WITH 100% CORRECT ANSWERS |
LATEST VERSION 2025/2026.
Objective data: physical appearance - age - ANS person appears his or her stated age
objective data: physical appearance - sex - ANS sexual development appropriate for gender
and age
objective data: physical appearance - level of consciousness - ANS person alert and oriented,
attends to your questions and responds appropriately
objective data: physical appearance - skin color - ANS color tone even, pigmentation varying
with genetic background, skin intact with no obvious lesion
objective data: physical appearance - facial features - ANS symmetric with movement
objective data: physical appearance - overall appearance - ANS provide general statement r/t
presence or absence of distress
objective data: body structure - stature - ANS height appears within normal range for age,
genetic heritage
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,objective data: body structure - nutrition - ANS weight appears within normal range for
height and body build; body fat distribution even
objective data: body structure - symmetry - ANS body parts look equal bilaterally and are in
relative proportion
objective data: body structure - posture - ANS person stand or sits comfortably erect as
appropriate for age
objective data: body structure - position - ANS description of patient's position during
assessment
objective data - gait - ANS normally base is as wide as shoulder width
objective data - gait - foot placement - ANS accurate; walk smooth, even, well-balanced; and
associated movements, such as symmetric arm swing, are present
objective data - gait - range of motion - ANS note full mobility for each joint, and that
movement is deliberate, accurate, smooth, and coordinated
objective data - gait - random - ANS no involuntary movement (tics, tremmors)
objective data: behavior - facial expression - ANS person maintains eye contact (unless a
cultural taboo exists), expressions appropriate to situation (e.g., thoughtful, serious, or smiling)
note: expressions both while face is at rest and while person is talking
objective data: behavior - mood and affect - ANS person comfortable and cooperative with
examiner and interacts pleasantly
objective data: behavior - speech - ANS articulation (ability to form words) clear and
understandable
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, - stream of talking is fluent, with an even pace
- conveys ideas clearly
- word choice appropriate to culture and education
- person communicates in prevailing language easily by himself or herself or with interpreter
objective data: behavior - dress - ANS appropriate to climate, looks clean and fits body, and
is appropriate to person's culture and age group; for example, normally:
- Amish women wear clothing from nineteenth century
- Indian women may wear saris
- culturally determined dress should not be labeled as bizarre by Western standards or by adult
expectations
objective data: behavior - personal hygiene - ANS person appears clean and groomed
appropriately for his or her age, occupation, and socioeconomic group
objective data: measurements - weight - ANS - use a standardized balance or electronic
standing scale
- instruct person to remove his or her shoes and heavy outer clothing before standing on scale
- when sequence or repeated weights is necessary, aim for approximately same time of day and
same type of clothing worn each time
- show person how his or her weight matches up with recommended range for height
how to record weight - ANS in kilograms and pounds
compare person's current weight with previous visit - ANS - recent weight loss may be
explained by successful dieting
- weight gain usually reflects overabundant caloric intake, unhealthy eating habits, and
sedentary lifestyle
objective data: measurements - height - ANS - use wall-mounted device or measuring pole
on scale
3 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED