NSG 316 EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS
VERIFIED 2027 EDITION
1. Describe the elements of a general survey
-physical appearance (age, sex, consciousness, skin color, facial features, signs of distress) -body structure
(stature, nutrition, symmetry, posture, position, build, deformities) -mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene) PBMB
2. when should you begin observing
the second you see the client
3. health assessment
collection of data about the patient's health state
4. complete database
full health history and physical examination (family practice)
5. episodic database
limited or short term problem concerns 1 problem or complex or system (urgent care)
6. follow-up database
status of pervious problem at regular scheduled intervals (doctors office)
7. emergency database
rapid collection of data (ER)
8. comprehensive assessment
health history and complete physical examination, usually conducted when a patient first enters a health
care setting
9. focused assessment
assessment conducted to assess a specific problem; focuses on pertinent history and body regions
10. subjective data
what the person says about himself or herself during history taking
11. objective data
information that is seen, heard, felt, or smelled by an observer; signs
12. first level priority
Emergent, life threatening, and immediate (ABCs)
13. second level priority
Next in urgency, requiring attention so as to avoid further deterioration
14. third level priority
Important to patient's health but can be addressed after more urgent problems are addressed
15. functional assessment components
-basis for care planning, goal setting, and discharge planning -self care (ADLs) -self maintenance (IADLs)
-physical mobility
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, 16. collecting subjective data for the ill person
information about health problem
17. obtaining an accurate and current health history
-subjective data -biographical data (name,DOB,sex,race,ethnic origin) -source of history (themselves or
family?) -reason for seeking care (signs/symptoms) -present health/illness (location, severity, timing,
setting, relieving factors) -past health (childhood illness, hospitalizations, operations, immunizations,
allergies, current meds) -family history -review of systems -functional assessment (ADLs, IADLs, AADLs)
18. cultural competence
An understanding of how a patient's cultural background shapes his beliefs, values, and expectations for
therapy; established through knowing your own culture first
19. inspection
-begins when you first see the patient -first examine as a whole and then systems -good lighting,
exposure, and instruments
20. palpation
-examine by touch -doctor does this, if nurses do this it will be light -fingertips (skin texture, swelling,
pulsation, lumps) -fingers/thumb (position, shape, consistency of organ/mass) -dorsa of hand/fingers
(temperature) -base of fingers (vibration)
21. direct percussion
striking hand directly contacts body wall
22. indirect percussion
using both hands, striking hand contacts stationary hand fixed on patient's skin
23. Auscultation
-listening to body sounds -bell (low-frequency sounds: extra heart sounds or murmurs) -diaphragm
(high-frequency sounds: breaths, bowels, normal heart sounds)
24. acute pain
-short term -fast onset -predictable trajectory -goes away after injury heals
25. incident acute pain
happens with movement
26. chronic pain
-lasts 6 months or longer -slow onset -malignant -nonmalignant (arthritis, fibromyalgia, low back pain)
-isn't associated with injury -BRADS (bracing, rubbing, appetite, decreased activity, sighing)
27. breakthrough pain
Occurs when patient has recurrence of pain before next scheduled dose of medication
28. visceral pain
large internal organs (dull, deep, squeezing, cramping) ex. appendicitis and cholecystitis
29. somatic pain
Pain that originates from skeletal muscles, ligaments, or joints. (aching, throbbing)
30. cutaneous pain
pain from skin surface and subcutaneous tissue (superficial, sharp, nausea, sweating, tachycardia, HTN)
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VERIFIED 2027 EDITION
1. Describe the elements of a general survey
-physical appearance (age, sex, consciousness, skin color, facial features, signs of distress) -body structure
(stature, nutrition, symmetry, posture, position, build, deformities) -mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene) PBMB
2. when should you begin observing
the second you see the client
3. health assessment
collection of data about the patient's health state
4. complete database
full health history and physical examination (family practice)
5. episodic database
limited or short term problem concerns 1 problem or complex or system (urgent care)
6. follow-up database
status of pervious problem at regular scheduled intervals (doctors office)
7. emergency database
rapid collection of data (ER)
8. comprehensive assessment
health history and complete physical examination, usually conducted when a patient first enters a health
care setting
9. focused assessment
assessment conducted to assess a specific problem; focuses on pertinent history and body regions
10. subjective data
what the person says about himself or herself during history taking
11. objective data
information that is seen, heard, felt, or smelled by an observer; signs
12. first level priority
Emergent, life threatening, and immediate (ABCs)
13. second level priority
Next in urgency, requiring attention so as to avoid further deterioration
14. third level priority
Important to patient's health but can be addressed after more urgent problems are addressed
15. functional assessment components
-basis for care planning, goal setting, and discharge planning -self care (ADLs) -self maintenance (IADLs)
-physical mobility
1
, 16. collecting subjective data for the ill person
information about health problem
17. obtaining an accurate and current health history
-subjective data -biographical data (name,DOB,sex,race,ethnic origin) -source of history (themselves or
family?) -reason for seeking care (signs/symptoms) -present health/illness (location, severity, timing,
setting, relieving factors) -past health (childhood illness, hospitalizations, operations, immunizations,
allergies, current meds) -family history -review of systems -functional assessment (ADLs, IADLs, AADLs)
18. cultural competence
An understanding of how a patient's cultural background shapes his beliefs, values, and expectations for
therapy; established through knowing your own culture first
19. inspection
-begins when you first see the patient -first examine as a whole and then systems -good lighting,
exposure, and instruments
20. palpation
-examine by touch -doctor does this, if nurses do this it will be light -fingertips (skin texture, swelling,
pulsation, lumps) -fingers/thumb (position, shape, consistency of organ/mass) -dorsa of hand/fingers
(temperature) -base of fingers (vibration)
21. direct percussion
striking hand directly contacts body wall
22. indirect percussion
using both hands, striking hand contacts stationary hand fixed on patient's skin
23. Auscultation
-listening to body sounds -bell (low-frequency sounds: extra heart sounds or murmurs) -diaphragm
(high-frequency sounds: breaths, bowels, normal heart sounds)
24. acute pain
-short term -fast onset -predictable trajectory -goes away after injury heals
25. incident acute pain
happens with movement
26. chronic pain
-lasts 6 months or longer -slow onset -malignant -nonmalignant (arthritis, fibromyalgia, low back pain)
-isn't associated with injury -BRADS (bracing, rubbing, appetite, decreased activity, sighing)
27. breakthrough pain
Occurs when patient has recurrence of pain before next scheduled dose of medication
28. visceral pain
large internal organs (dull, deep, squeezing, cramping) ex. appendicitis and cholecystitis
29. somatic pain
Pain that originates from skeletal muscles, ligaments, or joints. (aching, throbbing)
30. cutaneous pain
pain from skin surface and subcutaneous tissue (superficial, sharp, nausea, sweating, tachycardia, HTN)
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