NUR 216 EXAM 1 MODULES 1 100
PRACTICE QUESTIONS ANSWERS AND
DETAILED RATIONALES HEALTH
ASSESSMENT
Module 1
1. A nurse is caring for a patient who has just been
admitted. Which action best demonstrates patient-
centered care?
A. Completing all nursing tasks before allowing the patient to ask
questions
B. Following the same care plan for every patient with the same
diagnosis
C. Including the patient's preferences and values when planning
care
D. Asking the patient's family to make all healthcare decisions
CorreCt Answer: C. Including the patient's
preferences and values when planning care
rAtionAle: Patient-centered care incorporates the
patient's values, preferences, needs, and goals into the
plan of care.
2. Which nursing action is an example of evidence-based
practice?
A. Using a procedure because it has always been done that way
B. Following a coworker's personal preference
,C. Combining research evidence, clinical expertise, and patient
preferences
D. Choosing an intervention based only on the patient's diagnosis
CorreCt Answer: C. Combining research evidence,
clinical expertise, and patient preferences
rAtionAle: Evidence-based practice integrates the
best available evidence with clinical expertise and
patient preferences.
3. Which statement best describes the nursing process?
A. A method used only during emergencies
B. A system used only for documentation
C. A systematic approach to identifying and addressing patient
needs
D. A process that eliminates the need for clinical judgment
CorreCt Answer: C. A systematic approach to
identifying and addressing patient needs
rAtionAle: The nursing process provides a systematic
framework for assessment, diagnosis, planning,
implementation, and evaluation.
4. Which phase of the nursing process involves
collecting information about the patient?
A. Planning
B. Implementation
C. Evaluation
D. Assessment
,CorreCt Answer: D. Assessment
rAtionAle: Assessment involves gathering subjective
and objective information about the patient's health
status.
5. A nurse reviews a patient's laboratory results and
identifies an abnormal potassium level. Which type of
data is this?
A. Subjective data
B. Historical data
C. Objective data
D. Perceptual data
CorreCt Answer: C. Objective data
rAtionAle: Laboratory values are measurable and
observable, making them objective data.
6. Which statement is an example of subjective data?
A. Blood pressure is 142/88 mm Hg
B. Temperature is 38.1°C
C. The patient has a reddened wound
D. “My stomach hurts after I eat.”
CorreCt Answer: D. “My stomach hurts after I
eat.”
rAtionAle: Subjective data are symptoms or
experiences reported by the patient and cannot be
directly measured by the nurse.
, 7. Which nursing action demonstrates clinical
judgment?
A. Recording information without interpreting it
B. Recognizing a change in condition and determining an
appropriate nursing response
C. Performing every intervention in the same order
D. Waiting for another nurse to identify patient problems
CorreCt Answer: B. Recognizing a change in
condition and determining an appropriate nursing
response
rAtionAle: Clinical judgment involves recognizing
relevant information, interpreting findings, and
determining appropriate actions.
8. A nurse is developing a plan of care. Which question
should the nurse consider first?
A. What supplies are available?
B. What intervention is easiest?
C. What are the patient's most important needs?
D. What did the previous nurse prefer?
CorreCt Answer: C. What are the patient's most
important needs?
rAtionAle: Nursing care should be prioritized
according to the patient's needs, safety, and clinical
condition.
PRACTICE QUESTIONS ANSWERS AND
DETAILED RATIONALES HEALTH
ASSESSMENT
Module 1
1. A nurse is caring for a patient who has just been
admitted. Which action best demonstrates patient-
centered care?
A. Completing all nursing tasks before allowing the patient to ask
questions
B. Following the same care plan for every patient with the same
diagnosis
C. Including the patient's preferences and values when planning
care
D. Asking the patient's family to make all healthcare decisions
CorreCt Answer: C. Including the patient's
preferences and values when planning care
rAtionAle: Patient-centered care incorporates the
patient's values, preferences, needs, and goals into the
plan of care.
2. Which nursing action is an example of evidence-based
practice?
A. Using a procedure because it has always been done that way
B. Following a coworker's personal preference
,C. Combining research evidence, clinical expertise, and patient
preferences
D. Choosing an intervention based only on the patient's diagnosis
CorreCt Answer: C. Combining research evidence,
clinical expertise, and patient preferences
rAtionAle: Evidence-based practice integrates the
best available evidence with clinical expertise and
patient preferences.
3. Which statement best describes the nursing process?
A. A method used only during emergencies
B. A system used only for documentation
C. A systematic approach to identifying and addressing patient
needs
D. A process that eliminates the need for clinical judgment
CorreCt Answer: C. A systematic approach to
identifying and addressing patient needs
rAtionAle: The nursing process provides a systematic
framework for assessment, diagnosis, planning,
implementation, and evaluation.
4. Which phase of the nursing process involves
collecting information about the patient?
A. Planning
B. Implementation
C. Evaluation
D. Assessment
,CorreCt Answer: D. Assessment
rAtionAle: Assessment involves gathering subjective
and objective information about the patient's health
status.
5. A nurse reviews a patient's laboratory results and
identifies an abnormal potassium level. Which type of
data is this?
A. Subjective data
B. Historical data
C. Objective data
D. Perceptual data
CorreCt Answer: C. Objective data
rAtionAle: Laboratory values are measurable and
observable, making them objective data.
6. Which statement is an example of subjective data?
A. Blood pressure is 142/88 mm Hg
B. Temperature is 38.1°C
C. The patient has a reddened wound
D. “My stomach hurts after I eat.”
CorreCt Answer: D. “My stomach hurts after I
eat.”
rAtionAle: Subjective data are symptoms or
experiences reported by the patient and cannot be
directly measured by the nurse.
, 7. Which nursing action demonstrates clinical
judgment?
A. Recording information without interpreting it
B. Recognizing a change in condition and determining an
appropriate nursing response
C. Performing every intervention in the same order
D. Waiting for another nurse to identify patient problems
CorreCt Answer: B. Recognizing a change in
condition and determining an appropriate nursing
response
rAtionAle: Clinical judgment involves recognizing
relevant information, interpreting findings, and
determining appropriate actions.
8. A nurse is developing a plan of care. Which question
should the nurse consider first?
A. What supplies are available?
B. What intervention is easiest?
C. What are the patient's most important needs?
D. What did the previous nurse prefer?
CorreCt Answer: C. What are the patient's most
important needs?
rAtionAle: Nursing care should be prioritized
according to the patient's needs, safety, and clinical
condition.
