NUR 265 FINAL EXAM: (Latest 2026/2027 Update) Comprehensive
Health & Physical Assessment | Q&A | Grade A | 100% Correct
(Verified Answers)
Complete Review: Data Collection, Assessment Techniques, HEENT, Cardiac, Respiratory, Abdominal, Neurologic &
Musculoskeletal
SUBJECT SOURCE FORMAT
Health Assessment / NUR 265 Galen Final Exam Study Guide Q&A Guide with Rationale
2026/2027
Q1
What is the difference between a primary and secondary data source in health assessment?
CORRECT ANSWER
Primary source = patient directly. Secondary source = family, staff, medical records, or other sources.
RATIONALE
• Primary source provides subjective data directly from patient (chief complaint, symptoms).
• Secondary sources used when patient is unable to communicate (infant, unconscious, confused).
• Always verify secondary information when possible.
Q2
Match the database type to its description: Complete database, Focused database, Follow-up database,
Emergency database.
CORRECT ANSWER
Complete = full history & physical; Focused = one specific problem; Follow-up = progress over time;
Emergency = fast, life‑saving info only.
RATIONALE
• Complete baseline done on admission or annual exam.
• Focused targets a chief complaint (e.g., rash, cough).
• Emergency database (e.g., trauma, code) gathers only essential data to intervene.
, Q3
What does the acronym ISBARR stand for in healthcare communication?
CORRECT ANSWER
Introduction, Situation, Background, Assessment, Recommendation, Read back orders
RATIONALE
• Standardized communication tool to reduce errors during handoffs and critical calls.
• Read back ensures orders are correctly understood.
• Improves patient safety and team collaboration.
Q4
List the four physical assessment techniques in the correct order.
CORRECT ANSWER
Inspection → Auscultation → Palpation → Percussion (except abdomen: inspect → auscultate → percuss
→ palpate).
RATIONALE
• Inspection uses sight; always first.
• Palpation uses touch (dorsum for temperature, fingertips for fine discrimination).
• Percussion assesses density; auscultation listens to body sounds.
Q5
What are the four main components of the general survey?
CORRECT ANSWER
Appearance, Body structure, Mobility, Behavior
RATIONALE
• Appearance: LOC, skin color, facial features, age, overall appearance.
• Mobility: gait, ROM; Behavior: facial expression, mood, speech, hygiene.
• Goal: holistic impression within minutes of encounter.
Health & Physical Assessment | Q&A | Grade A | 100% Correct
(Verified Answers)
Complete Review: Data Collection, Assessment Techniques, HEENT, Cardiac, Respiratory, Abdominal, Neurologic &
Musculoskeletal
SUBJECT SOURCE FORMAT
Health Assessment / NUR 265 Galen Final Exam Study Guide Q&A Guide with Rationale
2026/2027
Q1
What is the difference between a primary and secondary data source in health assessment?
CORRECT ANSWER
Primary source = patient directly. Secondary source = family, staff, medical records, or other sources.
RATIONALE
• Primary source provides subjective data directly from patient (chief complaint, symptoms).
• Secondary sources used when patient is unable to communicate (infant, unconscious, confused).
• Always verify secondary information when possible.
Q2
Match the database type to its description: Complete database, Focused database, Follow-up database,
Emergency database.
CORRECT ANSWER
Complete = full history & physical; Focused = one specific problem; Follow-up = progress over time;
Emergency = fast, life‑saving info only.
RATIONALE
• Complete baseline done on admission or annual exam.
• Focused targets a chief complaint (e.g., rash, cough).
• Emergency database (e.g., trauma, code) gathers only essential data to intervene.
, Q3
What does the acronym ISBARR stand for in healthcare communication?
CORRECT ANSWER
Introduction, Situation, Background, Assessment, Recommendation, Read back orders
RATIONALE
• Standardized communication tool to reduce errors during handoffs and critical calls.
• Read back ensures orders are correctly understood.
• Improves patient safety and team collaboration.
Q4
List the four physical assessment techniques in the correct order.
CORRECT ANSWER
Inspection → Auscultation → Palpation → Percussion (except abdomen: inspect → auscultate → percuss
→ palpate).
RATIONALE
• Inspection uses sight; always first.
• Palpation uses touch (dorsum for temperature, fingertips for fine discrimination).
• Percussion assesses density; auscultation listens to body sounds.
Q5
What are the four main components of the general survey?
CORRECT ANSWER
Appearance, Body structure, Mobility, Behavior
RATIONALE
• Appearance: LOC, skin color, facial features, age, overall appearance.
• Mobility: gait, ROM; Behavior: facial expression, mood, speech, hygiene.
• Goal: holistic impression within minutes of encounter.
