NUR 265 Comprehensive Assessment Study
Guide UPDATED ACTUAL Exam
Questions and CORRECT Answers
Subjective Data - CORRECT ANSWER - Information obtained from the patient's verbal
report (symptoms, feelings, perceptions)
Objective Data - CORRECT ANSWER - Observable and measurable information gathered
through physical assessment
Primary Data - CORRECT ANSWER - Information collected directly from the patient
Secondary Data - CORRECT ANSWER - Information from sources other than the patient
(family, medical records, other healthcare providers)
Inspection - CORRECT ANSWER - Visual examination (observe color, size, shape,
symmetry, position, movement)
Palpation - CORRECT ANSWER - Using touch to gather data (temperature, texture,
moisture, tenderness, masses)
Light palpation - CORRECT ANSWER - Uses finger pads, superficial structures
Deep palpation - CORRECT ANSWER - Deeper structures (organs, masses)
Percussion - CORRECT ANSWER - Tapping body surfaces to produce sounds that
indicate underlying structures
Resonance - CORRECT ANSWER - Hollow organs (lungs)
,Dullness - CORRECT ANSWER - Solid organs (liver)
Tympany - CORRECT ANSWER - Air-filled structures (stomach)
Flatness - CORRECT ANSWER - Dense tissue (muscle)
Auscultation - CORRECT ANSWER - Listening to body sounds with a stethoscope
Infants Assessment - CORRECT ANSWER - Assessment order = least invasive to most
invasive; position = supine or parent's lap
Toddlers Assessment - CORRECT ANSWER - Play techniques useful; demonstrate on
doll first; parent presence important
School-Age Assessment - CORRECT ANSWER - Can follow directions; explain
procedures; maintain privacy
Adolescents Assessment - CORRECT ANSWER - Privacy critical; offer same-gender
examiner; explain purpose of assessment
Adults Assessment - CORRECT ANSWER - Standard head-to-toe approach; ensure
privacy and dignity
Older Adults Assessment - CORRECT ANSWER - Consider fatigue and mobility; allow
more time; assess in segments if needed
First Priority - CORRECT ANSWER - Immediate life-threatening conditions (airway,
breathing, circulation)
, Second Priority - CORRECT ANSWER - Potentially life-threatening conditions requiring
prompt intervention
Third Priority - CORRECT ANSWER - Non-urgent conditions that require attention but
not immediate intervention
Sexuality - CORRECT ANSWER - Sexual attraction, behaviors, identity, and biological
characteristics
Gender Identity - CORRECT ANSWER - Person's internal sense of being male, female,
both, or neither
Heterosexism - CORRECT ANSWER - Assumption that heterosexuality is the only
normal sexual orientation
Gender Non-conforming - CORRECT ANSWER - Person whose gender expression
differs from cultural norms
LEARN model - CORRECT ANSWER - Listen with empathy to patient's perception,
Explain your perception of the problem, Acknowledge differences and similarities, Recommend
treatment, Negotiate agreement
Macule - CORRECT ANSWER - Flat, colored spot (<1 cm)
Patch - CORRECT ANSWER - Flat, colored spot (>1 cm)
Papule - CORRECT ANSWER - Raised, solid lesion (<1 cm)
Plaque - CORRECT ANSWER - Raised, solid lesion (>1 cm)
Guide UPDATED ACTUAL Exam
Questions and CORRECT Answers
Subjective Data - CORRECT ANSWER - Information obtained from the patient's verbal
report (symptoms, feelings, perceptions)
Objective Data - CORRECT ANSWER - Observable and measurable information gathered
through physical assessment
Primary Data - CORRECT ANSWER - Information collected directly from the patient
Secondary Data - CORRECT ANSWER - Information from sources other than the patient
(family, medical records, other healthcare providers)
Inspection - CORRECT ANSWER - Visual examination (observe color, size, shape,
symmetry, position, movement)
Palpation - CORRECT ANSWER - Using touch to gather data (temperature, texture,
moisture, tenderness, masses)
Light palpation - CORRECT ANSWER - Uses finger pads, superficial structures
Deep palpation - CORRECT ANSWER - Deeper structures (organs, masses)
Percussion - CORRECT ANSWER - Tapping body surfaces to produce sounds that
indicate underlying structures
Resonance - CORRECT ANSWER - Hollow organs (lungs)
,Dullness - CORRECT ANSWER - Solid organs (liver)
Tympany - CORRECT ANSWER - Air-filled structures (stomach)
Flatness - CORRECT ANSWER - Dense tissue (muscle)
Auscultation - CORRECT ANSWER - Listening to body sounds with a stethoscope
Infants Assessment - CORRECT ANSWER - Assessment order = least invasive to most
invasive; position = supine or parent's lap
Toddlers Assessment - CORRECT ANSWER - Play techniques useful; demonstrate on
doll first; parent presence important
School-Age Assessment - CORRECT ANSWER - Can follow directions; explain
procedures; maintain privacy
Adolescents Assessment - CORRECT ANSWER - Privacy critical; offer same-gender
examiner; explain purpose of assessment
Adults Assessment - CORRECT ANSWER - Standard head-to-toe approach; ensure
privacy and dignity
Older Adults Assessment - CORRECT ANSWER - Consider fatigue and mobility; allow
more time; assess in segments if needed
First Priority - CORRECT ANSWER - Immediate life-threatening conditions (airway,
breathing, circulation)
, Second Priority - CORRECT ANSWER - Potentially life-threatening conditions requiring
prompt intervention
Third Priority - CORRECT ANSWER - Non-urgent conditions that require attention but
not immediate intervention
Sexuality - CORRECT ANSWER - Sexual attraction, behaviors, identity, and biological
characteristics
Gender Identity - CORRECT ANSWER - Person's internal sense of being male, female,
both, or neither
Heterosexism - CORRECT ANSWER - Assumption that heterosexuality is the only
normal sexual orientation
Gender Non-conforming - CORRECT ANSWER - Person whose gender expression
differs from cultural norms
LEARN model - CORRECT ANSWER - Listen with empathy to patient's perception,
Explain your perception of the problem, Acknowledge differences and similarities, Recommend
treatment, Negotiate agreement
Macule - CORRECT ANSWER - Flat, colored spot (<1 cm)
Patch - CORRECT ANSWER - Flat, colored spot (>1 cm)
Papule - CORRECT ANSWER - Raised, solid lesion (<1 cm)
Plaque - CORRECT ANSWER - Raised, solid lesion (>1 cm)
