©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
PNU 120 Exam 1 Questions With Correct
Answers
Health History Components - answer✔Includes:
1: Demographic Information
2: Source of History
3: Chief Concern
4: History of Present Illness
5: Past Health History / Current Health Status
6: Family History
7: Psychosocial History
8. Health Promotion Behaviors
Physical Assessment Techniques (Order) - answer✔1. Inspection
2. Auscultation
3. Palpation
4. Percussion
(abdomen is the exception: inspect, auscultate, percuss then palpate)
Health Promotion Behaviors - answer✔heath history component
- exercise/activity, diet, sun exposure, safety equipment, substance use, environmental
exposure/home environment, resources, stress, sleep patterns, coping measures
- awareness of risks for heart disease, cancer, diabetes, stroke
Light Palpation vs Deep Palpation - answer✔Light Palpation: Less than 1 cm (0.4 inch)
Deep Palpation: 4 cm (1.6 inch) for abdominal organs / masses
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
General Survey - answer✔A written summary of the impression of the client's overall health.
The nurse gathers this information from the first encounter with the client and continues to
make observations throughout the assessment process.
a) Physical appearance
b) Body structure
c) Mobility
d) Behavior
e) Vital signs
Nursing Process Framework Order - answer✔assessment, analysis/data collection, planning,
implementation, evaluation
Assessment/Data collection - answer✔Involves the systematic collection of information about
clients' present health status to identify needs and additional data to collect based on findings.
Subjective Data - answer✔What the client tells the nurse. Ex: "my shoulder is really sore."
Objective Data - answer✔Data the nurse obtains through observation and examination. Ex:
Client grimaces when attempting to brush their hair with the left arm
Analysis/Data Collection - answer✔Nurses use critical thinking skills to identify clients health
statuses or problems, interpret/monitor the collection database, reach an appropriate nursing
judgement about health status and provide nursing care
Planning - answer✔Nurses must establish priorities and optimal outcomes of care they can
readily measure and evaluate.
Implementation - answer✔Nurses base the care they provide on assessment data, analyses,
and the plan of care they developed in the previous steps of the nursing process.
Evaluation - answer✔Nurses' evaluate clients responses to nursing interventions and form a
clinical judgement about the extent to which clients have met the goals and outcomes.
Sources of Data for Collection and Assessment - answer✔Observation, interviews with clients
and families, medical history, comprehensive / focused physical assessment, etc.
Critical Thinking and the Nursing Process - answer✔Assessment / Data Collection: Collect
information about a clients present health to identify needs and to identify additional data to
collect based on findings.
2|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Critical Thinking Skills - answer✔Observe
Use Correct Techniques for Collecting Data
Differentiate between irrelevant and relevant data
Organize, categorize and validate data
Interpret assessment data and draw conclusion
Identify clusters and cues
Recognize actual problems
Identify goals and outcomes for client care
Determine accuracy of theories and understanding of teachings
Oral Hygiene - answer✔Helps decrease the risk of infection for clients living in long term
facilities, especially from the transmission of pathogens that cause pneumonia.
Other populations who require meticulous oral hygiene: Those who are seriously ill, injured,
unconscious, dehydrated, or have an altered mental health status or limited upper body
mobility.
Foot Care - answer✔Foot care prevents skin breakdown, pain and infection.
EXTREMELY IMPORTANT for those who have diabetes mellitus, and a qualified professional
must perform it.
Lifting Clients Safety - answer✔Have a wide stance (base of support)
Distribute your weight evenly
Tighten abdominal muscles to prevent back strain
Keep the object close to you
Pull object toward the center of gravity
If lifting from the floor, flex your back, hips and knees
Positioning Clients - answer✔HAVE MULTIPLE STAFF MEMBERS ASSIST WHEN MOVING A
CLIENT!
3|Page
11/16/2024 10:16 AM
PNU 120 Exam 1 Questions With Correct
Answers
Health History Components - answer✔Includes:
1: Demographic Information
2: Source of History
3: Chief Concern
4: History of Present Illness
5: Past Health History / Current Health Status
6: Family History
7: Psychosocial History
8. Health Promotion Behaviors
Physical Assessment Techniques (Order) - answer✔1. Inspection
2. Auscultation
3. Palpation
4. Percussion
(abdomen is the exception: inspect, auscultate, percuss then palpate)
Health Promotion Behaviors - answer✔heath history component
- exercise/activity, diet, sun exposure, safety equipment, substance use, environmental
exposure/home environment, resources, stress, sleep patterns, coping measures
- awareness of risks for heart disease, cancer, diabetes, stroke
Light Palpation vs Deep Palpation - answer✔Light Palpation: Less than 1 cm (0.4 inch)
Deep Palpation: 4 cm (1.6 inch) for abdominal organs / masses
1|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
General Survey - answer✔A written summary of the impression of the client's overall health.
The nurse gathers this information from the first encounter with the client and continues to
make observations throughout the assessment process.
a) Physical appearance
b) Body structure
c) Mobility
d) Behavior
e) Vital signs
Nursing Process Framework Order - answer✔assessment, analysis/data collection, planning,
implementation, evaluation
Assessment/Data collection - answer✔Involves the systematic collection of information about
clients' present health status to identify needs and additional data to collect based on findings.
Subjective Data - answer✔What the client tells the nurse. Ex: "my shoulder is really sore."
Objective Data - answer✔Data the nurse obtains through observation and examination. Ex:
Client grimaces when attempting to brush their hair with the left arm
Analysis/Data Collection - answer✔Nurses use critical thinking skills to identify clients health
statuses or problems, interpret/monitor the collection database, reach an appropriate nursing
judgement about health status and provide nursing care
Planning - answer✔Nurses must establish priorities and optimal outcomes of care they can
readily measure and evaluate.
Implementation - answer✔Nurses base the care they provide on assessment data, analyses,
and the plan of care they developed in the previous steps of the nursing process.
Evaluation - answer✔Nurses' evaluate clients responses to nursing interventions and form a
clinical judgement about the extent to which clients have met the goals and outcomes.
Sources of Data for Collection and Assessment - answer✔Observation, interviews with clients
and families, medical history, comprehensive / focused physical assessment, etc.
Critical Thinking and the Nursing Process - answer✔Assessment / Data Collection: Collect
information about a clients present health to identify needs and to identify additional data to
collect based on findings.
2|Page
, ©BRIGHTSTARS EXAM SOLUTIONS
11/16/2024 10:16 AM
Critical Thinking Skills - answer✔Observe
Use Correct Techniques for Collecting Data
Differentiate between irrelevant and relevant data
Organize, categorize and validate data
Interpret assessment data and draw conclusion
Identify clusters and cues
Recognize actual problems
Identify goals and outcomes for client care
Determine accuracy of theories and understanding of teachings
Oral Hygiene - answer✔Helps decrease the risk of infection for clients living in long term
facilities, especially from the transmission of pathogens that cause pneumonia.
Other populations who require meticulous oral hygiene: Those who are seriously ill, injured,
unconscious, dehydrated, or have an altered mental health status or limited upper body
mobility.
Foot Care - answer✔Foot care prevents skin breakdown, pain and infection.
EXTREMELY IMPORTANT for those who have diabetes mellitus, and a qualified professional
must perform it.
Lifting Clients Safety - answer✔Have a wide stance (base of support)
Distribute your weight evenly
Tighten abdominal muscles to prevent back strain
Keep the object close to you
Pull object toward the center of gravity
If lifting from the floor, flex your back, hips and knees
Positioning Clients - answer✔HAVE MULTIPLE STAFF MEMBERS ASSIST WHEN MOVING A
CLIENT!
3|Page
