NURS 213 - EXAM 1 ACTUAL QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS | UPDATE 2025
Read the following scenario and identify the adjective used to describe the
characteristics of patient data that are numbered below. Put your answers in the
correct order.
The nurse is conducting an initial assessment of a 79-year-old female patient
admitted to the hospital with a diagnosis of dehydration. The nurse (1) uses
clinical reasoning to identify the need to perform a comprehensive assessment
and gather the appropriate patient data. (2) First the nurse asks the patient about
the most important details leading up to her diagnosis. Then the nurse (3) collects
as much information as possible to understand the patient's health problems; (4)
collects the patient data in an organized manner; (5) verifies that the data
obtained is pertinent to the patient care plan; and (6) records the data according
to facility's policy. - ANSWER (1) Purposeful: The nurse identifies the purpose
of the nursing assessment (comprehensive) and gathers the appropriate data.
(2) Prioritized: The nurse gets the most important information first.
(3) Complete: The nurse gathers as much data as possible to understand the
patient health problem and develop a care plan.
(4) Systematic: The nurse gathers the information in an organized manner.
(5) Accurate and relevant: The nurse verifies that the information is reliable.
(6) Recorded in a standard format: The nurse records the data according to the
facility's policy so that all caregivers can easily access what is learned.
The nurse practitioner is performing a short assessment of a newborn who is
displaying signs of jaundice. The nurse observes the infant's skin color and orders
a test for bilirubin levels to report to the primary care provider. What type of
assessment has this nurse performed?
,a. Comprehensive
b. Initial
c. Time-lapsed
d. Quick priority - ANSWER d. Quick priority
The nurse is admitting a 35-year-old pregnant woman to the hospital for
treatment of preeclampsia. The patient asks the nurse: "Why are you doing a
history and physical exam when the doctor just did one?" Which statements best
explain the primary reasons a nursing assessment is performed? Select all that
apply.
a. "The nursing assessment will allow us to plan and deliver individualized, holistic
nursing care that draws on your strengths."
b. "It's hospital policy. I know it must be tiresome, but I will try to make this
quick!"
c. "I'm a student nurse and need to develop the skill of assessing your health
status and need for nursing care."
d. "We want to make sure that your responses to the medical exam are consistent
and that all our data are accurate."
e. "We need to check your health status and see what kind of nursing care you
may need."
f. "We need to see if you require a referral to a physician or other health c -
ANSWER a. "The nursing assessment will allow us to plan and deliver
individualized, holistic nursing care that draws on your strengths."
e. "We need to check your health status and see what kind of nursing care you
may need."
f. "We need to see if you require a referral to a physician or other health care
professional."
, A nurse notes that a shift report states that a patient has no special skin care
needs. The nurse is surprised to observe reddened areas over bony prominences
during the patient bath. What nursing action is appropriate?
a. Correct the initial assessment form.
b. Redo the initial assessment and document current findings.
c. Conduct and document an emergency assessment.
d. Perform and document a focused assessment of skin integrity. - ANSWER d.
Perform and document a focused assessment of skin integrity.
A student nurse attempts to perform a nursing history for the first time. The
student nurse asks the instructor how anyone ever learns all the questions the
nurse must ask to get good baseline data. What would be the instructor's best
reply?
a. "There's a lot to learn at first, but once it becomes part of you, you just keep
asking the same questions over and over in each situation until you can do it in
your sleep!"
b. "You make the basic questions a part of you and then learn to modify them for
each unique situation, asking yourself how much you need to know to plan good
care."
c. "No one ever really learns how to do this well because each history is different!
I often feel like I'm starting afresh with each new patient."
d. "Don't worry about learning all of the questions to ask. Every facility has its own
assessment form you must use." - ANSWER b. "You make the basic questions a
part of you and then learn to modify them for each unique situation, asking
yourself how much you need to know to plan good care."
The nurse collects objective and subjective data when conducting patient
assessments. Which patient situations are examples of subjective data? Select all
that apply.
AND ANSWERS WITH COMPLETE
SOLUTIONS | UPDATE 2025
Read the following scenario and identify the adjective used to describe the
characteristics of patient data that are numbered below. Put your answers in the
correct order.
The nurse is conducting an initial assessment of a 79-year-old female patient
admitted to the hospital with a diagnosis of dehydration. The nurse (1) uses
clinical reasoning to identify the need to perform a comprehensive assessment
and gather the appropriate patient data. (2) First the nurse asks the patient about
the most important details leading up to her diagnosis. Then the nurse (3) collects
as much information as possible to understand the patient's health problems; (4)
collects the patient data in an organized manner; (5) verifies that the data
obtained is pertinent to the patient care plan; and (6) records the data according
to facility's policy. - ANSWER (1) Purposeful: The nurse identifies the purpose
of the nursing assessment (comprehensive) and gathers the appropriate data.
(2) Prioritized: The nurse gets the most important information first.
(3) Complete: The nurse gathers as much data as possible to understand the
patient health problem and develop a care plan.
(4) Systematic: The nurse gathers the information in an organized manner.
(5) Accurate and relevant: The nurse verifies that the information is reliable.
(6) Recorded in a standard format: The nurse records the data according to the
facility's policy so that all caregivers can easily access what is learned.
The nurse practitioner is performing a short assessment of a newborn who is
displaying signs of jaundice. The nurse observes the infant's skin color and orders
a test for bilirubin levels to report to the primary care provider. What type of
assessment has this nurse performed?
,a. Comprehensive
b. Initial
c. Time-lapsed
d. Quick priority - ANSWER d. Quick priority
The nurse is admitting a 35-year-old pregnant woman to the hospital for
treatment of preeclampsia. The patient asks the nurse: "Why are you doing a
history and physical exam when the doctor just did one?" Which statements best
explain the primary reasons a nursing assessment is performed? Select all that
apply.
a. "The nursing assessment will allow us to plan and deliver individualized, holistic
nursing care that draws on your strengths."
b. "It's hospital policy. I know it must be tiresome, but I will try to make this
quick!"
c. "I'm a student nurse and need to develop the skill of assessing your health
status and need for nursing care."
d. "We want to make sure that your responses to the medical exam are consistent
and that all our data are accurate."
e. "We need to check your health status and see what kind of nursing care you
may need."
f. "We need to see if you require a referral to a physician or other health c -
ANSWER a. "The nursing assessment will allow us to plan and deliver
individualized, holistic nursing care that draws on your strengths."
e. "We need to check your health status and see what kind of nursing care you
may need."
f. "We need to see if you require a referral to a physician or other health care
professional."
, A nurse notes that a shift report states that a patient has no special skin care
needs. The nurse is surprised to observe reddened areas over bony prominences
during the patient bath. What nursing action is appropriate?
a. Correct the initial assessment form.
b. Redo the initial assessment and document current findings.
c. Conduct and document an emergency assessment.
d. Perform and document a focused assessment of skin integrity. - ANSWER d.
Perform and document a focused assessment of skin integrity.
A student nurse attempts to perform a nursing history for the first time. The
student nurse asks the instructor how anyone ever learns all the questions the
nurse must ask to get good baseline data. What would be the instructor's best
reply?
a. "There's a lot to learn at first, but once it becomes part of you, you just keep
asking the same questions over and over in each situation until you can do it in
your sleep!"
b. "You make the basic questions a part of you and then learn to modify them for
each unique situation, asking yourself how much you need to know to plan good
care."
c. "No one ever really learns how to do this well because each history is different!
I often feel like I'm starting afresh with each new patient."
d. "Don't worry about learning all of the questions to ask. Every facility has its own
assessment form you must use." - ANSWER b. "You make the basic questions a
part of you and then learn to modify them for each unique situation, asking
yourself how much you need to know to plan good care."
The nurse collects objective and subjective data when conducting patient
assessments. Which patient situations are examples of subjective data? Select all
that apply.
