NSG 3160 CORRECT EXAM QUESTIONS AND
ANSWERS SET A+
✔✔When to perform hand hygiene - ✔✔Before and after every patient contact and after
removing gloves.
✔✔Maintaining patient comfort during assessment - ✔✔Provide privacy, drape properly,
warm hands and instruments.
✔✔Two identifiers for patient safety - ✔✔Name and date of birth.
✔✔Areas included in the general survey - ✔✔Physical appearance, Body structure,
Mobility, Behavior.
✔✔When general survey begins - ✔✔The moment the nurse first encounters the
patient.
✔✔Normal BMI range - ✔✔18.5-24.9.
✔✔Waist circumference increasing cardiometabolic risk - ✔✔> 35 inches (women) or >
40 inches (men).
✔✔Indication of sudden 2-lb gain in 24 hours - ✔✔Fluid retention (possible heart
failure).
✔✔Behavior findings in the survey - ✔✔Speech, mood, dress, hygiene.
✔✔How to measure height and weight - ✔✔Same scale, same time of day, minimal
clothing.
✔✔Cachexia - ✔✔Severe muscle wasting due to chronic illness or malnutrition.
, ✔✔Common spinal change in aging adults - ✔✔Kyphosis (hunched posture).
✔✔Vital measurement reflecting fluid balance best - ✔✔Daily weight.
✔✔Normal oral temperature range - ✔✔97°F-99°F (36.1°C-37.2°C).
✔✔Rectal temperature comparison with oral - ✔✔About 0.5°C (1°F) higher.
✔✔Normal adult pulse rate - ✔✔60-100 bpm, regular rhythm.
✔✔Pulse amplitude grading scale - ✔✔3+ bounding, 2+ normal, 1+ weak, 0 absent.
✔✔Normal adult respiratory rate - ✔✔12-20 breaths per minute.
✔✔Normal adult blood pressure - ✔✔≤ 120/80 mm Hg.
✔✔Orthostatic hypotension - ✔✔Drop of ≥ 20 mm Hg systolic or ≥ 10 mm Hg diastolic
upon standing.
✔✔Normal oxygen saturation (SpO₂) - ✔✔95-100 %.
✔✔Factors falsely elevating BP - ✔✔Small cuff, crossed legs, recent caffeine/smoking.
✔✔Action after obtaining abnormal vital sign - ✔✔Recheck manually, validate, and
report if confirmed.
✔✔ Purpose of a health assessment - ✔✔To collect and analyze subjective + objective
data to form a complete picture of a patient's health and guide nursing judgment.
✔✔Six steps of the nursing process - ✔✔Assessment, Diagnosis, Outcome
Identification, Planning, Implementation, Evaluation.
✔✔Evidence-Based Practice (EBP) - ✔✔Integration of best current research, clinical
expertise, patient preferences, and accurate assessment data.
✔✔Five steps of EBP - ✔✔Ask, Acquire, Appraise, Apply, Assess.
✔✔Complete (Total Health) database - ✔✔Database gathered on admission for
baseline data.
✔✔Emergency database - ✔✔Database used in urgent, life-threatening situations.
ANSWERS SET A+
✔✔When to perform hand hygiene - ✔✔Before and after every patient contact and after
removing gloves.
✔✔Maintaining patient comfort during assessment - ✔✔Provide privacy, drape properly,
warm hands and instruments.
✔✔Two identifiers for patient safety - ✔✔Name and date of birth.
✔✔Areas included in the general survey - ✔✔Physical appearance, Body structure,
Mobility, Behavior.
✔✔When general survey begins - ✔✔The moment the nurse first encounters the
patient.
✔✔Normal BMI range - ✔✔18.5-24.9.
✔✔Waist circumference increasing cardiometabolic risk - ✔✔> 35 inches (women) or >
40 inches (men).
✔✔Indication of sudden 2-lb gain in 24 hours - ✔✔Fluid retention (possible heart
failure).
✔✔Behavior findings in the survey - ✔✔Speech, mood, dress, hygiene.
✔✔How to measure height and weight - ✔✔Same scale, same time of day, minimal
clothing.
✔✔Cachexia - ✔✔Severe muscle wasting due to chronic illness or malnutrition.
, ✔✔Common spinal change in aging adults - ✔✔Kyphosis (hunched posture).
✔✔Vital measurement reflecting fluid balance best - ✔✔Daily weight.
✔✔Normal oral temperature range - ✔✔97°F-99°F (36.1°C-37.2°C).
✔✔Rectal temperature comparison with oral - ✔✔About 0.5°C (1°F) higher.
✔✔Normal adult pulse rate - ✔✔60-100 bpm, regular rhythm.
✔✔Pulse amplitude grading scale - ✔✔3+ bounding, 2+ normal, 1+ weak, 0 absent.
✔✔Normal adult respiratory rate - ✔✔12-20 breaths per minute.
✔✔Normal adult blood pressure - ✔✔≤ 120/80 mm Hg.
✔✔Orthostatic hypotension - ✔✔Drop of ≥ 20 mm Hg systolic or ≥ 10 mm Hg diastolic
upon standing.
✔✔Normal oxygen saturation (SpO₂) - ✔✔95-100 %.
✔✔Factors falsely elevating BP - ✔✔Small cuff, crossed legs, recent caffeine/smoking.
✔✔Action after obtaining abnormal vital sign - ✔✔Recheck manually, validate, and
report if confirmed.
✔✔ Purpose of a health assessment - ✔✔To collect and analyze subjective + objective
data to form a complete picture of a patient's health and guide nursing judgment.
✔✔Six steps of the nursing process - ✔✔Assessment, Diagnosis, Outcome
Identification, Planning, Implementation, Evaluation.
✔✔Evidence-Based Practice (EBP) - ✔✔Integration of best current research, clinical
expertise, patient preferences, and accurate assessment data.
✔✔Five steps of EBP - ✔✔Ask, Acquire, Appraise, Apply, Assess.
✔✔Complete (Total Health) database - ✔✔Database gathered on admission for
baseline data.
✔✔Emergency database - ✔✔Database used in urgent, life-threatening situations.
