NSG 3160 Exam 1 V3 | NSG 3160 Health
Assessment | Actual Q&A with Rationale (NSG3160
Exam 1) | Galen
1. A nurse is conducting an initial interview with a client. Which approach is most effective for
obtaining a detailed history?
A. Asking strictly closed-ended questions to maintain focus.
B. Using open-ended questions to allow the client to describe their concerns.
C. Interrupting the client to clarify points as they speak.
D. Speaking loudly and slowly to ensure the client understands.
Correct Answer: B
Explanation: Open-ended questions encourage the client to provide descriptive
information and express feelings, which is essential for a comprehensive history. Closed-
ended questions are useful for specific facts but may limit the depth of data. This approach
fosters a therapeutic relationship and ensures that the client’s perspective is fully captured.
2. When performing a physical assessment, the nurse follows a specific sequence. For most
body systems, which order is correct?
A. Auscultation, Palpation, Percussion, Inspection
B. Inspection, Auscultation, Percussion, Palpation
C. Palpation, Inspection, Auscultation, Percussion
,D. Inspection, Palpation, Percussion, Auscultation
Correct Answer: D
Explanation: The standard sequence for physical assessment is Inspection, Palpation,
Percussion, and then Auscultation. This order allows the nurse to gather data visually
before physically touching or disturbing the area. Note that the sequence changes to
Inspection, Auscultation, Percussion, and Palpation when assessing the abdomen to avoid
altering bowel sounds.
3. Select All That Apply: Which of the following are characteristics of accurate nursing
documentation?
A. Objectivity
B. Timeliness
C. Use of vague terms like ‘appears’ or ‘seems’
D. Completeness
E. Confidentiality
F. Subjective interpretation of patient behavior
Correct Answer: A, B, D, E
Explanation: Accurate documentation must be objective, timely, complete, and
confidential to ensure patient safety and legal compliance. Using vague terms or subjective
interpretations can lead to clinical errors and miscommunication among the healthcare
, team. Documentation serves as a permanent record of the nursing process and must reflect
factual observations.
4. A nurse is assessing a patient’s pain. Which of the following is considered subjective data?
A. A heart rate of 110 beats per minute.
B. The patient’s report of a ‘throbbing’ headache.
C. A blood pressure reading of 145/90 mmHg.
D. Grimacing when moving in bed.
Correct Answer: B
Explanation: Subjective data consists of the client’s perceptions, feelings, and descriptions
of their condition. Objective data are observable and measurable findings like vital signs or
physical behaviors. The patient’s verbal report is the primary source of subjective data in a
health history.
5. When assessing a mole for potential malignancy (ABCDE rule), what does the ‘D’
represent?
A. Depth
B. Diameter
C. Density
D. Duration
Correct Answer: B
Assessment | Actual Q&A with Rationale (NSG3160
Exam 1) | Galen
1. A nurse is conducting an initial interview with a client. Which approach is most effective for
obtaining a detailed history?
A. Asking strictly closed-ended questions to maintain focus.
B. Using open-ended questions to allow the client to describe their concerns.
C. Interrupting the client to clarify points as they speak.
D. Speaking loudly and slowly to ensure the client understands.
Correct Answer: B
Explanation: Open-ended questions encourage the client to provide descriptive
information and express feelings, which is essential for a comprehensive history. Closed-
ended questions are useful for specific facts but may limit the depth of data. This approach
fosters a therapeutic relationship and ensures that the client’s perspective is fully captured.
2. When performing a physical assessment, the nurse follows a specific sequence. For most
body systems, which order is correct?
A. Auscultation, Palpation, Percussion, Inspection
B. Inspection, Auscultation, Percussion, Palpation
C. Palpation, Inspection, Auscultation, Percussion
,D. Inspection, Palpation, Percussion, Auscultation
Correct Answer: D
Explanation: The standard sequence for physical assessment is Inspection, Palpation,
Percussion, and then Auscultation. This order allows the nurse to gather data visually
before physically touching or disturbing the area. Note that the sequence changes to
Inspection, Auscultation, Percussion, and Palpation when assessing the abdomen to avoid
altering bowel sounds.
3. Select All That Apply: Which of the following are characteristics of accurate nursing
documentation?
A. Objectivity
B. Timeliness
C. Use of vague terms like ‘appears’ or ‘seems’
D. Completeness
E. Confidentiality
F. Subjective interpretation of patient behavior
Correct Answer: A, B, D, E
Explanation: Accurate documentation must be objective, timely, complete, and
confidential to ensure patient safety and legal compliance. Using vague terms or subjective
interpretations can lead to clinical errors and miscommunication among the healthcare
, team. Documentation serves as a permanent record of the nursing process and must reflect
factual observations.
4. A nurse is assessing a patient’s pain. Which of the following is considered subjective data?
A. A heart rate of 110 beats per minute.
B. The patient’s report of a ‘throbbing’ headache.
C. A blood pressure reading of 145/90 mmHg.
D. Grimacing when moving in bed.
Correct Answer: B
Explanation: Subjective data consists of the client’s perceptions, feelings, and descriptions
of their condition. Objective data are observable and measurable findings like vital signs or
physical behaviors. The patient’s verbal report is the primary source of subjective data in a
health history.
5. When assessing a mole for potential malignancy (ABCDE rule), what does the ‘D’
represent?
A. Depth
B. Diameter
C. Density
D. Duration
Correct Answer: B
