NSGD 2256 ADVANCED HEALTH ASSESSMENT AND
CLINICAL REASONING EXAM 2026 2027 COURSE
COMPREHENSIVE HEALTH ASSESSMENT ADVANCED
CLINICAL REASONING DIAGNOSTIC DECISION-MAKING
VERIFIED QUESTIONS WITH ACCURATE ANSWERS HIGH-
YIELD STUDY GUIDE GRADED A+
The nurse is assessing the sleep patterns of a patient when the patient reports having
trouble sleeping when lying flat. Which is the best response by the nurse?
Use pillows to prop yourself up while sleeping.
3 multiple choice options
A patient is experiencing periods of confusion, and the family is concerned. The patient’s
son asks the nurse for an explanation and recommendation. Which is the best response
by the nurse?
"Your father may be having mini-strokes; I will notify his healthcare provider."
3 multiple choice options
A patient is questioning the nurse about circulation and perfusion. Which response about
perfusion by the nurse is the best?
"It is the flow of blood through arteries and capillaries delivering nutrients and oxygen
to cells." 3 multiple choice options
What is the purpose of including exercise and activity in a cardiac rehabilitation
program?
- Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
A nursing instructor assigns the clinical group the task of writing a journal depicting the
student’s clinical day. What is the most likely rationale for this assignment?
Allows reflection, an important aspect of clinical judgement.
3 multiple choice options
Which statement best describes clinical reasoning?
,Includes the thinking used for analyzing knowledge relative to a clinical situation or
specific patient.
3 multiple choice options
Tanner’s Clinical Judgment Model, the most commonly used model in nursing education
and based on three decades of research, has different stages. Which is a stage of
Tanner’s Clinical Judgment Model?
- Noticing
- Interpreting
- Responding
- Reflecting
Which communication term can be applied to this statement: How messages are
received and interpreted would include personal states such as mood disturbance,
environmental stimuli related to the setting of the communication, and contextual
variables?
Metacommunication
3 multiple choice options
A patient does not make eye contact with the nurse and folds their arms at their chest.
Which aspect of communication has the nurse assessed?
Nonverbal communication
3 multiple choice options
The nurse is admitting a new patient to the psychiatric unit. Which factor will most
likely contribute to a positive outcome of the interaction?
- The environment is quiet
- Pt has been admitted to the facility in the past
- Pt is awake, alert, and oriented to person, place and time.
Gas exchange is defined as:
A process by which oxygen is transported to cells and carbon dioxide is transported from
cells.
A patient experiencing an anxiety attack is breathing quickly and feels their heart is
racing. What type of acid base imbalance occurs as a result?
Respiratory alkalosis
, 3 multiple choice options
A patient with COPD is admitted with exacerbation. Upon assessment, which of the
following are characteristic of a patient with COPD?
Barrell chest
3 multiple choice options
What are the effects of long covid?
Less exercise tolerance
3 multiple choice options
When assessing a trauma patient with four fractured ribs on the right side, the nurse
notes the trachea is shifted towards the left. How would the nurse interpret this finding?
This is a result of a pneumothorax putting pressure on left lung field.
3 multiple choice options
Why is the older adult at higher risk of developing pneumonia?
Decreased ability to mount an immune response.
3 multiple choice options AB
Subjective Data:
- Pt perception of symptoms
- Perceived level of dyspnea
- Hx of cough and sputum
- PQRST chest pain assessment AB Objective Data:
- VS
- Respiratory assessment
Ischemia
Insufficient oxygenated blood to the tissues.
Hypoxia
Insufficient oxygen reaching the cells.
Anoxia
Total lack of oxygen in body tissues.
Hypoxemia
CLINICAL REASONING EXAM 2026 2027 COURSE
COMPREHENSIVE HEALTH ASSESSMENT ADVANCED
CLINICAL REASONING DIAGNOSTIC DECISION-MAKING
VERIFIED QUESTIONS WITH ACCURATE ANSWERS HIGH-
YIELD STUDY GUIDE GRADED A+
The nurse is assessing the sleep patterns of a patient when the patient reports having
trouble sleeping when lying flat. Which is the best response by the nurse?
Use pillows to prop yourself up while sleeping.
3 multiple choice options
A patient is experiencing periods of confusion, and the family is concerned. The patient’s
son asks the nurse for an explanation and recommendation. Which is the best response
by the nurse?
"Your father may be having mini-strokes; I will notify his healthcare provider."
3 multiple choice options
A patient is questioning the nurse about circulation and perfusion. Which response about
perfusion by the nurse is the best?
"It is the flow of blood through arteries and capillaries delivering nutrients and oxygen
to cells." 3 multiple choice options
What is the purpose of including exercise and activity in a cardiac rehabilitation
program?
- Increase cardiac output
- Increase blood flow through the arteries
- Increase muscle mass
- Increase flexibility
A nursing instructor assigns the clinical group the task of writing a journal depicting the
student’s clinical day. What is the most likely rationale for this assignment?
Allows reflection, an important aspect of clinical judgement.
3 multiple choice options
Which statement best describes clinical reasoning?
,Includes the thinking used for analyzing knowledge relative to a clinical situation or
specific patient.
3 multiple choice options
Tanner’s Clinical Judgment Model, the most commonly used model in nursing education
and based on three decades of research, has different stages. Which is a stage of
Tanner’s Clinical Judgment Model?
- Noticing
- Interpreting
- Responding
- Reflecting
Which communication term can be applied to this statement: How messages are
received and interpreted would include personal states such as mood disturbance,
environmental stimuli related to the setting of the communication, and contextual
variables?
Metacommunication
3 multiple choice options
A patient does not make eye contact with the nurse and folds their arms at their chest.
Which aspect of communication has the nurse assessed?
Nonverbal communication
3 multiple choice options
The nurse is admitting a new patient to the psychiatric unit. Which factor will most
likely contribute to a positive outcome of the interaction?
- The environment is quiet
- Pt has been admitted to the facility in the past
- Pt is awake, alert, and oriented to person, place and time.
Gas exchange is defined as:
A process by which oxygen is transported to cells and carbon dioxide is transported from
cells.
A patient experiencing an anxiety attack is breathing quickly and feels their heart is
racing. What type of acid base imbalance occurs as a result?
Respiratory alkalosis
, 3 multiple choice options
A patient with COPD is admitted with exacerbation. Upon assessment, which of the
following are characteristic of a patient with COPD?
Barrell chest
3 multiple choice options
What are the effects of long covid?
Less exercise tolerance
3 multiple choice options
When assessing a trauma patient with four fractured ribs on the right side, the nurse
notes the trachea is shifted towards the left. How would the nurse interpret this finding?
This is a result of a pneumothorax putting pressure on left lung field.
3 multiple choice options
Why is the older adult at higher risk of developing pneumonia?
Decreased ability to mount an immune response.
3 multiple choice options AB
Subjective Data:
- Pt perception of symptoms
- Perceived level of dyspnea
- Hx of cough and sputum
- PQRST chest pain assessment AB Objective Data:
- VS
- Respiratory assessment
Ischemia
Insufficient oxygenated blood to the tissues.
Hypoxia
Insufficient oxygen reaching the cells.
Anoxia
Total lack of oxygen in body tissues.
Hypoxemia
