NR 203 Practice Exam with Accurate Answers.
Latest Edition
The nurse is performing a health assessment on client. Which of the following would be most
important for the nurse to do? - ✔✔Interpret the information about the client in context
Data that nurses collect during a physical assessment vary depending on a patient's - ✔✔acuity,
health history, and current symptoms
After teaching a group of students about the phases of the nursing process, the instructor
determines that the teaching was successful when the students identify which phase as most
important? - ✔✔Assessment- If data collection is inadequate or inaccurate, incorrect nursing
judgments may be made that adversely affect the remaining phases of the process.
A client admitted to the health care facility has a family history of diabetes mellitus. A nursing
health assessment for this client should focus on collection of data in which of these areas? -
✔✔Physiologic, psychological, sociocultural, developmental, and spiritual data
A 26-year-old male nurse is assessing a 14-year-old girl newly admitted to the pediatric unit.
The nurse knows that an efficient assessment framework that provides additional modesty for
the patient is what? - ✔✔head to toe
A nurse is conducting a health assessment. How will the information collected from the patient
be used? - ✔✔as a basis for the nursing process
the difference between medical examination and nursing assessment - ✔✔ME- treatment of
disease process
NP- human response to the disease
When asked to assess an area of broken skin on an older adult client in a long-term care facility,
the nurse notes a break in the skin erythema and a small amount of serosanguineous drainage
, over the sacrum. The area appears blister-like. The nurse would interpret this finding as
indicating which stage of pressure ulcer? - ✔✔stage 2
Secondary Skin Lesion - ✔✔develops from primary lesion or changes in primary lesion
ex. keloid
ABCDE's of melanoma - ✔✔asymmetrical?
boarders irregular?
changes in color?
diameter >6mm
evolution
Which clinical manifestation should the nurse expect to find in a client with edema? -
✔✔Decreased skin mobility
During assessment, the nurse would expect which part of the body to indicate central cyanosis
in a client with a severe asthma attack? - ✔✔Oral mucosa
Lichenification - ✔✔thickening and roughening of the skin and accentuated skin markings
what accessory structures are in the dermis layer of skin? - ✔✔blood vessels, nerves, sebaceous
glands, lymphatic vessels, hair follicles, and sweat glands
Phases of pressure ulcers - ✔✔I: intact firm skin with redness
II: ulceration involving the dermis
III: full-thickness skin loss
IV: necrosis with damage to underlying muscle
Latest Edition
The nurse is performing a health assessment on client. Which of the following would be most
important for the nurse to do? - ✔✔Interpret the information about the client in context
Data that nurses collect during a physical assessment vary depending on a patient's - ✔✔acuity,
health history, and current symptoms
After teaching a group of students about the phases of the nursing process, the instructor
determines that the teaching was successful when the students identify which phase as most
important? - ✔✔Assessment- If data collection is inadequate or inaccurate, incorrect nursing
judgments may be made that adversely affect the remaining phases of the process.
A client admitted to the health care facility has a family history of diabetes mellitus. A nursing
health assessment for this client should focus on collection of data in which of these areas? -
✔✔Physiologic, psychological, sociocultural, developmental, and spiritual data
A 26-year-old male nurse is assessing a 14-year-old girl newly admitted to the pediatric unit.
The nurse knows that an efficient assessment framework that provides additional modesty for
the patient is what? - ✔✔head to toe
A nurse is conducting a health assessment. How will the information collected from the patient
be used? - ✔✔as a basis for the nursing process
the difference between medical examination and nursing assessment - ✔✔ME- treatment of
disease process
NP- human response to the disease
When asked to assess an area of broken skin on an older adult client in a long-term care facility,
the nurse notes a break in the skin erythema and a small amount of serosanguineous drainage
, over the sacrum. The area appears blister-like. The nurse would interpret this finding as
indicating which stage of pressure ulcer? - ✔✔stage 2
Secondary Skin Lesion - ✔✔develops from primary lesion or changes in primary lesion
ex. keloid
ABCDE's of melanoma - ✔✔asymmetrical?
boarders irregular?
changes in color?
diameter >6mm
evolution
Which clinical manifestation should the nurse expect to find in a client with edema? -
✔✔Decreased skin mobility
During assessment, the nurse would expect which part of the body to indicate central cyanosis
in a client with a severe asthma attack? - ✔✔Oral mucosa
Lichenification - ✔✔thickening and roughening of the skin and accentuated skin markings
what accessory structures are in the dermis layer of skin? - ✔✔blood vessels, nerves, sebaceous
glands, lymphatic vessels, hair follicles, and sweat glands
Phases of pressure ulcers - ✔✔I: intact firm skin with redness
II: ulceration involving the dermis
III: full-thickness skin loss
IV: necrosis with damage to underlying muscle
