QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) | GRADED A+ |
NEW UPDATE 2025
What is Health Assessment? - ANSWERS a systematic method of collecting
data about a client in order to develop a nursing diagnosis
A health assessment involves? - ANSWERS collection, clinical judgment, and
evaluation of data
Comprehensive assessment - ANSWERS health history and complete physical
examination, usually conducted when a patient first enters a health care setting;
provides a baseline for comparing later assessment
Focused assessment - ANSWERS The nurse gathers data about a specific
problem that has already been identified
Ongoing assessment - ANSWERS continuing assessment activities that proceed
from the initial nursing assessment
What does HIPPA refer to? - ANSWERS Health Insurance Portability and
Accountability Act
Nursing Process: Assessment - ANSWERS gather information about the client's
condition
,Nursing Process: Planning - ANSWERS goals and outcomes, setting priorities,
teamwork and collaboration
Nursing Process: Implementation - ANSWERS perform the nursing actions
identified in planning
Nursing Process: Evaluating - ANSWERS measuring extent to which patient
achieved outcomes
Recognize Cues (Assessment) - ANSWERS Filter information from different
sources (e.g., signs, symptoms, health history, environment).
Subjective - ANSWERS symptoms; what the client tells you or is feeling
Objective - ANSWERS signs; measurable and observable
A charge nurse is reviewing the steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as objective
data? (Select all that apply.)
A. Respiratory rate is 22/min
B. The client's partner states, "she said her leg hurts after walking 10 minutes".
C. The client reports 3/10 pain level
D. The client's skin is pink, warm, and dry
E. The AP reports that the client walked with a limp - ANSWERS A. Respiratory
rate is 22/min
,D. The client's skin is pink, warm, and dry
E. The AP reports that the client walked with a limp
Analyze Cues and Prioritize Hypotheses - ANSWERS analyzes the data during
assessment using clinical judgment
Prioritize Hypotheses and Generate Solutions - ANSWERS Client will
understand how cigarette smoking contributes to respiratory illnesses, cancer, and
heart disease.
Take Action - ANSWERS carry out or perform the identified solutions
Evaluate Implementation and Outcomes - ANSWERS Did the nursing
intervention help the patient? Were the goals met? If not, re- assess
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The
nurse would ask about a clients potential allergies during which phase of the
nursing process?
A. Prioritize Hypothesis
B. Recognize Cues
C. Take Actions
D. Evaluate Outcome - ANSWERS B. Recognize Cues
4 Technique of Physical Assessment: - ANSWERS inspection, palpation,
percussion, auscultation
, Inspection - ANSWERS visual examination of the body (see)
Palpation - ANSWERS to examine by touch (feel)
Percussion - ANSWERS tapping on a surface to determine the difference in the
density of the underlying structure
Auscultation - ANSWERS Listening with a stethoscope
Direct vs Inspect Inspection: - ANSWERS Direct: direct visualization
Indirect: using a light source
Palpitation: fingertips/pads - ANSWERS best for fine sensation; skin texture,
swelling, pulsation, presence of lumps
Dorsal Palpation part of hand is used for: - ANSWERS temperature because
skin here is thinner than on palms
Light palpation - ANSWERS body surface; indenting the skin no more than 1cm
Deep palpation - ANSWERS assesses an organ or mass deeper in a body cavity;
4cm
When do you palpate tender areas? - ANSWERS last