Test Prep NCLEX-PN Exam (page: 18)
Test Prep National Council Licensure Examination(NCLEX-PN)
Updated on: 09-Feb-2026

Viewing Page 18 of 204

On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?

  1. agility
  2. speed
  3. body composition
  4. risk factors

Answer(s): D

Explanation:

A health assessment should focus on possible risk factors of the client.
A risk factor is something that increases a person’s chance for illness or injury.
A health-risk appraisal is an assessment of the total person, including lifestyle and health behaviors.



A nurse is trying to motivate a client toward more effective management of a therapeutic regimen.

Which of the following actions by the nurse is most likely to be effective in increasing the client’s motivation?

  1. determining whether the client has any family or friends living nearby
  2. developing a lengthy discharge plan and reviewing it carefully with the client
  3. teaching the client about the disorder at the client’s level of understanding
  4. making a referral to an area agency for client follow up

Answer(s): C

Explanation:

For maximum effectiveness, teach the client about the disorder at the client’s level of understanding.



Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history.

General information the nurse should seek is ______________.

  1. type of employment
  2. burning or itchy sensation in the eyes
  3. position of the eyelids
  4. existence of floaters

Answer(s): A

Explanation:

Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used.
Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored.



If Ms. Barrett’s distance vision is 20/30, which of the following statements is true?

  1. The client can read from 20' what a person with normal vision can read at 30'.
  2. The client can read from 30' what a person with normal vision can read at 20'.
  3. The client can read the entire chart from 30'.
  4. The client can read the chart from 20' with the left eye and from 30' with the right eye.

Answer(s): A

Explanation:

The numerator, which is always 20, is the distance in feet between the chart and the client.
The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the chart.
The eye chart the nurse uses is the Snellen chart, which assesses distance vision.



The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm.

Given this information, what would the nurse expect the child’s chest circumference to be?

  1. about 29 cm
  2. about 36 cm
  3. about 33 cm
  4. about 31 cm

Answer(s): D



Viewing Page 18 of 204



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