Nursing Health Assessment 2025
Update|Most Tested Questions And
Verified Solutions|Assured Success !!!
What is the purpose of nursing health assessment? - ANSWER 1)
determine clients health status
2) identify risk factors
3) identify need for education as a basis for developing a nursing plan of
care
What are the components of the nursing health assessment? -
ANSWER health history and physical exam
The extent of the nursing assessment is determined by what? -
ANSWER the acuity of the clients condition and the site of care
During the health history, what does the nurse do? - ANSWER
asks pertinent questions to gather data from the client and/or family
When can past medical records be used to collect data during the health
history? - ANSWER if the patient is unreliable or has no family or
support system available
Physical exam is a structured _____ to _____ examination. - ANSWER
head to toe
What is the role of the nurse in assessment? - ANSWER - collect
data
- assess client needs
- formulate a nursing plan of care
- develop interventions based on identified needs
- educate and counsel patient
- collaborate with others in health care team
What are the two types of data? - ANSWER subjective and
objectice
What is subjective data? - ANSWER - what the patient says
- obtained from the patient and/or family
,- includes past medical history, chief complaint (reason for seeking care) &
review of systems
- ex. "shortness of breath," "my head hurts"
Always open the chief complaint interview with what type of question? -
ANSWER open ended
What are examples of an open ended question you can ask when
beginning the chief complaint interview? - ANSWER - "what
brought you here today"
- "tell me about the chest pressure, from when it begin until now"
- "what problems are you experiencing"
What is objective data? - ANSWER - what you observe
- physical examination findings
- ex. BP, pulse, height, weight, etc.
What is a symptom? - ANSWER subjective sensation described by
the client
What is a sign? - ANSWER objective abnormality that the
examiner detects on physical examination
Symptom is the same as what type of data? - ANSWER subjective
Sign is the same as what type of data? - ANSWER objective
What are the three steps in exploring symptoms? - ANSWER 1)
ask open-ended questions to hear "the story of the symptom" in the
patients own words
2) ask more specific questions to elicit "the seven features of every
symptom" ( OLD CART)
3) ask yes or no questions or "pertinent positives and negatives" from the
relevant section of the review of systems
What are the 7 features of every symptom? (history of present illness) -
ANSWER OLD CART
- onset
- location
- duration
- character
, - associated manifestations
- relieving/exacerbating factors
- treatment
What is onset? - ANSWER when the sign or symptom began
What is location? - ANSWER where the sign or symptom is
located
What is duration? - ANSWER how long the sign or symptom has
been going on
What is character? - ANSWER What it feels like, how it is
described, the severity/pain
- ex. "describe on a scale of 1 to 10"
What is associated manifestations? - ANSWER what else is going
on when the sign or symptom is occurring (headache, vomit, sweating)
What is relieving/exacerbating factors? - ANSWER what makes it
better/worse, anything the patient has tried to make to relieve the
sign/symptom
What are treatments? - ANSWER what treatments might the
patient try, any interventions
What is health history? - ANSWER -home medications (and how
they take them)
-biographic data
-source of history
-reason for seeking care
-history of health
-family health history
-review of systems
-functional assessment (ADL's)
What are topics of data pertaining to lifestyle and health practices? -
ANSWER - description of typical day
- nutrition and weight management
- activity and exercise
- sleep and rest patterns
Update|Most Tested Questions And
Verified Solutions|Assured Success !!!
What is the purpose of nursing health assessment? - ANSWER 1)
determine clients health status
2) identify risk factors
3) identify need for education as a basis for developing a nursing plan of
care
What are the components of the nursing health assessment? -
ANSWER health history and physical exam
The extent of the nursing assessment is determined by what? -
ANSWER the acuity of the clients condition and the site of care
During the health history, what does the nurse do? - ANSWER
asks pertinent questions to gather data from the client and/or family
When can past medical records be used to collect data during the health
history? - ANSWER if the patient is unreliable or has no family or
support system available
Physical exam is a structured _____ to _____ examination. - ANSWER
head to toe
What is the role of the nurse in assessment? - ANSWER - collect
data
- assess client needs
- formulate a nursing plan of care
- develop interventions based on identified needs
- educate and counsel patient
- collaborate with others in health care team
What are the two types of data? - ANSWER subjective and
objectice
What is subjective data? - ANSWER - what the patient says
- obtained from the patient and/or family
,- includes past medical history, chief complaint (reason for seeking care) &
review of systems
- ex. "shortness of breath," "my head hurts"
Always open the chief complaint interview with what type of question? -
ANSWER open ended
What are examples of an open ended question you can ask when
beginning the chief complaint interview? - ANSWER - "what
brought you here today"
- "tell me about the chest pressure, from when it begin until now"
- "what problems are you experiencing"
What is objective data? - ANSWER - what you observe
- physical examination findings
- ex. BP, pulse, height, weight, etc.
What is a symptom? - ANSWER subjective sensation described by
the client
What is a sign? - ANSWER objective abnormality that the
examiner detects on physical examination
Symptom is the same as what type of data? - ANSWER subjective
Sign is the same as what type of data? - ANSWER objective
What are the three steps in exploring symptoms? - ANSWER 1)
ask open-ended questions to hear "the story of the symptom" in the
patients own words
2) ask more specific questions to elicit "the seven features of every
symptom" ( OLD CART)
3) ask yes or no questions or "pertinent positives and negatives" from the
relevant section of the review of systems
What are the 7 features of every symptom? (history of present illness) -
ANSWER OLD CART
- onset
- location
- duration
- character
, - associated manifestations
- relieving/exacerbating factors
- treatment
What is onset? - ANSWER when the sign or symptom began
What is location? - ANSWER where the sign or symptom is
located
What is duration? - ANSWER how long the sign or symptom has
been going on
What is character? - ANSWER What it feels like, how it is
described, the severity/pain
- ex. "describe on a scale of 1 to 10"
What is associated manifestations? - ANSWER what else is going
on when the sign or symptom is occurring (headache, vomit, sweating)
What is relieving/exacerbating factors? - ANSWER what makes it
better/worse, anything the patient has tried to make to relieve the
sign/symptom
What are treatments? - ANSWER what treatments might the
patient try, any interventions
What is health history? - ANSWER -home medications (and how
they take them)
-biographic data
-source of history
-reason for seeking care
-history of health
-family health history
-review of systems
-functional assessment (ADL's)
What are topics of data pertaining to lifestyle and health practices? -
ANSWER - description of typical day
- nutrition and weight management
- activity and exercise
- sleep and rest patterns
