NCLEX Practice Exam for Health Assessment and Pain

Practice Mode

Welcome to your NCLEX Practice Exam for Health Assessment and Pain! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

When performing an otoscopic exam, be mindful of how deep the speculum is inserted to avoid causing discomfort or injury.

1 / 30

1. Nurse Smith is preparing to perform an otoscopic examination on a patient. She knows that certain techniques can prevent discomfort and potential injury during the procedure. Which of the following actions should she avoid to ensure the patient’s safety?

💡 Hint

Consider the anatomical location of the heart's apex, where the apical pulse is most clearly heard.

2 / 30

2. Nurse Lisa is evaluating a patient’s cardiac function by assessing the apical pulse. To ensure accurate auscultation, which is the best location for her to place the stethoscope?

💡 Hint

Consider which behavior demonstrates an active and positive coping strategy for managing pain.

3 / 30

3. Nurse Sarah is assessing how a client is adapting to their pain management routine. Which behavior would suggest that the client is effectively adapting to their pain?

💡 Hint

Consider what action the nurse can take to prevent the patient from falling during this balance test.

4 / 30

4. Nurse Thompson is preparing to conduct a Romberg’s test on a patient to assess their balance and coordination. To prioritize the patient's safety during the test, which of the following actions should Nurse Thompson take?

💡 Hint

This theory suggests that non-painful input can "close the gates" to painful input, providing a foundational approach for many pain management techniques.

5 / 30

5. Nurse Emily is developing a care plan focused on pain reduction for her patient. Which pain theory should she rely on for the most practical information to guide her interventions?

💡 Hint

Consider the goal of rehabilitation in promoting overall well-being and maintaining social connections, rather than just managing pain levels.

6 / 30

6. A patient suffering from chronic pain, loss of self-esteem, unemployment, and bodily disfigurement due to severe burns on the trunk and arms is admitted to a pain management center. Which of the following evaluation criteria would indicate successful rehabilitation for this patient?

💡 Hint

Think about the areas of the breast where tissue extends and how important it is to examine these regions during a BSE.

7 / 30

7. Nurse Jenna is performing a breast examination on a female patient and is educating her about the importance of breast self-exams (BSE). Which scientific rationale should Nurse Jenna keep in mind during this process?

💡 Hint

Before managing the pain, ensure that no serious post-surgical complications are causing the increased pain.

8 / 30

8. Nurse Lauren is caring for a patient who had abdominal surgery 3 days ago. The patient reports sharp, throbbing abdominal pain rated 8 out of 10 on the pain scale. What should Nurse Lauren do first?

💡 Hint

Think about the typical sound produced when percussing healthy lung tissue.

9 / 30

9. Mr. Thompson is scheduled for a routine physical assessment. As the nurse percusses his chest, which sound should she expect to find as a normal finding over his lungs?

💡 Hint

Consider how a patient's emotional and mental state can play a role in their experience and perception of pain.

10 / 30

10. Scarlet is preparing for her upcoming NCLEX examination and is reviewing the concept of pain. Which of the following scientific rationales would show that Scarlet has a proper understanding of pain?

💡 Hint

Consider an intervention that both relieves pain and promotes mobility to prevent stiffness and further complications.

11 / 30

11. Nurse Grace is caring for a 51-year-old widower with arthritis who stays in bed longer than necessary because movement is painful. What intervention should Nurse Grace prioritize?

💡 Hint

Think about a non-drug intervention that directly targets pain pathways.

12 / 30

12. Nurse Emily is developing a care plan for a patient experiencing chronic pain. Which nonpharmacologic pain-relief intervention should she include?

💡 Hint

Consider which examination involves contact with mucous membranes, necessitating the use of gloves for hygiene and safety.

13 / 30

13. Nurse Johnson, fresh out of nursing school, is eager to conduct her first physical assessment with a 19-year-old patient. To ensure proper infection control, for which of the following examinations should she remember to wear gloves?

💡 Hint

Focus on signs that could indicate a serious complication affecting circulation in the affected limb.

14 / 30

14. Nurse Alex is caring for a patient who had an open reduction and internal fixation of the left hip. On the first day post-operation, the patient reports significant pain. Which observation should prompt Nurse Alex to withhold the pain medication and immediately contact the healthcare provider?

💡 Hint

The priority in managing severe pain often involves following prescribed medical orders, especially when the pain is acute and severe.

15 / 30

15. Nurse Julia is caring for a patient who reports severe abdominal pain rated 9 out of 10. Which interventions should she implement?

💡 Hint

Think about the type of pain that originates from internal structures and is often more widespread or difficult to pinpoint.

16 / 30

16. Nurse Mia is documenting a patient's pain that has a gradual onset, is diffuse, radiates, and is associated with somatic pain from internal organs during various body activities. What term best describes this type of pain?

💡 Hint

Think about which intervention addresses both emotional support and the patient's concerns about returning to work.

17 / 30

17. Nurse Olivia is caring for a patient who suffered severe burns six months ago. The patient is now expressing anxiety about potential job performance issues and concerns about physical appearance. What would be the most appropriate intervention for Nurse Olivia to implement?

💡 Hint

Think about which option reflects the patient's personal approach and attitude toward maintaining and improving their health.

18 / 30

18. Nurse Simmons is conducting a comprehensive assessment of her patient, focusing on various aspects that contribute to the patient's overall health and well-being. Which piece of information specifically pertains to the patient’s health beliefs?

💡 Hint

Consider the time frame that is typically recommended to confirm the absence of bowel sounds before taking further action.

19 / 30

19. Nurse Sam is assessing a patient's bowel sounds during an abdominal examination. After listening for a certain period without hearing any bowel sounds, Nurse Sam knows it’s time to notify the healthcare provider. After how long should Nurse Sam notify the provider if no bowel sounds are heard?

💡 Hint

Focus on the electrolyte level that, if too low, can have serious cardiac implications.

20 / 30

20. Mr. Daniels, a patient diagnosed with dehydration, has just completed a series of lab tests. Which of the following lab results should prompt the nurse to take immediate action?

💡 Hint

Think about a closing question that allows the patient to provide additional information or concerns that might not have been covered during the interview.

21 / 30

21. A patient visits the nursing clinic for a comprehensive health assessment. Which of the following statements would be the most appropriate way for Nurse Parker to conclude the history interview?

💡 Hint

Focus on the nerve fibers that are responsible for transmitting sharp, well-localized pain signals quickly.

22 / 30

22. Nurse Carla witnesses a 12-year-old student fall down the stairs, immediately grabbing his wrist and crying out about a sharp pain, fearing it might be broken. The pain he describes is likely transmitted through which type of nerve fibers?

💡 Hint

Consider which option reflects fundamental personal data that is typically part of identifying information.

23 / 30

23. Nurse Carter is gathering essential details from a client in the emergency department. Which of the following is an example of biographic information that might be collected during the health history?

💡 Hint

Consider the term that describes pain felt in a different area than its actual source.

24 / 30

24. Nurse Jenna is documenting a patient's pain and notices that the pain originates from one location but is felt in another area of the body. What term should she use to accurately describe this type of pain?

💡 Hint

Think about which assessment directly measures arterial blood flow in the lower extremities.

25 / 30

25. Nurse Lee is conducting an assessment of a patient’s lower extremities to evaluate arterial function. Which of the following actions should Nurse Lee take to accurately assess this function?Checking the medial malleoli for signs of pitting edema.Checking the medial malleoli for signs of pitting edema.

💡 Hint

Focus on symptoms or issues directly related to different body systems that might indicate underlying health conditions.

26 / 30

26. Nurse Riley is gathering a review of body systems during a patient’s assessment. Which of the following information should be included in this part of the assessment?

💡 Hint

Think about how combining different pain relief methods might affect the overall effectiveness of pain management.

27 / 30

27. Nurse Tom is preparing a care plan for a patient experiencing chronic pain. He decides to include noninvasive and non-pharmacologic pain-control techniques alongside prescribed medications. What is the primary reason for using these complementary pain-control methods?

💡 Hint

Consider the activity the child was engaged in after the minor injury.

28 / 30

28. Nurse Karen observes a 6-year-old boy who just received a small paper cut on his finger. After helping him wash the cut, his mother applied some antibacterial ointment, bandaged the finger, and allowed him to watch TV while eating an apple. This scenario is an example of what type of pain intervention?

💡 Hint

Consider which finding indicates impaired oxygenation, a critical concern in pneumonia patients.

29 / 30

29. Nurse Lopez is assessing a 72-year-old patient recently diagnosed with pneumonia. As she evaluates the patient's condition, she identifies a particular finding that demands her immediate attention. Which observation should be Nurse Lopez's top priority?

💡 Hint

Consider the sequence that minimizes disruption of bowel sounds during the abdominal exam.

30 / 30

30. Nurse Anna is conducting a physical assessment on a patient, focusing on the abdomen. To properly examine the abdominal area, in which order should she perform the four physical examination techniques?

Exam Mode

Welcome to your NCLEX Practice Exam for Health Assessment and Pain! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Tom is preparing a care plan for a patient experiencing chronic pain. He decides to include noninvasive and non-pharmacologic pain-control techniques alongside prescribed medications. What is the primary reason for using these complementary pain-control methods?

2 / 30

2. Nurse Alex is caring for a patient who had an open reduction and internal fixation of the left hip. On the first day post-operation, the patient reports significant pain. Which observation should prompt Nurse Alex to withhold the pain medication and immediately contact the healthcare provider?

3 / 30

3. Nurse Grace is caring for a 51-year-old widower with arthritis who stays in bed longer than necessary because movement is painful. What intervention should Nurse Grace prioritize?

4 / 30

4. Nurse Emily is developing a care plan for a patient experiencing chronic pain. Which nonpharmacologic pain-relief intervention should she include?

5 / 30

5. Nurse Lauren is caring for a patient who had abdominal surgery 3 days ago. The patient reports sharp, throbbing abdominal pain rated 8 out of 10 on the pain scale. What should Nurse Lauren do first?

6 / 30

6. Nurse Carter is gathering essential details from a client in the emergency department. Which of the following is an example of biographic information that might be collected during the health history?

7 / 30

7. Mr. Thompson is scheduled for a routine physical assessment. As the nurse percusses his chest, which sound should she expect to find as a normal finding over his lungs?

8 / 30

8. Nurse Carla witnesses a 12-year-old student fall down the stairs, immediately grabbing his wrist and crying out about a sharp pain, fearing it might be broken. The pain he describes is likely transmitted through which type of nerve fibers?

9 / 30

9. Scarlet is preparing for her upcoming NCLEX examination and is reviewing the concept of pain. Which of the following scientific rationales would show that Scarlet has a proper understanding of pain?

10 / 30

10. Nurse Lisa is evaluating a patient’s cardiac function by assessing the apical pulse. To ensure accurate auscultation, which is the best location for her to place the stethoscope?

11 / 30

11. Nurse Sam is assessing a patient's bowel sounds during an abdominal examination. After listening for a certain period without hearing any bowel sounds, Nurse Sam knows it’s time to notify the healthcare provider. After how long should Nurse Sam notify the provider if no bowel sounds are heard?

12 / 30

12. Nurse Riley is gathering a review of body systems during a patient’s assessment. Which of the following information should be included in this part of the assessment?

13 / 30

13. Nurse Johnson, fresh out of nursing school, is eager to conduct her first physical assessment with a 19-year-old patient. To ensure proper infection control, for which of the following examinations should she remember to wear gloves?

14 / 30

14. Nurse Jenna is documenting a patient's pain and notices that the pain originates from one location but is felt in another area of the body. What term should she use to accurately describe this type of pain?

15 / 30

15. Nurse Anna is conducting a physical assessment on a patient, focusing on the abdomen. To properly examine the abdominal area, in which order should she perform the four physical examination techniques?

16 / 30

16. Nurse Sarah is assessing how a client is adapting to their pain management routine. Which behavior would suggest that the client is effectively adapting to their pain?

17 / 30

17. A patient visits the nursing clinic for a comprehensive health assessment. Which of the following statements would be the most appropriate way for Nurse Parker to conclude the history interview?

18 / 30

18. Mr. Daniels, a patient diagnosed with dehydration, has just completed a series of lab tests. Which of the following lab results should prompt the nurse to take immediate action?

19 / 30

19. Nurse Olivia is caring for a patient who suffered severe burns six months ago. The patient is now expressing anxiety about potential job performance issues and concerns about physical appearance. What would be the most appropriate intervention for Nurse Olivia to implement?

20 / 30

20. Nurse Emily is developing a care plan focused on pain reduction for her patient. Which pain theory should she rely on for the most practical information to guide her interventions?

21 / 30

21. Nurse Mia is documenting a patient's pain that has a gradual onset, is diffuse, radiates, and is associated with somatic pain from internal organs during various body activities. What term best describes this type of pain?

22 / 30

22. Nurse Simmons is conducting a comprehensive assessment of her patient, focusing on various aspects that contribute to the patient's overall health and well-being. Which piece of information specifically pertains to the patient’s health beliefs?

23 / 30

23. Nurse Lopez is assessing a 72-year-old patient recently diagnosed with pneumonia. As she evaluates the patient's condition, she identifies a particular finding that demands her immediate attention. Which observation should be Nurse Lopez's top priority?

24 / 30

24. Nurse Julia is caring for a patient who reports severe abdominal pain rated 9 out of 10. Which interventions should she implement?

25 / 30

25. Nurse Karen observes a 6-year-old boy who just received a small paper cut on his finger. After helping him wash the cut, his mother applied some antibacterial ointment, bandaged the finger, and allowed him to watch TV while eating an apple. This scenario is an example of what type of pain intervention?

26 / 30

26. A patient suffering from chronic pain, loss of self-esteem, unemployment, and bodily disfigurement due to severe burns on the trunk and arms is admitted to a pain management center. Which of the following evaluation criteria would indicate successful rehabilitation for this patient?

27 / 30

27. Nurse Thompson is preparing to conduct a Romberg’s test on a patient to assess their balance and coordination. To prioritize the patient's safety during the test, which of the following actions should Nurse Thompson take?

28 / 30

28. Nurse Lee is conducting an assessment of a patient’s lower extremities to evaluate arterial function. Which of the following actions should Nurse Lee take to accurately assess this function?Checking the medial malleoli for signs of pitting edema.Checking the medial malleoli for signs of pitting edema.

29 / 30

29. Nurse Smith is preparing to perform an otoscopic examination on a patient. She knows that certain techniques can prevent discomfort and potential injury during the procedure. Which of the following actions should she avoid to ensure the patient’s safety?

30 / 30

30. Nurse Jenna is performing a breast examination on a female patient and is educating her about the importance of breast self-exams (BSE). Which scientific rationale should Nurse Jenna keep in mind during this process?