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NSG 3160 Health Assessment Exam 1 Actual Verified
Exam Newest Complete Questions And Correct
Detailed Answers| Already Graded A+||Newest Exam!!
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?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - 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
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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 - 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
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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
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inspecting, percussing, palpating, and auscultating during
the physical examination. Crepitation is assessed by
palpating. Arthritis is a medical diagnosis.
An example of objective data is
a. a report of impaired mobility from left knee pain as
evidenced by an inability to walk, swelling, and pain on
passive range of motion.
b. a complaint of left knee pain.
c. crepitation in the left knee joint.
d. left knee has been swollen and hot for the past 3 days. -
Answer-c. crepitation in the left knee joint.
Objective data is what the health professional observes by
inspecting, percussing, palpating, and auscultating during
the physical examination. Crepitation is assessed by
palpation. Subjective data is what the person says about
himself or herself during history taking.
While evaluating the health history, the nurse determines
that the patient subscribes to the hot/cold theory of health.
NSG 3160 Health Assessment Exam 1 Actual Verified
Exam Newest Complete Questions And Correct
Detailed Answers| Already Graded A+||Newest Exam!!
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?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - 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
,2|Page
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 - 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
,3|Page
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
, 4|Page
inspecting, percussing, palpating, and auscultating during
the physical examination. Crepitation is assessed by
palpating. Arthritis is a medical diagnosis.
An example of objective data is
a. a report of impaired mobility from left knee pain as
evidenced by an inability to walk, swelling, and pain on
passive range of motion.
b. a complaint of left knee pain.
c. crepitation in the left knee joint.
d. left knee has been swollen and hot for the past 3 days. -
Answer-c. crepitation in the left knee joint.
Objective data is what the health professional observes by
inspecting, percussing, palpating, and auscultating during
the physical examination. Crepitation is assessed by
palpation. Subjective data is what the person says about
himself or herself during history taking.
While evaluating the health history, the nurse determines
that the patient subscribes to the hot/cold theory of health.
