Assessment 1 : NR 302 Health Assessment 1 2025
complete exam set ques ons and answers MULTIPLE
CHOICES and RATIONALES |100% Passed!!
Immediate A en on
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
Does not require immediate a en on
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain. - Ans What requires immediate a en on?
What does not require immediate a en on?
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
e. Shield iden fying informa on from view by visitors. - Ans How do health professionals
protect the client's private informa on when using a hard copy medical record? Select all that
apply.
a. Allow the client's children to review the medical record.
,b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
d. Lock records in your desk drawer when not in use.
e. Shield iden fying informa on from view by visitors.
b. Assess the UAP. - Ans When entering the room to perform a complete health assessment on
a new client, the nurse finds the client and family standing around an unlicensed assis ve
personnel (UAP) who is lying on the floor.
What is the priority ac on for the nurse?
a. Ask what happened.
b. Assess the UAP.
c. Phone for an emergency response.
d. Move the client to another room.
Yes
a. During the complete health assessment.
b. When administering medica ons.
c. When asking ques ons from the client's partner.
d. While reading the nurse prac oner's admission note.
e. As they pass the individual walking in the hallway.
No
None - Ans In which situa ons does the nurse collect data as part of an assessment? Select Yes
if data is being collected or No if data is not being collected.
a. During the complete health assessment.
, b. When administering medica ons.
c. When asking ques ons from the client's partner.
d. While reading the nurse prac oner's admission note.
e. As they pass the individual walking in the hallway.
Rapid (Screening) - Ans What kind of health assessment is this?
Purpose: Determines the urgency of the client's condi on
When used: Each me the client is seen
Includes: Level of consciousness, ease of breathing, and body posi on
Examples: Urgent: The examiner finds a person in a hospital gown si6ng on the floor gasping
for air.Not Urgent: The examiner observes the client speaking complete sentences on the phone
with even respira ons.
Complete (Total) Health - Ans What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interac on between a person seeking care and the professional
providing care
Includes: A detailed health history and physical examina on of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-term
care facility.
Focused (Problem-Centered) - Ans What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a body
system
complete exam set ques ons and answers MULTIPLE
CHOICES and RATIONALES |100% Passed!!
Immediate A en on
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
Does not require immediate a en on
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain. - Ans What requires immediate a en on?
What does not require immediate a en on?
a. The person is breathing so quickly they are unable to speak.
b. The individual is unresponsive.
c. The client is clutching their abdomen.
d. A toddler is clinging to the client's leg.
e. The person reports being in pain.
b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
e. Shield iden fying informa on from view by visitors. - Ans How do health professionals
protect the client's private informa on when using a hard copy medical record? Select all that
apply.
a. Allow the client's children to review the medical record.
,b. Return the medical record to the designated storage area.
c. Close the medical record when entering the client's room.
d. Lock records in your desk drawer when not in use.
e. Shield iden fying informa on from view by visitors.
b. Assess the UAP. - Ans When entering the room to perform a complete health assessment on
a new client, the nurse finds the client and family standing around an unlicensed assis ve
personnel (UAP) who is lying on the floor.
What is the priority ac on for the nurse?
a. Ask what happened.
b. Assess the UAP.
c. Phone for an emergency response.
d. Move the client to another room.
Yes
a. During the complete health assessment.
b. When administering medica ons.
c. When asking ques ons from the client's partner.
d. While reading the nurse prac oner's admission note.
e. As they pass the individual walking in the hallway.
No
None - Ans In which situa ons does the nurse collect data as part of an assessment? Select Yes
if data is being collected or No if data is not being collected.
a. During the complete health assessment.
, b. When administering medica ons.
c. When asking ques ons from the client's partner.
d. While reading the nurse prac oner's admission note.
e. As they pass the individual walking in the hallway.
Rapid (Screening) - Ans What kind of health assessment is this?
Purpose: Determines the urgency of the client's condi on
When used: Each me the client is seen
Includes: Level of consciousness, ease of breathing, and body posi on
Examples: Urgent: The examiner finds a person in a hospital gown si6ng on the floor gasping
for air.Not Urgent: The examiner observes the client speaking complete sentences on the phone
with even respira ons.
Complete (Total) Health - Ans What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interac on between a person seeking care and the professional
providing care
Includes: A detailed health history and physical examina on of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-term
care facility.
Focused (Problem-Centered) - Ans What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a body
system
