NUR 335 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS LATEST UPDATED
2026/2027
Question 1
What are the five sequential and dynamic steps that comprise the foundational
Nursing Process, often remembered by the clinical acronym ADPIE?
✔✔ The five steps of the nursing process are:
1. Assessment: The systematic collection of subjective and objective patient
data.
2. Diagnosis: The clinical identification of actual or potential health problems
based on data analysis.
3. Planning: The formulation of measurable, patient-centered goals and
targeted nursing interventions.
4. Implementation: The active execution of the established nursing care plan.
5. Evaluation: The continuous reassessment of the patient to determine the
effectiveness of the interventions and progress toward goals.
Question 2
What are the two primary, distinct stages involved in performing a proper and
thorough clinical assessment?
✔✔ The two essential stages are:
1. Data collection and verification: Gathering subjective and objective
information from primary and secondary sources, and confirming its
accuracy.
2. Data analysis: Interpreting, clustering, and organizing the verified data to
identify clinical patterns or gaps.
Question 3
,What are the five primary types of physical and health assessments utilized by
nurses in various clinical settings depending on the patient's situation?
✔✔ The five standard types of clinical assessments are:
1. Comprehensive Assessment: A detailed, head-to-toe history and physical
examination performed upon admission to establish a baseline.
2. Focused / Problem-Based Assessment: A targeted evaluation restricted to
a specific body system or the patient's immediate chief complaint.
3. Episodic (Follow-Up) Assessment: An evaluation focused on monitoring
a previously identified and treated condition over time (e.g., a clinic follow-
up for wound healing).
4. Shift Assessment: A concise, systematic review performed at the
beginning of a nursing shift to identify changes in a hospitalized patient's
status.
5. Screening Assessment: A brief, focused examination aimed at detecting a
specific disease or risk factor within an individual or population (e.g., blood
pressure or glucose screening).
Comprehensive assessment - ANSWER....On admission; detailed history and
physical examination preformed at the onset of care in a primary care setting.
Includes assessment of health problems, health promotion, disease prevention,
known risk factors, age and gender specific issues.
Focused/Problem-based assessment - ANSWER....Focus on specific problem.
Potential impact on patients underlying health must be considered. Ex:
headache...B/P, stroke potential etc.
Episodic assessment - ANSWER....follow up for previously treated issue. Ex:
pain medication
, Shift assessment - ANSWER....Identify changes in baseline. Focused largely on
the patient's condition or problem.
Screening assessment - ANSWER....Short focused on disease detection. Ex B/P,
vaccine, suicide screening
Cue - ANSWER....information that you collect through the use of your senses Ex.
the patient is guarding abdomen
Inference - ANSWER....your judgment or interpretation of the cues you just
gathered. Ex. the pain is severe
Subjective Data - ANSWER....what the patient says Ex. I've been having pain in
my left leg
Objective Data - ANSWER....What the nurse observes; sees, hears, measures and
feels. Ex. The left leg is red and swollen with 3+ edema
open-ended questions - ANSWER....questions a person is to answer in his or her
own words
close-ended questions - ANSWER....Questions that can be answered in short or
single word responses. Yes-or-No
Back-channeling - ANSWER....Indicate that you have heard what a patient says,
are interested in hearing the full story, and are encouraging the patient to give
more details. Includes active listening prompts such as "all right", "go on", or
""uh-huh".
ANSWERS WITH COMPLETE
SOLUTIONS LATEST UPDATED
2026/2027
Question 1
What are the five sequential and dynamic steps that comprise the foundational
Nursing Process, often remembered by the clinical acronym ADPIE?
✔✔ The five steps of the nursing process are:
1. Assessment: The systematic collection of subjective and objective patient
data.
2. Diagnosis: The clinical identification of actual or potential health problems
based on data analysis.
3. Planning: The formulation of measurable, patient-centered goals and
targeted nursing interventions.
4. Implementation: The active execution of the established nursing care plan.
5. Evaluation: The continuous reassessment of the patient to determine the
effectiveness of the interventions and progress toward goals.
Question 2
What are the two primary, distinct stages involved in performing a proper and
thorough clinical assessment?
✔✔ The two essential stages are:
1. Data collection and verification: Gathering subjective and objective
information from primary and secondary sources, and confirming its
accuracy.
2. Data analysis: Interpreting, clustering, and organizing the verified data to
identify clinical patterns or gaps.
Question 3
,What are the five primary types of physical and health assessments utilized by
nurses in various clinical settings depending on the patient's situation?
✔✔ The five standard types of clinical assessments are:
1. Comprehensive Assessment: A detailed, head-to-toe history and physical
examination performed upon admission to establish a baseline.
2. Focused / Problem-Based Assessment: A targeted evaluation restricted to
a specific body system or the patient's immediate chief complaint.
3. Episodic (Follow-Up) Assessment: An evaluation focused on monitoring
a previously identified and treated condition over time (e.g., a clinic follow-
up for wound healing).
4. Shift Assessment: A concise, systematic review performed at the
beginning of a nursing shift to identify changes in a hospitalized patient's
status.
5. Screening Assessment: A brief, focused examination aimed at detecting a
specific disease or risk factor within an individual or population (e.g., blood
pressure or glucose screening).
Comprehensive assessment - ANSWER....On admission; detailed history and
physical examination preformed at the onset of care in a primary care setting.
Includes assessment of health problems, health promotion, disease prevention,
known risk factors, age and gender specific issues.
Focused/Problem-based assessment - ANSWER....Focus on specific problem.
Potential impact on patients underlying health must be considered. Ex:
headache...B/P, stroke potential etc.
Episodic assessment - ANSWER....follow up for previously treated issue. Ex:
pain medication
, Shift assessment - ANSWER....Identify changes in baseline. Focused largely on
the patient's condition or problem.
Screening assessment - ANSWER....Short focused on disease detection. Ex B/P,
vaccine, suicide screening
Cue - ANSWER....information that you collect through the use of your senses Ex.
the patient is guarding abdomen
Inference - ANSWER....your judgment or interpretation of the cues you just
gathered. Ex. the pain is severe
Subjective Data - ANSWER....what the patient says Ex. I've been having pain in
my left leg
Objective Data - ANSWER....What the nurse observes; sees, hears, measures and
feels. Ex. The left leg is red and swollen with 3+ edema
open-ended questions - ANSWER....questions a person is to answer in his or her
own words
close-ended questions - ANSWER....Questions that can be answered in short or
single word responses. Yes-or-No
Back-channeling - ANSWER....Indicate that you have heard what a patient says,
are interested in hearing the full story, and are encouraging the patient to give
more details. Includes active listening prompts such as "all right", "go on", or
""uh-huh".
