NSG 316 Exam Questions Correct
Solutions 2025 Update (A Pass)
HIPAA - Answer- ✔✔Health Insurance Portability and Accountability Act
what does HIPAA cover - Answer- ✔✔any written verbal or electronic communication
never discuss or review any info regarding a patient of a clinical site (unless part of
assignment)
obligate to know and adhere to privacy policies at each clinical site
confidentiality under law and this agreement (medical records, accounting info, patient
info, between health care professionals about patients)
HIPAA rules for clinical - Answer- ✔✔may not remove any record from the clinical site
without written
may not disclose any info about patient during clinical
must attempt to exclude as much of the following info as possible
HIPAA includes what info - Answer- ✔✔names
vehicle identifiers
date of birth
email address
social security numbers
any info to be linked to the patient
HIPAA rules - Answer- ✔✔information may be disclosed for health care training and
educational purposes
promptly report any violation of the clinical site privacy policies and procedures
subject to disciplinary action of violation of rules
General survey - Answer- ✔✔study of the whole person
general health state and any obvious physical characteristics
General survey encounter - Answer- ✔✔first impression
,-stand promptly when name called
-look sick, rise slow
-converse without difficultly
-introduce and shake hands (palms sweaty, dry, firm handshake?)
-throughout health history, measurements and vital signs, make notes about everything
4 areas to consider - Answer- ✔✔physical appearance
body structure
mobility
behavior
objective data: physical appearance - Answer- ✔✔Age: person appears his or her
stated age
Sex: sexual development appropriate for gender and age
Level of consciousness: person alert and oriented, attends to your questions and
responds appropriately
Skin color: color tone even, pigmentation varying with genetic background, skin intact
with no obvious lesion
Facial features: symmetric with movement
No signs of acute distress present
objective data: body structure - Answer- ✔✔Stature: height appears within normal range
for age, genetic heritage
Nutrition: weight appears within normal range for height and body build; body fat
distribution even
Symmetry: body parts look equal bilaterally and are in relative proportion
Posture: person stands comfortably erect as appropriate for age
Exceptions
Standing toddler who has a normally protuberant abdomen (toddler lordosis)
Aging person who may be stooped with kyphosis
Position: person sits comfortably in chair or on bed or examining table, arms relaxed at
sides, head turned to examiner
,Body build, contour: proportions are correct
Arm span (fingertip to fingertip) equals height
Body length from crown to pubis roughly equal to length from pubis to sole
Obvious physical deformities: note any congenital or acquired defects
objective data: mobility - Answer- ✔✔Gait: normally, base is as wide as shoulder width
Foot placement: accurate; walk smooth, even, and well-balanced; and associated
movements, such as symmetric arm swing, are present
Range of motion: note full mobility for each joint, and that movement is deliberate,
accurate, smooth, and coordinated
No involuntary movement
objective data: behavior - Answer- ✔✔facial expression: maintain eye contact,
expression appropriate to situation, at rest & talking
mood & affect: person comfortable and cooperative with examiner and interact nicely
speech: articulation clear and understandable, stream of talking is fluent, conveys ideas
clearly, word choice is appropriate, personal communicates in prevailing language easy
Objective data: behavior continue - Answer- ✔✔dress: appropriate for climate, looks
clean & fits, appropriate for age and culture
ex: indian women may wear saries, amish women wear clothing from 19th century
personal hygiene: appears to be clean and groomed
subjective data - Answer- ✔✔what patient says about himself or herself during history
taking
objective data - Answer- ✔✔observed when inspecting, percussing, palpating and
auscultating patient during physical examination
database - Answer- ✔✔formed from these elements, plus patients record and laboratory
studies
complete total health database - Answer- ✔✔Includes complete health history and full
physical examination
, Describes current and past health state and forms baseline to measure all future
changes
Yields first diagnoses
episodic or problem centered database - Answer- ✔✔For limited or short-term problems
Collect "mini" database, smaller scope and more focused than complete database
Concerns mainly one problem, one cue complex, or one body system
History and examination follow direction of presenting concern
follow up database - Answer- ✔✔status of all identified problems should be evaluated at
regular and appropriate intervals
note changes that have occurred
evaluate whether problem is getting better or worse
identifying coping strategies being used
Emergency database - Answer- ✔✔rapid collection of data, often compiled concurrently
with lifesaving
diagnosis must be rapid and comprehensive in nature
Steps of ADOPIE - Answer- ✔✔Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
Assessment - Answer- ✔✔collect data (review clinical record, health history, physical
examination, functional assessment)
use evidence base assessment
document relevant data
diagnosis - Answer- ✔✔compare clinical findings with normal and abnormal variation
and developmental events
interpret data
Solutions 2025 Update (A Pass)
HIPAA - Answer- ✔✔Health Insurance Portability and Accountability Act
what does HIPAA cover - Answer- ✔✔any written verbal or electronic communication
never discuss or review any info regarding a patient of a clinical site (unless part of
assignment)
obligate to know and adhere to privacy policies at each clinical site
confidentiality under law and this agreement (medical records, accounting info, patient
info, between health care professionals about patients)
HIPAA rules for clinical - Answer- ✔✔may not remove any record from the clinical site
without written
may not disclose any info about patient during clinical
must attempt to exclude as much of the following info as possible
HIPAA includes what info - Answer- ✔✔names
vehicle identifiers
date of birth
email address
social security numbers
any info to be linked to the patient
HIPAA rules - Answer- ✔✔information may be disclosed for health care training and
educational purposes
promptly report any violation of the clinical site privacy policies and procedures
subject to disciplinary action of violation of rules
General survey - Answer- ✔✔study of the whole person
general health state and any obvious physical characteristics
General survey encounter - Answer- ✔✔first impression
,-stand promptly when name called
-look sick, rise slow
-converse without difficultly
-introduce and shake hands (palms sweaty, dry, firm handshake?)
-throughout health history, measurements and vital signs, make notes about everything
4 areas to consider - Answer- ✔✔physical appearance
body structure
mobility
behavior
objective data: physical appearance - Answer- ✔✔Age: person appears his or her
stated age
Sex: sexual development appropriate for gender and age
Level of consciousness: person alert and oriented, attends to your questions and
responds appropriately
Skin color: color tone even, pigmentation varying with genetic background, skin intact
with no obvious lesion
Facial features: symmetric with movement
No signs of acute distress present
objective data: body structure - Answer- ✔✔Stature: height appears within normal range
for age, genetic heritage
Nutrition: weight appears within normal range for height and body build; body fat
distribution even
Symmetry: body parts look equal bilaterally and are in relative proportion
Posture: person stands comfortably erect as appropriate for age
Exceptions
Standing toddler who has a normally protuberant abdomen (toddler lordosis)
Aging person who may be stooped with kyphosis
Position: person sits comfortably in chair or on bed or examining table, arms relaxed at
sides, head turned to examiner
,Body build, contour: proportions are correct
Arm span (fingertip to fingertip) equals height
Body length from crown to pubis roughly equal to length from pubis to sole
Obvious physical deformities: note any congenital or acquired defects
objective data: mobility - Answer- ✔✔Gait: normally, base is as wide as shoulder width
Foot placement: accurate; walk smooth, even, and well-balanced; and associated
movements, such as symmetric arm swing, are present
Range of motion: note full mobility for each joint, and that movement is deliberate,
accurate, smooth, and coordinated
No involuntary movement
objective data: behavior - Answer- ✔✔facial expression: maintain eye contact,
expression appropriate to situation, at rest & talking
mood & affect: person comfortable and cooperative with examiner and interact nicely
speech: articulation clear and understandable, stream of talking is fluent, conveys ideas
clearly, word choice is appropriate, personal communicates in prevailing language easy
Objective data: behavior continue - Answer- ✔✔dress: appropriate for climate, looks
clean & fits, appropriate for age and culture
ex: indian women may wear saries, amish women wear clothing from 19th century
personal hygiene: appears to be clean and groomed
subjective data - Answer- ✔✔what patient says about himself or herself during history
taking
objective data - Answer- ✔✔observed when inspecting, percussing, palpating and
auscultating patient during physical examination
database - Answer- ✔✔formed from these elements, plus patients record and laboratory
studies
complete total health database - Answer- ✔✔Includes complete health history and full
physical examination
, Describes current and past health state and forms baseline to measure all future
changes
Yields first diagnoses
episodic or problem centered database - Answer- ✔✔For limited or short-term problems
Collect "mini" database, smaller scope and more focused than complete database
Concerns mainly one problem, one cue complex, or one body system
History and examination follow direction of presenting concern
follow up database - Answer- ✔✔status of all identified problems should be evaluated at
regular and appropriate intervals
note changes that have occurred
evaluate whether problem is getting better or worse
identifying coping strategies being used
Emergency database - Answer- ✔✔rapid collection of data, often compiled concurrently
with lifesaving
diagnosis must be rapid and comprehensive in nature
Steps of ADOPIE - Answer- ✔✔Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
Assessment - Answer- ✔✔collect data (review clinical record, health history, physical
examination, functional assessment)
use evidence base assessment
document relevant data
diagnosis - Answer- ✔✔compare clinical findings with normal and abnormal variation
and developmental events
interpret data
