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Exam (elaborations)

NUR 216 – HEALTH ASSESSMENT FINAL | QUESTIONS AND ANSWERS | 2026 UPDATE | LATEST VERSION | WITH COMPLETE SOLUTIONS

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NUR 216 – HEALTH ASSESSMENT FINAL | QUESTIONS AND ANSWERS | 2026 UPDATE | LATEST VERSION | WITH COMPLETE SOLUTIONS

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NUR 216 – HEALTH ASSESSMENT FINAL | QUESTIONS
AND ANSWERS | 2026 UPDATE | LATEST VERSION |
WITH COMPLETE SOLUTIONS
• Assessment . CORRECT ANSWER: Collecting data, talking, open ended
questions and clustering information


• Health History . CORRECT ANSWER: Biographical data
Reason for seeking care
present health/present illness
Past history
Med reconcilliation
Family History
Review of Systems
Functional assessment (ADL's)


• Adult health history . CORRECT ANSWER: Biographic data: source of history
(who, reliability)
Reason for seeking care
Present health/history of present illness
Final summary of symptom (location, character/quality, quantity/severity, setting,
aggravating/relieving factors, associated factors and patients perception PQRSTU
(provocative/palliative, quality/quantity, region/radiation, severity, timing, and
understanding patient perception)
Past health/present illness (childhood, accidents/injuries, hospitalizations,
operations, births, immunizations, last exam, allergies and current meds)
Family history
Review of the systems (start head to toe unless patient makes clear what is
affecting them and do that body system)

,Functional assessments (self esteem concept, activity/exercise, sleep/rest,
nutrition/elimination, interpersonal relationships/resources, spiritual resources
FICA; faith influence community address, coping/stress management, personal
habits, alcohol use CAGE; cut down, annoyed, guilty, eye opening... 2+ yeses
means concern, drugs, environment/hazards, intimate partner violence and
occupational health


• Interviewing Techniques . CORRECT ANSWER: Standardized Techniques:
fraemwork for obtaining information about clinical clients physical,
developmental, emotional, intellectual, social and spiritual demensions


Therapeutic Techniques: For health assessment to foster comms and create an
environment that promotes an optimal health assessment/data collection experience


• Therapeutic comm techniques . CORRECT ANSWER: Active listening, open-
ended questions, clarifying, back channeling, probing, close ended questions
(clarify info) and summarizing


• Physical Assessment Techniques for older adults . CORRECT ANSWER: Allow
enough time for position changes, preform in several shorter assessments, making
sure they use sensory aids and invite them to use the bathroom before beginning
the exam


• IPPA . CORRECT ANSWER: Inspection
Palpation
Percussion
Auscultation


• Palpation . CORRECT ANSWER: Use of touch to determine size, consistency,
temp, texture, location and tenderness of the skin, tissues and organs.

,Dorsal surface is for temp
Palmar surface/base of fingers: vibration
Fingertips: pulsation, position, texture, turgor, size and consistency.
Finger/thumb: grasping an organ or mass




LIGHT THEN DEEP


• Percussion . CORRECT ANSWER: tapping body parts with fingers or small
instruments to vibrate underlying tissue and evaluate size, location, tenderness and
presence/absence of fluid/air in the body.


Direct: striking body to elicit sounds
Indirect: placing hand flatly on body as striking surface to produce sound
Fist: helps identify tenderness over the kidneys liver and gallbladder


• Auscultation . CORRECT ANSWER: Listen for amplitude/intensity,
pitch/frequency, duration, and quality


BELL is for low pitched while DIAPHRAGM is for high pitched


• General Survey . CORRECT ANSWER: Gather from first encounter and
continue to make observations throughout assessment.


Physical appearance (age, gender, race, skin color, LOC, facial features, signs of
distress, signs of abuse/neglect, and signs of substance abuse

, Body structure (build, stature, height and weight, nutritional status, symmetry of
body parts, posture and gross abnormalities


Mobility (gait, movements, TORM and motor activity


Behavior (facial expressions, mood and affect, speech, dress, hygiene, grooming
and odors


Vital Signs (temp, pulse, respirations, BP and oxygen saturation.


• Temperature . CORRECT ANSWER: Neurological and Cardiovascular system
works together to regulate temperature.
Rectum, tympanic membrane, temporal/pulmonary artery, esophagus and urinary
bladder are core measurement sites
Skin, mouth and axillae are surface temperature measurement sites.


• Heat Production . CORRECT ANSWER: Increase of BMR, muscle activity,
thyroxine output, testosterone and sympathetic stimulation


• Heat loss . CORRECT ANSWER: Conduction: transfer of heat from body
directly to another surface
Convection: Dispersion of heat by air currents
Radiation: Transfer of heat from one object to another without contact b/w them.
Evaporation: Dispersion of heat through water (perspiration)
Diaphoresis: Visible perspiration on the skin

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