NUR-265 FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: What constitutes subjective data in a clinical assessment?
✔✔ Answer: Information that is reported directly by the patient regarding their
own personal experiences, feelings, or symptoms, which cannot be independently
measured by an outside observer.
Clinical Example: A patient stating that they are currently experiencing a
painful sore throat and localized ear discomfort.
Question: What constitutes objective data in a clinical assessment?
✔✔ Answer: Concrete, measurable, and verifiable clinical findings gathered
directly by a healthcare professional utilizing their senses (sight, hearing, touch,
and smell) or diagnostic instruments.
Clinical Example: An examiner inspecting the oral cavity and documenting
that the patient's pharynx appears pink and moist.
Question: How is a primary source of data defined in healthcare?
✔✔ Answer: Information obtained straight from the patient themselves, which can
include both their subjective descriptions and the physical metrics measured
directly from their body.
Clinical Example: Recording a patient's breathing pattern at 22 breaths per
minute and documenting their self-reported pain rating as a 3 out of 10.
Question: How is a secondary source of data defined in healthcare?
✔✔ Answer: Diagnostic information, medical history, or clinical observations
supplied by anyone other than the patient, such as family members, emergency
witnesses, previous medical records, or other healthcare team members.
Clinical Example: A shift nurse handing off a report noting that the patient
demonstrated an visible limp when walking to the restroom.
Question: What is the purpose and scope of a general survey during a physical
assessment?
,✔✔ Answer: An ongoing, global appraisal of the patient's overall appearance,
behavior, and physical status. This fluid observation begins the moment the
clinician encounters the patient and continues throughout the entire exam to screen
for immediate clinical "red flags" or subtle changes.
Question: What is a complete database assessment?
✔✔ Answer: A comprehensive, all-inclusive collection of a patient’s current and
past health information, physical exam findings, and psychological history. It is
used to establish a definitive baseline database to guide all future clinical decisions
and care planning.
Focused database assessment
Limited or short term problem, targeted, one problem
EX:rash
Follow-up database assessment
Reassessing next visit to see if there are any changes to problem
Inspection
use of sight to gather assessment data
Palpation
assessment using touch
-Warm hands
,-start light to deep
-palpate tender areas last
Percussion
tapping of organs
Flatness- bone or muscle
Dullness- heart, spleen, liver
Resonance- air filled lungs (hollow)
Hyperresonance- empysematous lung (hyperinflated)
Tympany- air filled stomach (drumlike)
Auscultation
Listening with stethoscope
Priority care: first level
Emergent/Life threatening
EX: your client is not breathing
Priority care: second level
Urgent
EX: mental status changes (like they become confused suddenly), safety risk
(Potassium is out of wack), person cannot pee
, Priority care: third level
Need attention, but not priority
EX: cannot sleep well, problems with lack of knowledge, mobility, etc
What is sexuality?
biological sex, sexual activity, gender roles/ identity and sexual orientation
ABCDE
-Asymmetry
-Border
-color
-diameter
-evolution
Primary lesions
•appear as a direct result of the disease or appear on previously blank skin
•macule (flat less than 1cm, freckle), patch, papule, plaque, nodule, tumor, wheal,
urticaria, vesicle, bulla
Secondary lesions
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: What constitutes subjective data in a clinical assessment?
✔✔ Answer: Information that is reported directly by the patient regarding their
own personal experiences, feelings, or symptoms, which cannot be independently
measured by an outside observer.
Clinical Example: A patient stating that they are currently experiencing a
painful sore throat and localized ear discomfort.
Question: What constitutes objective data in a clinical assessment?
✔✔ Answer: Concrete, measurable, and verifiable clinical findings gathered
directly by a healthcare professional utilizing their senses (sight, hearing, touch,
and smell) or diagnostic instruments.
Clinical Example: An examiner inspecting the oral cavity and documenting
that the patient's pharynx appears pink and moist.
Question: How is a primary source of data defined in healthcare?
✔✔ Answer: Information obtained straight from the patient themselves, which can
include both their subjective descriptions and the physical metrics measured
directly from their body.
Clinical Example: Recording a patient's breathing pattern at 22 breaths per
minute and documenting their self-reported pain rating as a 3 out of 10.
Question: How is a secondary source of data defined in healthcare?
✔✔ Answer: Diagnostic information, medical history, or clinical observations
supplied by anyone other than the patient, such as family members, emergency
witnesses, previous medical records, or other healthcare team members.
Clinical Example: A shift nurse handing off a report noting that the patient
demonstrated an visible limp when walking to the restroom.
Question: What is the purpose and scope of a general survey during a physical
assessment?
,✔✔ Answer: An ongoing, global appraisal of the patient's overall appearance,
behavior, and physical status. This fluid observation begins the moment the
clinician encounters the patient and continues throughout the entire exam to screen
for immediate clinical "red flags" or subtle changes.
Question: What is a complete database assessment?
✔✔ Answer: A comprehensive, all-inclusive collection of a patient’s current and
past health information, physical exam findings, and psychological history. It is
used to establish a definitive baseline database to guide all future clinical decisions
and care planning.
Focused database assessment
Limited or short term problem, targeted, one problem
EX:rash
Follow-up database assessment
Reassessing next visit to see if there are any changes to problem
Inspection
use of sight to gather assessment data
Palpation
assessment using touch
-Warm hands
,-start light to deep
-palpate tender areas last
Percussion
tapping of organs
Flatness- bone or muscle
Dullness- heart, spleen, liver
Resonance- air filled lungs (hollow)
Hyperresonance- empysematous lung (hyperinflated)
Tympany- air filled stomach (drumlike)
Auscultation
Listening with stethoscope
Priority care: first level
Emergent/Life threatening
EX: your client is not breathing
Priority care: second level
Urgent
EX: mental status changes (like they become confused suddenly), safety risk
(Potassium is out of wack), person cannot pee
, Priority care: third level
Need attention, but not priority
EX: cannot sleep well, problems with lack of knowledge, mobility, etc
What is sexuality?
biological sex, sexual activity, gender roles/ identity and sexual orientation
ABCDE
-Asymmetry
-Border
-color
-diameter
-evolution
Primary lesions
•appear as a direct result of the disease or appear on previously blank skin
•macule (flat less than 1cm, freckle), patch, papule, plaque, nodule, tumor, wheal,
urticaria, vesicle, bulla
Secondary lesions
