,NURS-143 Midterm (Weeks 1-4) ACTUAL 2026/2027 EXAM TEST BANK
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST VERSION Instant Download Pdf
Question 1
What is the purpose of health assessment within the nursing process?
Correct Answer: Health assessment is the first step of the nursing process and
involves collecting subjective and objective data to build an individualized
database that guides nursing diagnosis, care planning, and clinical decision-
making.
Rationale: Health assessment is the foundational step of the nursing process. It
involves the systematic collection of both subjective data (what the patient
reports) and objective data (what the nurse observes or measures). This data
forms an individualized database that is essential for identifying nursing
diagnoses, planning appropriate care, and making sound clinical decisions.
Without a thorough health assessment, subsequent steps of the nursing process
would lack the necessary information to provide safe and effective care.
Question 2
What are primary, secondary, and tertiary sources of health data?
Correct Answer: The primary source is the patient. Secondary sources include
charts and caregivers. Tertiary sources include nursing experience and relevant
literature.
Rationale: The primary source of health data is the patient themselves, as they
are the most direct and reliable source of information about their own health.
Secondary sources include medical records, charts, and caregivers who can
provide additional information, especially when the patient is unable to
communicate. Tertiary sources include the nurse's own clinical experience and
relevant literature, which help contextualize and interpret the data collected.
,Understanding these sources helps nurses gather comprehensive and accurate
information.
Question 3
What techniques do nurses use to gather assessment data?
Correct Answer: Nurses observe behaviour, ask questions, listen to cues, conduct
interviews, perform physical examinations, and review diagnostic data.
Rationale: Nurses use a variety of techniques to gather assessment data, including
observing patient behaviour, asking relevant questions, listening to verbal and
nonverbal cues, conducting structured interviews, performing physical
examinations, and reviewing diagnostic data such as laboratory results and
imaging studies. These techniques allow nurses to collect both subjective and
objective data necessary for a comprehensive assessment.
Question 4
What are the five basic physical assessment techniques?
Correct Answer: Inspection, palpation, percussion, auscultation, and olfaction.
Rationale: The five basic physical assessment techniques are inspection (visual
examination), palpation (touching to assess texture, temperature, and
tenderness), percussion (tapping to assess underlying structures), auscultation
(listening to sounds produced by the body), and olfaction (using the sense of smell
to detect abnormalities). These techniques are fundamental to performing a
thorough physical examination.
Question 5
What is the difference between subjective and objective data?
Correct Answer: Subjective data is what the client reports, such as pain or nausea.
Objective data is observable or measurable, such as vital signs or wound
appearance.
Rationale: Subjective data is information that the patient reports, such as pain,
nausea, or anxiety. It cannot be directly observed or measured by the nurse.
, Objective data is observable or measurable information, such as vital signs,
laboratory values, or wound appearance. Both types of data are essential for a
comprehensive assessment.
Question 6
What is a general survey?
Correct Answer: A brief scan that provides an overall impression of the client's
physical appearance, body structure, mobility, and behaviour.
Rationale: A general survey is a brief, focused scan that provides an overall
impression of the client's physical appearance, body structure, mobility, and
behaviour. It is performed at the beginning of the assessment and helps the nurse
identify any immediate concerns or areas requiring further assessment.
Question 7
What is a primary survey?
Correct Answer: A rapid ABCDE assessment used to identify life-threatening
conditions and prioritize urgent care.
Rationale: A primary survey is a rapid assessment using the ABCDE approach
(Airway, Breathing, Circulation, Disability, Exposure) to identify life-threatening
conditions and prioritize urgent care. It is performed first in emergency situations
to ensure that immediate threats to life are addressed before proceeding to a
more detailed assessment.
Question 8
What is a focused assessment?
Correct Answer: A targeted assessment that concentrates on a specific problem or
symptom.
Rationale: A focused assessment is a targeted assessment that concentrates on a
specific problem or symptom. It is used when a patient has a specific concern or
when a particular body system requires closer examination. It allows the nurse to
gather detailed information about the specific issue.
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST VERSION Instant Download Pdf
Question 1
What is the purpose of health assessment within the nursing process?
Correct Answer: Health assessment is the first step of the nursing process and
involves collecting subjective and objective data to build an individualized
database that guides nursing diagnosis, care planning, and clinical decision-
making.
Rationale: Health assessment is the foundational step of the nursing process. It
involves the systematic collection of both subjective data (what the patient
reports) and objective data (what the nurse observes or measures). This data
forms an individualized database that is essential for identifying nursing
diagnoses, planning appropriate care, and making sound clinical decisions.
Without a thorough health assessment, subsequent steps of the nursing process
would lack the necessary information to provide safe and effective care.
Question 2
What are primary, secondary, and tertiary sources of health data?
Correct Answer: The primary source is the patient. Secondary sources include
charts and caregivers. Tertiary sources include nursing experience and relevant
literature.
Rationale: The primary source of health data is the patient themselves, as they
are the most direct and reliable source of information about their own health.
Secondary sources include medical records, charts, and caregivers who can
provide additional information, especially when the patient is unable to
communicate. Tertiary sources include the nurse's own clinical experience and
relevant literature, which help contextualize and interpret the data collected.
,Understanding these sources helps nurses gather comprehensive and accurate
information.
Question 3
What techniques do nurses use to gather assessment data?
Correct Answer: Nurses observe behaviour, ask questions, listen to cues, conduct
interviews, perform physical examinations, and review diagnostic data.
Rationale: Nurses use a variety of techniques to gather assessment data, including
observing patient behaviour, asking relevant questions, listening to verbal and
nonverbal cues, conducting structured interviews, performing physical
examinations, and reviewing diagnostic data such as laboratory results and
imaging studies. These techniques allow nurses to collect both subjective and
objective data necessary for a comprehensive assessment.
Question 4
What are the five basic physical assessment techniques?
Correct Answer: Inspection, palpation, percussion, auscultation, and olfaction.
Rationale: The five basic physical assessment techniques are inspection (visual
examination), palpation (touching to assess texture, temperature, and
tenderness), percussion (tapping to assess underlying structures), auscultation
(listening to sounds produced by the body), and olfaction (using the sense of smell
to detect abnormalities). These techniques are fundamental to performing a
thorough physical examination.
Question 5
What is the difference between subjective and objective data?
Correct Answer: Subjective data is what the client reports, such as pain or nausea.
Objective data is observable or measurable, such as vital signs or wound
appearance.
Rationale: Subjective data is information that the patient reports, such as pain,
nausea, or anxiety. It cannot be directly observed or measured by the nurse.
, Objective data is observable or measurable information, such as vital signs,
laboratory values, or wound appearance. Both types of data are essential for a
comprehensive assessment.
Question 6
What is a general survey?
Correct Answer: A brief scan that provides an overall impression of the client's
physical appearance, body structure, mobility, and behaviour.
Rationale: A general survey is a brief, focused scan that provides an overall
impression of the client's physical appearance, body structure, mobility, and
behaviour. It is performed at the beginning of the assessment and helps the nurse
identify any immediate concerns or areas requiring further assessment.
Question 7
What is a primary survey?
Correct Answer: A rapid ABCDE assessment used to identify life-threatening
conditions and prioritize urgent care.
Rationale: A primary survey is a rapid assessment using the ABCDE approach
(Airway, Breathing, Circulation, Disability, Exposure) to identify life-threatening
conditions and prioritize urgent care. It is performed first in emergency situations
to ensure that immediate threats to life are addressed before proceeding to a
more detailed assessment.
Question 8
What is a focused assessment?
Correct Answer: A targeted assessment that concentrates on a specific problem or
symptom.
Rationale: A focused assessment is a targeted assessment that concentrates on a
specific problem or symptom. It is used when a patient has a specific concern or
when a particular body system requires closer examination. It allows the nurse to
gather detailed information about the specific issue.
