2026 NUR 216 EXAM 1 SPRING SUMMER ACTUAL EXAM
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+ (BRAND NEW!) FULL REVISED
NUR 216 APPROVED EXAM 1
A nurse is preparing to conduct a health assessment on a newly admitted patient.
Which action should the nurse take first?
A. Review the patient's medical records
B. Obtain the patient's vital signs
C. Establish a therapeutic relationship
D. Perform a head-to-toe physical examination
CORRECT ANSWER: C. Establish a therapeutic relationship
Rationale: Establishing a therapeutic relationship is the first step in any health
assessment because it builds trust and encourages open communication.
Reviewing records (A) and obtaining vital signs (B) occur after rapport is
established. A head-to-toe exam (D) is part of the physical assessment, which
follows the interview and relationship building.
A nurse notes that a patient's blood pressure is 148/92 mm Hg during an initial
assessment. This finding is best classified as which type of data?
A. Subjective data
B. Objective data
C. Historical data
D. Referral data
CORRECT ANSWER: B. Objective data
,Rationale: Objective data are measurable, observable, and verifiable findings
obtained through physical examination, vital signs, or diagnostic tests.
Subjective data (A) are what the patient reports. Historical data (C) refer to past
health events. Referral data (D) are not a standard classification.
During a health history interview, the patient states, "I feel like my heart is racing
sometimes." The nurse records this as:
A. A sign
B. A symptom
C. An observation
D. A clinical inference
CORRECT ANSWER: B. A symptom
Rationale: A symptom is a subjective sensation that the patient experiences and
reports, such as feeling their heart racing. A sign (A) is objective and measurable
(e.g., elevated pulse rate). An observation (C) typically refers to what the nurse
sees. A clinical inference (D) is an interpretation based on data.
Which of the following is the primary purpose of conducting a comprehensive
health assessment?
A. To establish a medical diagnosis
B. To identify abnormal laboratory values
C. To collect holistic data about the patient's health status
D. To complete admission paperwork
CORRECT ANSWER: C. To collect holistic data about the patient's health status
Rationale: The primary purpose is to gather complete, holistic data—physical,
psychological, sociocultural, and spiritual—to form a baseline and guide
nursing care. Medical diagnosis (A) is the provider's role. Lab values (B) are
part of but not the sole purpose. Paperwork (D) is administrative, not clinical.
,A nurse is assessing a patient's pain using the PQRST mnemonic. What does the
"R" in PQRST stand for?
A. Region
B. Relief
C. Radiation
D. Rationale
CORRECT ANSWER: C. Radiation
Rationale: In PQRST for pain assessment, P = Provocation/Palliation, Q =
Quality, R = Radiation (where does the pain spread?), S = Severity, T = Timing.
Radiation describes if the pain moves to other body areas. Region (A) is not part
of PQRST. Relief (B) is part of Provocation/Palliation. Rationale (D) is
unrelated.
A patient tells the nurse, "I don't want to take that medication because it makes me
nauseous." Which therapeutic communication response is most appropriate?
A. "You shouldn't stop your medication without telling your doctor."
B. "Tell me more about the nausea you experience after taking it."
C. "That medication is very important for your condition."
D. "I'll let the doctor know you refuse to take it."
CORRECT ANSWER: B. "Tell me more about the nausea you experience after
taking it."
Rationale: This response uses open-ended exploration, encouraging the patient to
express concerns fully. Option A is judgmental and dismissive. Option C
minimizes the patient's experience. Option D is punitive and nontherapeutic.
When assessing a patient's level of consciousness, which finding would indicate
the most significant impairment?
A. Lethargy
B. Obtundation
, C. Stupor
D. Coma
CORRECT ANSWER: D. Coma
Rationale: Coma is the deepest impairment of consciousness, with no response to
painful stimuli. Lethargy (A) is mild drowsiness. Obtundation (B) is reduced
alertness. Stupor (C) requires vigorous stimulation for response. Coma represents
the most severe level.
A nurse palpates a patient's radial pulse and counts 52 beats per minute. The
patient is asymptomatic. This finding is documented as:
A. Tachycardia
B. Bradycardia
C. Dysrhythmia
D. Normal sinus rhythm
CORRECT ANSWER: B. Bradycardia
Rationale: Bradycardia is a heart rate less than 60 bpm in an adult. Tachycardia
(A) is >100 bpm. Dysrhythmia (C) refers to irregular rhythm, not rate alone.
Normal sinus rhythm (D) is 60-100 bpm with regular pattern.
During inspection of the abdomen, the nurse notes a visible pulsation in the
epigastric region. This finding may indicate:
A. Normal aortic pulsation in a thin patient
B. Aortic aneurysm
C. Gastric distention
D. Ascites
CORRECT ANSWER: A. Normal aortic pulsation in a thin patient
Rationale: In thin individuals, the abdominal aorta may be visible as a pulsation
in the epigastrium, which is a normal finding. An aneurysm (B) would produce a
REAL QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED SUCCESS A+ (BRAND NEW!) FULL REVISED
NUR 216 APPROVED EXAM 1
A nurse is preparing to conduct a health assessment on a newly admitted patient.
Which action should the nurse take first?
A. Review the patient's medical records
B. Obtain the patient's vital signs
C. Establish a therapeutic relationship
D. Perform a head-to-toe physical examination
CORRECT ANSWER: C. Establish a therapeutic relationship
Rationale: Establishing a therapeutic relationship is the first step in any health
assessment because it builds trust and encourages open communication.
Reviewing records (A) and obtaining vital signs (B) occur after rapport is
established. A head-to-toe exam (D) is part of the physical assessment, which
follows the interview and relationship building.
A nurse notes that a patient's blood pressure is 148/92 mm Hg during an initial
assessment. This finding is best classified as which type of data?
A. Subjective data
B. Objective data
C. Historical data
D. Referral data
CORRECT ANSWER: B. Objective data
,Rationale: Objective data are measurable, observable, and verifiable findings
obtained through physical examination, vital signs, or diagnostic tests.
Subjective data (A) are what the patient reports. Historical data (C) refer to past
health events. Referral data (D) are not a standard classification.
During a health history interview, the patient states, "I feel like my heart is racing
sometimes." The nurse records this as:
A. A sign
B. A symptom
C. An observation
D. A clinical inference
CORRECT ANSWER: B. A symptom
Rationale: A symptom is a subjective sensation that the patient experiences and
reports, such as feeling their heart racing. A sign (A) is objective and measurable
(e.g., elevated pulse rate). An observation (C) typically refers to what the nurse
sees. A clinical inference (D) is an interpretation based on data.
Which of the following is the primary purpose of conducting a comprehensive
health assessment?
A. To establish a medical diagnosis
B. To identify abnormal laboratory values
C. To collect holistic data about the patient's health status
D. To complete admission paperwork
CORRECT ANSWER: C. To collect holistic data about the patient's health status
Rationale: The primary purpose is to gather complete, holistic data—physical,
psychological, sociocultural, and spiritual—to form a baseline and guide
nursing care. Medical diagnosis (A) is the provider's role. Lab values (B) are
part of but not the sole purpose. Paperwork (D) is administrative, not clinical.
,A nurse is assessing a patient's pain using the PQRST mnemonic. What does the
"R" in PQRST stand for?
A. Region
B. Relief
C. Radiation
D. Rationale
CORRECT ANSWER: C. Radiation
Rationale: In PQRST for pain assessment, P = Provocation/Palliation, Q =
Quality, R = Radiation (where does the pain spread?), S = Severity, T = Timing.
Radiation describes if the pain moves to other body areas. Region (A) is not part
of PQRST. Relief (B) is part of Provocation/Palliation. Rationale (D) is
unrelated.
A patient tells the nurse, "I don't want to take that medication because it makes me
nauseous." Which therapeutic communication response is most appropriate?
A. "You shouldn't stop your medication without telling your doctor."
B. "Tell me more about the nausea you experience after taking it."
C. "That medication is very important for your condition."
D. "I'll let the doctor know you refuse to take it."
CORRECT ANSWER: B. "Tell me more about the nausea you experience after
taking it."
Rationale: This response uses open-ended exploration, encouraging the patient to
express concerns fully. Option A is judgmental and dismissive. Option C
minimizes the patient's experience. Option D is punitive and nontherapeutic.
When assessing a patient's level of consciousness, which finding would indicate
the most significant impairment?
A. Lethargy
B. Obtundation
, C. Stupor
D. Coma
CORRECT ANSWER: D. Coma
Rationale: Coma is the deepest impairment of consciousness, with no response to
painful stimuli. Lethargy (A) is mild drowsiness. Obtundation (B) is reduced
alertness. Stupor (C) requires vigorous stimulation for response. Coma represents
the most severe level.
A nurse palpates a patient's radial pulse and counts 52 beats per minute. The
patient is asymptomatic. This finding is documented as:
A. Tachycardia
B. Bradycardia
C. Dysrhythmia
D. Normal sinus rhythm
CORRECT ANSWER: B. Bradycardia
Rationale: Bradycardia is a heart rate less than 60 bpm in an adult. Tachycardia
(A) is >100 bpm. Dysrhythmia (C) refers to irregular rhythm, not rate alone.
Normal sinus rhythm (D) is 60-100 bpm with regular pattern.
During inspection of the abdomen, the nurse notes a visible pulsation in the
epigastric region. This finding may indicate:
A. Normal aortic pulsation in a thin patient
B. Aortic aneurysm
C. Gastric distention
D. Ascites
CORRECT ANSWER: A. Normal aortic pulsation in a thin patient
Rationale: In thin individuals, the abdominal aorta may be visible as a pulsation
in the epigastrium, which is a normal finding. An aneurysm (B) would produce a
