ECPI NUR 168 CHAPTER 27 REVIEW QUESTIONS AND ANSWERS |
LATEST NUR 168 STUDY GUIDE & PRACTICE TEST 2026/2027
What is health assessment data? - ANS ✔✔Collection of subjective and objective information
What is subjective data? - ANS ✔✔What the patient says about their experience
What is objective data? - ANS ✔✔What can be observed about the patient's condition
What is a SOAP note? - ANS ✔✔Documentation format: Subjective, Objective, Assessment, Plan
What are the types of health assessment? - ANS ✔✔Comprehensive, ongoing/partial, focused,
emergency
What is a comprehensive health assessment? - ANS ✔✔Head to toe, usually upon admission
What is an ongoing/partial health assessment? - ANS ✔✔Conducted at regular intervals or pre-operative
What is a focused health assessment? - ANS ✔✔Specific problem, ER, urgent care, sick visit
What is an emergency health assessment? - ANS ✔✔Determine life-threatening or unstable conditions,
trauma, ICU
What should be considered while preparing the patient? - ANS ✔✔Physiologic and psychologic needs,
lifespan, culture, patient and environmental preparations
What should be explained to the patient? - ANS ✔✔The process, painless, each procedure, privacy
What factors should be assessed in health history? - ANS ✔✔Biographical data, reason for seeking
health care, present illness, past health, family health, functional health
What should be considered while preparing the environment? - ANS ✔✔As pain-free as possible, exam
table, gown and drape, supplies and instruments, curtain or screen, room temperature
What are the different positions used in health assessment? - ANS ✔✔Standing, sitting, supine, Dorset
recumbent, Sim's, prone, lithotomy, knee-chest
What are the techniques used in health assessment? - ANS ✔✔Inspection, auscultation, percussion,
palpation
What is the order of techniques used in health assessment? - ANS ✔✔Inspection, auscultation,
percussion, palpation
What is included in the general survey? - ANS ✔✔Appearance, vitals, height, weight, waist, BMI
, What should be assessed in integument? - ANS ✔✔Risk factors, history or presence of rash, lesions,
bruising, allergies, exposure to sun, chemicals, piercings or tattoos
What is erythema? - ANS ✔✔Redness
What is ecchymosis? - ANS ✔✔Bruise/ collection of blood in subcue tissue
What is petechiae? - ANS ✔✔Hemorrhagic spots, capillary bleeding
What is cyanosis? - ANS ✔✔Bluish or grayish color, dusky
What is jaundice? - ANS ✔✔Yellowish
What is pallor? - ANS ✔✔Paleness
What is diaphoresis? - ANS ✔✔Sweating, excess perspiration
What is turgor? - ANS ✔✔Elasticity, check for hydration
What is edema? - ANS ✔✔Excess fluid
What is inspection? - ANS ✔✔Visual examination
What is palpation? - ANS ✔✔Examination by touch involving pressure
What are the risk factors/observations for head and neck? - ANS ✔✔Clean, well-kept; free from sores,
lesions, growths; changes in vision or hearing; allergies, chronic illnesses; exposure to harmful
substances, smoking; infection or trauma
What is visual acuity? - ANS ✔✔Sharpness of vision
What is extraocular movement? - ANS ✔✔Movement of the eye
What is peripheral vision? - ANS ✔✔Side vision
What is the thyroid gland? - ANS ✔✔Endocrine gland in the neck
What are lymph nodes? - ANS ✔✔Small, bean-shaped structures that filter lymph
What are the risks/observations for thorax and lungs? - ANS ✔✔Trauma or surgery; number of pillows
used for sleeping; cough, chest pain, allergies; chemical or smoke exposure; variants among older adults
What is anteroposterior chest diameter? - ANS ✔✔Measurement of the chest from front to back
What is kyphosis? - ANS ✔✔Excessive outward curvature of the spine, in older adults
What is chest expansion? - ANS ✔✔Measurement of the chest during inhalation and exhalation
LATEST NUR 168 STUDY GUIDE & PRACTICE TEST 2026/2027
What is health assessment data? - ANS ✔✔Collection of subjective and objective information
What is subjective data? - ANS ✔✔What the patient says about their experience
What is objective data? - ANS ✔✔What can be observed about the patient's condition
What is a SOAP note? - ANS ✔✔Documentation format: Subjective, Objective, Assessment, Plan
What are the types of health assessment? - ANS ✔✔Comprehensive, ongoing/partial, focused,
emergency
What is a comprehensive health assessment? - ANS ✔✔Head to toe, usually upon admission
What is an ongoing/partial health assessment? - ANS ✔✔Conducted at regular intervals or pre-operative
What is a focused health assessment? - ANS ✔✔Specific problem, ER, urgent care, sick visit
What is an emergency health assessment? - ANS ✔✔Determine life-threatening or unstable conditions,
trauma, ICU
What should be considered while preparing the patient? - ANS ✔✔Physiologic and psychologic needs,
lifespan, culture, patient and environmental preparations
What should be explained to the patient? - ANS ✔✔The process, painless, each procedure, privacy
What factors should be assessed in health history? - ANS ✔✔Biographical data, reason for seeking
health care, present illness, past health, family health, functional health
What should be considered while preparing the environment? - ANS ✔✔As pain-free as possible, exam
table, gown and drape, supplies and instruments, curtain or screen, room temperature
What are the different positions used in health assessment? - ANS ✔✔Standing, sitting, supine, Dorset
recumbent, Sim's, prone, lithotomy, knee-chest
What are the techniques used in health assessment? - ANS ✔✔Inspection, auscultation, percussion,
palpation
What is the order of techniques used in health assessment? - ANS ✔✔Inspection, auscultation,
percussion, palpation
What is included in the general survey? - ANS ✔✔Appearance, vitals, height, weight, waist, BMI
, What should be assessed in integument? - ANS ✔✔Risk factors, history or presence of rash, lesions,
bruising, allergies, exposure to sun, chemicals, piercings or tattoos
What is erythema? - ANS ✔✔Redness
What is ecchymosis? - ANS ✔✔Bruise/ collection of blood in subcue tissue
What is petechiae? - ANS ✔✔Hemorrhagic spots, capillary bleeding
What is cyanosis? - ANS ✔✔Bluish or grayish color, dusky
What is jaundice? - ANS ✔✔Yellowish
What is pallor? - ANS ✔✔Paleness
What is diaphoresis? - ANS ✔✔Sweating, excess perspiration
What is turgor? - ANS ✔✔Elasticity, check for hydration
What is edema? - ANS ✔✔Excess fluid
What is inspection? - ANS ✔✔Visual examination
What is palpation? - ANS ✔✔Examination by touch involving pressure
What are the risk factors/observations for head and neck? - ANS ✔✔Clean, well-kept; free from sores,
lesions, growths; changes in vision or hearing; allergies, chronic illnesses; exposure to harmful
substances, smoking; infection or trauma
What is visual acuity? - ANS ✔✔Sharpness of vision
What is extraocular movement? - ANS ✔✔Movement of the eye
What is peripheral vision? - ANS ✔✔Side vision
What is the thyroid gland? - ANS ✔✔Endocrine gland in the neck
What are lymph nodes? - ANS ✔✔Small, bean-shaped structures that filter lymph
What are the risks/observations for thorax and lungs? - ANS ✔✔Trauma or surgery; number of pillows
used for sleeping; cough, chest pain, allergies; chemical or smoke exposure; variants among older adults
What is anteroposterior chest diameter? - ANS ✔✔Measurement of the chest from front to back
What is kyphosis? - ANS ✔✔Excessive outward curvature of the spine, in older adults
What is chest expansion? - ANS ✔✔Measurement of the chest during inhalation and exhalation
