Assessment 1.pdf

Assessment 1 : NR 302 Health
Assessment 1 2025 complete exam set
questions and answers MULTIPLE
CHOICES and RATIONALES |100%
Passed!!
ImmediatetAttention

a.tThetpersontistbreathingtsotquicklyttheytaretunablettotspeak.

b.tThetindividualtistunresponsive.



Doestnottrequiretimmediatetattentiont

c.tThetclienttistclutchingttheirtabdomen.

d.tAttoddlertistclingingttotthetclient'stleg.

e.tThetpersontreportstbeingtintpain.t-ttCORRECTtANSWERSWhattrequirestimmediatetattention?t

Whattdoestnottrequiretimmediatetattention?



a.tThetpersontistbreathingtsotquicklyttheytaretunablettotspeak.

b.tThetindividualtistunresponsive.

c.tThetclienttistclutchingttheirtabdomen.

d.tAttoddlertistclingingttotthetclient'stleg.

e.tThetpersontreportstbeingtintpain.



b.tReturntthetmedicaltrecordttotthetdesignatedtstoragetarea.

c.tClosetthetmedicaltrecordtwhententeringtthetclient'stroom.

e.tShieldtidentifyingtinformationtfromtviewtbytvisitors.t-
ttCORRECTtANSWERSHowtdothealthtprofessionalstprotecttthetclient'stprivatetinformationtwhentusingtathar

dtcopytmedicaltrecord?tSelecttalltthattapply.

,a.tAllowtthetclient'stchildrenttotreviewtthetmedicaltrecord.

b.tReturntthetmedicaltrecordttotthetdesignatedtstoragetarea.

c.tClosetthetmedicaltrecordtwhententeringtthetclient'stroom.

d.tLocktrecordstintyourtdesktdrawertwhentnottintuse.

e.tShieldtidentifyingtinformationtfromtviewtbytvisitors.



b.tAssesstthetUAP.t-
ttCORRECTtANSWERSWhententeringtthetroomttotperformtatcompletethealthtassessmenttontatnewtclient,tth

etnursetfindstthetclienttandtfamilytstandingtaroundtantunlicensedtassistivetpersonnelt(UAP)twhotistlyingtontt
hetfloor.

Whattistthetprioritytactiontfortthetnurse?



a.tAsktwhatthappened.

b.tAssesstthetUAP.

c.tPhonetfortantemergencytresponse.

d.tMovetthetclientttotanothertroom.



Yes

a.tDuringtthetcompletethealthtassessment.

b.tWhentadministeringtmedications.

c.tWhentaskingtquestionstfromtthetclient'stpartner.

d.tWhiletreadingtthetnursetpractitioner'stadmissiontnote.

e.tAsttheytpasstthetindividualtwalkingtintthethallway.



No

Nonet-
ttCORRECTtANSWERSIntwhichtsituationstdoestthetnursetcollecttdatatastparttoftantassessment?tSelecttYestiftd

atatistbeingtcollectedtortNotiftdatatistnottbeingtcollected.



a.tDuringtthetcompletethealthtassessment.

, b.tWhentadministeringtmedications.

c.tWhentaskingtquestionstfromtthetclient'stpartner.

d.tWhiletreadingtthetnursetpractitioner'stadmissiontnote.

e.tAsttheytpasstthetindividualtwalkingtintthethallway.



Rapidt(Screening)t-ttCORRECTtANSWERSWhattkindtofthealthtassessmenttistthis?



Purpose:tDeterminesttheturgencytoftthetclient'stconditiont

Whentused:tEachttimetthetclienttistseen

Includes:tLeveltoftconsciousness,teasetoftbreathing,tandtbodytposition

Examples:tUrgent:tThetexaminertfindstatpersontintathospitaltgowntsittingtontthetfloortgaspingtfortair.
NottUrgent:tThetexaminertobservestthetclienttspeakingtcompletetsentencestontthetphonetwithteventrespira
tions.



Completet(Total)tHealtht-ttCORRECTtANSWERSWhattkindtofthealthtassessmenttistthis?



Purpose:tEstablishestthetmedicaltdatabasetfortantepisodetoftcare

Whentused:tAttthetfirsttinteractiontbetweentatpersontseekingtcaretandtthetprofessionaltprovidingtcare

Includes:tAtdetailedthealththistorytandtphysicaltexaminationtoftalltbodytsystems

Examplestincludetthetfirsttvisitttotatnewthealthcaretprovidertortnewtadmissionttotatlong-termtcaretfacility.



Focusedt(Problem-Centered)t-ttCORRECTtANSWERSWhattkindtofthealthtassessmenttistthis?



Purpose:tTotobtaintmoretdatatabouttspecifictconcernstortabnormaltfindingstrelatedttotatbodytsystem

Whentused:tAftertabnormaltfindingstaretidentifiedtduringtanytassessment

Includes:tThetcollectiontoftdatatrelatedttotfindingstoftconcern

Example:tAftertnotingtatclient'stproductivetcoughtandtshortnesstoftbreathtwhententeringtthetroom,tthetexa
minertbeginstthetassessmenttbytlisteningttotlungtsounds,tmeasuringtoxygentsaturationt(O2tsat),tcheckingtfo
rtcyanosis,tandtaskingtquestionstrelatedttotthetnotedtsymptomst(e.g.,tHowtlongthastthetcoughtbeentpresent
?).