STUDY GUIDE 2025/2026 QUESTIONS BANK
AND VERIFIED CORRECT SOLUTIONS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. Subjective data: - ANSWER ✓ What the person says about himself or
herself during history taking
2. objective data: - ANSWER ✓ what the health professional observes by
inspecting, palpating, percussing, and auscultating during the physical
examination
3. Data base: - ANSWER ✓ Formed from objective/subjective data and the s
record and lab studies
4. Assessment: - ANSWER ✓ The collection of data about an individual's
health state
5. Diagnostic reasoning: - ANSWER ✓ the process of analyzing health data
and drawing conclusions to identify diagnoses
6. After completing an initial assessment of a patient, the nurse has charted that
his respirations are eupneic and his pulse is 58 beats per minute. These types
of data would be: - ANSWER ✓ Objective
7. A patient tells the nurse that he is very nervous, is nauseated, and feels hot.
These types of data would be: - ANSWER ✓ Subjective
8. The patient's record, laboratory studies, objective data, ande data combine to
form the - ANSWER ✓ Data base
,9. When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to: - ANSWER ✓ Validate
the data by asking a coworker to listen to the breath sounds.
10.The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using: - ANSWER ✓ A set of rules
11.Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as: - ANSWER ✓
intuition
12.The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP? - ANSWER ✓ EBP emphasizes the use
of best evidence with the clinicians experience.
13.The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority problem? -
ANSWER ✓ Individual with shortness of breath and respiratory distress
14.vital signs - ANSWER ✓ temperature, pulse, respirations, and blood
pressure
15.four assessment techniques - ANSWER ✓ 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
16.importance of proper positioning during BP measurement - ANSWER ✓
arm at heart level, seated position, cuff placement, resting before measuring,
consistent positioning
17.pulse assessment - ANSWER ✓ rate, rhythm, force, elasticity
30sec and multiply by 2 (regular)
1 minute (irregular)
,18.temperature considerations in older adults - ANSWER ✓ it is usually lower
because less effective heat control mechanisms
19.BMI classification and data needed - ANSWER ✓ waist/hip
kid 85% and above (overweight)
adult 25 (overweight)
30 (obese)
20.Recognizing hypertension - ANSWER ✓ 120/80 perfect
130/90 and above hypertension
90/60 and below hypotension
21.Temperature measuring equipment - ANSWER ✓ - tympanic(ear) adult(up
and back) kid 3 under(down and back)
- oral(mouth)
- axillary(armpit)
- temporal(forehead)
22.proper inspection techniques during physical assessment - ANSWER ✓
good lighting, adequate exposure, provide privacy, occasional use of
instruments
23.order of techniques in physical assessment - ANSWER ✓ IPPA
inspection, palpation, percussion, auscultation
24.tools used in auscultation - ANSWER ✓ Stethoscope
25.Tachycardia - ANSWER ✓ Fast heart rate (HR greater than 100bpm)
26.Bradycardia - ANSWER ✓ slow heart rate (less than 60 bpm)
27.BP variations - ANSWER ✓ Hypertension, hypotension
28.pain assessment - ANSWER ✓ -Provocative or Palliative (what makes it
worse/better)
-Quality or Quantity (For example, is the pain sharp or dull, throbbing?)
-Region or Radiation(Location)
-Severity Scale (Numeric pain intensity scale)
, -Timing (Onset)
-Understand Patient's Perception (Activities of Daily Living assessment)
29.Nutritional assessment including labs - ANSWER ✓ - CBC & RBC- check
for deficiencies iron, folate, vitamin B-12
- protein- serum albumin(best for malnutrition), retinol-binding protein,
prealbumin, transferrin, creatinine, BUN
30.Define Health Assessment: - ANSWER ✓ Gathering information about the
health status of the patient, analyzing and synthesizing those data, making
judgments about nursing interventions based on the findings and evaluating
patient care outcomes
31.Nursing process: - ANSWER ✓ Assessment, diagnosis, planning,
implementation, evaluation
32.What is the order of a Health Assessment: - ANSWER ✓ Inspection,
palpation, percussion, auscultation (exception w/ abdomen = IAPaPe)
33.Specialized examination occur how often when in the hospital? - ANSWER
✓ Every 8 hours
34.Define Admission Assessment: - ANSWER ✓ PMHx, allergies, home meds,
immunizations, physical assessment data, cultural/spiritual
35.Define Shift Assessment: - ANSWER ✓ Physical assessment and any
changes from admission, q4h depending on severity, do BEFORE giving
meds/treatment
36.Define initial assessment: - ANSWER ✓ Thorough and accurate, complete
rapidly, but not in a hurry, re-assess q4-8h (shift assessment)
37.Special assessments include: - ANSWER ✓ Skin Risk, hourly rounds, fall
risk, IV/catheter assessments, neuro assessment
Layers of skin: - ANSWER ✓ Epidermis: outer layer; protective barrier
Dermis: underneath; nerve, blood vessels, and hair follicles