NRSG 2220 EXAM 1, 2 & 3 QUESTIONS WITH
COMPLETE SOLUTIONS
NRSG 2220 EXAM 1
Assessment is a ___ and ___ collection, analysis, validation, and communication of
patient data.
systematic, continuous
The database enables the nurse to partner with patients to develop and comprehensive
and effective ___ __.
care plan
___ can be integrated in an assessment and it is important as a nurse to detect it and
determine if the source is credible or not.
(Example - elderly female patient gave me wrong date of birth than the date of birth said
on electronic record, medications were not given bc of that, ended up finding out that
handwriting was sloppy and desk receptionist entered it into computer wrong, despite
her age she was correct)
Bias
T or F: A nursing assessment should be purposeful, prioritized, complete, systematic,
factual, accurate, relevant, and recorded in a standard manner.
true
The ___ assessment is done shortly after the patient is admitted to a health care facility
or service. The purpose of this assessment is to establish a complete database for
,problem identification and care planning.
initial
In a ___ assessment, the nurse collects data about an identified specific problem. This
may occur in the initial assessment when the patient's health problems surface but
usually is done as part of ongoing data collection. Another purpose for this assessment
is to find new or missed problems.
focused
___ ___ assessments are short, focused, prioritized assessments you do to gain the most
important information you need to have first. They are important because they can
"flag" existing problems and risks.
Fast priority
When a patient is experiencing a physiologic or psychological crisis, the nurse conducts
a ___ assessment to identify problems that are life-threatening. Candidates for such
assessments would include a resident of a long-term care facility who begins choking in
the dining room, a bleeding patient brought to the emergency department with a stab
wound, an unresponsive patient in the rehabilitation unit, and a factory worker
threatening violence.
emergency
The ___-___ assessment is planned to be taken so that a patient's present status is
compared to the baseline data acquired earlier. The goal is to reassess the patient's
health status and revise the care plan where needed. It can be comprehensive or
focused.
time-lapsed
,The significant source of information is the ___.
patient
Observable and measurable data which are observable through the use of one's senses
- sight, sound, and touch - from one other than the person experiencing them
objective data
examples of objective data
elevated temperature, skin moisture, vomiting
information perceived only by the affected person
subjective data
examples of subjective data
pain experience, feeling dizzy, feeling anxious
What are some other sources of data besides the patient when completing an
assessment?
family, significant others, patient record, medical history, physical examination,
progress notes, consultations, reports of laboratory and other diagnostic studies,
reports of therapies by other health care professionals, nursing and other health care
literature
T or F: Sources of data can be anywhere that you think you can get it.
true
___ is a key nursing skill when performing both the nursing history and the physical
examination. It is the conscious and deliberate use of the five sense to gather data.
, Observation
___ ___ captures and records the uniqueness of the patient. It is obtained by
interviewing the patient.
Nursing history
The purpose of a nursing physical assessment is appraisal of health ___, identification of
health ___, and establishment of a database for nursing ___.
status, problems, interventions
What are the four assessment methods?
inspection, palpation, percussion, auscultation
the process of preforming deliberate, purposeful observations in a systemic manner
inspection
use of the sense of touch to assess skin temperature, turgor, texture, and moisture as
well as vibrations within the body
palpation
the act of striking one object against another to produce sound
percussion
the act of listening with a stethoscope to sounds produced within the body
auscultation
COMPLETE SOLUTIONS
NRSG 2220 EXAM 1
Assessment is a ___ and ___ collection, analysis, validation, and communication of
patient data.
systematic, continuous
The database enables the nurse to partner with patients to develop and comprehensive
and effective ___ __.
care plan
___ can be integrated in an assessment and it is important as a nurse to detect it and
determine if the source is credible or not.
(Example - elderly female patient gave me wrong date of birth than the date of birth said
on electronic record, medications were not given bc of that, ended up finding out that
handwriting was sloppy and desk receptionist entered it into computer wrong, despite
her age she was correct)
Bias
T or F: A nursing assessment should be purposeful, prioritized, complete, systematic,
factual, accurate, relevant, and recorded in a standard manner.
true
The ___ assessment is done shortly after the patient is admitted to a health care facility
or service. The purpose of this assessment is to establish a complete database for
,problem identification and care planning.
initial
In a ___ assessment, the nurse collects data about an identified specific problem. This
may occur in the initial assessment when the patient's health problems surface but
usually is done as part of ongoing data collection. Another purpose for this assessment
is to find new or missed problems.
focused
___ ___ assessments are short, focused, prioritized assessments you do to gain the most
important information you need to have first. They are important because they can
"flag" existing problems and risks.
Fast priority
When a patient is experiencing a physiologic or psychological crisis, the nurse conducts
a ___ assessment to identify problems that are life-threatening. Candidates for such
assessments would include a resident of a long-term care facility who begins choking in
the dining room, a bleeding patient brought to the emergency department with a stab
wound, an unresponsive patient in the rehabilitation unit, and a factory worker
threatening violence.
emergency
The ___-___ assessment is planned to be taken so that a patient's present status is
compared to the baseline data acquired earlier. The goal is to reassess the patient's
health status and revise the care plan where needed. It can be comprehensive or
focused.
time-lapsed
,The significant source of information is the ___.
patient
Observable and measurable data which are observable through the use of one's senses
- sight, sound, and touch - from one other than the person experiencing them
objective data
examples of objective data
elevated temperature, skin moisture, vomiting
information perceived only by the affected person
subjective data
examples of subjective data
pain experience, feeling dizzy, feeling anxious
What are some other sources of data besides the patient when completing an
assessment?
family, significant others, patient record, medical history, physical examination,
progress notes, consultations, reports of laboratory and other diagnostic studies,
reports of therapies by other health care professionals, nursing and other health care
literature
T or F: Sources of data can be anywhere that you think you can get it.
true
___ is a key nursing skill when performing both the nursing history and the physical
examination. It is the conscious and deliberate use of the five sense to gather data.
, Observation
___ ___ captures and records the uniqueness of the patient. It is obtained by
interviewing the patient.
Nursing history
The purpose of a nursing physical assessment is appraisal of health ___, identification of
health ___, and establishment of a database for nursing ___.
status, problems, interventions
What are the four assessment methods?
inspection, palpation, percussion, auscultation
the process of preforming deliberate, purposeful observations in a systemic manner
inspection
use of the sense of touch to assess skin temperature, turgor, texture, and moisture as
well as vibrations within the body
palpation
the act of striking one object against another to produce sound
percussion
the act of listening with a stethoscope to sounds produced within the body
auscultation
