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Health Assessment
NCLEX-PN Multiple Choice Questions

1 .       The nurse receives a report at the beginning of the shift and learns that the client scores 7 on the Glasgow Coma Scale. The nurse realizes that this client is at which of the following levels of consciousness? [Hint]

 
 
 
 


2 .       You partially darken a room and ask the client to look straight ahead. You use a penlight and, approaching from the side you shine the light, it constricts. You remove the light and then shine it on the same pupil again. You also observe the response of the other pupil. You would normally find the other pupil doing which of the following things? [Hint]

 
 
 
 


3 .       The nurse is preparing to do a focused assessment of the abdomen on an assigned client. Which of the following is most important for the nurse to do prior to the examination? [Hint]

 
 
 
 


4 .       The physician of your assigned client tells you that the client has a heart murmur that can be detected by direct auscultation. You realize that the physician is telling you which of the following things? [Hint]

 
 
 
 


5 .       When weighing a client daily, you will most need to weigh the client at which of the following times? [Hint]

 
 
 
 


6 .       When examining your client to detect pallor, where would you expect to see pallor most evident in persons of all types of skin color? [Hint]

 
 
 
 


7 .       When counting the apical pulse during the physical assessment, it is the most accepted practice for the nurse to count the apical pulse in which of the following ways? [Hint]

 
 
 
 


8 .       While listening to a client's lung sounds, you hear something that you believe is not normal, and you note that it is a continuous sound. You will chart this as which of the following findings? [Hint]

 
 
 
 


9 .       When examining the client's abdomen, the nurse will most facilitate the examination by positioning the client in which of the following ways? [Hint]

 
 
 
 


10 .       You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the following things? [Hint]

 
 
 
 


Some questions in this exercise may have more than one correct answer.





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