NSG 316 FINAL EXAM UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS VERIFIED 2027 EDITION
1. What are the elements of a general survey and health assessment?
Physical appearance, body structure, mobility, behavior, and measurement
2. What is the difference between subjective and objective data?
Subjective data is what the patient say about themselves during the history taking. Objective data is
observed when inspecting, percussing, palpating, and auscultating the patient during the physical exam.
3. What is the difference between a comprehensive assessment and a focused assessment?
A comprehensive assessment includes the patient's history, physical exam, and VS; yearly health exams. A
focused assessment is a more detailed assessment that related to a current medical condition/patient
complaint; ER situations or after a diagnosis
4. A nurse is caring for a client who asks about measures the nurse takes to protect client privacy.
Which of the following is an appropriate response by the nurse? a. "I will provide their information to
anyone who requests it." b. "I will make sure my password to log into the system is the same one I use
for everything else." c. "I will talk to my friends about the client in order to get advice." d. "I will log off
the computer in between seeing clients."
Answer: d HIPAA establishes national standards for the protection of certain health info. The privacy rule
can be violated if a client's health info is on the computer screen and the nurse leaves it up while taking
care of other clients.
5. What factors affect health promotion and disease prevention throughout the lifespan?
Gender, genetics, education, socioeconomic status, ethnicity, lifestyle, chronic illness/disability, and race
6. Which of these are components of a functional assessment? (Select all that apply) a. vision and
hearing b. mobility c. continence d. nutrition e. ADL-IADL
Answer: all of them :) A functional assessment also includes mental status, affect, home environment, and
social support!
7. What is the key to understanding cultural diversity?
Being self-aware and having knowledge of one's own culture
8. FICA is an assessment tool used to determine a patient's spiritual history. What does FICA stand
for?
F = faith I = importance/influence C = community A = address/action
9. What components should be assessed and asked about when completing a cultural assessment?
Heritage, health practices, communication, family roles & social orientation, nutrition, pregnancy,
spirituality/religion, death, and role of health providers
10. What are the four sources of pain? (Provide some examples for each)
1. Visceral pain = large interior organs (e.g., appendicitis, gallstones) 2. Deep somatic pain = blood vessels,
joints, tendons, muscles, and bone injury (e.g., sprain, broken bone) 3. Cutaneous pain = skin surface and
subcutaneous tissues (e.g., paper cut) 4. Referred pain = felt at a particular site but originates from
another location (e.g., left arm hurting during an MI although the issue is with the heart)
1
, 11. A patient is crying and says, "Please get me something to relieve this pain." What should the nurse
do next? a. Verify that the patient has an order for pain medications and administer order as directed
b. Assess the level of pain and ask patient what usually works for his or her pain, administer pain
medication as needed, then reassess pain level c. Assess the level of pain and give medications
according to pain level, and then reassess pain d. Reposition the patient, then reassess the pain after
intervention
Answer: B Answers A, C, and D are incorrect because pain management should be collaborative, and the
patient is not part of the decision making process in these answers.
12. Pain is always ____?
Subjective!
13. A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I massage
the muscle or apply a cold pack." Which criterion of the PQRST method of pain assessment is
addressed in the patient's statement? a. Severity Scale b. Quality/Quantity c. Region/Radiation d.
Provocation/Palliation
Answer: d PQRST is a pain assessment scale; it stands for Provocation/Palliation, Quality/Quantity,
Region/Radiation, Severity Scale, and Timing. Because the patient is describing methods that provide
comfort and relieve the pain, it indicates that the patient is addressing Provocation/Palliation. If the patient
reports about severity of pain on a scale of 0 to 10, then it indicates that the patient is addressing Severity.
When addressing the Quality/Quantity of the pain, the patient describes the pain felt. If the patient reports
about the site of pain, then the patient is addressing Region/Radiation.
14. Stages of Edema
1+ mild, slight indentation, no perceptible swelling 2+ moderate, indentation subsides rapidly (seconds) 3+
deep, indentation remains for short time (minutes), appears swollen 4+ very deep, indentation lasts long
time (hours), appears very swollen
15. Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect - skin is warm, dry, intact, color is consistent
throughout, no lesins, scars, tattoos noted on exposed skin 2. Skin turgor - appropriate B/L, no tenting
noted 3. Upper body edema 4. Radial pulses - strong, palpable, equal, and approximately 2+ 5. Capillary
refill - <2 sec B/L
16. Test for CN V
CN V (trigeminal) - clench jaw, use cotton ball to touch different areas of the face while patient has eyes
closed
17. Test for CN VII
CN VII (facial) - raise eyebrows, close eyes, puff out cheeks, smile, frown
18. Test for CN III, IV, VI
CN III (oculomotor) IV (trochlear) VI (abducens) - six cardinal fields of gaze; follow penlight w/o moving
head
19. Test for CN XI
CN XI (spinal accessory) - ROM of neck is equal and strength in shoulders is equal w/ and w/o resistance
2
ANSWERS VERIFIED 2027 EDITION
1. What are the elements of a general survey and health assessment?
Physical appearance, body structure, mobility, behavior, and measurement
2. What is the difference between subjective and objective data?
Subjective data is what the patient say about themselves during the history taking. Objective data is
observed when inspecting, percussing, palpating, and auscultating the patient during the physical exam.
3. What is the difference between a comprehensive assessment and a focused assessment?
A comprehensive assessment includes the patient's history, physical exam, and VS; yearly health exams. A
focused assessment is a more detailed assessment that related to a current medical condition/patient
complaint; ER situations or after a diagnosis
4. A nurse is caring for a client who asks about measures the nurse takes to protect client privacy.
Which of the following is an appropriate response by the nurse? a. "I will provide their information to
anyone who requests it." b. "I will make sure my password to log into the system is the same one I use
for everything else." c. "I will talk to my friends about the client in order to get advice." d. "I will log off
the computer in between seeing clients."
Answer: d HIPAA establishes national standards for the protection of certain health info. The privacy rule
can be violated if a client's health info is on the computer screen and the nurse leaves it up while taking
care of other clients.
5. What factors affect health promotion and disease prevention throughout the lifespan?
Gender, genetics, education, socioeconomic status, ethnicity, lifestyle, chronic illness/disability, and race
6. Which of these are components of a functional assessment? (Select all that apply) a. vision and
hearing b. mobility c. continence d. nutrition e. ADL-IADL
Answer: all of them :) A functional assessment also includes mental status, affect, home environment, and
social support!
7. What is the key to understanding cultural diversity?
Being self-aware and having knowledge of one's own culture
8. FICA is an assessment tool used to determine a patient's spiritual history. What does FICA stand
for?
F = faith I = importance/influence C = community A = address/action
9. What components should be assessed and asked about when completing a cultural assessment?
Heritage, health practices, communication, family roles & social orientation, nutrition, pregnancy,
spirituality/religion, death, and role of health providers
10. What are the four sources of pain? (Provide some examples for each)
1. Visceral pain = large interior organs (e.g., appendicitis, gallstones) 2. Deep somatic pain = blood vessels,
joints, tendons, muscles, and bone injury (e.g., sprain, broken bone) 3. Cutaneous pain = skin surface and
subcutaneous tissues (e.g., paper cut) 4. Referred pain = felt at a particular site but originates from
another location (e.g., left arm hurting during an MI although the issue is with the heart)
1
, 11. A patient is crying and says, "Please get me something to relieve this pain." What should the nurse
do next? a. Verify that the patient has an order for pain medications and administer order as directed
b. Assess the level of pain and ask patient what usually works for his or her pain, administer pain
medication as needed, then reassess pain level c. Assess the level of pain and give medications
according to pain level, and then reassess pain d. Reposition the patient, then reassess the pain after
intervention
Answer: B Answers A, C, and D are incorrect because pain management should be collaborative, and the
patient is not part of the decision making process in these answers.
12. Pain is always ____?
Subjective!
13. A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I massage
the muscle or apply a cold pack." Which criterion of the PQRST method of pain assessment is
addressed in the patient's statement? a. Severity Scale b. Quality/Quantity c. Region/Radiation d.
Provocation/Palliation
Answer: d PQRST is a pain assessment scale; it stands for Provocation/Palliation, Quality/Quantity,
Region/Radiation, Severity Scale, and Timing. Because the patient is describing methods that provide
comfort and relieve the pain, it indicates that the patient is addressing Provocation/Palliation. If the patient
reports about severity of pain on a scale of 0 to 10, then it indicates that the patient is addressing Severity.
When addressing the Quality/Quantity of the pain, the patient describes the pain felt. If the patient reports
about the site of pain, then the patient is addressing Region/Radiation.
14. Stages of Edema
1+ mild, slight indentation, no perceptible swelling 2+ moderate, indentation subsides rapidly (seconds) 3+
deep, indentation remains for short time (minutes), appears swollen 4+ very deep, indentation lasts long
time (hours), appears very swollen
15. Skin assessment for a head-to-toe assessment
1. Check skin for temperature w/ back of hands and inspect - skin is warm, dry, intact, color is consistent
throughout, no lesins, scars, tattoos noted on exposed skin 2. Skin turgor - appropriate B/L, no tenting
noted 3. Upper body edema 4. Radial pulses - strong, palpable, equal, and approximately 2+ 5. Capillary
refill - <2 sec B/L
16. Test for CN V
CN V (trigeminal) - clench jaw, use cotton ball to touch different areas of the face while patient has eyes
closed
17. Test for CN VII
CN VII (facial) - raise eyebrows, close eyes, puff out cheeks, smile, frown
18. Test for CN III, IV, VI
CN III (oculomotor) IV (trochlear) VI (abducens) - six cardinal fields of gaze; follow penlight w/o moving
head
19. Test for CN XI
CN XI (spinal accessory) - ROM of neck is equal and strength in shoulders is equal w/ and w/o resistance
2
