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Examen

NUR 155 FINAL EXAM 2026 QUESTIONS AND 100% CORRECT ANSWERS GRADED A+

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NUR 155 FINAL EXAM 2026 QUESTIONS AND 100% CORRECT ANSWERS GRADED A+

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NUR 155
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NUR 155

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Subido en
9 de diciembre de 2025
Número de páginas
69
Escrito en
2025/2026
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NUR 155 FINAL EXAM 2026 QUESTIONS
AND 100% CORRECT ANSWERS GRADED
A+


1. Interview and Health Assessment CORRECT ANSWER



a. Assessment- Interview, Health History, and Physical Assessment CORRECT ANSWER



Interview CORRECT ANSWER§ Obtained on first patient encounter.

§ Completed by RN, cannot be delegated.

§ Consider age-specific prevention guidelines.

§ Gives a picture of the patient's current health history and health risk status.



Health History CORRECT ANSWER- Bio Data



- Historian - Usually the source of history is the patient (primary source), but can be a family member or
friend, a letter of referral, or the medical record (secondary source).



- Reason for Seeking Care - chief complaint.

- Present Health/Illness.



- PQRSTU: The mnemonic ''PQRSTU'' is used to illicit information about the HPI.

Provoking Factors.

Quality/ quantity.

Region and Radiation.

Severity scale.

,Timing.

Understanding.



- PMH: All of the patient's past medical history.



- Family History - The health history of family members.



ROS - The nurse evaluates each body system's past and present state of health.

- Medication Reconciliation.

- ADL - The patient's ability to provide self care-bathing, toileting, walking, etc.



Physical Assessment CORRECT ANSWERobjective data: Observations or measurements of the patient's
health status.

Example- Checking Vital signs, nurse observing patient's behavior.



c. Health History-sources CORRECT ANSWERPrimary or Secondary Source:

•Patient.

•Family member.

•Observer.

•Caretaker.

•Health care team

•Electronic Medical Record (EMR).

•Other records- Immunization, educational, military, employment.

•Nurses Experience



d. Interview- Technique, sources, CORRECT ANSWERInterview techniques:

§ Observation.

§ Open-ended Questions.

§ Closed-ended Questions.

,§ Non-verbal skills - body language. I.e., posture, gesture, facial expression, eye contact, foot tapping,
touch etc.



d. Communication technique CORRECT ANSWER• Sending - verbal and non-verbal communication.

• Receiving - the receiver uses his or her own interpretations of your own words.

• Internal Factors- Respect, Empathy, Listening, Self-awareness

• External Factors- Privacy, No Interruptions, Environment

• Dress - the client must remain in street clothes when conducting the interview. The interviewer's
appearance should be appropriate to the setting.

• Note-taking - keep note-taking to a minimum.



e. Data collection- Subjective and Objective data, Open ended, closed ended CORRECT ANSWER•
Subjective data - what the person says about himself or herself.

• Objective data - what the interviewer obtains through physical examination.

• Open-ended - allow clients to discuss their concerns freely.

• Closed-ended - can be answered with "Yes" or "No," or they have a limited set of possible answers.



2. General and Environmental survey, PA technique, documentation CORRECT ANSWER



a. SWIPE CORRECT ANSWERSafety/Survey, Wash your hands, Identify yourself & client, Provide for
privacy, and Explain.



b. General survey- Physical Appearance, Body structure, Mobility, and Behavior CORRECT ANSWER



Physical Appearance CORRECT ANSWER1. Age- appears stated age.

2. Sex - sexual development is appropriate for sex and age.

3. Level of consciousness.

4. Skin Color - color tone is even, pigmentation varying with genetic background.

5. Facial Features - are symmetric with movement.

6. Overall appearance - no signs of acute distress are present.

, Body Structure CORRECT ANSWER1. Stature - the height appears within the normal range for age and
genetic heritage.

2. Nutritional Status - the weight appears within the normal range for height and body build.

3. Symmetry - body parts are equal bilaterally and are in relative proportion.

4. Posture - the client stands comfortably erect as appropriate for their age.

5. Position/Deformities - posture and how the patient holds him/or herself is surveyed.



Mobility CORRECT ANSWER1. Gait - Descriptors of normal gait include: smooth, well-balanced with
symmetrical arm swings. The base of the gait should be as wide as the shoulder width.

2. Range of Motion - note full mobility for each joint and that movement is deliberate, accurate, smooth,
and coordinated .



Behavior CORRECT ANSWER1. Facial expression - the client maintains eye contact.

2. Mood and Affect - the client is comfortable and cooperative with the nurse and interacts pleasantly.

3. Speech- Articulation clear.

4. Speech pattern - the stream of talking is fluent with an even pace.

5. Dress - clothing is appropriate to the climate, looks clean, fits the body, and is appropriate to the
client's culture and age group.

6. Personal hygiene - the client appears clean and groomed appropriately for his or her age, occupation,
and socioeconomic group.



c. Environmental survey-what to look for? CORRECT ANSWERSafety.



d. Physical Assessment-Types, purpose, Preparation CORRECT ANSWER



Types of Physical Assessment CORRECT ANSWER1. Initial Assessment - comprehensive nursing
assessment resulting in baseline data that enable the nurse to make a judgment about a patient's health
status, ability to manage one's own health care, and need for nursing, and to plan individualized, holistic
health care for the patient.
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