HA FINAL UPDATED ACTUAL Exam
Questions and CORRECT Answers
A patient has been admitted to the hospital with vertebral fractures related to osteoporosis.
She is in extreme pain. This type of pain would be classified as:
A. deep somatic.
B. visceral.
C. cutaneous.
D. referred. - CORRECT ANSWER- ✔✔A. deep somatic
The nurse notices that a patient's palpebral fissures are not symmetrical. On examination, the
nurse may find that there has been damage to cranial nerve:
A. V
B. VIII
C. VII
D. III - CORRECT ANSWER- ✔✔*C. VII*
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with
an examination of the _____ gland.
A. adrenal
B. parotid
C. parathyroid
D. thyroid - CORRECT ANSWER- ✔✔D. thyroid
The nurse is testing a patient's visual accommodation, which refers to which action?
A. Involuntary blinking in the presence of bright light
B. Changes in peripheral vision in response to light
,C. Pupillary dilation when looking at a far object
D. Pupillary constriction when looking at a near object - CORRECT ANSWER- ✔✔*D.
Pupillary constriction when looking at a near object*
The nurse is using an otoscope to assess the nasal cavity. Which of these techniques is
correct?
A. Avoid touching the nasal septum with the speculum.
B. Gently displace the nose to the side that is being examined.
C. Insert the speculum at least 3 cm into the vestibule.
D. Keep the speculum tip medial to avoid touching the floor of the nares. - CORRECT
ANSWER- ✔✔*A. Avoid touching the nasal septum with the speculum*
While examining a patient, the nurse observes abdominal pulsations between the xiphoid and
umbilicus. The nurse would suspect that these are:
A. pulsations of the inferior vena cava.
B. increased peristalsis from a bowel obstruction.
C. pulsations of the renal arteries.
D. normal abdominal aortic pulsations. - CORRECT ANSWER- ✔✔*D. normal abdominal
aortic pulsations*
Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called:
A. tendons.
B. ligaments.
C. bursa.
D. cartilage. - CORRECT ANSWER- ✔✔B. ligaments
Which of these statements concerning areas of the brain is true?
,A. Motor pathways of the spinal cord and brainstem synapse in the thalamus.
B. The hypothalamus controls temperature and regulates sleep.
C. The cerebellum is the center for speech and emotions.
D. The basal ganglia are responsible for controlling voluntary movements. - CORRECT
ANSWER- ✔✔B. The hypothalamus controls temperature and regulates sleep.
A patient with lack of oxygen to his heart will have pain in his chest and possibly the
shoulder, arms, or jaw. The nurse knows that the statement that best explains why this occurs
is which of these?
A. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas
experiencing pain.
B. There is a lesion in the dorsal root that is preventing the sensation from being transmitted
normally.
C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt
elsewhere.
D. There is a problem with the sensory cortex and its ability to discriminate the location. -
CORRECT ANSWER- ✔✔*C. The sensory cortex does not have the ability to localize pain
in the heart, so the pain is felt elsewhere.*
In performing an assessment of a woman's axillary lymph system, the nurse should assess
which of these nodes?
A. Lateral, pectoral, axillary, and suprascapular nodes
B. Central, lateral, pectoral, and subscapular nodes
C. Pectoral, lateral, anterior, and sternal nodes
D. Central, axillary, lateral, and sternal nodes - CORRECT ANSWER- ✔✔*B. Central,
lateral, pectoral, and subscapular nodes*
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
A. consider this an abnormal finding and refer the patient for additional treatment.
B. consider this a normal finding.
C. palpate this area for an underlying mass.
, D. reposition the hands and attempt to percuss in this area again. - CORRECT ANSWER-
✔✔*B. consider this a normal finding*
When assessing an older adult, the nurse keeps in mind that which vital sign changes occur
with aging?
A. Decrease in diastolic blood pressure
B. Increase in pulse rate
C. Increase in body temperature
D. Widened pulse pressure - CORRECT ANSWER- ✔✔D. Widened pulse pressure
A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair
for about 3 days with his feet down and he wants the nurse to evaluate his feet. During the
assessment, the nurse might expect to find:
A. coolness.
B. distended veins.
C. pallor.
D. prolonged capillary filling time. - CORRECT ANSWER- ✔✔B. distended veins.
A patient tells the nurse that he has noticed that one of his moles has started to burn and
bleed. When assessing his skin, the nurse would pay special attention to the danger signs for
pigmented lesions and would be concerned with which additional finding?
A. Symmetry of lesions
B. Border regularity
C. Color variation
D. Diameter less than 6 mm - CORRECT ANSWER- ✔✔C. Color variation
A patient comes to the clinic and states that he has noticed that his skin is redder than normal.
The nurse understands that this condition is due to hyperemia and knows that it can be caused
by:
Questions and CORRECT Answers
A patient has been admitted to the hospital with vertebral fractures related to osteoporosis.
She is in extreme pain. This type of pain would be classified as:
A. deep somatic.
B. visceral.
C. cutaneous.
D. referred. - CORRECT ANSWER- ✔✔A. deep somatic
The nurse notices that a patient's palpebral fissures are not symmetrical. On examination, the
nurse may find that there has been damage to cranial nerve:
A. V
B. VIII
C. VII
D. III - CORRECT ANSWER- ✔✔*C. VII*
A patient's laboratory data reveal an elevated thyroxine level. The nurse would proceed with
an examination of the _____ gland.
A. adrenal
B. parotid
C. parathyroid
D. thyroid - CORRECT ANSWER- ✔✔D. thyroid
The nurse is testing a patient's visual accommodation, which refers to which action?
A. Involuntary blinking in the presence of bright light
B. Changes in peripheral vision in response to light
,C. Pupillary dilation when looking at a far object
D. Pupillary constriction when looking at a near object - CORRECT ANSWER- ✔✔*D.
Pupillary constriction when looking at a near object*
The nurse is using an otoscope to assess the nasal cavity. Which of these techniques is
correct?
A. Avoid touching the nasal septum with the speculum.
B. Gently displace the nose to the side that is being examined.
C. Insert the speculum at least 3 cm into the vestibule.
D. Keep the speculum tip medial to avoid touching the floor of the nares. - CORRECT
ANSWER- ✔✔*A. Avoid touching the nasal septum with the speculum*
While examining a patient, the nurse observes abdominal pulsations between the xiphoid and
umbilicus. The nurse would suspect that these are:
A. pulsations of the inferior vena cava.
B. increased peristalsis from a bowel obstruction.
C. pulsations of the renal arteries.
D. normal abdominal aortic pulsations. - CORRECT ANSWER- ✔✔*D. normal abdominal
aortic pulsations*
Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called:
A. tendons.
B. ligaments.
C. bursa.
D. cartilage. - CORRECT ANSWER- ✔✔B. ligaments
Which of these statements concerning areas of the brain is true?
,A. Motor pathways of the spinal cord and brainstem synapse in the thalamus.
B. The hypothalamus controls temperature and regulates sleep.
C. The cerebellum is the center for speech and emotions.
D. The basal ganglia are responsible for controlling voluntary movements. - CORRECT
ANSWER- ✔✔B. The hypothalamus controls temperature and regulates sleep.
A patient with lack of oxygen to his heart will have pain in his chest and possibly the
shoulder, arms, or jaw. The nurse knows that the statement that best explains why this occurs
is which of these?
A. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas
experiencing pain.
B. There is a lesion in the dorsal root that is preventing the sensation from being transmitted
normally.
C. The sensory cortex does not have the ability to localize pain in the heart, so the pain is felt
elsewhere.
D. There is a problem with the sensory cortex and its ability to discriminate the location. -
CORRECT ANSWER- ✔✔*C. The sensory cortex does not have the ability to localize pain
in the heart, so the pain is felt elsewhere.*
In performing an assessment of a woman's axillary lymph system, the nurse should assess
which of these nodes?
A. Lateral, pectoral, axillary, and suprascapular nodes
B. Central, lateral, pectoral, and subscapular nodes
C. Pectoral, lateral, anterior, and sternal nodes
D. Central, axillary, lateral, and sternal nodes - CORRECT ANSWER- ✔✔*B. Central,
lateral, pectoral, and subscapular nodes*
When percussing over the liver of a patient, the nurse notices a dull sound. The nurse should:
A. consider this an abnormal finding and refer the patient for additional treatment.
B. consider this a normal finding.
C. palpate this area for an underlying mass.
, D. reposition the hands and attempt to percuss in this area again. - CORRECT ANSWER-
✔✔*B. consider this a normal finding*
When assessing an older adult, the nurse keeps in mind that which vital sign changes occur
with aging?
A. Decrease in diastolic blood pressure
B. Increase in pulse rate
C. Increase in body temperature
D. Widened pulse pressure - CORRECT ANSWER- ✔✔D. Widened pulse pressure
A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair
for about 3 days with his feet down and he wants the nurse to evaluate his feet. During the
assessment, the nurse might expect to find:
A. coolness.
B. distended veins.
C. pallor.
D. prolonged capillary filling time. - CORRECT ANSWER- ✔✔B. distended veins.
A patient tells the nurse that he has noticed that one of his moles has started to burn and
bleed. When assessing his skin, the nurse would pay special attention to the danger signs for
pigmented lesions and would be concerned with which additional finding?
A. Symmetry of lesions
B. Border regularity
C. Color variation
D. Diameter less than 6 mm - CORRECT ANSWER- ✔✔C. Color variation
A patient comes to the clinic and states that he has noticed that his skin is redder than normal.
The nurse understands that this condition is due to hyperemia and knows that it can be caused
by:
