Health Assessment exam 1 practice questions and answers
100% verified 2025 graded a+
After completing an initial assessment of a patient, the nurse has charted that his respirations are
eugenic and his pulse is 58 beats per minute. These types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANS>> a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would
be:
a. objective
b. reflective
c. subjective
d. Introspective - ANS>> c. subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. data base
b. Admitting data
c. Financial statement
d. discharge summary - ANS>> a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:
a. immediately notify the patients physician
b. document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
d. assess again in 20 minutes to note whether the sound is still present - ANS>> c. validate the data by
asking a coworker to listen to the breath sounds
,The nurse is conducting a class for a new graduate nurses. During the teaching session, the nurse should
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
more likely to make their decisions using:
a. Intuition
b. a set of rules
c. articles in journals
d. Advice from supervisors - ANS>> b. a set of rules
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
These responses are referred to as:
a. Intuition
b. the nursing process
c. clinical knowledge
d. diagnostic reasoning - ANS>> a. intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
a. EBP relies on tradition for support of best practices
b. EBP is simply the use of best practice techniques for the treatment of patients
c. EBP emphasizes the use of best evidence with the clinicians experience
d. the patients own preferences are not important with EBP - ANS>> c. EBP emphasizes the use of best
evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress - ANS>> d. individual with shortness of
breath and respiratory distress
,When considering priority setting of problems, the nurse keeps in mind that second level priority
problems include which of these aspects?
a. low self-esteem
b. lack of knowledge
c. Abnormal laboratory values
d. severely abnormal vital signs - ANS>> c. abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant - ANS>> b. clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the ______ diagnosis.
a. Nursing
b. medical
c. admission
d. collaborative - ANS>> a. nursing
The nursing process is a sequential method of problem solving that nurses use and includes which
steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow up
b. admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. assessment, diagnosis, outcome identification, planning, implementation, and evaluation - ANS>> d.
assessment, diagnosis, outcome identification, planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
, a. breathing, pain, and sleep
b. breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing - ANS>> a. breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
a. nursing diagnosis
b. Medical diagnosis
c. diagnostic hypothesis
d. Diagnostic assessment - ANS>> c. diagnostic hypothesis
Barriers to incorporating EBP include:
a. nurses lack of research skills in evaluating the quality of research studies
b. lack of significant research studies
c. Insufficient clinical skills of nurses
d. inadequate physical assessment skills - ANS>> a. nurses lack of research skills in evaluating the
quality of research studies
The nurse is preparing to conduct a health history. Which of these statements best describes the
purpose of a health history?
a. to provide an opportunity for interaction between the patient and the nurse
b. to provide a form for obtaining the patients biographic information
c. to document the normal and abnormal findings of a physical assessment
d. to provide a database of subjective information about the patients past and current health - ANS>>
d. to provide a database of subjective information about the patients past and current health
When the nurse is evaluating the reliability of a patients responses, which of these statements would be
correct? the patient:
a. has a history of drug abuse and therefore is not reliable
b. provided consistent information and therefore is reliable
100% verified 2025 graded a+
After completing an initial assessment of a patient, the nurse has charted that his respirations are
eugenic and his pulse is 58 beats per minute. These types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective - ANS>> a. objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would
be:
a. objective
b. reflective
c. subjective
d. Introspective - ANS>> c. subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the:
a. data base
b. Admitting data
c. Financial statement
d. discharge summary - ANS>> a. data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next
action should be to:
a. immediately notify the patients physician
b. document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
d. assess again in 20 minutes to note whether the sound is still present - ANS>> c. validate the data by
asking a coworker to listen to the breath sounds
,The nurse is conducting a class for a new graduate nurses. During the teaching session, the nurse should
keep in mind that novice nurses, without a background of skills and experience from which to draw, are
more likely to make their decisions using:
a. Intuition
b. a set of rules
c. articles in journals
d. Advice from supervisors - ANS>> b. a set of rules
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
These responses are referred to as:
a. Intuition
b. the nursing process
c. clinical knowledge
d. diagnostic reasoning - ANS>> a. intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
a. EBP relies on tradition for support of best practices
b. EBP is simply the use of best practice techniques for the treatment of patients
c. EBP emphasizes the use of best evidence with the clinicians experience
d. the patients own preferences are not important with EBP - ANS>> c. EBP emphasizes the use of best
evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?
a. Patient with postoperative pain
b. newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. individual with shortness of breath and respiratory distress - ANS>> d. individual with shortness of
breath and respiratory distress
,When considering priority setting of problems, the nurse keeps in mind that second level priority
problems include which of these aspects?
a. low self-esteem
b. lack of knowledge
c. Abnormal laboratory values
d. severely abnormal vital signs - ANS>> c. abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant - ANS>> b. clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the ______ diagnosis.
a. Nursing
b. medical
c. admission
d. collaborative - ANS>> a. nursing
The nursing process is a sequential method of problem solving that nurses use and includes which
steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow up
b. admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. assessment, diagnosis, outcome identification, planning, implementation, and evaluation - ANS>> d.
assessment, diagnosis, outcome identification, planning, implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty
breathing. How should the nurse prioritize these problems?
, a. breathing, pain, and sleep
b. breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing - ANS>> a. breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
a. nursing diagnosis
b. Medical diagnosis
c. diagnostic hypothesis
d. Diagnostic assessment - ANS>> c. diagnostic hypothesis
Barriers to incorporating EBP include:
a. nurses lack of research skills in evaluating the quality of research studies
b. lack of significant research studies
c. Insufficient clinical skills of nurses
d. inadequate physical assessment skills - ANS>> a. nurses lack of research skills in evaluating the
quality of research studies
The nurse is preparing to conduct a health history. Which of these statements best describes the
purpose of a health history?
a. to provide an opportunity for interaction between the patient and the nurse
b. to provide a form for obtaining the patients biographic information
c. to document the normal and abnormal findings of a physical assessment
d. to provide a database of subjective information about the patients past and current health - ANS>>
d. to provide a database of subjective information about the patients past and current health
When the nurse is evaluating the reliability of a patients responses, which of these statements would be
correct? the patient:
a. has a history of drug abuse and therefore is not reliable
b. provided consistent information and therefore is reliable
