NUR 265 Final Exam || All Answers are Valid.
Subjective data correct answers What client tells you
Objective data correct answers What we observe/ can measure
Primary source of data correct answers Original document, client interview/ clinical trials
Secondary source of data correct answers Document describing event, person, place, or thing
First-level priority problems correct answers emergent, life-threatening, and immediate, such as
establishing an airway or supporting breathing
Second-level priority problems correct answers Urgent (acute pain, mental status change)
Third-level priority problems correct answers Needs attention, but not a priority (mobility, rest)
General survey (Physical assessment) correct answers Physical appearance, body structure,
mobility, behavior (response to stimuli, level of alertness), parental bonding
Complete correct answers Complete health history and full physical examination, current and
past state of health to form a baseline
Focused correct answers For limited/ short-term problems, concerns mainly one problem, one
cure complex, or one body system
Follow-up correct answers Status of any identified problems should be evaluated at regular and
appropriate intervals. Any changes? Worsening or improvement? Coping strategies?
, Inspection correct answers Concentrated watching, ALWAYS comes first
Palpation correct answers Applies sense of touch to assess texture, temperature, moisture, organ
location and size; swelling, vibration, pulsation, rigidity or spasticity, crepitation, presence of any
lumps or masses, and presence of tenderness or pain
Palpation: Fingertips correct answers best for fine tactile discrimination of skin texture, swelling,
pulsation, determining presence of lumps
Palpation: A grasping action of the fingers and thumb correct answers to detect the position,
shape, and consistency of an organ or mass
Palpation: dorsa of hands and fingers correct answers best for determining temperature because
skin here is thinner than on palms
Palpation: base of fingers correct answers best for vibration
Percussion correct answers tapping the person's skin with short, sharp strokes to assess
underlying structures
Percussion notes correct answers resonant, hyperresonant, tympany, dull, flat
Resonant correct answers Med-loud amp, low pitch, clear/ hollow quality and moderate duration
Ex. Normal lung tissue
Hyperresonant correct answers louder amplitude, lower pitch, booming, longer duration
ex: emphysema
Subjective data correct answers What client tells you
Objective data correct answers What we observe/ can measure
Primary source of data correct answers Original document, client interview/ clinical trials
Secondary source of data correct answers Document describing event, person, place, or thing
First-level priority problems correct answers emergent, life-threatening, and immediate, such as
establishing an airway or supporting breathing
Second-level priority problems correct answers Urgent (acute pain, mental status change)
Third-level priority problems correct answers Needs attention, but not a priority (mobility, rest)
General survey (Physical assessment) correct answers Physical appearance, body structure,
mobility, behavior (response to stimuli, level of alertness), parental bonding
Complete correct answers Complete health history and full physical examination, current and
past state of health to form a baseline
Focused correct answers For limited/ short-term problems, concerns mainly one problem, one
cure complex, or one body system
Follow-up correct answers Status of any identified problems should be evaluated at regular and
appropriate intervals. Any changes? Worsening or improvement? Coping strategies?
, Inspection correct answers Concentrated watching, ALWAYS comes first
Palpation correct answers Applies sense of touch to assess texture, temperature, moisture, organ
location and size; swelling, vibration, pulsation, rigidity or spasticity, crepitation, presence of any
lumps or masses, and presence of tenderness or pain
Palpation: Fingertips correct answers best for fine tactile discrimination of skin texture, swelling,
pulsation, determining presence of lumps
Palpation: A grasping action of the fingers and thumb correct answers to detect the position,
shape, and consistency of an organ or mass
Palpation: dorsa of hands and fingers correct answers best for determining temperature because
skin here is thinner than on palms
Palpation: base of fingers correct answers best for vibration
Percussion correct answers tapping the person's skin with short, sharp strokes to assess
underlying structures
Percussion notes correct answers resonant, hyperresonant, tympany, dull, flat
Resonant correct answers Med-loud amp, low pitch, clear/ hollow quality and moderate duration
Ex. Normal lung tissue
Hyperresonant correct answers louder amplitude, lower pitch, booming, longer duration
ex: emphysema
