NUR 101/NUR101 Exam 1 V2 | Health Assessment
Q&A with Rationale | Fortis College
1. Which component of the nursing process involves the systematic collection and verification
of data?
A. Assessment
B. Evaluation
C. Diagnosis
D. Planning
Correct Answer: A
Explanation: Assessment is the foundational step where the nurse gathers information
about the client’s health status. This stage includes both physical examination and health
history taking to identify patient needs. It is essential for developing a valid nursing
diagnosis and plan of care.
2. A patient reports a sharp, localized pain in the right lower quadrant of the abdomen. What
type of data is this?
A. Objective data
B. Quantitative data
C. Secondary data
D. Subjective data
,Correct Answer: D
Explanation: Subjective data consists of the client’s sensations, feelings, and descriptions
of their condition. Because the nurse cannot feel or see the patient’s pain, it must be
reported by the patient directly. This information is vital for understanding the client’s
internal experience and symptoms.
3. When assessing a patient’s pulse, the nurse notes it is weak and thready. How should this
be documented using the standard scale?
A. 0
B. 3+
C. 2+
D. 1+
Correct Answer: D
Explanation: A 1+ pulse amplitude is described as weak, thready, and easily obliterated
with pressure. A normal pulse is typically rated as 2+, while a bounding pulse is rated as 3+
or 4+ depending on the facility guidelines. Accurate documentation of pulse strength is
critical for assessing cardiovascular perfusion status.
4. What is the primary purpose of the ‘General Survey’ conducted at the beginning of a
physical examination?
A. To diagnose specific medical conditions
B. To observe the client’s overall state of health and appearance
, C. To obtain a detailed family history
D. To perform a deep palpation of internal organs
Correct Answer: B
Explanation: The general survey is a study of the whole person, covering the initial
impression the nurse gains upon meeting the patient. It includes observing physical
appearance, body structure, mobility, and behavior. This overview helps the nurse
determine if immediate intervention or further assessment is required.
5. The nurse is using the OLDCART acronym to assess a patient’s headache. What does the ‘C’
represent in this assessment tool?
A. Character
B. Chronology
C. Complications
D. Causation
Correct Answer: A
Explanation: In the OLDCART mnemonic, the ‘C’ stands for Character, which refers to the
quality of the symptom (e.g., sharp, dull, burning). This helps the nurse differentiate
between various types of pain or discomfort. Understanding the character of a symptom is
essential for identifying the underlying physiological cause.
Q&A with Rationale | Fortis College
1. Which component of the nursing process involves the systematic collection and verification
of data?
A. Assessment
B. Evaluation
C. Diagnosis
D. Planning
Correct Answer: A
Explanation: Assessment is the foundational step where the nurse gathers information
about the client’s health status. This stage includes both physical examination and health
history taking to identify patient needs. It is essential for developing a valid nursing
diagnosis and plan of care.
2. A patient reports a sharp, localized pain in the right lower quadrant of the abdomen. What
type of data is this?
A. Objective data
B. Quantitative data
C. Secondary data
D. Subjective data
,Correct Answer: D
Explanation: Subjective data consists of the client’s sensations, feelings, and descriptions
of their condition. Because the nurse cannot feel or see the patient’s pain, it must be
reported by the patient directly. This information is vital for understanding the client’s
internal experience and symptoms.
3. When assessing a patient’s pulse, the nurse notes it is weak and thready. How should this
be documented using the standard scale?
A. 0
B. 3+
C. 2+
D. 1+
Correct Answer: D
Explanation: A 1+ pulse amplitude is described as weak, thready, and easily obliterated
with pressure. A normal pulse is typically rated as 2+, while a bounding pulse is rated as 3+
or 4+ depending on the facility guidelines. Accurate documentation of pulse strength is
critical for assessing cardiovascular perfusion status.
4. What is the primary purpose of the ‘General Survey’ conducted at the beginning of a
physical examination?
A. To diagnose specific medical conditions
B. To observe the client’s overall state of health and appearance
, C. To obtain a detailed family history
D. To perform a deep palpation of internal organs
Correct Answer: B
Explanation: The general survey is a study of the whole person, covering the initial
impression the nurse gains upon meeting the patient. It includes observing physical
appearance, body structure, mobility, and behavior. This overview helps the nurse
determine if immediate intervention or further assessment is required.
5. The nurse is using the OLDCART acronym to assess a patient’s headache. What does the ‘C’
represent in this assessment tool?
A. Character
B. Chronology
C. Complications
D. Causation
Correct Answer: A
Explanation: In the OLDCART mnemonic, the ‘C’ stands for Character, which refers to the
quality of the symptom (e.g., sharp, dull, burning). This helps the nurse differentiate
between various types of pain or discomfort. Understanding the character of a symptom is
essential for identifying the underlying physiological cause.
