NR 509 WEEK 4 REVISION HANDBOOK 2026
HISTORY TAKING AND DIAGNOSTIC FINDINGS
◉ What step of the nursing process includes data collection by
health history, physical examination and interview?
A. Planning
B. Diagnosis
C. Evaluation
D. Assessment.
Answer: D. Assessment
◉ During a staff meeting, nurses discuss the problems with
accessing research studies to incorporate evidence-based clinical
decision making into their practice. Which suggestion by the nurse
manager would best help these problems?
A. Forma committee to conduct research studies
B. Post published research studies on the units bulletin boards
C. Encourage the nurse to visit the library to review studies
D. Teach the nurses how to conduct electronic searchers for research
studies.
Answer: D. Teach the nurses how to conduct electronic searchers for
research studies
,◉ When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
A. Disease originates from the external environment
B. The individual human is a closed system
C. Nurses are responsible for a patients health state
D. Holistic health views the mind, body, and spirit as interdependent.
Answer: D. Holistic health views the mind, body, and spirit as
interdependent
◉ The nurse recognizes that the concept of prevention in describing
health is essential because
A. Disease can be prevented by treating the external environment
B. The majority of deaths among Americans under age 65 years are
not preventable
C. Prevention places the emphasis on the link between health and
personal behavior
D. The means to prevention is through treatment provided by
primary health care practitioners.
Answer: C. Prevention places the emphasis on the link between
health and personal behavior
◉ The nurse is performing a physical assessment on a newly
admitted patient. An example of objective information obtained
during the physical assessment includes the
,A. Patients history of allergies
B. Patients use of medications at home
C. Last menstrual period 1 month ago
D. 2.5 cm scar on the right lower forearm.
Answer: D. 2.5 cm scar on the right lower forearm
◉ A visiting nurse is making an initial home visit for a patient who
has many chronic health problems. Which type of data base is most
appropriate to collect in this setting?
A. A follow-up data base to evaluate changes at appropriate intervals
B. An episodic data base because of the continuing, complex medical
problems of this patient
C. A complete health data base because of the nurses primary
responsibility for monitoring the patients health
D. An emergency data base because of the need to collect
information and make accurate diagnoses rapidly.
Answer: C. A complete health data base because of the nurses
primary responsibility for monitoring the patients health
◉ Which situation is most appropriate during which the nurse
performs a focused or problem-centered history?
A. Patient is admitted to a long-term care facility
B. Patient has a sudden and severe shortness of breath
C. Patient is admitted to the hospital for surgery the following day
, D. Patient in an outpatient clinic has cold and influenza-like
symptoms.
Answer: D. Patient in an outpatient clinic has cold and influenza-like
symptoms
◉ A patient is in the clinic to have her blood pressure checked. She
has been coming to the clinic weekly since she changed medications
2 months ago. The nurse should:
A. Collect a follow-up data base and then check her blood pressure
B. Ask her to read her health record and indicate any changes since
her last visit
C. Check only her blood pressure because her complete health
history was documented 2 months ago
D. Obtain a complete health history before checking her blood
pressure because much of her history information may have
changed.
Answer: A. Collect a follow-up data base and then check her blood
pressure
◉ A patient is brought by ambulance to the ED with multiple
traumas received in an automobile accident. He is alert and
cooperative, but his injuries are quite severe. How would the nurse
proceed with data collection?
A. Collect history information first, then perform a physical
examination and institute life-saving measures
HISTORY TAKING AND DIAGNOSTIC FINDINGS
◉ What step of the nursing process includes data collection by
health history, physical examination and interview?
A. Planning
B. Diagnosis
C. Evaluation
D. Assessment.
Answer: D. Assessment
◉ During a staff meeting, nurses discuss the problems with
accessing research studies to incorporate evidence-based clinical
decision making into their practice. Which suggestion by the nurse
manager would best help these problems?
A. Forma committee to conduct research studies
B. Post published research studies on the units bulletin boards
C. Encourage the nurse to visit the library to review studies
D. Teach the nurses how to conduct electronic searchers for research
studies.
Answer: D. Teach the nurses how to conduct electronic searchers for
research studies
,◉ When reviewing the concepts of health, the nurse recalls that the
components of holistic health include which of these?
A. Disease originates from the external environment
B. The individual human is a closed system
C. Nurses are responsible for a patients health state
D. Holistic health views the mind, body, and spirit as interdependent.
Answer: D. Holistic health views the mind, body, and spirit as
interdependent
◉ The nurse recognizes that the concept of prevention in describing
health is essential because
A. Disease can be prevented by treating the external environment
B. The majority of deaths among Americans under age 65 years are
not preventable
C. Prevention places the emphasis on the link between health and
personal behavior
D. The means to prevention is through treatment provided by
primary health care practitioners.
Answer: C. Prevention places the emphasis on the link between
health and personal behavior
◉ The nurse is performing a physical assessment on a newly
admitted patient. An example of objective information obtained
during the physical assessment includes the
,A. Patients history of allergies
B. Patients use of medications at home
C. Last menstrual period 1 month ago
D. 2.5 cm scar on the right lower forearm.
Answer: D. 2.5 cm scar on the right lower forearm
◉ A visiting nurse is making an initial home visit for a patient who
has many chronic health problems. Which type of data base is most
appropriate to collect in this setting?
A. A follow-up data base to evaluate changes at appropriate intervals
B. An episodic data base because of the continuing, complex medical
problems of this patient
C. A complete health data base because of the nurses primary
responsibility for monitoring the patients health
D. An emergency data base because of the need to collect
information and make accurate diagnoses rapidly.
Answer: C. A complete health data base because of the nurses
primary responsibility for monitoring the patients health
◉ Which situation is most appropriate during which the nurse
performs a focused or problem-centered history?
A. Patient is admitted to a long-term care facility
B. Patient has a sudden and severe shortness of breath
C. Patient is admitted to the hospital for surgery the following day
, D. Patient in an outpatient clinic has cold and influenza-like
symptoms.
Answer: D. Patient in an outpatient clinic has cold and influenza-like
symptoms
◉ A patient is in the clinic to have her blood pressure checked. She
has been coming to the clinic weekly since she changed medications
2 months ago. The nurse should:
A. Collect a follow-up data base and then check her blood pressure
B. Ask her to read her health record and indicate any changes since
her last visit
C. Check only her blood pressure because her complete health
history was documented 2 months ago
D. Obtain a complete health history before checking her blood
pressure because much of her history information may have
changed.
Answer: A. Collect a follow-up data base and then check her blood
pressure
◉ A patient is brought by ambulance to the ED with multiple
traumas received in an automobile accident. He is alert and
cooperative, but his injuries are quite severe. How would the nurse
proceed with data collection?
A. Collect history information first, then perform a physical
examination and institute life-saving measures
