NUFT 202 Exam 2
Questions And Answers 2025
which of the following examples are steps of the nursing assessment?
1. collection of information from patients family members
2. recognition that further observations are needed to clarify information
3. Comparison of data with another source to determine data accuracy
4. complete documentation of observational information
5. Determining which medications to administer based on a patients assessment data - Answer - 1, 2, 3
A nurse assesses a patient who comes to the pulmonary clinic. "I
see that it's been over 6 months since you've been here, but your appointment was for every 2 months.
Tell me about that. Also I see from your last visit that the doctor recommended routine exercise. Can you
tell me how successful you've been in following his plan?" The nurse's assessment covers which of
Gordon's func- tional health patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
4. Health perception-health management pattern - Answer - 4- health perception-health management
pattern
When a nurse conducts an assessment, data about a patient often comes from which of the following
sources? (Select all that apply.)
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with similar
problems - Answer - 1,3,4
,The unit policy/ procedure manual is not used to collect data about a patient. While experience caring
for other patients with similar problems may help guide a nurses assessment, data about a particular
patient does not come from those prior experiences.
The nurse observes a patient walking down the hall with a shuf-
fling gait. When the patient returns to bed, the nurse checks the strength in both of the patient's legs.
The nurse applies the infor- mation gained to suspect that the patient has a mobility problem. This
conclusion is an example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing. - Answer - 3-
A cue is information you obtain through your senses (the nurse observes the patient walking with a
shuffling gait). A clinical inference is the nurse's judgment or interpretation of these cues (the conclusion
that the patient has a mobility problem).Reflection and probing are not relevant to this example.
A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters the
patient's room and notices him to be diaphoretic, holding his chest and breathing with difficulty. The
nurse immediately checks the patient's heart rate and blood pressure and asks him, "Tell me where your
pain is." Which of the following assessment approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach - Answer - 4- a problem oriented approach comes from caring for
patients in immediate pain
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you
have difficulty falling or staying asleep? This series of questions would likely occur during which phase of
a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination - Answer - 2- working phase allows patients to describe their concerns and problems
, A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works
part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder
disease. Which of the following approaches demonstrates the nurse's cultural competence in assessing
the patient's health care problems?
1. "I can tell that your eating habits have led to your diabetes. Is
that right?"
2. "It's been difficult for people to find jobs. Is that why you work
part time?"
3. "You have four children; do you have any concerns about going
home and caring for them?"
4. "I wish patients understood how overeating affects their
health." - Answer - 3
This is the only assessment approach that is not biased or does not show judgment about the patient's
weight or occupational status. With the other options, the nurse is reacting to the patient on the basis of
personal stereotypes and biases.
Which type of interview question does the nurse first use when assessing the reason for a patient
seeking health care?
1. Probing
2. Open-ended
3. Problem-oriented
4. Confirmation - Answer - 2- open ended allows for the patient to tell a story and explain their purpose
for seeking care
A nurse gathers the following assessment data. Which of the fol- lowing cues together form(s) a pattern
suggesting a problem? (Select all that apply.)
1. The skin around the wound is tender to touch.
2. Fluid intake for 8 hours is 800 mL.
3. Patient has a heart rate of 78 beats/min and regular.
4. Patient has drainage from surgical wound.
Questions And Answers 2025
which of the following examples are steps of the nursing assessment?
1. collection of information from patients family members
2. recognition that further observations are needed to clarify information
3. Comparison of data with another source to determine data accuracy
4. complete documentation of observational information
5. Determining which medications to administer based on a patients assessment data - Answer - 1, 2, 3
A nurse assesses a patient who comes to the pulmonary clinic. "I
see that it's been over 6 months since you've been here, but your appointment was for every 2 months.
Tell me about that. Also I see from your last visit that the doctor recommended routine exercise. Can you
tell me how successful you've been in following his plan?" The nurse's assessment covers which of
Gordon's func- tional health patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
4. Health perception-health management pattern - Answer - 4- health perception-health management
pattern
When a nurse conducts an assessment, data about a patient often comes from which of the following
sources? (Select all that apply.)
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with similar
problems - Answer - 1,3,4
,The unit policy/ procedure manual is not used to collect data about a patient. While experience caring
for other patients with similar problems may help guide a nurses assessment, data about a particular
patient does not come from those prior experiences.
The nurse observes a patient walking down the hall with a shuf-
fling gait. When the patient returns to bed, the nurse checks the strength in both of the patient's legs.
The nurse applies the infor- mation gained to suspect that the patient has a mobility problem. This
conclusion is an example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing. - Answer - 3-
A cue is information you obtain through your senses (the nurse observes the patient walking with a
shuffling gait). A clinical inference is the nurse's judgment or interpretation of these cues (the conclusion
that the patient has a mobility problem).Reflection and probing are not relevant to this example.
A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse enters the
patient's room and notices him to be diaphoretic, holding his chest and breathing with difficulty. The
nurse immediately checks the patient's heart rate and blood pressure and asks him, "Tell me where your
pain is." Which of the following assessment approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach - Answer - 4- a problem oriented approach comes from caring for
patients in immediate pain
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you
have difficulty falling or staying asleep? This series of questions would likely occur during which phase of
a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination - Answer - 2- working phase allows patients to describe their concerns and problems
, A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works
part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder
disease. Which of the following approaches demonstrates the nurse's cultural competence in assessing
the patient's health care problems?
1. "I can tell that your eating habits have led to your diabetes. Is
that right?"
2. "It's been difficult for people to find jobs. Is that why you work
part time?"
3. "You have four children; do you have any concerns about going
home and caring for them?"
4. "I wish patients understood how overeating affects their
health." - Answer - 3
This is the only assessment approach that is not biased or does not show judgment about the patient's
weight or occupational status. With the other options, the nurse is reacting to the patient on the basis of
personal stereotypes and biases.
Which type of interview question does the nurse first use when assessing the reason for a patient
seeking health care?
1. Probing
2. Open-ended
3. Problem-oriented
4. Confirmation - Answer - 2- open ended allows for the patient to tell a story and explain their purpose
for seeking care
A nurse gathers the following assessment data. Which of the fol- lowing cues together form(s) a pattern
suggesting a problem? (Select all that apply.)
1. The skin around the wound is tender to touch.
2. Fluid intake for 8 hours is 800 mL.
3. Patient has a heart rate of 78 beats/min and regular.
4. Patient has drainage from surgical wound.
