NSG 3160 Exam 1 Study Questions with
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What type of database is most appropriate when the rapid collection of data is
required and often compiled concurrently with lifesaving measures?
a. Complete
b. Focused
c. Follow-up
d. Emergency -Correct Answer ✔d. Emergency
An emergency database includes the rapid collection of data often obtained
concurrently with lifesaving measures. A focused database is for a limited or short-
term problem; this database concerns mainly one problem, one cue complex, or
one body system. A follow-up database is used to follow up on short-term or
chronic health problems; the statuses of identified problems are evaluated at
regular and appropriate intervals. A complete database includes a complete health
history and a full physical examination; it describes the current and past health
state and forms a baseline against which all future changes can be measured.
A nurse precepting a student nurse asks, "What's the most important step in the
critical-thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns -Correct Answer ✔c. Using evidence-based
assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the
technique that provides the safest and most current techniques to promote the
health of patients. Clustering subjective and objective data is a step in the critical-
thinking process, but is not the most important step. Analyzing health data is a step
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in the critical-thinking process, but is not the most important step. Prioritizing
health concerns is a step in the critical-thinking process, but is not the most
important step.
What type of database is most appropriate for an individual who is admitted to a
long-term care facility?
a. Focused
b. Complete
c. Emergency
d. Follow-up -Correct Answer ✔b. Complete
A complete database includes a complete health history and a full physical
examination; it describes the current and past health state and forms a baseline
against which all future changes can be measured. A focused database is for a
limited or short-term problem; this database concerns mainly one problem, one cue
complex, or one body system. A follow-up database is used to follow up on short-
term or chronic health problems; the statuses of identified problems are evaluated
at regular and appropriate intervals. An emergency database includes a rapid
collection of data often obtained concurrently with lifesaving measures.
Which of the following is an example of objective data?
a. A sore throat
b. An earache
c. Alert and oriented
d. Dizziness -Correct Answer ✔c. Alert and oriented
Objective data is what the health professional observes; level of consciousness and
orientation are observations. Subjective data is what the person says about himself
or herself during history taking.
Which of the following is an example of subjective data?
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a. Blood glucose 126 md/dL
b. Pain rated at 7 out of 10
c. Heart rate of 76 bpm
d. Bruising on lower leg -Correct Answer ✔b. Pain rated at 7 out of 10
Subjective data is what the patient says about himself or herself during history
taking. Objective data is what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical examination. Blood
glucose is measured by using a drop of blood placed on a test strip in a glucometer.
Bruising is assessed by inspection. Heart rate is assessed by palpation of the radial
artery or auscultated with a stethoscope when listening to heart sounds.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving
measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one
cue complex, or one body system.
d. used to perform a thorough or comprehensive health history and physical
examination. -Correct Answer ✔d. used to perform a thorough or comprehensive
health history and physical examination.
A complete database includes a complete health history and a full physical
examination; it describes the current and past health state and forms a baseline
against which all future changes can be measured. An emergency database is a
rapid collection of data often obtained concurrently with lifesaving measures. A
focused database is for a limited or short-term problem; this database concerns
mainly one problem, one cue complex, or one body system. Medical diagnoses are
used to evaluate the cause or etiology of the disease.
A patient admitted to the hospital with asthma has the following problems
identified based on an admission health history and physical assessment. Which
problem is a first-level priority?
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a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection -Correct Answer ✔b. Impaired gas exchange
First-level priority problems are problems that are emergent, life-threatening, and
immediate. Impaired gas exchange is an emergent and immediate problem. Third-
level priority problems are problems that are important to the patient's health but
can be addressed after more urgent health problems are addressed. Ineffective self-
health management is an example of a third-level priority. Second-level priority
problems are problems that are next in urgency; these problems require prompt
intervention to forestall further deterioration. Risk for infection is an example of a
second-level priority. Third-level priority problems are problems that are important
to the patient's health but can be addressed after more urgent health problems are
addressed. Wellness diagnoses are third-level priority problems.
Which of the following actions/behaviors in the critical-thinking process are
important for the novice nurse to remember? (Select all that apply.)
a. Disregard initial cues
b. Approach assessment with a nonjudgmental attitude
c. Cluster associated assessment data
d. Perform assessment in whatever manner works for you.
e. Avoid making assumptions -Correct Answer ✔b, c, e
The nurse should never make assumptions as they may bias data collection and
selection of diagnoses. An important aspect to gain trust with the patient is to
maintain a nonjudgmental attitude. Once all health assessment data has been
collected, it is important to cluster signs and symptoms as this will help in the
critical thinking and decision-making process regarding medical and nursing
diagnoses. It also helps to categorize problems as the first, second, or third priority.
The nurse should never disregard any cues. These are important in the critical
thinking and diagnosis decision-making process. Novice nurses do not have
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