NR 509 WEEK 4 LEARNING WORKBOOK 2026
SYSTEM BASED PHYSICAL ASSESSMENT SKILLS
◉ 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.
Answer: 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.
Answer: 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 breath sounds
D. Assess it again in 20 minutes to note whether the sound is still
present.
Answer: C. Validate the data by asking a coworker to listen to breath
sounds
◉ The nurse is conducting a class for 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.
Answer: 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.
Answer: 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..
Answer: 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.
Answer: D. Individual with shortness of breath and respiratory
distress
◉ When considering priority settings 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.
Answer: C. Abnormal laboratory values
◉ Which critical thinking skill helps see relationships among the
data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant.
Answer: B. Clustering related cues
SYSTEM BASED PHYSICAL ASSESSMENT SKILLS
◉ 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.
Answer: 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.
Answer: 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 breath sounds
D. Assess it again in 20 minutes to note whether the sound is still
present.
Answer: C. Validate the data by asking a coworker to listen to breath
sounds
◉ The nurse is conducting a class for 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.
Answer: 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.
Answer: 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..
Answer: 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.
Answer: D. Individual with shortness of breath and respiratory
distress
◉ When considering priority settings 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.
Answer: C. Abnormal laboratory values
◉ Which critical thinking skill helps see relationships among the
data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant.
Answer: B. Clustering related cues
