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NSG3160/ NSG 3160 Exam 1: Health Assessment Guide | (NEW 2026/ 2027 Update)
Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen
1. A nurse is establishing priorities of care for a newly admitted client. Which finding
should be considered a first-level priority?
A. Blood glucose of 180 mg/dL
B. Acute chest pain and shortness of breath
C. Reports of moderate anxiety
D. Need for education on a new medication
CORRECT ANSWER: B
Rationale: First-level priorities are emergent, life-threatening, and immediate, such as
airway, breathing, and circulation (ABCs). Acute chest pain and shortness of breath
indicate a potential threat to breathing and cardiac function.
2.
A nurse is collecting data on a client. Which action by the nurse best demonstrates the
use of therapeutic communication to build rapport?
A. Asking a series of closed-ended questions to gather specific data quickly.
B. Taking detailed notes while avoiding eye contact with the client.
, 2
C. Using open-ended questions to encourage the client to narrate their concerns.
D. Directing the conversation to focus on the nurse’s assessment priorities.
CORRECT ANSWER: C
Rationale: Open-ended questions encourage the client to provide narrative information,
express concerns, and feel heard, which builds rapport and trust. They are unbiased and
allow the client to answer in their own words.
3.
The nurse is preparing to assess a client who speaks a different language. Which action
is most appropriate to ensure accurate communication?
A. Ask a family member who is present to interpret.
B. Use a professional medical interpreter provided by the facility.
C. Speak slowly and loudly in simple terms.
D. Use written materials and hand gestures.
CORRECT ANSWER: B
Rationale: A professional medical interpreter is trained to provide accurate, unbiased
translation and maintain confidentiality. Family members may omit or alter information
based on their own perspectives or concerns.
4.
A nurse documents a client's nursing diagnosis and plan of care. This action is part of
, 3
which step in the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
CORRECT ANSWER: C
Rationale: The planning step involves establishing priorities, developing client-centered
goals and outcomes, setting timelines, and documenting the plan of care. Formulating
the diagnosis occurs in the "Diagnosis" step.
5.
The nurse is reviewing the concept of Evidence-Based Practice (EBP). Which component
is essential for clinical decision-making in EBP?
A. Reliance solely on the nurse's clinical experience.
B. Integration of research evidence, clinical expertise, and patient preferences.
C. Implementation of the most cost-effective interventions available.
D. Strict adherence to established facility policies.
CORRECT ANSWER: B
Rationale: EBP integrates the best research evidence with clinical expertise, patient
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assessment data, and patient values and preferences to guide clinical decision-making
and provide high-quality, individualized care.
6.
A nurse is preparing to conduct a health assessment for a client who is being admitted
to the hospital for emergency surgery. Which type of database is the nurse most likely
collecting initially?
A. Complete (Total Health) Database
B. Focused or Problem-Centered Database
C. Emergency Database
D. Follow-up Database
CORRECT ANSWER: C
Rationale: An emergency database involves the rapid collection of crucial information,
often performed concurrently with life-saving measures. This is appropriate for an
unstable client requiring urgent intervention, such as emergency surgery.
7.
A nurse in a primary care clinic is seeing a new client for an annual physical exam. Which
type of health assessment is the nurse conducting?
A. Emergency Database
B. Follow-up Database
NSG3160/ NSG 3160 Exam 1: Health Assessment Guide | (NEW 2026/ 2027 Update)
Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen
1. A nurse is establishing priorities of care for a newly admitted client. Which finding
should be considered a first-level priority?
A. Blood glucose of 180 mg/dL
B. Acute chest pain and shortness of breath
C. Reports of moderate anxiety
D. Need for education on a new medication
CORRECT ANSWER: B
Rationale: First-level priorities are emergent, life-threatening, and immediate, such as
airway, breathing, and circulation (ABCs). Acute chest pain and shortness of breath
indicate a potential threat to breathing and cardiac function.
2.
A nurse is collecting data on a client. Which action by the nurse best demonstrates the
use of therapeutic communication to build rapport?
A. Asking a series of closed-ended questions to gather specific data quickly.
B. Taking detailed notes while avoiding eye contact with the client.
, 2
C. Using open-ended questions to encourage the client to narrate their concerns.
D. Directing the conversation to focus on the nurse’s assessment priorities.
CORRECT ANSWER: C
Rationale: Open-ended questions encourage the client to provide narrative information,
express concerns, and feel heard, which builds rapport and trust. They are unbiased and
allow the client to answer in their own words.
3.
The nurse is preparing to assess a client who speaks a different language. Which action
is most appropriate to ensure accurate communication?
A. Ask a family member who is present to interpret.
B. Use a professional medical interpreter provided by the facility.
C. Speak slowly and loudly in simple terms.
D. Use written materials and hand gestures.
CORRECT ANSWER: B
Rationale: A professional medical interpreter is trained to provide accurate, unbiased
translation and maintain confidentiality. Family members may omit or alter information
based on their own perspectives or concerns.
4.
A nurse documents a client's nursing diagnosis and plan of care. This action is part of
, 3
which step in the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
CORRECT ANSWER: C
Rationale: The planning step involves establishing priorities, developing client-centered
goals and outcomes, setting timelines, and documenting the plan of care. Formulating
the diagnosis occurs in the "Diagnosis" step.
5.
The nurse is reviewing the concept of Evidence-Based Practice (EBP). Which component
is essential for clinical decision-making in EBP?
A. Reliance solely on the nurse's clinical experience.
B. Integration of research evidence, clinical expertise, and patient preferences.
C. Implementation of the most cost-effective interventions available.
D. Strict adherence to established facility policies.
CORRECT ANSWER: B
Rationale: EBP integrates the best research evidence with clinical expertise, patient
, 4
assessment data, and patient values and preferences to guide clinical decision-making
and provide high-quality, individualized care.
6.
A nurse is preparing to conduct a health assessment for a client who is being admitted
to the hospital for emergency surgery. Which type of database is the nurse most likely
collecting initially?
A. Complete (Total Health) Database
B. Focused or Problem-Centered Database
C. Emergency Database
D. Follow-up Database
CORRECT ANSWER: C
Rationale: An emergency database involves the rapid collection of crucial information,
often performed concurrently with life-saving measures. This is appropriate for an
unstable client requiring urgent intervention, such as emergency surgery.
7.
A nurse in a primary care clinic is seeing a new client for an annual physical exam. Which
type of health assessment is the nurse conducting?
A. Emergency Database
B. Follow-up Database
