Ch. 1-14 questions and answers 2025/2026
You are reviewing Assessment data of a 45 year old male patient and note pain of 8 on a scale of 10,
labored breathing, and pale skin color on the EHR. This documentation is an example of:
A. Hypothetical Reasoning
B. Diagnostic Reasoning
C. Data Cluster
D. Signs and symptoms - answerC. Data Cluster
The concept of Health and Healing has evolved in recent years. Which is the best description of health?
A. Health is the absence of disease
B. Health is a dynamic process toward optimal functioning
C. Health depends on an interaction of mind, body, and spirit within the environment
D. Health is the prevention of disease - answerC. Health depends on an interaction of mind, body, and
spirit within the environment
Which would be included in the database for a new patient admission to a surgical unit?
A. All subjective and objective data gathered by a health practitioner from a patient
B. All objective data obtained from a patient through inspection, percussion, palpation, and auscultation
C. A summary of a patient's record, including laboratory studies
D. All subjective and objective data, data gathered from a patient, and the results of any laboratory or
diagnostic studies completed. - answerD. All subjective and objective data, data gathered from a
patient, and the results of any laboratory or diagnostic studies completed.
A patient is in the emergency department with nausea and vomiting. Which would you include in the
database?
A. complete health history and full physical examination
,B. A diet and GI history
C. Previously identified problems
D. Start collection of data in conjunction with lifesaving measures - answerB. A diet and GI history
A patient has recently received health insurance and would like to know how often he should visit the
provider. How do you respond?
A. "It would be most efficient if you visit on an annual basis."
B. "There is no recommendation for the frequency of health care visits"
C. "Your visits may vary, depending on your level of wellness."
D. "Your visits will be based on your preference". - answerC. "Your visits may vary, depending on your
level of wellness."
You are reviewing concepts related to steps in the nursing process for determining prioritization and
developing patient outcomes. To what are these actions attributed?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis - answerA. Planning
Which best describes evidence-based nursing practice?
A. Combining clinical expertise with the use of nursing research to provide the best care for patients
while considering the patient's values and circumstances
B. Appraising and looking at the implications of one or two articles as they relate to the culture and
ethnicity of the patient
C. Completing a literature search to find relevant articles that use nursing research to encourage nurses
to use good practices.
D. Finding value based resources to justify nursing actions when working with patients of diverse
cultural backgrounds - answerA. Combining clinical expertise with the use of nursing research to provide
the best care for patients while considering the patient's values and circumstances
,What can be determined when the nurse clusters data as part of the critical-thinking process?
A. This step identifies problems that may be urgent and require immediate action.
B. This step involves making assumptions in the data
C. The nurse recognizes relevant information among the data.
D. Risk factors can be determined so the nurse knows how to offer health teaching. - answerC. The
nurse recognizes relevant information among the data.
A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would be
what type of data?
A. Objective
B. Reflective
C. Subjective
D. Introspective - answerC. Subjective
The 4 areas to consider during the general survey include:
A. ethnicity, gender, age, and socioeconomic status
B. physical appearance, gender, ethnicity, and affect
C. dress, affect, nonverbal behavior, and mobility
D. physical appearance, body structure, mobility, and behavior - answerD. physical appearance, body
structure, mobility, and behavior
You are assessing a patient's gait. What do you expect to find?
A. Gait is varied, depending on the height of the person
B. Gait is equal to the length of the arm
C. Gait is as wide as the shoulder width
D. Gait is half the height of the person - answerC. Gait is as wide as the shoulder width
, An 18-month old child is brought into the clinic for a health screening visit. to assess the height of the
child:
A. use a tape measure
B. use a horizontal measuring board
C. Have the child stand on the upright scale
D. measure arm span to estimate - answerB. use a horizontal measuring board
Which changes in head circumference measurements in relation to chest measurements will occur from
infancy through early childhood?
A. a newborn's head should be approx. 5cm larger than the chest circumference, but by age 2, they
should be equal
B. the chest grows at a faster rate than the cranium, but at age 1, the measurements will be the same,
and after age 2, the chest should be approx. 5 cm larger
C. the newborns head will be approx. 2cm larger than the chest circumference, but between 6 months
and 2 years, they will be about the same
D. The head and chest circumference should be very similar, but between 6 months and 2 years, the
chest size will increase and remain that way - answerC. the newborns head will be approx. 2cm larger
than the chest circumference, but between 6 months and 2 years, they will be about the same
Which changes regarding height and weight occur during a person's 80s and 90s
A. both increase
B. weight increases, and height increases
C. both decrease
D. both remain the same as during the 70s - answerC. both decrease
During an initial home visit, the patient's temperature is noted to be 97.4 degrees. How would you
interpret this?
A. it cannot be evaluated without knowledge of the person's age
B. it is below normal. the person should be assessed for possible hypothermia
C. it should be retaken by the rectal route, because this best reflects core body temperature
D. it should be reevaluated at the next visit before a decision is made - answerA. it cannot be evaluated
without knowledge of the person's age