A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

a complete physical examination

a medical assessment

writing nursing orders

an individualized plan of care

Answer and Explanation

The Correct Answer is D

A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.

B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.

C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.

D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.

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Correct Answer is A

Explanation

A. Symptoms – Symptoms are subjective findings reported by the patient, such as headache or nausea, which cannot be measured directly by the nurse.

B. Signs – Signs are objective findings that can be observed or measured, such as a fever or rash.

C. Assessments – An assessment is the process of gathering data but is not a specific term for patient-reported issues.

D. Observations – Observations refer to what the nurse sees or detects rather than what the patient reports.

A. Percussion B. Auscultation C. inspection D. Palpation

Correct Answer is D

Explanation

A. Percussion – Percussion involves tapping the body to assess underlying structures, not feeling for texture or consistency.

B. Auscultation – Auscultation is listening to body sounds (e.g., heart, lungs, and bowels) using a stethoscope, not feeling structures.

C. Inspection – Inspection is visual observation, not a tactile assessment.

D. Palpation – Palpation involves using the hands to assess the texture, size, consistency, and location of body structures, such as organs or lymph nodes.

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A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data during an initial assessment. The patient tells the nurse, "i have a tremendous headache and my stomach is upset." These findings are called:

Correct Answer is A

Explanation

The technique used in physical examination where the examiner feels the texture, size, consistency and location of certain parts of the body with the hands s

Correct Answer is D

Explanation

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

An abnormally rapid heart rate above 100 beats per minute is called:

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

The most frequently used skill in the physical nursing assessment is:

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for: