Page 1 of 114
NEW NSG 3160 EXAM 1 PRACTICE
QUESTIONS WITH CORRECT
DETAILED SOLUTIONS LATEST
MODIFIED WITH RATIONALES
When completing a health assessment, which of the following actions most demonstrates
cultural competence?
a. Ask about family history of diseases.
b. Ask about use of traditional, herbal, or folk remedies.
c. Make sure the blood pressure cuff fits appropriately.
d. Measure height and weight in a private room. -- ANSWER--b. Ask about use of traditional,
herbal, or folk remedies.
Failing to ask about use of traditional, herbal, or folk remedies could lead to significant drug
interactions. Use of a private room is not necessary for all ethnic/cultural groups. All patients
should be asked about family history of diseases. This is a necessary aspect for health
assessment of all individuals. It is important to make sure the blood pressure fits
appropriately for all patients.
, Page 2 of 114
Spirituality is defined as
a. a social group that claims to possess variable traits.
b. participating in religious services on a regular basis.
c. the process of being raised within a culture.
d. a personal effort to find meaning and purpose in life. -- ANSWER--d. a personal effort to
find meaning and purpose in life.
A nurse precepting a student nurse asks, "What's the most important step in the
criticalthinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns -- 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 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?
, Page 3 of 114
a. Focused
b. Complete
c. Emergency
d. Follow-up -- 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 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 -- ANSWER--b, c, e
, Page 4 of 114
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 enough
experience to vary from the step-by-step process for health assessment data collection. As the
nurse gains experience, he/she will learn when it's appropriate to vary the process.
An example of subjective data is
a. decreased range of motion.
b. crepitation in the left knee joint.
c. arthritis.
d. left knee has been swollen and hot for the past 3 days. -- ANSWER--d. left knee has been
swollen and hot for the past 3 days.
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. Range of motion is assessed by inspection.
Objective data is what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Crepitation is assessed by palpating.
Arthritis is a medical diagnosis.
NEW NSG 3160 EXAM 1 PRACTICE
QUESTIONS WITH CORRECT
DETAILED SOLUTIONS LATEST
MODIFIED WITH RATIONALES
When completing a health assessment, which of the following actions most demonstrates
cultural competence?
a. Ask about family history of diseases.
b. Ask about use of traditional, herbal, or folk remedies.
c. Make sure the blood pressure cuff fits appropriately.
d. Measure height and weight in a private room. -- ANSWER--b. Ask about use of traditional,
herbal, or folk remedies.
Failing to ask about use of traditional, herbal, or folk remedies could lead to significant drug
interactions. Use of a private room is not necessary for all ethnic/cultural groups. All patients
should be asked about family history of diseases. This is a necessary aspect for health
assessment of all individuals. It is important to make sure the blood pressure fits
appropriately for all patients.
, Page 2 of 114
Spirituality is defined as
a. a social group that claims to possess variable traits.
b. participating in religious services on a regular basis.
c. the process of being raised within a culture.
d. a personal effort to find meaning and purpose in life. -- ANSWER--d. a personal effort to
find meaning and purpose in life.
A nurse precepting a student nurse asks, "What's the most important step in the
criticalthinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns -- 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 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?
, Page 3 of 114
a. Focused
b. Complete
c. Emergency
d. Follow-up -- 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 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 -- ANSWER--b, c, e
, Page 4 of 114
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 enough
experience to vary from the step-by-step process for health assessment data collection. As the
nurse gains experience, he/she will learn when it's appropriate to vary the process.
An example of subjective data is
a. decreased range of motion.
b. crepitation in the left knee joint.
c. arthritis.
d. left knee has been swollen and hot for the past 3 days. -- ANSWER--d. left knee has been
swollen and hot for the past 3 days.
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. Range of motion is assessed by inspection.
Objective data is what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Crepitation is assessed by palpating.
Arthritis is a medical diagnosis.
