NR302 Health Assessment Final Exam Study
Guide Questions with Detailed Verified Answers
Rapid Assessment Ans: Quick evaluation during emergencies. Focuses on life-
threatening conditions like airway obstruction or stroke. ABCs (Airway, Breathing,
Circulation) are the primary concern.
Complete Health Assessment Ans: Comprehensive collection of data, including health
history and full physical examination. Used for new patients.
Focused Assessment Ans: Addresses specific problems (e.g., lung assessment for a
patient with shortness of breath).
Follow-up Assessment Ans: Determines the progress of a previous issue (e.g., wound
healing).
Emergency Assessment Ans: Immediate assessment of life-threatening conditions.
Physiological Needs Ans: Air, water, food (e.g., oxygen needs during respiratory
distress).
Safety Needs Ans: Secure environment, preventing falls in hospitalized patients.
Belonging and Love Ans: Emotional support from family.
Esteem and Self-fulfillment Ans: Achieved when basic needs are met.
Active Listening Ans: Focus on the patient's concerns without interruptions.
Empathy and Clarification Ans: Show understanding, ask clarifying questions.
, Open-ended Questions Ans: Encourages the patient to elaborate on their concerns
(e.g., "Can you describe the pain?").
Health History Ans: Collect biographic data (e.g., name, age, allergies), and assess past
medical history (e.g., previous surgeries, chronic conditions).
PQRSTU Ans: Used to assess pain: P: Provocation/Palliation, Q: Quality, R:
Region/Radiation, S: Severity, T: Timing, U: Understanding.
Activities of Daily Living (ADLs) Ans: Evaluate how well the patient performs activities
such as bathing, dressing, and feeding themselves.
Vital Signs Ans: Temperature: 98.6°F is normal, consider factors like fever (100.4°F
and above). Pulse: Normal is 60-100 bpm. Tachycardia is >100 bpm; bradycardia is <60
bpm. Respiratory Rate (RR): Normal 12-20 breaths/min. Blood Pressure (BP): Normal
120/80 mmHg. Hypertension is >140/90 mmHg. Oxygen Saturation (SpO2): Normal
range is 97%-99%. Below 90% indicates hypoxia.
Skin Assessment Ans: Look for color changes (pallor, cyanosis, jaundice, erythema),
document lesions, assess edema (graded 1+ to 4+), and evaluate turgor.
Symmetry Ans: Both sides of the head and neck should appear the same.
Lymph Nodes Ans: Check for enlargement, which can signal infection or malignancy.
Snellen Chart Ans: Used to test visual acuity. 20/20 means normal vision.
PERRLA Ans: Pupils are Equal, Round, Reactive to Light, and Accommodation.
Otoscope Ans: Used to inspect the ear canal for infections or blockages (e.g.,
cerumen).
© Get it right 2025 Getaway - Stuvia US All rights reserved
Guide Questions with Detailed Verified Answers
Rapid Assessment Ans: Quick evaluation during emergencies. Focuses on life-
threatening conditions like airway obstruction or stroke. ABCs (Airway, Breathing,
Circulation) are the primary concern.
Complete Health Assessment Ans: Comprehensive collection of data, including health
history and full physical examination. Used for new patients.
Focused Assessment Ans: Addresses specific problems (e.g., lung assessment for a
patient with shortness of breath).
Follow-up Assessment Ans: Determines the progress of a previous issue (e.g., wound
healing).
Emergency Assessment Ans: Immediate assessment of life-threatening conditions.
Physiological Needs Ans: Air, water, food (e.g., oxygen needs during respiratory
distress).
Safety Needs Ans: Secure environment, preventing falls in hospitalized patients.
Belonging and Love Ans: Emotional support from family.
Esteem and Self-fulfillment Ans: Achieved when basic needs are met.
Active Listening Ans: Focus on the patient's concerns without interruptions.
Empathy and Clarification Ans: Show understanding, ask clarifying questions.
, Open-ended Questions Ans: Encourages the patient to elaborate on their concerns
(e.g., "Can you describe the pain?").
Health History Ans: Collect biographic data (e.g., name, age, allergies), and assess past
medical history (e.g., previous surgeries, chronic conditions).
PQRSTU Ans: Used to assess pain: P: Provocation/Palliation, Q: Quality, R:
Region/Radiation, S: Severity, T: Timing, U: Understanding.
Activities of Daily Living (ADLs) Ans: Evaluate how well the patient performs activities
such as bathing, dressing, and feeding themselves.
Vital Signs Ans: Temperature: 98.6°F is normal, consider factors like fever (100.4°F
and above). Pulse: Normal is 60-100 bpm. Tachycardia is >100 bpm; bradycardia is <60
bpm. Respiratory Rate (RR): Normal 12-20 breaths/min. Blood Pressure (BP): Normal
120/80 mmHg. Hypertension is >140/90 mmHg. Oxygen Saturation (SpO2): Normal
range is 97%-99%. Below 90% indicates hypoxia.
Skin Assessment Ans: Look for color changes (pallor, cyanosis, jaundice, erythema),
document lesions, assess edema (graded 1+ to 4+), and evaluate turgor.
Symmetry Ans: Both sides of the head and neck should appear the same.
Lymph Nodes Ans: Check for enlargement, which can signal infection or malignancy.
Snellen Chart Ans: Used to test visual acuity. 20/20 means normal vision.
PERRLA Ans: Pupils are Equal, Round, Reactive to Light, and Accommodation.
Otoscope Ans: Used to inspect the ear canal for infections or blockages (e.g.,
cerumen).
© Get it right 2025 Getaway - Stuvia US All rights reserved
