NSG 3160 Exam 1 | NSG 3160 Health Assessment |
Actual Q&A with Rationale (NSG 3160 Exam 1) |
Galen
1. A nurse is performing a physical assessment on a patient. Which of the following
findings would be considered objective data?
a) The patient reports feeling nauseous.
b) The patient's skin is warm and dry to the touch.
c) The patient complains of a headache.
d) The patient states that they are having difficulty sleeping.
Correct Answer: b) The patient's skin is warm and dry to the touch.
Rationale: Objective data are measurable, observable, or verifiable by the nurse (e.g.,
vital signs, skin condition, laboratory results). Options a, c, and d are subjective data
reported by the patient.
2. Which of the following is the best definition of evidence-based practice (EBP) in
nursing?
a) Using the latest technology to provide patient care.
b) Relying on tradition and experience to guide nursing interventions.
c) Integrating the best research evidence with clinical expertise, patient values, and
assessment data to guide care.
d) Following the policies and procedures of the healthcare facility.
Correct Answer: c) Integrating the best research evidence with clinical expertise,
patient values, and assessment data to guide care.
Rationale: EBP combines three elements: best research evidence, clinical expertise, and
patient preferences/values. It is not merely using technology, tradition, or facility
policies.
3. A patient is admitted to the emergency department with difficulty breathing.
Which type of database is most appropriate to collect in this setting?
a) Complete database
b) Focused database
c) Follow-up database
d) Emergency database
Correct Answer: d) Emergency database
Rationale: An emergency database is used in life-threatening situations to rapidly
collect critical information (e.g., airway, breathing, circulation). A focused database is for
,specific problems, a complete database for comprehensive assessments, and a follow-
up database for monitoring progress.
4. What type of question is most useful for obtaining a patient's perception of their
illness?
a) Closed-ended question
b) Open-ended question
c) Leading question
d) Why question
Correct Answer: b) Open-ended question
Rationale: Open-ended questions (e.g., "Tell me about your illness") encourage the
patient to share their perspective, feelings, and concerns. Closed-ended questions
yield limited yes/no answers. Leading questions suggest a desired answer. "Why"
questions can make patients feel defensive.
5. Which of the following is NOT a component of a complete health history?
a) Biographic data
b) Review of systems
c) Physical assessment findings
d) Reason for seeking care
Correct Answer: c) Physical assessment findings
Rationale: A complete health history includes subjective data (biographic data, reason
for seeking care, review of systems, past medical history, etc.). Physical assessment
findings are objective data collected during the physical examination, not part of the
health history interview.
6. A nurse is assessing a patient's pain. Which of the following questions would be
most appropriate to ask when assessing the "Q" in PQRSTU?
a) Can you point to where the pain is located?
b) Can you describe what the pain feels like?
c) How would you rate your pain on a scale of 0 to 10?
d) When did the pain start?
Correct Answer: b) Can you describe what the pain feels like?
Rationale: In PQRSTU, Q = Quality. Asking the patient to describe what the pain feels
like (e.g., sharp, dull, burning) assesses quality. Option a assesses Region (R), option c
assesses Severity (S), and option d assesses Timing (T).
, 7. Which of the following is a priority assessment for a patient admitted with a
history of falls?
a) Nutritional intake
b) Sleep patterns
c) Gait and balance
d) Social support
Correct Answer: c) Gait and balance
Rationale: For a patient with a history of falls, assessing gait and balance is the priority
to identify fall risk and implement safety measures. While other factors may contribute,
mobility assessment is most directly related to fall prevention.
8. Which of the following findings during a musculoskeletal assessment of an older
adult would be considered abnormal?
a) Decreased muscle mass
b) Limited range of motion
c) Kyphosis
d) Unilateral muscle weakness
Correct Answer: d) Unilateral muscle weakness
Rationale: Age-related changes include decreased muscle mass, limited range of
motion, and kyphosis (forward curvature of the spine). Unilateral muscle weakness is
not a normal age-related change and may indicate a neurological condition such as
stroke.
9. A nurse is preparing to assess a patient's abdomen. What is the correct sequence
for this assessment?
a) Inspection, auscultation, percussion, palpation
b) Inspection, palpation, percussion, auscultation
c) Auscultation, inspection, palpation, percussion
d) Inspection, auscultation, palpation, percussion
Correct Answer: a) Inspection, auscultation, percussion, palpation
Rationale: For abdominal assessment, auscultation is performed before percussion and
palpation because those techniques can alter bowel sounds. The correct sequence is:
Inspection, Auscultation, Percussion, Palpation (IAPP).
Actual Q&A with Rationale (NSG 3160 Exam 1) |
Galen
1. A nurse is performing a physical assessment on a patient. Which of the following
findings would be considered objective data?
a) The patient reports feeling nauseous.
b) The patient's skin is warm and dry to the touch.
c) The patient complains of a headache.
d) The patient states that they are having difficulty sleeping.
Correct Answer: b) The patient's skin is warm and dry to the touch.
Rationale: Objective data are measurable, observable, or verifiable by the nurse (e.g.,
vital signs, skin condition, laboratory results). Options a, c, and d are subjective data
reported by the patient.
2. Which of the following is the best definition of evidence-based practice (EBP) in
nursing?
a) Using the latest technology to provide patient care.
b) Relying on tradition and experience to guide nursing interventions.
c) Integrating the best research evidence with clinical expertise, patient values, and
assessment data to guide care.
d) Following the policies and procedures of the healthcare facility.
Correct Answer: c) Integrating the best research evidence with clinical expertise,
patient values, and assessment data to guide care.
Rationale: EBP combines three elements: best research evidence, clinical expertise, and
patient preferences/values. It is not merely using technology, tradition, or facility
policies.
3. A patient is admitted to the emergency department with difficulty breathing.
Which type of database is most appropriate to collect in this setting?
a) Complete database
b) Focused database
c) Follow-up database
d) Emergency database
Correct Answer: d) Emergency database
Rationale: An emergency database is used in life-threatening situations to rapidly
collect critical information (e.g., airway, breathing, circulation). A focused database is for
,specific problems, a complete database for comprehensive assessments, and a follow-
up database for monitoring progress.
4. What type of question is most useful for obtaining a patient's perception of their
illness?
a) Closed-ended question
b) Open-ended question
c) Leading question
d) Why question
Correct Answer: b) Open-ended question
Rationale: Open-ended questions (e.g., "Tell me about your illness") encourage the
patient to share their perspective, feelings, and concerns. Closed-ended questions
yield limited yes/no answers. Leading questions suggest a desired answer. "Why"
questions can make patients feel defensive.
5. Which of the following is NOT a component of a complete health history?
a) Biographic data
b) Review of systems
c) Physical assessment findings
d) Reason for seeking care
Correct Answer: c) Physical assessment findings
Rationale: A complete health history includes subjective data (biographic data, reason
for seeking care, review of systems, past medical history, etc.). Physical assessment
findings are objective data collected during the physical examination, not part of the
health history interview.
6. A nurse is assessing a patient's pain. Which of the following questions would be
most appropriate to ask when assessing the "Q" in PQRSTU?
a) Can you point to where the pain is located?
b) Can you describe what the pain feels like?
c) How would you rate your pain on a scale of 0 to 10?
d) When did the pain start?
Correct Answer: b) Can you describe what the pain feels like?
Rationale: In PQRSTU, Q = Quality. Asking the patient to describe what the pain feels
like (e.g., sharp, dull, burning) assesses quality. Option a assesses Region (R), option c
assesses Severity (S), and option d assesses Timing (T).
, 7. Which of the following is a priority assessment for a patient admitted with a
history of falls?
a) Nutritional intake
b) Sleep patterns
c) Gait and balance
d) Social support
Correct Answer: c) Gait and balance
Rationale: For a patient with a history of falls, assessing gait and balance is the priority
to identify fall risk and implement safety measures. While other factors may contribute,
mobility assessment is most directly related to fall prevention.
8. Which of the following findings during a musculoskeletal assessment of an older
adult would be considered abnormal?
a) Decreased muscle mass
b) Limited range of motion
c) Kyphosis
d) Unilateral muscle weakness
Correct Answer: d) Unilateral muscle weakness
Rationale: Age-related changes include decreased muscle mass, limited range of
motion, and kyphosis (forward curvature of the spine). Unilateral muscle weakness is
not a normal age-related change and may indicate a neurological condition such as
stroke.
9. A nurse is preparing to assess a patient's abdomen. What is the correct sequence
for this assessment?
a) Inspection, auscultation, percussion, palpation
b) Inspection, palpation, percussion, auscultation
c) Auscultation, inspection, palpation, percussion
d) Inspection, auscultation, palpation, percussion
Correct Answer: a) Inspection, auscultation, percussion, palpation
Rationale: For abdominal assessment, auscultation is performed before percussion and
palpation because those techniques can alter bowel sounds. The correct sequence is:
Inspection, Auscultation, Percussion, Palpation (IAPP).
