NUR 265 FINAL EXAM QUESTIONS AND CORRECT ANSWERS|100% CORRECT UPDATED 2026/2027

NUR 265 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS|100% CORRECT
UPDATED 2026/2027
Subjectivetdatat-tCORRECTtANSWER-Whattclientttellstyou



Objectivetdatat-tCORRECTtANSWER-Whattwetobserve/tcantmeasure



Primarytsourcetoftdatat-tCORRECTtANSWER-Originaltdocument,tclienttinterview/tclinicalttrials



Secondarytsourcetoftdatat-tCORRECTtANSWER-Documenttdescribingtevent,tperson,tplace,tortthing



First-leveltprioritytproblemst-tCORRECTtANSWER-emergent,tlife-
threatening,tandtimmediate,tsuchtastestablishingtantairwaytortsupportingtbreathing



Second-leveltprioritytproblemst-tCORRECTtANSWER-Urgentt(acutetpain,tmentaltstatustchange)



Third-leveltprioritytproblemst-tCORRECTtANSWER-Needstattention,tbuttnottatpriorityt(mobility,trest)



Generaltsurveyt(Physicaltassessment)t-tCORRECTtANSWER-
Physicaltappearance,tbodytstructure,tmobility,tbehaviort(responsettotstimuli,tleveltoftalertness),tparentaltb
onding



Completet-tCORRECTtANSWER-
Completethealththistorytandtfulltphysicaltexamination,tcurrenttandtpasttstatetofthealthttotformtatbaseline



Focusedt-tCORRECTtANSWER-Fortlimited/tshort-
termtproblems,tconcernstmainlytonetproblem,tonetcuretcomplex,tortonetbodytsystem

, Follow-upt-tCORRECTtANSWER-
Statustoftanytidentifiedtproblemstshouldtbetevaluatedtattregulartandtappropriatetintervals.tAnytchanges?t
Worseningtortimprovement?tCopingtstrategies?



Inspectiont-tCORRECTtANSWER-Concentratedtwatching,tALWAYStcomestfirst



Palpationt-tCORRECTtANSWER-
Appliestsensetofttouchttotassessttexture,ttemperature,tmoisture,torgantlocationtandtsize;tswelling,tvibratio
n,tpulsation,trigiditytortspasticity,tcrepitation,tpresencetoftanytlumpstortmasses,tandtpresencetofttendernes
stortpain



Palpation:tFingertipst-tCORRECTtANSWER-
besttfortfinettactiletdiscriminationtoftskinttexture,tswelling,tpulsation,tdeterminingtpresencetoftlumps



Palpation:tAtgraspingtactiontoftthetfingerstandtthumbt-tCORRECTtANSWER-
totdetecttthetposition,tshape,tandtconsistencytoftantorgantortmass



Palpation:tdorsatofthandstandtfingerst-tCORRECTtANSWER-
besttfortdeterminingttemperaturetbecausetskintheretistthinnertthantontpalms



Palpation:tbasetoftfingerst-tCORRECTtANSWER-besttfortvibration



Percussiont-tCORRECTtANSWER-
tappingtthetperson'stskintwithtshort,tsharptstrokesttotassesstunderlyingtstructures



Percussiontnotest-tCORRECTtANSWER-resonant,thyperresonant,ttympany,tdull,tflat



Resonantt-tCORRECTtANSWER-Med-loudtamp,tlowtpitch,tclear/thollowtqualitytandtmoderatetdurationt

Ex.tNormaltlungttissue



Hyperresonantt-tCORRECTtANSWER-loudertamplitude,tlowertpitch,tbooming,tlongertduration

ex:temphysema