data are patient-reported symptoms.
5. Inspection should always precede:
A. Percussion
B. Palpation
C. Auscultation
D. All other examination techniques (except abdomen)
Rationale: Standard sequence is inspection, palpation, percussion, auscultation;
abdomen is IAPP.
6. When assessing abdominal sounds, the nurse should:
A. Palpate first
B. Percuss first
, C. Auscultate before palpation
D. Inspect last
Rationale: Palpation may alter bowel sounds; auscultation is performed first.
7. A normal adult respiratory rate is:
A. 8–10
B. 10–12
C. 12–20
D. 24–30
Rationale: Normal adult respiratory rate is 12–20 breaths per minute.
8. The best site to assess pulse in an unconscious adult is:
A. Radial
B. Brachial
C. Carotid
D. Apical
Rationale: The carotid pulse is most accessible and reliable in emergencies.
9. Normal capillary refill time in adults is:
A. 4 seconds
B. 5 seconds
C. 6 seconds
D. Less than 3 seconds
Rationale: Normal capillary refill is less than 3 seconds.
, 10.A blood pressure reading of 150/94 mmHg indicates:
A. Normal
B. Elevated
C. Hypertension (Stage 2 depending on guidelines)
D. Hypotension
Rationale: BP ≥140/90 mmHg indicates hypertension under most current
standards.
11.The Glasgow Coma Scale assesses:
A. Pain tolerance
B. Level of consciousness
C. Orientation only
D. Memory
Rationale: GCS evaluates eye, verbal, and motor responses.
12.A GCS score of 15 indicates:
A. Severe impairment
B. Moderate impairment
C. Mild impairment
D. Fully alert and oriented
Rationale: Maximum score 15 indicates normal neurological status.
13.The first step in cultural assessment is:
A. Provide health education
B. Correct misconceptions