NUR 3066- EXAM 1 STUDY / COMPREHNSIVE HEALTH
ASSESSMENT & CLINICAL REASONING EXAMINATION (25
Q/S) WITH CORRECT ANSWERS AND DETAILED RATIONALES
GRADED A+…
Question 1 (Multiple Choice)
A nurse is preparing to assess an adult patient’s abdomen. In which order
should the nurse perform the following assessment techniques?
A) Palpation, perc
ussion, auscultation, inspection
B) Inspection, auscultation, percussion, palpation
C) Auscultation, inspection, palpation, percussion
D) Inspection, palpation, auscultation, percussion
**Correct Answers:** B) Inspection, auscultation, percussion, palpation
**Detailed Rationale:**
For abdominal assessment, inspection is always first to observe surface
characteristics. Auscultation follows because palpation and percussion can
alter bowel sounds. Percussion is then used to assess density and organ
size, and palpation is last to avoid stimulating bowel activity.
---
, Question 2 (Multiple Choice)
A patient reports pain as “8 out of 10” on the Numeric Rating Scale. Which
action by the nurse is most appropriate?
A) Document the pain score and reassess in 4 hours
B) Administer prescribed analgesic and reassess within 30–60 minutes
C) Ask the patient to rate pain again after deep breathing
D) Notify the provider immediately
**Correct Answer:** B) Administer prescribed analgesic and reassess
within 30–60 minutes
**Detailed Rationale:**
Pain is the fifth vital sign. A score of 8/10 indicates severe pain requiring
intervention. Reassessment after analgesia ensures effectiveness and
safety. Waiting 4 hours or repeating the same question without action is
inadequate.
---
Question 3 (Select All That Apply)
Which findings are considered **subjective data**? (Select all that apply)
A) Patient states, “I feel dizzy when I stand up.”
, B) Blood pressure 110/70 mmHg
C) Patient reports chest tightness for 2 days
D) Liver palpable 2 cm below costal margin
E) “My mother had breast cancer at age 50.”
**Correct Answerss:** A, C, E
**Detailed Rationale:**
Subjective data = what the patient says or reports. Objective data =
measurable/observable (B and D). Family history reported by patient (E) is
subjective even if later verified.
---
Question 4 (Fill-in-the-Blank)
The mnemonic **PQRSTU** is used for pain assessment. The “R” stands
for ___________.
**Correct Answer:** Radiation/Relieving factors
**Detailed Rationale:**
P = Provocation/Palliation, Q = Quality/Quantity, R = Radiation/Relieving
factors, S = Severity Scale, T = Timing, U = Understanding/Impact on
patient.
ASSESSMENT & CLINICAL REASONING EXAMINATION (25
Q/S) WITH CORRECT ANSWERS AND DETAILED RATIONALES
GRADED A+…
Question 1 (Multiple Choice)
A nurse is preparing to assess an adult patient’s abdomen. In which order
should the nurse perform the following assessment techniques?
A) Palpation, perc
ussion, auscultation, inspection
B) Inspection, auscultation, percussion, palpation
C) Auscultation, inspection, palpation, percussion
D) Inspection, palpation, auscultation, percussion
**Correct Answers:** B) Inspection, auscultation, percussion, palpation
**Detailed Rationale:**
For abdominal assessment, inspection is always first to observe surface
characteristics. Auscultation follows because palpation and percussion can
alter bowel sounds. Percussion is then used to assess density and organ
size, and palpation is last to avoid stimulating bowel activity.
---
, Question 2 (Multiple Choice)
A patient reports pain as “8 out of 10” on the Numeric Rating Scale. Which
action by the nurse is most appropriate?
A) Document the pain score and reassess in 4 hours
B) Administer prescribed analgesic and reassess within 30–60 minutes
C) Ask the patient to rate pain again after deep breathing
D) Notify the provider immediately
**Correct Answer:** B) Administer prescribed analgesic and reassess
within 30–60 minutes
**Detailed Rationale:**
Pain is the fifth vital sign. A score of 8/10 indicates severe pain requiring
intervention. Reassessment after analgesia ensures effectiveness and
safety. Waiting 4 hours or repeating the same question without action is
inadequate.
---
Question 3 (Select All That Apply)
Which findings are considered **subjective data**? (Select all that apply)
A) Patient states, “I feel dizzy when I stand up.”
, B) Blood pressure 110/70 mmHg
C) Patient reports chest tightness for 2 days
D) Liver palpable 2 cm below costal margin
E) “My mother had breast cancer at age 50.”
**Correct Answerss:** A, C, E
**Detailed Rationale:**
Subjective data = what the patient says or reports. Objective data =
measurable/observable (B and D). Family history reported by patient (E) is
subjective even if later verified.
---
Question 4 (Fill-in-the-Blank)
The mnemonic **PQRSTU** is used for pain assessment. The “R” stands
for ___________.
**Correct Answer:** Radiation/Relieving factors
**Detailed Rationale:**
P = Provocation/Palliation, Q = Quality/Quantity, R = Radiation/Relieving
factors, S = Severity Scale, T = Timing, U = Understanding/Impact on
patient.
