Health Assessment NUR 265 Exam 1 (Latest 2026
Update) 100% Verified Questions & Answers | Grade A+
1. what is health assessment: Involves the collection, clinical judgment, and evaluation of data to plan and
deliver patient-centered care while accounting for the client's preferences, goals, and needs
2. comprehensive health assessment: - A full head-to-toe examination of every body system, con-
ducted systematically
- yearly physical
3. focused health assessment: - An assessment of a specific body system or part related to the patient's
presenting problem
- assessing abdominal pain in the ED
4. nursing process steps: Assessment, Analysis, Planning, Implementation, Evaluation
5. nursing process assessment: Gathering information through questions, observations, family input,
and medical records
6. subjective data: Information from the client (feelings, perceptions, descriptions, direct quotes)
7. objective data: Observed/measured findings from the nurse (vital signs, lab results, physical observations)
8. nursing process analysis: Analyze subjective & objective data, identify patterns/trends, collaborate with
client, and consider need for education
9. nursing process planning: Prioritize care, develop interventions, set goals/outcomes, use evi-
dence-based practice, and follow facility policies
10. nursing process implementation: Carry out interventions, delegate/supervise, educate pa-
tients/families, document care, and monitor client response
11. nursing process evaluation: Evaluate ettectiveness of interventions, adjust as needed, document
outcomes, and determine if goals were met
12. What principles are important when preparing for a health assessment?: -
Ethics (autonomy, confidentiality)
- safety (PPE, mobility)
- privacy (dignity, confidentiality)
- communication (compassion, inclusivity)
13. What are the four assessment techniques?: Inspection, Palpation, Auscultation, Percussion
14. abdominal assessment order: Inspection, Auscultation, Palpation
15. Inspection in health assessment: Observing for symmetry, skin tone, rashes, wounds, chest shape,
facial features, deformities, mood, and smells
16. Tools used for inspection: Proper lighting, hand hygiene, tongue blades, measuring tape, pen light
, 17. Palpation in health assessment: - Using fingertips and back of hands to feel temperature, moisture,
texture, edema, crepitus, masses, and pulses
- Painful areas are palpated last
18. Tools used for palpation: Gloves, cotton swabs (sharp vs soft touch)
19. auscultation in health assessment: Listening to heart, lungs, stomach, intestines, and arteries for
sounds (bowel sounds, heart tones)
20. Tools used for auscultations: Stethoscope, Doppler ultrasound
21. percussion in health assessment: - An advanced skill
- Tapping the skin to assess vibrations and underlying sounds
22. Key principles of documentation: Clear, accurate, precise, factual, complete, timely, and legally valid
23. what is a general survey: Initial appraisal of a client's overall presentation and behaviors; begins as
soon as the nurse enters the room
24. What should a nurse do upon entering the room for a General Survey?:
Wash hands, introduce self, explain procedure, double-check patient ID (name + DOB), ask preferred name,
request permission before starting
25. Why is the General Survey important: Establishes trust, builds rapport, and assesses client
through verbal and nonverbal communication
26. Expected findings for facial features: Symmetry of facial features and movements
27. Unexpected findings for facial features: Expressionless/masklike face, asymmetry, involuntary
movements (twitching, blinking), swelling, lesions
28. Expected emotional state: Relaxed posture, smiling, responsive to communication
29. Unexpected emotional state: Restlessness, grimacing, unresponsiveness
30. Expected eye contact: Makes eye contact (appropriate to client's background)
31. Unexpected eye contact findings: Avoidance, penetrating stare, squinting, staring without blinking
32. Orientation questions for levels of consciousness: Person (name), Place (location), Time
(year/president), Situation (why here)
33. lethargy: - Not fully awake, drifts to sleep, awakens to calling name
- LOC
34. obtundation: - Sleeps, requires shouting or tactile stimulation to wake
- LOC
35. stupor: - Unconscious, responds only slightly to pain
- LOC
Update) 100% Verified Questions & Answers | Grade A+
1. what is health assessment: Involves the collection, clinical judgment, and evaluation of data to plan and
deliver patient-centered care while accounting for the client's preferences, goals, and needs
2. comprehensive health assessment: - A full head-to-toe examination of every body system, con-
ducted systematically
- yearly physical
3. focused health assessment: - An assessment of a specific body system or part related to the patient's
presenting problem
- assessing abdominal pain in the ED
4. nursing process steps: Assessment, Analysis, Planning, Implementation, Evaluation
5. nursing process assessment: Gathering information through questions, observations, family input,
and medical records
6. subjective data: Information from the client (feelings, perceptions, descriptions, direct quotes)
7. objective data: Observed/measured findings from the nurse (vital signs, lab results, physical observations)
8. nursing process analysis: Analyze subjective & objective data, identify patterns/trends, collaborate with
client, and consider need for education
9. nursing process planning: Prioritize care, develop interventions, set goals/outcomes, use evi-
dence-based practice, and follow facility policies
10. nursing process implementation: Carry out interventions, delegate/supervise, educate pa-
tients/families, document care, and monitor client response
11. nursing process evaluation: Evaluate ettectiveness of interventions, adjust as needed, document
outcomes, and determine if goals were met
12. What principles are important when preparing for a health assessment?: -
Ethics (autonomy, confidentiality)
- safety (PPE, mobility)
- privacy (dignity, confidentiality)
- communication (compassion, inclusivity)
13. What are the four assessment techniques?: Inspection, Palpation, Auscultation, Percussion
14. abdominal assessment order: Inspection, Auscultation, Palpation
15. Inspection in health assessment: Observing for symmetry, skin tone, rashes, wounds, chest shape,
facial features, deformities, mood, and smells
16. Tools used for inspection: Proper lighting, hand hygiene, tongue blades, measuring tape, pen light
, 17. Palpation in health assessment: - Using fingertips and back of hands to feel temperature, moisture,
texture, edema, crepitus, masses, and pulses
- Painful areas are palpated last
18. Tools used for palpation: Gloves, cotton swabs (sharp vs soft touch)
19. auscultation in health assessment: Listening to heart, lungs, stomach, intestines, and arteries for
sounds (bowel sounds, heart tones)
20. Tools used for auscultations: Stethoscope, Doppler ultrasound
21. percussion in health assessment: - An advanced skill
- Tapping the skin to assess vibrations and underlying sounds
22. Key principles of documentation: Clear, accurate, precise, factual, complete, timely, and legally valid
23. what is a general survey: Initial appraisal of a client's overall presentation and behaviors; begins as
soon as the nurse enters the room
24. What should a nurse do upon entering the room for a General Survey?:
Wash hands, introduce self, explain procedure, double-check patient ID (name + DOB), ask preferred name,
request permission before starting
25. Why is the General Survey important: Establishes trust, builds rapport, and assesses client
through verbal and nonverbal communication
26. Expected findings for facial features: Symmetry of facial features and movements
27. Unexpected findings for facial features: Expressionless/masklike face, asymmetry, involuntary
movements (twitching, blinking), swelling, lesions
28. Expected emotional state: Relaxed posture, smiling, responsive to communication
29. Unexpected emotional state: Restlessness, grimacing, unresponsiveness
30. Expected eye contact: Makes eye contact (appropriate to client's background)
31. Unexpected eye contact findings: Avoidance, penetrating stare, squinting, staring without blinking
32. Orientation questions for levels of consciousness: Person (name), Place (location), Time
(year/president), Situation (why here)
33. lethargy: - Not fully awake, drifts to sleep, awakens to calling name
- LOC
34. obtundation: - Sleeps, requires shouting or tactile stimulation to wake
- LOC
35. stupor: - Unconscious, responds only slightly to pain
- LOC
