PN Fundamentals | Objective Assessment Toolkit: Graded
Solutions & High-Accuracy Questions 2025/2026
what health assessment involves an in-depth assessment of the whole person including
the physical, mental, emotional, cultural, and spiritual correct answer
comprehensive heath assessment
what health assessment focuses on a specific body system correct answer
focused assessment
what health assessment provides a quick overall assessment of the pt.'s condition to
establish a baseline to compare against later correct answer
initial head-to-toe assessment
When should a physical assessment be performed correct answer
- upon admission
- at the beginning of each shift
- when pt.'s condition changes
- when evaluating the effectiveness of treatment
- anytime things do not feel right
Abnormal findings should be reassessed within a window of how long or sooner
depending on the severity of the finding correct answer
4-hours
,Nurse is preparing to administer Digoxin, a heart medication. What should she assess
correct answer
apical pulse
What is the nurse's most frequently used assessment technique correct answer
inspection
What order is a physical assessment performed in correct answer
- inspection or observation
- palpation
- percussion
- auscultation
- olfaction
With physical assessment, the nurse must inspect the abdomen first and then correct
answer
auscultation
bad breath
halitosis
the nurse notes a red area near the incision. She would document the color as correct
answer
,erythema
the rushing of blood through a vessel such as the carotid artery is correct answer
bruit
the sense of smell used to detect odors
olfaction
What items are needed to perform a physical assessment correct answer
- gloves
- stethoscope
- pen light
- BP cuff
- tongue blade
- thermometer
What are 4 neurological questions asked to assess the patient's orientation level
correct answer
- person
- place
- time
- situation
How would you document the patient's LOC correct answer
, AAO (awake, alert, oriented)
What scale is used to assess LOC correct answer
Glasgow Coma Scale
a yellowing of the eyes or skin resulting from excessive blood levels of bilirubin
jaundice
Normal pupils are black, round, between ____ and ____ mm in diameter, and equal in
size and reaction
3&7
which term means without teeth correct answer
edentulous
What position: the client lies on the left side with the chest leaning forward, the right
knee bent toward the head, the right arm forward, and the left arm extended behind the
body; also used for rectal, vaginal, and enema exams, and for inserting suppositories
Sims' position
What position: The client rests on the knees and chest and turns the head, which is
supported on a small pillow, to one side; also used rectal & lower intestinal exams and
prostrate exams
Solutions & High-Accuracy Questions 2025/2026
what health assessment involves an in-depth assessment of the whole person including
the physical, mental, emotional, cultural, and spiritual correct answer
comprehensive heath assessment
what health assessment focuses on a specific body system correct answer
focused assessment
what health assessment provides a quick overall assessment of the pt.'s condition to
establish a baseline to compare against later correct answer
initial head-to-toe assessment
When should a physical assessment be performed correct answer
- upon admission
- at the beginning of each shift
- when pt.'s condition changes
- when evaluating the effectiveness of treatment
- anytime things do not feel right
Abnormal findings should be reassessed within a window of how long or sooner
depending on the severity of the finding correct answer
4-hours
,Nurse is preparing to administer Digoxin, a heart medication. What should she assess
correct answer
apical pulse
What is the nurse's most frequently used assessment technique correct answer
inspection
What order is a physical assessment performed in correct answer
- inspection or observation
- palpation
- percussion
- auscultation
- olfaction
With physical assessment, the nurse must inspect the abdomen first and then correct
answer
auscultation
bad breath
halitosis
the nurse notes a red area near the incision. She would document the color as correct
answer
,erythema
the rushing of blood through a vessel such as the carotid artery is correct answer
bruit
the sense of smell used to detect odors
olfaction
What items are needed to perform a physical assessment correct answer
- gloves
- stethoscope
- pen light
- BP cuff
- tongue blade
- thermometer
What are 4 neurological questions asked to assess the patient's orientation level
correct answer
- person
- place
- time
- situation
How would you document the patient's LOC correct answer
, AAO (awake, alert, oriented)
What scale is used to assess LOC correct answer
Glasgow Coma Scale
a yellowing of the eyes or skin resulting from excessive blood levels of bilirubin
jaundice
Normal pupils are black, round, between ____ and ____ mm in diameter, and equal in
size and reaction
3&7
which term means without teeth correct answer
edentulous
What position: the client lies on the left side with the chest leaning forward, the right
knee bent toward the head, the right arm forward, and the left arm extended behind the
body; also used for rectal, vaginal, and enema exams, and for inserting suppositories
Sims' position
What position: The client rests on the knees and chest and turns the head, which is
supported on a small pillow, to one side; also used rectal & lower intestinal exams and
prostrate exams
