NUR 216 LATEST 2026 EXAM QUESTIONS AND ANSWERS
MARKED A+
✔✔Therapeutic Communication - ✔✔an approach to communicate that is both verbal
and
nonverbal. Focus on the person and not the problem.
✔✔Electronic Records (EHR) - ✔✔Communication tools for documenting progress,
treatments, interventions, and client responses to care.
✔✔Paper Records - ✔✔Maintain integrity. Properly date and time each entry followed
by a full
signature and title.
✔✔9 Types of Nursing Documentation Errors - ✔✔-Sloppy or illegible handwriting
-Failure to date, time and sign a medical entry
-Lack of documentation
-Incomplete or missing documentation
-Adding entries later on
-Documenting Subjective data
-Not questioning incomprehensive orders
-Using wrong abbreviations
-Entering info into the wrong chart
✔✔steps to performing general survey - ✔✔1.General appearance
2.Behavior
3.Body structure
4.Mobility
5.Measurement
6.Vital signs
7.Pain
✔✔approach of the initial survey and assessment - ✔✔The initial survey and
assessment will help determine a client's health status. The observation begins right
when you step into the room. While performing the initial
survey be sure to establish trust and build a rapport with the client through therapeutic
communication.
✔✔Glasgow Coma Scale - ✔✔Eyes 4 Voice 5 Motor 6
✔✔Cyanosis - ✔✔bluish discoloration of the skin
✔✔Erythema - ✔✔redness of the skin
✔✔Pallor - ✔✔Extreme or unnatural paleness
, ✔✔Dysarthria - ✔✔speech sounds are unclear
✔✔Aphasia - ✔✔struggles to find words or express ideas
✔✔Kyphosis - ✔✔older adults are hunched over
✔✔Tripod position - ✔✔When hunched over with arms on
knees because of difficulty breathing
✔✔Crepitus - ✔✔Cracking sound made when bone surfaces
rub against each other
✔✔Spasticity - ✔✔Alteration in muscle tone manifested as increased tonicity.
Ex: Increased resistance when attempting to extend a joint
✔✔Rigidity - ✔✔Alteration in muscle movement seen as a continuous, rapid, twitching
of a muscle at rest
✔✔Myoclonus - ✔✔Alteration in muscle movement that is seen as a sudden jerking of
muscle.
Ex: hiccups, seizure activity, and a single myoclonic jerk of the arm or leg when falling
asleep
✔✔Tic - ✔✔Alteration in muscle movement characterized by involuntary, repetitive
movement.
Neurologic or psychogenic cause.
✔✔Tremors - ✔✔A rhythmic movement of one or more joints
✔✔Height - ✔✔Stadiometer is used to measure height. Height is measured in feet and
inches.
✔✔Weight - ✔✔Use a standing scale or an electronic scale. Weight is measured in
pound or kilograms.
Body weight is influenced by genetics, exercise, diet, and fluid volume.
Remove shoes.
Repeated weights should be performed at the same time.
An unintentional weight change alerts you to an underlying condition.
-Unintentional weight gain (5IB in a day) could indicate fluid retention, such as
heart failure
-Unintentional weight loss (5% of body weight in a month or 10% in 6 months)
could indicate a disease process, such as a fever, infection, malignancy, or endocrine
disease
MARKED A+
✔✔Therapeutic Communication - ✔✔an approach to communicate that is both verbal
and
nonverbal. Focus on the person and not the problem.
✔✔Electronic Records (EHR) - ✔✔Communication tools for documenting progress,
treatments, interventions, and client responses to care.
✔✔Paper Records - ✔✔Maintain integrity. Properly date and time each entry followed
by a full
signature and title.
✔✔9 Types of Nursing Documentation Errors - ✔✔-Sloppy or illegible handwriting
-Failure to date, time and sign a medical entry
-Lack of documentation
-Incomplete or missing documentation
-Adding entries later on
-Documenting Subjective data
-Not questioning incomprehensive orders
-Using wrong abbreviations
-Entering info into the wrong chart
✔✔steps to performing general survey - ✔✔1.General appearance
2.Behavior
3.Body structure
4.Mobility
5.Measurement
6.Vital signs
7.Pain
✔✔approach of the initial survey and assessment - ✔✔The initial survey and
assessment will help determine a client's health status. The observation begins right
when you step into the room. While performing the initial
survey be sure to establish trust and build a rapport with the client through therapeutic
communication.
✔✔Glasgow Coma Scale - ✔✔Eyes 4 Voice 5 Motor 6
✔✔Cyanosis - ✔✔bluish discoloration of the skin
✔✔Erythema - ✔✔redness of the skin
✔✔Pallor - ✔✔Extreme or unnatural paleness
, ✔✔Dysarthria - ✔✔speech sounds are unclear
✔✔Aphasia - ✔✔struggles to find words or express ideas
✔✔Kyphosis - ✔✔older adults are hunched over
✔✔Tripod position - ✔✔When hunched over with arms on
knees because of difficulty breathing
✔✔Crepitus - ✔✔Cracking sound made when bone surfaces
rub against each other
✔✔Spasticity - ✔✔Alteration in muscle tone manifested as increased tonicity.
Ex: Increased resistance when attempting to extend a joint
✔✔Rigidity - ✔✔Alteration in muscle movement seen as a continuous, rapid, twitching
of a muscle at rest
✔✔Myoclonus - ✔✔Alteration in muscle movement that is seen as a sudden jerking of
muscle.
Ex: hiccups, seizure activity, and a single myoclonic jerk of the arm or leg when falling
asleep
✔✔Tic - ✔✔Alteration in muscle movement characterized by involuntary, repetitive
movement.
Neurologic or psychogenic cause.
✔✔Tremors - ✔✔A rhythmic movement of one or more joints
✔✔Height - ✔✔Stadiometer is used to measure height. Height is measured in feet and
inches.
✔✔Weight - ✔✔Use a standing scale or an electronic scale. Weight is measured in
pound or kilograms.
Body weight is influenced by genetics, exercise, diet, and fluid volume.
Remove shoes.
Repeated weights should be performed at the same time.
An unintentional weight change alerts you to an underlying condition.
-Unintentional weight gain (5IB in a day) could indicate fluid retention, such as
heart failure
-Unintentional weight loss (5% of body weight in a month or 10% in 6 months)
could indicate a disease process, such as a fever, infection, malignancy, or endocrine
disease
