NSG 3160 Health Assessment Exam
1: Complete 300-Question Test
Bank with Verified Answers and
Rationales Graded A+
SECTION 1: FOUNDATIONAL CONCEPTS & EVIDENCE-BASED
PRACTICE
Questions 1-30
1. A patient admitted with asthma has several identified problems.
Which is a first-level priority?
A) Ineffective self-health management
B) Impaired gas exchange
C) Readiness for enhanced spiritual well-being
D) Risk for infection
Correct Answer: B) Impaired gas exchange
Rationale: First-level priority problems are emergent, life-threatening, and
immediate. Impaired gas exchange threatens airway and breathing, making
it the priority. Third-level priorities (ineffective self-health management,
wellness diagnoses) are addressed after urgent problems. Second-level
priorities (risk for infection) require prompt intervention but are not
immediately life-threatening.
,2. After completing an initial assessment, the nurse charts
"respirations are eupneic, pulse 58 bpm." What type of data is this?
A) Subjective
B) Objective
C) Introspective
D) Reflective
Correct Answer: B) Objective
Rationale: Objective data is what the health professional observes, measures,
or detects through physical examination techniques. Subjective data is what
the patient reports about their own condition.
3. Which of the following is an example of subjective data?
A) Blood glucose 126 mg/dL
B) Pain rated 7 out of 10
C) Heart rate 76 bpm
D) Wound drainage 25 mL
Correct Answer: B) Pain rated 7 out of 10
Rationale: Subjective data is what the patient says about themselves during
history taking. Pain is a subjective experience reported by the patient. Blood
glucose, heart rate, and wound drainage are objective, measurable findings.
,4. The nurse is measuring drainage from a Jackson-Pruitt (JP) drain.
Which is objective data?
A) "The drainage measurement is 25 mL"
B) "The client states pain level of 5"
C) "The client reports abdominal pain"
D) "The client said, 'I didn't empty the drain'"
Correct Answer: A) "The drainage measurement is 25 mL"
Rationale: Objective data is measurable and observable by the nurse. The
drainage measurement of 25 mL is a quantifiable observation. Patient
statements about pain or actions are subjective.
5. Which action is most important in the critical-thinking process
according to a nurse precepting a student?
A) Clustering subjective and objective data
B) Analyzing health data
C) Using evidence-based assessment techniques
D) Prioritizing health concerns
Correct Answer: C) Using evidence-based assessment techniques
Rationale: Evidence-based techniques are supported by research showing
effectiveness, providing the safest and most current approaches to promote
patient health. While all options are steps in critical thinking, using evidence-
based techniques is foundational.
, 6. What type of database is most appropriate for an individual
admitted to a long-term care facility?
A) Focused
B) Complete
C) Emergency
D) Follow-up
Correct Answer: B) Complete
Rationale: A complete database includes a comprehensive health history and
full physical examination, establishing a baseline for future comparisons. This
is essential for long-term care admission.
7. When reviewing holistic health concepts, the nurse recalls that
holistic health views:
A) Mind, body, and spirit as interdependent
B) Disease originating from external environment only
C) Nurses as responsible for a patient's health state
D) The individual human as a closed system
Correct Answer: A) Mind, body, and spirit as interdependent
Rationale: Holistic health recognizes the interdependence of mind, body, and
spirit in affecting health and wellness.
8. Which is an example of an open-ended question?
1: Complete 300-Question Test
Bank with Verified Answers and
Rationales Graded A+
SECTION 1: FOUNDATIONAL CONCEPTS & EVIDENCE-BASED
PRACTICE
Questions 1-30
1. A patient admitted with asthma has several identified problems.
Which is a first-level priority?
A) Ineffective self-health management
B) Impaired gas exchange
C) Readiness for enhanced spiritual well-being
D) Risk for infection
Correct Answer: B) Impaired gas exchange
Rationale: First-level priority problems are emergent, life-threatening, and
immediate. Impaired gas exchange threatens airway and breathing, making
it the priority. Third-level priorities (ineffective self-health management,
wellness diagnoses) are addressed after urgent problems. Second-level
priorities (risk for infection) require prompt intervention but are not
immediately life-threatening.
,2. After completing an initial assessment, the nurse charts
"respirations are eupneic, pulse 58 bpm." What type of data is this?
A) Subjective
B) Objective
C) Introspective
D) Reflective
Correct Answer: B) Objective
Rationale: Objective data is what the health professional observes, measures,
or detects through physical examination techniques. Subjective data is what
the patient reports about their own condition.
3. Which of the following is an example of subjective data?
A) Blood glucose 126 mg/dL
B) Pain rated 7 out of 10
C) Heart rate 76 bpm
D) Wound drainage 25 mL
Correct Answer: B) Pain rated 7 out of 10
Rationale: Subjective data is what the patient says about themselves during
history taking. Pain is a subjective experience reported by the patient. Blood
glucose, heart rate, and wound drainage are objective, measurable findings.
,4. The nurse is measuring drainage from a Jackson-Pruitt (JP) drain.
Which is objective data?
A) "The drainage measurement is 25 mL"
B) "The client states pain level of 5"
C) "The client reports abdominal pain"
D) "The client said, 'I didn't empty the drain'"
Correct Answer: A) "The drainage measurement is 25 mL"
Rationale: Objective data is measurable and observable by the nurse. The
drainage measurement of 25 mL is a quantifiable observation. Patient
statements about pain or actions are subjective.
5. Which action is most important in the critical-thinking process
according to a nurse precepting a student?
A) Clustering subjective and objective data
B) Analyzing health data
C) Using evidence-based assessment techniques
D) Prioritizing health concerns
Correct Answer: C) Using evidence-based assessment techniques
Rationale: Evidence-based techniques are supported by research showing
effectiveness, providing the safest and most current approaches to promote
patient health. While all options are steps in critical thinking, using evidence-
based techniques is foundational.
, 6. What type of database is most appropriate for an individual
admitted to a long-term care facility?
A) Focused
B) Complete
C) Emergency
D) Follow-up
Correct Answer: B) Complete
Rationale: A complete database includes a comprehensive health history and
full physical examination, establishing a baseline for future comparisons. This
is essential for long-term care admission.
7. When reviewing holistic health concepts, the nurse recalls that
holistic health views:
A) Mind, body, and spirit as interdependent
B) Disease originating from external environment only
C) Nurses as responsible for a patient's health state
D) The individual human as a closed system
Correct Answer: A) Mind, body, and spirit as interdependent
Rationale: Holistic health recognizes the interdependence of mind, body, and
spirit in affecting health and wellness.
8. Which is an example of an open-ended question?
