NUR 265 UPDATED ACTUAL Questions
and CORRECT Answers
Data collection- subjective - CORRECT ANSWER Perceived by the patient (emotions and
experiences, pain and severity)
Data collection- objective - CORRECT ANSWER perceptible to the senses can be seen,
heard, or felt. lab results and x-ray report.
Data collection- primary - CORRECT ANSWER information straight from patient or
health care worker doing assesment
Data collection- secondary - CORRECT ANSWER information coming from a source
such as a caregiver, family member, coworker
Physical assessment- general survey - CORRECT ANSWER physical characteristics,
appearance, behavior, wellness, color, posture/gait
Physical assessment- complete - CORRECT ANSWER full head to toe assessment
including inspection, auscultation, percussion, palpation
Physical assessment- focused - CORRECT ANSWER ER/ urgent care related to a specific
problem
Physical assessment- follow up - CORRECT ANSWER following up for specific problem,
see if it has worsened or gotten better, make sure treatment is working
Assessment techniques- inspection - CORRECT ANSWER observations, inspecting with
eyes
, Assessment techniques- palpation - CORRECT ANSWER gentle application of the hands
to a specific structure or body area to determine size, consistency, texture, symmetry, and
tenderness of underlying structures
Assessment techniques- percussion - CORRECT ANSWER percussion=tapping, we use
percussion to determine the location, size, density, or underlying structures
Assessment techniques- auscultation - CORRECT ANSWER listening to the heart, bowel,
and lungs with or without a stethoscope to assess the presence and quality of sounds
Spirituality - CORRECT ANSWER a person's experience of, or a belief in, a power apart
from his or her own existence
Religion - CORRECT ANSWER the belief in and worship of a superhuman controlling
power, especially a personal God or gods.
Spiritual Interventions - CORRECT ANSWER approaches that involve religious or
existential aspects such as finding meaning and purpose in life
Cultural interventions - CORRECT ANSWER actions taken to provide cultural sensitive
care
Therapeutic communication - CORRECT ANSWER communication used to build trust
and support of the patient like listening, empathy, use of open-ended questions
Heart assessment- normal findings - CORRECT ANSWER -jugular veins without any
distention
-carotid pulse moderate, equal bilaterally
-symmetrical chest movement
Heart assessment- abnormal findings - CORRECT ANSWER -full, bulging jugular veins
and CORRECT Answers
Data collection- subjective - CORRECT ANSWER Perceived by the patient (emotions and
experiences, pain and severity)
Data collection- objective - CORRECT ANSWER perceptible to the senses can be seen,
heard, or felt. lab results and x-ray report.
Data collection- primary - CORRECT ANSWER information straight from patient or
health care worker doing assesment
Data collection- secondary - CORRECT ANSWER information coming from a source
such as a caregiver, family member, coworker
Physical assessment- general survey - CORRECT ANSWER physical characteristics,
appearance, behavior, wellness, color, posture/gait
Physical assessment- complete - CORRECT ANSWER full head to toe assessment
including inspection, auscultation, percussion, palpation
Physical assessment- focused - CORRECT ANSWER ER/ urgent care related to a specific
problem
Physical assessment- follow up - CORRECT ANSWER following up for specific problem,
see if it has worsened or gotten better, make sure treatment is working
Assessment techniques- inspection - CORRECT ANSWER observations, inspecting with
eyes
, Assessment techniques- palpation - CORRECT ANSWER gentle application of the hands
to a specific structure or body area to determine size, consistency, texture, symmetry, and
tenderness of underlying structures
Assessment techniques- percussion - CORRECT ANSWER percussion=tapping, we use
percussion to determine the location, size, density, or underlying structures
Assessment techniques- auscultation - CORRECT ANSWER listening to the heart, bowel,
and lungs with or without a stethoscope to assess the presence and quality of sounds
Spirituality - CORRECT ANSWER a person's experience of, or a belief in, a power apart
from his or her own existence
Religion - CORRECT ANSWER the belief in and worship of a superhuman controlling
power, especially a personal God or gods.
Spiritual Interventions - CORRECT ANSWER approaches that involve religious or
existential aspects such as finding meaning and purpose in life
Cultural interventions - CORRECT ANSWER actions taken to provide cultural sensitive
care
Therapeutic communication - CORRECT ANSWER communication used to build trust
and support of the patient like listening, empathy, use of open-ended questions
Heart assessment- normal findings - CORRECT ANSWER -jugular veins without any
distention
-carotid pulse moderate, equal bilaterally
-symmetrical chest movement
Heart assessment- abnormal findings - CORRECT ANSWER -full, bulging jugular veins
