NURS 3320 FINAL EXAM 2025 QUESTIONS AND ANSWER
When is an initial comprehensive assessment completed? - CORRECT ANSWER✅✅a total health
assessment needs to be done when a patient first enters into the health care system
What is subjective data? - CORRECT ANSWER✅✅client's perception of their own health
What is objective data? - CORRECT ANSWER✅✅data gathered by physical exam
When is an ongoing partial assessment performed? - CORRECT ANSWER✅✅mini-overview after the
patient is established in the health care system
What is included in an ongoing partial assessment? - CORRECT ANSWER✅✅-reassessing problems that
were previously identified
How often is an ongoing partial assessment performed> - CORRECT ANSWER✅✅Frequency of this
assessment is going to depend on the acuity of the client
What is included in the working interview? - CORRECT ANSWER✅✅-biographical data (name, DOB,
gender)
-Reasons for seeking care
-Hx of present health concern (COLDSPA)
-Personal hx (PMH, PSH)
-Family hx
-ROS of current health problems-each body system is addressed and the nurse asks further questions to
elicit greater details of the client's current health problem
What should you ask onself when prioritizing one's assessment? - CORRECT ANSWER✅✅Why do we
assess what we assess when conducting a focused assessment? Do they have a problem that could
potentially kill them?
-Address pain first before going to a physical assessment
,Why do we conduct a head-to-toe assessment? - CORRECT ANSWER✅✅-So we do not miss anything
and to save time
-helps create a routine
What is included on an abdominal assessment? - CORRECT ANSWER✅✅-Inspect
-Auscultate
-Percussion
-Palpation
Why do nurses do an assessment? - CORRECT ANSWER✅✅Our job is to make a nursing diagnosis that is
relevant to the patient so that we can base our care off of it
When/where are you going to use the bell of a stethoscope? - CORRECT ANSWER✅✅-low pitched
sounds: bruits, murmurs
When/where are you going to use the diaphragm of a stethoscope? - CORRECT ANSWER✅✅-high
pitched sounds
In which order should you perform your assessment? - CORRECT ANSWER✅✅least invasive to most
invasive
What is the FDSR (Faces pain scale) used for? - CORRECT ANSWER✅✅cognitively impaired adults
What is the NRS (Numeric rating scale) used for? - CORRECT ANSWER✅✅best for adults without
cognitive impairment
What does the holistic health approach of nursing include? - CORRECT ANSWER✅✅addressing the
client's needs for their mind, body, and spirit
What is the proper placement and technique for measuring a patient's BP? - CORRECT ANSWER✅✅-
Palpate radial pulse
, -inflate cuff until pulse disappears
-deflate cuff until you feel the pulse again
How to assess for orthostatic hypotension - what are the parameters for that? What are they at high risk
for? - CORRECT ANSWER✅✅-if a patient stands up and their blood pressure drops 20 mmHg below
baseline
-patients are at risk for falls
What is the correct BP cuff placement? - CORRECT ANSWER✅✅about an inch above antecubital, with
bladder midline over pulsation area
What is pulse pressure? - CORRECT ANSWER✅✅the difference between systolic and diastolic BP
-<30 may signal CV disease
What is a pulse deficit? - CORRECT ANSWER✅✅the number difference between apical and peripheral
pulse rates
-usually caused by dysrhythmia
How do you assess orientation/LOC? - CORRECT ANSWER✅✅AO x4
What are remote memories? - CORRECT ANSWER✅✅happened a long time ago
What are examples of remote memories? - CORRECT ANSWER✅✅-when did you get your first job?
-When is your birthday?
What are recent memories? - CORRECT ANSWER✅✅within the last 24 hrs
What are examples of recent memories? - CORRECT ANSWER✅✅-What did you have to eat today?
-What is the weather like today?
When is an initial comprehensive assessment completed? - CORRECT ANSWER✅✅a total health
assessment needs to be done when a patient first enters into the health care system
What is subjective data? - CORRECT ANSWER✅✅client's perception of their own health
What is objective data? - CORRECT ANSWER✅✅data gathered by physical exam
When is an ongoing partial assessment performed? - CORRECT ANSWER✅✅mini-overview after the
patient is established in the health care system
What is included in an ongoing partial assessment? - CORRECT ANSWER✅✅-reassessing problems that
were previously identified
How often is an ongoing partial assessment performed> - CORRECT ANSWER✅✅Frequency of this
assessment is going to depend on the acuity of the client
What is included in the working interview? - CORRECT ANSWER✅✅-biographical data (name, DOB,
gender)
-Reasons for seeking care
-Hx of present health concern (COLDSPA)
-Personal hx (PMH, PSH)
-Family hx
-ROS of current health problems-each body system is addressed and the nurse asks further questions to
elicit greater details of the client's current health problem
What should you ask onself when prioritizing one's assessment? - CORRECT ANSWER✅✅Why do we
assess what we assess when conducting a focused assessment? Do they have a problem that could
potentially kill them?
-Address pain first before going to a physical assessment
,Why do we conduct a head-to-toe assessment? - CORRECT ANSWER✅✅-So we do not miss anything
and to save time
-helps create a routine
What is included on an abdominal assessment? - CORRECT ANSWER✅✅-Inspect
-Auscultate
-Percussion
-Palpation
Why do nurses do an assessment? - CORRECT ANSWER✅✅Our job is to make a nursing diagnosis that is
relevant to the patient so that we can base our care off of it
When/where are you going to use the bell of a stethoscope? - CORRECT ANSWER✅✅-low pitched
sounds: bruits, murmurs
When/where are you going to use the diaphragm of a stethoscope? - CORRECT ANSWER✅✅-high
pitched sounds
In which order should you perform your assessment? - CORRECT ANSWER✅✅least invasive to most
invasive
What is the FDSR (Faces pain scale) used for? - CORRECT ANSWER✅✅cognitively impaired adults
What is the NRS (Numeric rating scale) used for? - CORRECT ANSWER✅✅best for adults without
cognitive impairment
What does the holistic health approach of nursing include? - CORRECT ANSWER✅✅addressing the
client's needs for their mind, body, and spirit
What is the proper placement and technique for measuring a patient's BP? - CORRECT ANSWER✅✅-
Palpate radial pulse
, -inflate cuff until pulse disappears
-deflate cuff until you feel the pulse again
How to assess for orthostatic hypotension - what are the parameters for that? What are they at high risk
for? - CORRECT ANSWER✅✅-if a patient stands up and their blood pressure drops 20 mmHg below
baseline
-patients are at risk for falls
What is the correct BP cuff placement? - CORRECT ANSWER✅✅about an inch above antecubital, with
bladder midline over pulsation area
What is pulse pressure? - CORRECT ANSWER✅✅the difference between systolic and diastolic BP
-<30 may signal CV disease
What is a pulse deficit? - CORRECT ANSWER✅✅the number difference between apical and peripheral
pulse rates
-usually caused by dysrhythmia
How do you assess orientation/LOC? - CORRECT ANSWER✅✅AO x4
What are remote memories? - CORRECT ANSWER✅✅happened a long time ago
What are examples of remote memories? - CORRECT ANSWER✅✅-when did you get your first job?
-When is your birthday?
What are recent memories? - CORRECT ANSWER✅✅within the last 24 hrs
What are examples of recent memories? - CORRECT ANSWER✅✅-What did you have to eat today?
-What is the weather like today?
