NSG 316 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. subjective data
Answer:
what the person says about himself or herself during history taking
Question:
2. objective data
Answer:
what the health professional observes by inspecting, palpating, percussing, and auscultating during the
physical examination
Question:
3. database
Answer:
subjective and objective data combined
Question:
4. what are all healthcare diagnosis, decisions, and treatments based on?
Answer:
the data collected during assessment
Question:
5. Diagnostic reasoning
Answer:
the process of analyzing health data and drawing conclusions to identify diagnoses
Question:
6. Nursing Process
Answer:
Assessment Diagnosis outcome identification planning implementation evaluation
Question:
7. what should be done during assessment?
Answer:
collect data (review the clinical record, health history, physical exam, functional assessment, risk
assessment, review of literature), use evidence-based assessment techniques, document relevant data
Question:
8. what is done during the diagnosis phase of the nursing process
Answer:
identify data as being normal/abnormal, cluster correlated data, make hypothesis test hypothesis come up
with diagnosis
,Question:
9. evidence-based practice
Answer:
uses research evidence to improve patient outcomes
Question:
10. How would the nurse document edema in the lower legs when compressed it produces moderate pitting
with the indentation subsiding rapidly?
Answer:
3+
Question:
11. What is a lesion called when it changes and evolves over time due to scratching or itching?
Answer:
secondary lesion
Question:
12. A patient comes in for a physical examination and complains of "freezing to death" while waiting for
her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
Answer:
peripheral vasoconstriction
Question:
13. The nurse notices that a patient has an elevated, clear fluid filled, circumscribed lesion that is less than
1 cm in diameter. How does the nurse classify these type lesions?
Answer:
vesicle
Question:
14. The nurse notes a bluish mottled discoloring of the skin in the lips, nose, oral mucosa, and finger tips of
a patient with decreased perfusion. What is the best description of this skin assessment?
Answer:
cyanosis
Question:
15. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in
diameter. When documenting this finding, the nurse reports this as a:
Answer:
papule
Question:
16. The nurse is assessing a patient who has liver disease for jaundice. Which of these assessment findings
is indicative of true jaundice?
Answer:
Yellow color of the sclera extends up to the iris
, Question:
17. During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse
knows that this occurs because of a decrease in the number of functioning
Answer:
melanocytes
Question:
18. When assessing the nails utilizing the Profile sign, it is noted the angle is more than 160 degrees, the
nail base is spongy to palpation, and the ends appear rounded. What condition is this?
Answer:
clubbing
Question:
19. During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to
describe this condition is:
Answer:
xerosis
Question:
20. Complete (Total Health) Database
Answer:
Complete health history and physical exam; usually done in a primary care setting forms baseline to
compare future changes against
Question:
21. focused assessment
Answer:
collection of "mini" database relevant to the current health concern assessment conducted to assess a
specific problem; focuses on pertinent history and body regions
Question:
22. cultural competence
Answer:
An understanding of how a patient's cultural background shapes his beliefs, values, and expectations for
therapy.
Question:
23. The nurse caring for culturally diverse patients knows that some cultures do not agree with a "scientific
approach" to health care. What type of approach might these patients use instead?
select all that apply
Balancing good and bad external forces Avoiding care for illness Using various herbs Eating hot or cold
food Using the yin-yang approach
Answer:
Balancing good and bad external forces Using various herbs Eating hot or cold food Using the yin-yang
approach
CORRECT ANSWERS
Question:
1. subjective data
Answer:
what the person says about himself or herself during history taking
Question:
2. objective data
Answer:
what the health professional observes by inspecting, palpating, percussing, and auscultating during the
physical examination
Question:
3. database
Answer:
subjective and objective data combined
Question:
4. what are all healthcare diagnosis, decisions, and treatments based on?
Answer:
the data collected during assessment
Question:
5. Diagnostic reasoning
Answer:
the process of analyzing health data and drawing conclusions to identify diagnoses
Question:
6. Nursing Process
Answer:
Assessment Diagnosis outcome identification planning implementation evaluation
Question:
7. what should be done during assessment?
Answer:
collect data (review the clinical record, health history, physical exam, functional assessment, risk
assessment, review of literature), use evidence-based assessment techniques, document relevant data
Question:
8. what is done during the diagnosis phase of the nursing process
Answer:
identify data as being normal/abnormal, cluster correlated data, make hypothesis test hypothesis come up
with diagnosis
,Question:
9. evidence-based practice
Answer:
uses research evidence to improve patient outcomes
Question:
10. How would the nurse document edema in the lower legs when compressed it produces moderate pitting
with the indentation subsiding rapidly?
Answer:
3+
Question:
11. What is a lesion called when it changes and evolves over time due to scratching or itching?
Answer:
secondary lesion
Question:
12. A patient comes in for a physical examination and complains of "freezing to death" while waiting for
her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
Answer:
peripheral vasoconstriction
Question:
13. The nurse notices that a patient has an elevated, clear fluid filled, circumscribed lesion that is less than
1 cm in diameter. How does the nurse classify these type lesions?
Answer:
vesicle
Question:
14. The nurse notes a bluish mottled discoloring of the skin in the lips, nose, oral mucosa, and finger tips of
a patient with decreased perfusion. What is the best description of this skin assessment?
Answer:
cyanosis
Question:
15. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in
diameter. When documenting this finding, the nurse reports this as a:
Answer:
papule
Question:
16. The nurse is assessing a patient who has liver disease for jaundice. Which of these assessment findings
is indicative of true jaundice?
Answer:
Yellow color of the sclera extends up to the iris
, Question:
17. During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse
knows that this occurs because of a decrease in the number of functioning
Answer:
melanocytes
Question:
18. When assessing the nails utilizing the Profile sign, it is noted the angle is more than 160 degrees, the
nail base is spongy to palpation, and the ends appear rounded. What condition is this?
Answer:
clubbing
Question:
19. During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term to
describe this condition is:
Answer:
xerosis
Question:
20. Complete (Total Health) Database
Answer:
Complete health history and physical exam; usually done in a primary care setting forms baseline to
compare future changes against
Question:
21. focused assessment
Answer:
collection of "mini" database relevant to the current health concern assessment conducted to assess a
specific problem; focuses on pertinent history and body regions
Question:
22. cultural competence
Answer:
An understanding of how a patient's cultural background shapes his beliefs, values, and expectations for
therapy.
Question:
23. The nurse caring for culturally diverse patients knows that some cultures do not agree with a "scientific
approach" to health care. What type of approach might these patients use instead?
select all that apply
Balancing good and bad external forces Avoiding care for illness Using various herbs Eating hot or cold
food Using the yin-yang approach
Answer:
Balancing good and bad external forces Using various herbs Eating hot or cold food Using the yin-yang
approach
