NSG3313 Exam 2, Exam 3 Study Guide
Questions with Actual Answers 2026
Updated.
types of nursing assessments - Answer -comprehensive initial
-emergency
-time-lapsed
-assessment of communities and special populations
comprehensive initial assessment - Answer performed when the client enters a health care
from a health care agency
focused assessment - Answer more detailed assessments that relate to a current medical
condition or patient complaint
-ie sore throat
emergency assessment - Answer assessing the airway, breathing and circulation
-ie airway obstruction
time-lapsed assessment - Answer an assessment that is scheduled to compare a patient's
current status to baseline data obtained earlier
-ie in longterm care
six components of assessment process - Answer -preparing for data collection
-collecting data
-identifying cues/making inferences
-validating data
-clustering related data and identifying patterns
-reporting/recording data
when and how should a nurse assess their pt? - Answer when: upon admission, change in
vital signs, every 4 hours if clinically stable
how: inspect, auscultate, palpate, percuss
four methods of data collection - Answer listening, observing, interviewing, examining
,listening example - Answer reflecting on what pt said
observing example - Answer inspect overall appearance of pt
interviewing example - Answer collection of pt health info
examining example - Answer physical examination
three steps to data validation - Answer 1. physical assessment
2. clarification
3. research reports
why is it important to validate data? - Answer ensures data is correct, accurate, and concise
examples of subjective data - Answer -"I feel sick to my stomach"
-"I have a stabbing pain in my side"
-"He said "'I ate all my breakfast'"
examples of objective data - Answer -Red rash on right arm
-You saw him eat all of his breakfast
-Urinated 150 ml clear yellow urine
three variables that can negatively influence a health history interview - Answer -omission of
pertinent data
-failure to establish rapport
-inappropriate organization of data
three things to establish rapport with pt - Answer -maintain eye contact
-open communication
-empathy
four ways to listen well to pt during interview - Answer -give full attention
-do not interrupt
-followup questions
, -summarize
ways to ask questions to pt during interview - Answer -open ended
-close ended
five steps to forming nursing diagnosis - Answer ADPIE
assessment, diagnosis, planning, implementation, evaluation
nursing vs medical diagnosis - Answer nursing describes human response to health problem,
medical describes health problem
components of NANDA-1 nursing diagnosis - Answer -problem
-etiology
-defining characteristics
problem - Answer diagnostic label
etiology - Answer cause of disease
defining characteristics - Answer related signs and symptoms or clusters of data that support
the nursing diagnosis
four steps to outcome identification and planning - Answer -establish priorities
-identify expected outcomes
-select evidence-based nursing interventions
-communicate
what is the difference b/t long-term and short-term outcome? - Answer short term is near
future while long term is further future
five areas needed to be addressed for pt-centered goal to be considered measurable? - Answer
SMART
specific, measurable, achievable, relevant, timely
four common errors in outcomes/goals - Answer -writing outcome as intervention
-using unobservable or unmeasurable verbs
Questions with Actual Answers 2026
Updated.
types of nursing assessments - Answer -comprehensive initial
-emergency
-time-lapsed
-assessment of communities and special populations
comprehensive initial assessment - Answer performed when the client enters a health care
from a health care agency
focused assessment - Answer more detailed assessments that relate to a current medical
condition or patient complaint
-ie sore throat
emergency assessment - Answer assessing the airway, breathing and circulation
-ie airway obstruction
time-lapsed assessment - Answer an assessment that is scheduled to compare a patient's
current status to baseline data obtained earlier
-ie in longterm care
six components of assessment process - Answer -preparing for data collection
-collecting data
-identifying cues/making inferences
-validating data
-clustering related data and identifying patterns
-reporting/recording data
when and how should a nurse assess their pt? - Answer when: upon admission, change in
vital signs, every 4 hours if clinically stable
how: inspect, auscultate, palpate, percuss
four methods of data collection - Answer listening, observing, interviewing, examining
,listening example - Answer reflecting on what pt said
observing example - Answer inspect overall appearance of pt
interviewing example - Answer collection of pt health info
examining example - Answer physical examination
three steps to data validation - Answer 1. physical assessment
2. clarification
3. research reports
why is it important to validate data? - Answer ensures data is correct, accurate, and concise
examples of subjective data - Answer -"I feel sick to my stomach"
-"I have a stabbing pain in my side"
-"He said "'I ate all my breakfast'"
examples of objective data - Answer -Red rash on right arm
-You saw him eat all of his breakfast
-Urinated 150 ml clear yellow urine
three variables that can negatively influence a health history interview - Answer -omission of
pertinent data
-failure to establish rapport
-inappropriate organization of data
three things to establish rapport with pt - Answer -maintain eye contact
-open communication
-empathy
four ways to listen well to pt during interview - Answer -give full attention
-do not interrupt
-followup questions
, -summarize
ways to ask questions to pt during interview - Answer -open ended
-close ended
five steps to forming nursing diagnosis - Answer ADPIE
assessment, diagnosis, planning, implementation, evaluation
nursing vs medical diagnosis - Answer nursing describes human response to health problem,
medical describes health problem
components of NANDA-1 nursing diagnosis - Answer -problem
-etiology
-defining characteristics
problem - Answer diagnostic label
etiology - Answer cause of disease
defining characteristics - Answer related signs and symptoms or clusters of data that support
the nursing diagnosis
four steps to outcome identification and planning - Answer -establish priorities
-identify expected outcomes
-select evidence-based nursing interventions
-communicate
what is the difference b/t long-term and short-term outcome? - Answer short term is near
future while long term is further future
five areas needed to be addressed for pt-centered goal to be considered measurable? - Answer
SMART
specific, measurable, achievable, relevant, timely
four common errors in outcomes/goals - Answer -writing outcome as intervention
-using unobservable or unmeasurable verbs
