NR 302 Health Assessment 1 COMPLETE EXAM LATEST
VERSION 2026-2027 QUESTIONS AND 100% Verified
ANSWERS
What kind of health assessment is this?
Purpose: Determines the urgency of the client's condition
When used: Each time the client is seen
Includes: Level of consciousness, ease of breathing, and body position
Examples: Urgent: The examiner finds a person in a hospital gown sitting on the floor gasping for air.Not Urgent:
The examiner observes the client speaking complete sentences on the phone with even respirations. -
answer>>Rapid (Screening)
What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interaction between a person seeking care and the professional providing care
Includes: A detailed health history and physical examination of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-term care facility. -
answer>>Complete (Total) Health
What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a body system
When used: After abnormal findings are identified during any assessment
Includes: The collection of data related to findings of concern
Example: After noting a client's productive cough and shortness of breath when entering the room, the examiner
begins the assessment by listening to lung sounds, measuring oxygen saturation (O2 sat), checking for cyanosis,
,and asking questions related to the noted symptoms (e.g., How long has the cough been present?). -
answer>>Focused (Problem-Centered)
What kind of health assessment is this?
Purpose: To determine effectiveness during or after treatment
When used: Timing depends on the situation
Includes: A focused assessment used to evaluate how the client is responding to treatment
Examples: Checking on a client 30 minutes after administering pain medication or a follow-up office visit with a
primary care provider to determine the effectiveness of blood pressure medication - answer>>Follow-Up
What kind of health assessment is this?
Purpose: Collection of key data during an urgent or emergent medical situation
When used: When an individual is facing a life-threatening situation
Includes: Assessment of the Airway, Breathing, Circulation, Disabilities, and Exposure (ABCDE)
Examples: The ABCs of CPR specify that if a person is found and appears unresponsive, the first step is to shake and
shout to check level of consciousness, open the airway, check for breathing, and palpate for a carotid pulse. -
answer>>Emergency
The nurse enters the room of a client sitting in a reclining chair with their eyes closed. When the individual does
not respond to their name, the nurse speaks louder while gently shaking the client's arm before assessing their
breathing and pulse, which are both normal.
What type of assessment was completed? - answer>>Rapid
Margaret (pronouns: she/her/hers) is a 79-year-old in the hospital following a total hip replacement that morning.
At midnight, the nurse enters to complete a focused assessment and finds Margaret sitting in bed crying and
talking on the phone. When she ends that call, she says to the nurse, "My grandson broke into my home and stole
things. I must go home now, so he does not come back with his friends and ruin the place."
Where in Maslow's hierarchy does Margaret's concern fall? - answer>>Safety
, What part of the nursing process includes
Complete a health history, including allergies, medications, current medical problems, and reason for visit.
During the health history, the nurse should make note of, and follow up with the client about, any information that
may impact the client's health status - answer>>Assessment
What part of the nursing process includes
Review subjective and objective data for cues that indicate potential health alterations and needs -
answer>>Diagnosis
What part of the nursing process includes
Analyze and cluster related cues to identify specific needs - answer>>Planning
What part of the nursing process includes
1. Prioritize identified needs.
2. Is immediate action needed to protect the client's airway, breathing, or circulation?
3. If yes, stop the assessment to address the first-level priority.
4. Are some problems more severe than others?
5. If yes, those are second-level priorities.
6. What is the relationship between problems, if any?
7. For example, if the client is having difficulty breathing because of acute rib pain, managing the pain may be a
higher priority than dealing with the trouble breathing. - answer>>Implementation
What part of the nursing process includes
Are any of the needs related to lack of knowledge, health risks, or management of chronic illness unrelated to the
current reason for seeking care?
These become third-level priorities to address during the length of care. - answer>>Evaluation
In what order are the steps of the health history completed? Drag the items from first to last.
Biographic data
VERSION 2026-2027 QUESTIONS AND 100% Verified
ANSWERS
What kind of health assessment is this?
Purpose: Determines the urgency of the client's condition
When used: Each time the client is seen
Includes: Level of consciousness, ease of breathing, and body position
Examples: Urgent: The examiner finds a person in a hospital gown sitting on the floor gasping for air.Not Urgent:
The examiner observes the client speaking complete sentences on the phone with even respirations. -
answer>>Rapid (Screening)
What kind of health assessment is this?
Purpose: Establishes the medical database for an episode of care
When used: At the first interaction between a person seeking care and the professional providing care
Includes: A detailed health history and physical examination of all body systems
Examples include the first visit to a new healthcare provider or new admission to a long-term care facility. -
answer>>Complete (Total) Health
What kind of health assessment is this?
Purpose: To obtain more data about specific concerns or abnormal findings related to a body system
When used: After abnormal findings are identified during any assessment
Includes: The collection of data related to findings of concern
Example: After noting a client's productive cough and shortness of breath when entering the room, the examiner
begins the assessment by listening to lung sounds, measuring oxygen saturation (O2 sat), checking for cyanosis,
,and asking questions related to the noted symptoms (e.g., How long has the cough been present?). -
answer>>Focused (Problem-Centered)
What kind of health assessment is this?
Purpose: To determine effectiveness during or after treatment
When used: Timing depends on the situation
Includes: A focused assessment used to evaluate how the client is responding to treatment
Examples: Checking on a client 30 minutes after administering pain medication or a follow-up office visit with a
primary care provider to determine the effectiveness of blood pressure medication - answer>>Follow-Up
What kind of health assessment is this?
Purpose: Collection of key data during an urgent or emergent medical situation
When used: When an individual is facing a life-threatening situation
Includes: Assessment of the Airway, Breathing, Circulation, Disabilities, and Exposure (ABCDE)
Examples: The ABCs of CPR specify that if a person is found and appears unresponsive, the first step is to shake and
shout to check level of consciousness, open the airway, check for breathing, and palpate for a carotid pulse. -
answer>>Emergency
The nurse enters the room of a client sitting in a reclining chair with their eyes closed. When the individual does
not respond to their name, the nurse speaks louder while gently shaking the client's arm before assessing their
breathing and pulse, which are both normal.
What type of assessment was completed? - answer>>Rapid
Margaret (pronouns: she/her/hers) is a 79-year-old in the hospital following a total hip replacement that morning.
At midnight, the nurse enters to complete a focused assessment and finds Margaret sitting in bed crying and
talking on the phone. When she ends that call, she says to the nurse, "My grandson broke into my home and stole
things. I must go home now, so he does not come back with his friends and ruin the place."
Where in Maslow's hierarchy does Margaret's concern fall? - answer>>Safety
, What part of the nursing process includes
Complete a health history, including allergies, medications, current medical problems, and reason for visit.
During the health history, the nurse should make note of, and follow up with the client about, any information that
may impact the client's health status - answer>>Assessment
What part of the nursing process includes
Review subjective and objective data for cues that indicate potential health alterations and needs -
answer>>Diagnosis
What part of the nursing process includes
Analyze and cluster related cues to identify specific needs - answer>>Planning
What part of the nursing process includes
1. Prioritize identified needs.
2. Is immediate action needed to protect the client's airway, breathing, or circulation?
3. If yes, stop the assessment to address the first-level priority.
4. Are some problems more severe than others?
5. If yes, those are second-level priorities.
6. What is the relationship between problems, if any?
7. For example, if the client is having difficulty breathing because of acute rib pain, managing the pain may be a
higher priority than dealing with the trouble breathing. - answer>>Implementation
What part of the nursing process includes
Are any of the needs related to lack of knowledge, health risks, or management of chronic illness unrelated to the
current reason for seeking care?
These become third-level priorities to address during the length of care. - answer>>Evaluation
In what order are the steps of the health history completed? Drag the items from first to last.
Biographic data
