NSG 300: FOUNDATIONS OF
PROFESSIONAL NURSING AND
HEALTH ASSESSMENT
COMPREHENSIVE EXAM
1. A nurse is conducting a health history for a new client. Which of the following statements
by the nurse best demonstrates the use of reflection in therapeutic communication?
A. I think you should consider all treatment options before making a choice.
B. Tell me more about the pain you are experiencing in your abdomen.
C. You seem to be concerned about how this diagnosis will affect your family.
D. Don’t worry, your doctor is the best in this specific field of medicine.
Answer: C
Conceptual Explanation: Reflection involves repeating or rephrasing the client’s feelings
to help them explore their emotions. Option A validates the client’s unspoken feelings.
,2. According to Patricia Benner’s stages of clinical competence, which level describes a nurse
who has been in the same clinical position for 2 to 3 years and begins to see actions in terms
of long-range goals?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Conceptual Explanation: The Competent nurse (2-3 years) is able to organize and plan
care using conscious, abstract, and analytical thinking, focusing on long-term goals.
3. Which ethical principle is a nurse practicing when they ensure that a patient has been fully
informed about the risks and benefits of a surgery before signing the consent form?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making informed decisions about their own healthcare.
, 4. During a physical assessment, the nurse uses the pleximeter finger and the plexor finger to
strike the chest wall. This technique is known as:
A. Direct Percussion
B. Indirect Percussion
C. Deep Palpation
D. Auscultation
Answer: B
Conceptual Explanation: Indirect percussion involves using one hand as a stationary
surface (pleximeter) and the other to strike (plexor) to elicit sounds from underlying
tissues.
5. Which of the following components of a PICO question represents the ‘I’?
A. Implementation of new protocols
B. Intervention or Interest
C. Indicators of health
D. Inpatient population
Answer: B
Conceptual Explanation: In evidence-based practice, PICO stands for Patient/Population,
Intervention/Interest, Comparison, and Outcome.
PROFESSIONAL NURSING AND
HEALTH ASSESSMENT
COMPREHENSIVE EXAM
1. A nurse is conducting a health history for a new client. Which of the following statements
by the nurse best demonstrates the use of reflection in therapeutic communication?
A. I think you should consider all treatment options before making a choice.
B. Tell me more about the pain you are experiencing in your abdomen.
C. You seem to be concerned about how this diagnosis will affect your family.
D. Don’t worry, your doctor is the best in this specific field of medicine.
Answer: C
Conceptual Explanation: Reflection involves repeating or rephrasing the client’s feelings
to help them explore their emotions. Option A validates the client’s unspoken feelings.
,2. According to Patricia Benner’s stages of clinical competence, which level describes a nurse
who has been in the same clinical position for 2 to 3 years and begins to see actions in terms
of long-range goals?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Conceptual Explanation: The Competent nurse (2-3 years) is able to organize and plan
care using conscious, abstract, and analytical thinking, focusing on long-term goals.
3. Which ethical principle is a nurse practicing when they ensure that a patient has been fully
informed about the risks and benefits of a surgery before signing the consent form?
A. Beneficence
B. Autonomy
C. Nonmaleficence
D. Justice
Answer: B
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making informed decisions about their own healthcare.
, 4. During a physical assessment, the nurse uses the pleximeter finger and the plexor finger to
strike the chest wall. This technique is known as:
A. Direct Percussion
B. Indirect Percussion
C. Deep Palpation
D. Auscultation
Answer: B
Conceptual Explanation: Indirect percussion involves using one hand as a stationary
surface (pleximeter) and the other to strike (plexor) to elicit sounds from underlying
tissues.
5. Which of the following components of a PICO question represents the ‘I’?
A. Implementation of new protocols
B. Intervention or Interest
C. Indicators of health
D. Inpatient population
Answer: B
Conceptual Explanation: In evidence-based practice, PICO stands for Patient/Population,
Intervention/Interest, Comparison, and Outcome.
