Guaranteed Pass Solutions 2025-2026
Updated.
Hygiene which of the following is not a form of inspection?
a.) behavior
b.) hygine
c.) posture
d.) skin texture
e.) skin color - Answer d.) skin texture
when percussing the abdomen, the sound heard should be...?
a.) tympanic
b.) resonant
c.) flat
d.) dull - Answer a.) tympanic
which of the following is an example of the background in SBAR?
a.) BP 120/80, respiratory rate 12, pulse 88, SpO2 99%, and temperature 97.7
b.) hello, I am calling regarding Ms. Jones in room 118. I have just completed her neurological
assessment
c.) make sure to monitor her I&O, assess her surgical site and have her ambulate
d.) Ms. Jones was admitted after a fall that resulted in ankle injury and has a penicillin allergy -
Answer d
which of the following is not considered subjective data?
a.) the patient rated her pain a 6/10 on the pain scale
b.) the patients temperature is 97.7
c.) the patient states they have sharp pain
d.) the patient states they have not had a bowel movement in over 24 hours - Answer b.) the
patients temp is 97.7
The nurse who asks about feeding, bathing, toileting, dressing, grooming, mobility, home
maintenance, shopping and cooking is assessing
A. whether the patient is a reliable historian
B. functional health patterns
,C. ADL's
D. review of systems - Answer c.) ADL's
in what phase of the interview are open ended questions used?
a.) preinteraction
b.) beginning
c.) working
d.) ending - Answer c.) working
a nursing instructor Is discussing therapeutic versus nontheraputic responses with students.
which of the following would the nurse identify as non therapeutic?
a.) clarification
b.) distraction
c.) summarizing
d.) focusing - Answer b.) distraction
a patient who only speaks Spanish is admitted to the unit. the patients sister, who speaks
English is in the room when the nurse starts the admission assessment. why would it be
inappropriate to use the sister as an interrupter?
a.) the sister may not tell the patient exactly what the nurse says
b.) the patients sister may not understand the medical terminology
c.) the sister may not be there every time the nurse needs to talk to the patient
d.) the patient may not want her sister to know her private information - Answer b
a nursing instructor is discussing the purposes of health assessment. what is the one purpose of
health assessment?
a.) to establish a database which subsequent assessments can be measured
b.) to establish report with the patients family
c.) to gather information for specialists to whom the patient might be referred
d.) to qualify the degree of pain and a patient may be experiencing - Answer a
the nurse is admitting a new client to the unit. while reviewing old records of the patients, the
nurse knows that the data being gathered is what kind of data?
a.) primary
b.) secondary
c.) subjective
, d.) objective - Answer d.) objective
a patient says that she is having throbbing pain and that she rates it as a 6 out of 10. this is
referred to as...?
a.) subjective primary data
b.) subjective secondary data
c.) objective primary data
d.) objective secondary data - Answer a.) subjective primary data
the nurse is gathering a health history data before performing the physical assessment. this
phase os the interview process is the...?
a.) pre interaction phase
b.) beginning phase
c.) working phase
d.) closing phase - Answer c.) working phase
the patient is crying after being given a diagnosis with a poor diagnosis. the best response from
the nurse is...?
a.) "don't cry. it will be ok.)
b.) "my mother has the same thing."
c.) I think that you should have surgery."
d.) Ill stay with you" (gets a tissue). - Answer d.) "ill stay with you" (gets a tissue).
the mother of an infant with severe asthma is extremely anxious. the nurse is treating the
patient in the ER. when collecting the history, the best response of the nurse is...?
a.) "you mrs be extremely worried"
b.) id be in worse shape than you are if it were my baby"
c.) is there anyone here that you can talk to"
d.) you seem worried but I need to ask a few questions" - Answer d
To assess self-perception, the nurse asks
A. "How would you describe yourself?"
B. "Are you having difficulty handling any family problems?"
C. "What gives you hope when times are troubled?"
D. "How do you usually deal with stress? Is it effective?" - Answer a