NSG 3160 Final Assessment Latest Updated Rate A+
Question 1
A nurse is performing a comprehensive health assessment on a newly admitted patient.
Which type of database is most appropriate?
a. Emergency
b. Focused
c. Complete
d. Follow-up
Rationale: A complete database provides a full health history and physical exam,
appropriate for new admissions. Emergency databases are rapid and concurrent with
lifesaving measures; focused databases address specific problems; follow-up
databases track progress of known issues.
Question 2
Which of the following best describes evidence-based practice (EBP)?
a. Relying solely on clinical experience
b. Using research evidence, clinical expertise, and patient preferences
c. Following hospital policy without question
d. Applying intuition to patient care
Rationale: EBP integrates research findings, clinician expertise, and patient values to
optimize care outcomes. It is not limited to experience or policy alone.
Question 3
A patient presents with fever, cough, and shortness of breath. The nurse prioritizes
infection control measures. Which is the most appropriate initial action?
a. Administer antibiotics immediately
b. Place the patient in isolation precautions
c. Notify the physician before taking any action
d. Provide patient education on hand hygiene
Rationale: Infection control begins with preventing transmission. Isolation precautions
are the immediate priority before treatment decisions are made.
Question 4
During a cultural assessment, the nurse learns that a patient uses herbal remedies.
What is the best nursing response?
a. Discourage use of non-prescribed remedies
b. Document and respect the patient’s practice while assessing for interactions
c. Ignore the information since it is not evidence-based
d. Replace herbal remedies with prescribed medications
Rationale: Cultural competence requires respecting patient practices while ensuring
safety. Nurses should assess for potential drug-herb interactions.
Question 5
Which nursing intervention demonstrates patient-centered care?
,a. Scheduling procedures based on staff convenience
b. Explaining treatment options and involving the patient in decision-making
c. Limiting patient questions to save time
d. Following physician orders without patient input
Rationale: Patient-centered care emphasizes collaboration, respect for patient
autonomy, and shared decision-making.
Question 6
Which statement best describes therapeutic communication?
a. Giving advice freely
b. Using silence and active listening
c. Asking closed-ended questions only
d. Avoiding patient concerns
Rationale: Therapeutic communication emphasizes empathy, listening, and techniques
like silence to encourage patient expression.
Question 7
A nurse is assessing pain using the PQRST method. What does “R” stand for?
a. Radiation
b. Relief
c. Response
d. Rate
Rationale: PQRST = Provocation, Quality, Radiation, Severity, Timing.
Question 8
Which finding requires immediate intervention during a respiratory assessment?
a. Clear lung sounds
b. Oxygen saturation of 89%
c. Respiratory rate of 18/min
d. Symmetrical chest expansion
Rationale: SpO₂ below 90% indicates hypoxemia and requires urgent action.
Question 9
Which nursing action demonstrates cultural competence?
a. Assuming all patients prefer Western medicine
b. Asking the patient about health beliefs and practices
c. Ignoring cultural differences to maintain equality
d. Providing identical care to all patients
Rationale: Cultural competence requires individualized assessment of beliefs and
practices.
Question 10
Which assessment technique is used first in the abdominal exam?
a. Palpation
b. Percussion
c. Inspection
, d. Auscultation
Rationale: Abdominal exam order: Inspection → Auscultation → Percussion →
Palpation.
Question 11
Which of the following is a secondary prevention measure?
a. Immunization
b. Screening for hypertension
c. Rehabilitation after stroke
d. Health education
Rationale: Secondary prevention detects disease early to prevent
Question 12
Which nursing diagnosis is most appropriate for a patient with dyspnea and low oxygen
saturation?
a. Risk for infection
b. Impaired gas exchange
c. Risk for falls
d. Activity intolerance
Rationale: Dyspnea and hypoxemia directly indicate impaired gas exchange.
Question 13
Which pulse site is most reliable for assessing circulation in the lower extremities?
a. Radial
b. Carotid
c. Dorsalis pedis
d. Brachial
Rationale: Dorsalis pedis pulse reflects arterial circulation in the foot.
Question 14
Which intervention is most appropriate for a patient at risk of pressure ulcers?
a. Encourage fluid restriction
b. Reposition every 2 hours
c. Limit mobility to conserve energy
d. Apply restraints to prevent falls
Rationale: Frequent repositioning prevents skin breakdown.
Question 15
Which finding is considered subjective data?
a. Blood pressure 140/90 mmHg
b. Patient reports dizziness
c. Temperature 38.5°C
d. Pulse 88/min
Rationale: Subjective data are patient-reported symptoms.
Question 16
Question 1
A nurse is performing a comprehensive health assessment on a newly admitted patient.
Which type of database is most appropriate?
a. Emergency
b. Focused
c. Complete
d. Follow-up
Rationale: A complete database provides a full health history and physical exam,
appropriate for new admissions. Emergency databases are rapid and concurrent with
lifesaving measures; focused databases address specific problems; follow-up
databases track progress of known issues.
Question 2
Which of the following best describes evidence-based practice (EBP)?
a. Relying solely on clinical experience
b. Using research evidence, clinical expertise, and patient preferences
c. Following hospital policy without question
d. Applying intuition to patient care
Rationale: EBP integrates research findings, clinician expertise, and patient values to
optimize care outcomes. It is not limited to experience or policy alone.
Question 3
A patient presents with fever, cough, and shortness of breath. The nurse prioritizes
infection control measures. Which is the most appropriate initial action?
a. Administer antibiotics immediately
b. Place the patient in isolation precautions
c. Notify the physician before taking any action
d. Provide patient education on hand hygiene
Rationale: Infection control begins with preventing transmission. Isolation precautions
are the immediate priority before treatment decisions are made.
Question 4
During a cultural assessment, the nurse learns that a patient uses herbal remedies.
What is the best nursing response?
a. Discourage use of non-prescribed remedies
b. Document and respect the patient’s practice while assessing for interactions
c. Ignore the information since it is not evidence-based
d. Replace herbal remedies with prescribed medications
Rationale: Cultural competence requires respecting patient practices while ensuring
safety. Nurses should assess for potential drug-herb interactions.
Question 5
Which nursing intervention demonstrates patient-centered care?
,a. Scheduling procedures based on staff convenience
b. Explaining treatment options and involving the patient in decision-making
c. Limiting patient questions to save time
d. Following physician orders without patient input
Rationale: Patient-centered care emphasizes collaboration, respect for patient
autonomy, and shared decision-making.
Question 6
Which statement best describes therapeutic communication?
a. Giving advice freely
b. Using silence and active listening
c. Asking closed-ended questions only
d. Avoiding patient concerns
Rationale: Therapeutic communication emphasizes empathy, listening, and techniques
like silence to encourage patient expression.
Question 7
A nurse is assessing pain using the PQRST method. What does “R” stand for?
a. Radiation
b. Relief
c. Response
d. Rate
Rationale: PQRST = Provocation, Quality, Radiation, Severity, Timing.
Question 8
Which finding requires immediate intervention during a respiratory assessment?
a. Clear lung sounds
b. Oxygen saturation of 89%
c. Respiratory rate of 18/min
d. Symmetrical chest expansion
Rationale: SpO₂ below 90% indicates hypoxemia and requires urgent action.
Question 9
Which nursing action demonstrates cultural competence?
a. Assuming all patients prefer Western medicine
b. Asking the patient about health beliefs and practices
c. Ignoring cultural differences to maintain equality
d. Providing identical care to all patients
Rationale: Cultural competence requires individualized assessment of beliefs and
practices.
Question 10
Which assessment technique is used first in the abdominal exam?
a. Palpation
b. Percussion
c. Inspection
, d. Auscultation
Rationale: Abdominal exam order: Inspection → Auscultation → Percussion →
Palpation.
Question 11
Which of the following is a secondary prevention measure?
a. Immunization
b. Screening for hypertension
c. Rehabilitation after stroke
d. Health education
Rationale: Secondary prevention detects disease early to prevent
Question 12
Which nursing diagnosis is most appropriate for a patient with dyspnea and low oxygen
saturation?
a. Risk for infection
b. Impaired gas exchange
c. Risk for falls
d. Activity intolerance
Rationale: Dyspnea and hypoxemia directly indicate impaired gas exchange.
Question 13
Which pulse site is most reliable for assessing circulation in the lower extremities?
a. Radial
b. Carotid
c. Dorsalis pedis
d. Brachial
Rationale: Dorsalis pedis pulse reflects arterial circulation in the foot.
Question 14
Which intervention is most appropriate for a patient at risk of pressure ulcers?
a. Encourage fluid restriction
b. Reposition every 2 hours
c. Limit mobility to conserve energy
d. Apply restraints to prevent falls
Rationale: Frequent repositioning prevents skin breakdown.
Question 15
Which finding is considered subjective data?
a. Blood pressure 140/90 mmHg
b. Patient reports dizziness
c. Temperature 38.5°C
d. Pulse 88/min
Rationale: Subjective data are patient-reported symptoms.
Question 16
