Nursing Assessment

What is the first step in the nursing process?

• Planning

• Assessment

• Implementation

• Evaluation

The best definition of a nursing assessment is:

• A process to diagnose medical conditions

• A subjective evaluation of patient complaints

• A systematic collection of patient data to determine health status

• An intervention to treat a patient’s disease

Which of the following is an example of objective data?

• The patient states, “I have a headache.”

• The patient reports feeling dizzy.

• The nurse observes a blood pressure reading of 140/90 mmHg.

• The patient complains of shortness of breath.

Subjective data in nursing assessment refers to:

• Measurable signs observed by the nurse

• Lab results that confirm a diagnosis

• Information provided by the patient about their feelings and symptoms

• Documentation of medical history

What is the purpose of a general survey in nursing assessment?

• To collect a patient’s medical history

• To make a nursing diagnosis

• To provide an overall impression of the patient’s health status

• To administer prescribed medications

Which of the following is NOT a component of a general survey?

• Vital signs

• Skin condition

• Laboratory test results

• Body posture and movement

The term "palpation" in a nursing assessment refers to:

• Listening to body sounds using a stethoscope

• Feeling body structures with the hands

• Observing patient behavior

• Percussing body tissues

Auscultation is primarily used to assess which of the following systems?

• Cardiovascular

• Respiratory

• Gastrointestinal

• All of the above

The COLDSPA mnemonic is used to assess:

• Vital signs

• Pain and other symptoms

• Medication allergies

• Infection risk

Which site is most commonly used to assess an adult’s pulse?

• Carotid artery

• Brachial artery

• Radial artery

• Femoral artery