Exam 1: NR 302 / NR302 (Latest Update
) Health Assessment I |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
Question 1
What type of data is collected when a patient states, “I feel dizzy when I stand up quickly”?
a. Objective data
b. Subjective data
c. Diagnostic data
d. Observational data
Correct Answer: b
Explanation: Subjective data includes symptoms reported by the patient, such as dizziness,
verified only by the patient. Objective data is observable and measurable by the nurse. Nursing
Relevance: Document subjective data accurately to guide the physical assessment.
Question 2
Which action most demonstrates cultural competence during a health assessment?
a. Measuring height and weight in a private room
b. Asking about the use of traditional or folk remedies
c. Using a standard blood pressure cuff
d. Checking family history of diseases
Correct Answer: b
Explanation: Asking about traditional or folk remedies respects the patient’s cultural beliefs and
practices, enhancing culturally competent care. Nursing Relevance: Incorporate cultural
assessments to provide holistic care.
Question 3
What is the purpose of the health history in a nursing assessment?
a. To diagnose medical conditions
b. To guide the physical examination
,c. To prescribe medications
d. To perform laboratory tests
Correct Answer: b
Explanation: The health history gathers subjective data to identify health concerns and guide the
physical exam. Nursing Relevance: Use open-ended questions to collect comprehensive data.
Question 4
What is an example of an open-ended question during a health history interview?
a. “Do you have chest pain?”
b. “On a scale of 1 to 10, how severe is your pain?”
c. “Tell me about your symptoms.”
d. “Are you allergic to penicillin?”
Correct Answer: c
Explanation: Open-ended questions, like “Tell me about your symptoms,” encourage detailed
responses. Nursing Relevance: Use open-ended questions to elicit comprehensive patient
information.
Question 5
What is the primary action to ensure client privacy during a health history interview?
a. Conduct the interview in a public area
b. Shut the door and ensure a private setting
c. Chart responses in front of other patients
d. Ask family members to answer for the patient
Correct Answer: b
Explanation: Shutting the door ensures a private, confidential setting, protecting patient privacy.
Nursing Relevance: Adhere to HIPAA guidelines to maintain confidentiality.
Question 6
What is the definition of edema?
a. Increased blood flow to an area
b. Fluid accumulation in interstitial spaces
c. Loss of skin pigmentation
d. Abnormal heart rhythm
, Correct Answer: b
Explanation: Edema is the accumulation of fluid in interstitial spaces, often seen in conditions
like heart failure. Nursing Relevance: Assess for pitting edema by pressing on the skin.
Question 7
How is pitting edema measured?
a. By auscultating the affected area
b. By pressing firmly on the skin for 3–4 seconds
c. By measuring skin temperature
d. By checking capillary refill
Correct Answer: b
Explanation: Pitting edema is assessed by pressing firmly on the skin (e.g., ankle or tibia) for 3–
4 seconds; a dent indicates edema. Nursing Relevance: Document the degree of pitting (e.g., 1+
to 4+).
Question 8
What is the grading scale for pitting edema?
a. 1+ to 4+
b. 1 to 10
c. Mild to severe
d. A to D
Correct Answer: a
Explanation: Pitting edema is graded from 1+ (slight pitting) to 4+ (deep, persistent pitting).
Nursing Relevance: Accurate grading guides treatment and monitoring.
Question 9
What is an example of cutaneous pain?
a. Muscle strain
b. Appendicitis
c. Sunburn
d. Kidney stone
Correct Answer: c
Explanation: Cutaneous pain originates from the skin, such as in a sunburn. Nursing
Relevance: Assess pain characteristics to guide interventions.
) Health Assessment I |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
Question 1
What type of data is collected when a patient states, “I feel dizzy when I stand up quickly”?
a. Objective data
b. Subjective data
c. Diagnostic data
d. Observational data
Correct Answer: b
Explanation: Subjective data includes symptoms reported by the patient, such as dizziness,
verified only by the patient. Objective data is observable and measurable by the nurse. Nursing
Relevance: Document subjective data accurately to guide the physical assessment.
Question 2
Which action most demonstrates cultural competence during a health assessment?
a. Measuring height and weight in a private room
b. Asking about the use of traditional or folk remedies
c. Using a standard blood pressure cuff
d. Checking family history of diseases
Correct Answer: b
Explanation: Asking about traditional or folk remedies respects the patient’s cultural beliefs and
practices, enhancing culturally competent care. Nursing Relevance: Incorporate cultural
assessments to provide holistic care.
Question 3
What is the purpose of the health history in a nursing assessment?
a. To diagnose medical conditions
b. To guide the physical examination
,c. To prescribe medications
d. To perform laboratory tests
Correct Answer: b
Explanation: The health history gathers subjective data to identify health concerns and guide the
physical exam. Nursing Relevance: Use open-ended questions to collect comprehensive data.
Question 4
What is an example of an open-ended question during a health history interview?
a. “Do you have chest pain?”
b. “On a scale of 1 to 10, how severe is your pain?”
c. “Tell me about your symptoms.”
d. “Are you allergic to penicillin?”
Correct Answer: c
Explanation: Open-ended questions, like “Tell me about your symptoms,” encourage detailed
responses. Nursing Relevance: Use open-ended questions to elicit comprehensive patient
information.
Question 5
What is the primary action to ensure client privacy during a health history interview?
a. Conduct the interview in a public area
b. Shut the door and ensure a private setting
c. Chart responses in front of other patients
d. Ask family members to answer for the patient
Correct Answer: b
Explanation: Shutting the door ensures a private, confidential setting, protecting patient privacy.
Nursing Relevance: Adhere to HIPAA guidelines to maintain confidentiality.
Question 6
What is the definition of edema?
a. Increased blood flow to an area
b. Fluid accumulation in interstitial spaces
c. Loss of skin pigmentation
d. Abnormal heart rhythm
, Correct Answer: b
Explanation: Edema is the accumulation of fluid in interstitial spaces, often seen in conditions
like heart failure. Nursing Relevance: Assess for pitting edema by pressing on the skin.
Question 7
How is pitting edema measured?
a. By auscultating the affected area
b. By pressing firmly on the skin for 3–4 seconds
c. By measuring skin temperature
d. By checking capillary refill
Correct Answer: b
Explanation: Pitting edema is assessed by pressing firmly on the skin (e.g., ankle or tibia) for 3–
4 seconds; a dent indicates edema. Nursing Relevance: Document the degree of pitting (e.g., 1+
to 4+).
Question 8
What is the grading scale for pitting edema?
a. 1+ to 4+
b. 1 to 10
c. Mild to severe
d. A to D
Correct Answer: a
Explanation: Pitting edema is graded from 1+ (slight pitting) to 4+ (deep, persistent pitting).
Nursing Relevance: Accurate grading guides treatment and monitoring.
Question 9
What is an example of cutaneous pain?
a. Muscle strain
b. Appendicitis
c. Sunburn
d. Kidney stone
Correct Answer: c
Explanation: Cutaneous pain originates from the skin, such as in a sunburn. Nursing
Relevance: Assess pain characteristics to guide interventions.
