Nursing Assessment and Diagnosis: Master the Art of Patient Evaluation

Question 1

In a comprehensive neurological assessment, which cranial nerve is responsible for constricting the pupils?

Accepted Answer

Oculomotor nerve (CN III)

Answer

Optic nerve (CN II)

Answer

Trigeminal nerve (CN V)

Answer

Facial nerve (CN VII)

Question 2

In a neurological assessment, which finding suggests a reduced level of consciousness?

Accepted Answer

Patient opens eyes only in response to pain.

Answer

Patient follows basic commands.

Answer

Patient speaks in full sentences.

Answer

Patient opens eyes and speaks spontaneously.

Question 3

Which step forms the cornerstone of the nursing assessment process?

Accepted Answer

Data Collection

Answer

Data Interpretation

Answer

Nursing Diagnosis Formulation

Answer

Nursing Care Planning

Question 4

Which of Gordon's Functional Health Patterns focuses on how individuals view their health and manage it?

Accepted Answer

Health Perception-Health Management

Answer

Nutritional-Metabolic Pattern

Answer

Sleep-Rest Pattern

Answer

Elimination Pattern

Question 5

What is a key advantage of using Gordon's Functional Health Patterns in nursing assessments?

Accepted Answer

Offers a standardized framework for thorough data collection.

Answer

Tailors assessments to individual patients.

Answer

Serves as a primary tool for detecting potential health problems.

Answer

Shortens the time needed for assessments.

Question 6

In a primary assessment, which patient finding warrants immediate attention and intervention, potentially indicating a myocardial infarction?

Accepted Answer

Chest pain

Answer

Cyanosis

Answer

Bradycardia

Answer

Absent peripheral pulses

Question 7

What is a crucial aspect of a holistic nursing assessment?

Accepted Answer

Considering the patient's cultural background

Answer

Focusing only on physical symptoms

Answer

Relying solely on the patient's words

Answer

Ignoring the patient's emotional state

Question 8

During the initial stage of a nursing assessment, which step is crucial for fostering a positive patient interaction and gathering reliable data?

Accepted Answer

Building rapport with the patient

Answer

Acquiring the patient's medical history

Answer

Conducting a physical examination

Answer

Formulating nursing diagnoses

Question 9

In the nursing assessment process, what is the initial step?

Accepted Answer

Collecting data

Answer

Formulating nursing diagnoses

Answer

Developing a plan of care

Answer

Evaluating the patient's response to interventions

Question 10

Which of the following is NOT a step in the nursing assessment process?

Accepted Answer

Implementing nursing interventions

Answer

Collecting data

Answer

Analyzing data

Answer

Formulating nursing diagnoses

Question 11

During the initial stage of a nursing assessment, what is the nurse's main objective?

Accepted Answer

Gain a comprehensive understanding of the patient's health

Answer

Establish a definitive nursing diagnosis

Answer

Develop a detailed plan of interventions

Answer

Determine the need for immediate medical attention

Question 12

Which step is **NOT** part of the nursing assessment process?

Accepted Answer

Treatment implementation

Answer

Data collection

Answer

Nursing diagnosis

Answer

Evaluation

Question 13

In the nursing assessment process, which element is crucial for ensuring accurate and reliable patient care?

Accepted Answer

Thorough data collection and analysis

Answer

Subjective interpretation of findings without objective evidence

Answer

Formulation of nursing diagnoses based on assumptions

Answer

Timely documentation without thorough examination

Question 14

To gain a comprehensive understanding of a patient's condition during a nursing assessment, which types of data should you collect?

Accepted Answer

Both subjective and objective data

Answer

Subjective data only

Answer

Objective data only

Answer

Family history only

Question 15

Which of the following is NOT a component of Gordon's Functional Health Patterns?

Accepted Answer

Medical history

Answer

Nutritional-metabolic pattern

Answer

Sleep-rest pattern

Answer

Cardiovascular-pulmonary pattern

Question 16

Which of the following is NOT one of Marjory Gordon's 11 functional health patterns?

Accepted Answer

Healthcare system navigation pattern

Answer

Nutritional-metabolic pattern

Answer

Cognitive-perceptual pattern

Answer

Self-perception-self-concept pattern

Question 17

Which step is NOT part of the nursing assessment process?

Accepted Answer

Creating a care plan

Answer

Collecting patient data

Answer

Interpreting assessment findings

Answer

Documenting assessment findings

Question 18

Which of the following is NOT a key component of patient assessment?

Accepted Answer

Prescribing medications or performing medical procedures

Answer

Collecting subjective data from the patient, such as their history and symptoms

Answer

Interpreting vital signs, such as blood pressure and heart rate

Answer

Determining the patient's past medical history and current medications

Question 19

Which assessment technique is specifically designed to assess a patient's ability to move and carry out daily tasks?

Accepted Answer

Functional assessment

Answer

Palpation

Answer

Percussion

Answer

Auscultation

Question 20

Which assessment technique is used to assess a patient's breathing pattern and effort?

Accepted Answer

Auscultation

Answer

Percussion

Answer

Palpation

Question 21

Which step is NOT a fundamental part of the nursing assessment process?

Accepted Answer

Treatment planning

Answer

Data gathering

Answer

Data analysis

Answer

Nursing diagnosis formulation

Question 22

According to Maslow's hierarchy of needs, which need is NOT a lower-level requirement that must be fulfilled before an individual can focus on psychological growth and self-actualization?

Accepted Answer

Esteem needs

Answer

Physiological needs

Answer

Safety and security needs

Answer

Love and belonging needs

Question 23

Which assessment technique is specifically used to measure the range of motion of a patient's joints?

Accepted Answer

Goniometry

Answer

Auscultation

Answer

Percussion

Answer

Palpation

Question 24

According to Maslow's hierarchy of needs, which of the following is considered a higher-level need, rather than a basic or physiological need?

Accepted Answer

Self-esteem

Answer

Food

Answer

Safety

Question 25

Which technique is used during an abdominal examination to assess the size and tenderness of the liver?

Accepted Answer

Palpation

Answer

Auscultation

Answer

Percussion

Question 26

What is the primary purpose of the nursing assessment process?

Accepted Answer

Gather comprehensive information about the patient's health

Answer

Create a personalized care plan for the patient

Answer

Make definitive diagnoses and prescribe interventions

Question 27

During a neurological assessment, what finding indicates a normal mental status?

Accepted Answer

Oriented to person, place, and time

Answer

Disoriented to person, place, and time

Answer

Unable to follow commands

Answer

Exhibits inappropriate social behavior

Question 28

Which action is not part of the nursing assessment process?

Accepted Answer

Administering medications

Answer

Gathering patient health history and symptoms

Answer

Analyzing data for patterns and trends

Answer

Formulating nursing diagnoses

Question 29

In Maslow's hierarchy of needs, which basic human need must be satisfied before higher-level needs can be addressed?

Accepted Answer

Safety and security

Answer

Self-esteem

Answer

Spiritual fulfillment

Answer

Cognitive development

Question 30

Which cranial nerve is primarily responsible for controlling facial expressions and conveying emotions?

Accepted Answer

Cranial nerve VII (Facial nerve)

Answer

Cranial nerve II (Optic nerve)

Answer

Cranial nerve V (Trigeminal nerve)

Answer

Cranial nerve X (Vagus nerve)

Question 31

During an abdominal examination, which physical examination technique is specifically used to evaluate the liver's size, shape, and position?

Accepted Answer

Palpation

Answer

Percussion

Answer

Auscultation

Question 32

During a comprehensive neurological assessment of an elderly patient suspected of having a stroke, which action is crucial to perform?

Accepted Answer

Evaluate gait and balance

Answer

Palpate lymph nodes in the neck

Answer

Assess skin turgor and capillary refill

Answer

Measure urine output

Question 33

During a respiratory assessment, which auscultatory finding indicates consolidation, a condition commonly associated with pneumonia?

Accepted Answer

Increased fremitus and bronchial breath sounds over the affected area

Answer

Diminished breath sounds over the affected area

Answer

Crackles or rales over the affected area

Answer

Wheezing over the affected area

Question 34

Which of the following is a crucial step in conducting a comprehensive nursing assessment?

Accepted Answer

Accurately documenting findings

Answer

Collecting only subjective data

Answer

Interpreting findings based on assumptions

Answer

Formulating nursing diagnoses before gathering all data

Question 35

Which step is NOT part of the nursing assessment process?

Accepted Answer

Implementation of nursing interventions

Answer

Data collection from patients

Answer

Interpretation of findings

Answer

Formulation of nursing diagnoses

Question 36

During a musculoskeletal assessment, which technique is specifically used to evaluate a patient's joint range of motion?

Accepted Answer

Goniometry

Answer

Palpation

Answer

Auscultation

Answer

Percussion

Question 37

To begin the nursing assessment process, which step should be prioritized?

Accepted Answer

Establish rapport with the patient

Answer

Gather data from the patient

Answer

Formulate nursing diagnoses

Answer

Plan nursing interventions

Question 38

To effectively reduce patient anxiety during a mental health assessment, which approach is most beneficial?

Accepted Answer

Maintaining a warm, non-judgmental, and attentive demeanor

Answer

Employing closed-ended questions to gather specific information

Answer

Prioritizing the assessment's completion over the patient's emotional well-being

Answer

Avoiding eye contact with the patient to prevent discomfort

Question 39

When conducting a comprehensive skin assessment, which technique is used to evaluate the skin's elasticity and ability to return to its original shape?

Accepted Answer

Pinching the skin and releasing it to assess its recoil

Answer

Pressing on the skin and observing how quickly it blanches

Answer

Using a magnifying glass to examine the skin's surface

Question 40

Which of these is NOT one of Gordon's Functional Health Patterns?

Accepted Answer

Self-Perception-Self-Concept

Answer

Nutritional-Metabolic

Answer

Sleep-Rest

Answer

Elimination

Question 41

What is a key advantage of effective interdisciplinary collaboration in nursing assessment?

Accepted Answer

Improved patient outcomes

Answer

Reduced workload for nurses

Answer

Standardized nursing assessments

Answer

Elimination of nursing assessments

Question 42

In nursing assessment, which ethical principle is most important when getting informed consent from the patient?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Non-maleficence

Question 43

How does understanding cultural diversity in nursing assessment practices impact patient care outcomes?

Accepted Answer

Cultural diversity awareness improves patient experiences and health outcomes.

Answer

Cultural factors only affect healthcare-seeking behaviors.

Answer

Nurses should use the same assessment approach for all patients.

Answer

Cultural assessment is only needed for patients from non-dominant cultural groups.

Question 44

How does nursing assessment contribute to health promotion and disease prevention, and why is early detection and intervention crucial for optimal patient outcomes?

Accepted Answer

Early detection and intervention, guided by thorough nursing assessment, enhance health outcomes and prevent disease progression.

Answer

Nursing assessment is mainly for acute care, with little impact on health promotion.

Answer

Nursing assessment only identifies existing health issues, excluding anticipatory guidance and health promotion.

Answer

Healthy individuals do not require regular nursing assessments, as they are unlikely to have significant health concerns.

Question 45

In nursing assessment, what ethical considerations should be prioritized when using technology to collect and store patient data, especially regarding privacy, confidentiality, and data security?

Accepted Answer

Patient consent is essential before using technology for data collection and storage.

Answer

Patient privacy and confidentiality should be disregarded in favor of technological advancements.

Answer

Healthcare professionals are not responsible for data breaches or misuse of patient information obtained through technology.

Answer

Technology in nursing assessment eliminates the need for thorough patient interviews and physical examinations.

Question 46

How does integrating patient preferences and values into nursing assessments promote patient-centered care and enhance outcomes?

Accepted Answer

Enhances patient autonomy and involvement, leading to better adherence to treatment plans and self-care management.

Answer

Reduces the risk of medical errors due to increased patient trust and willingness to provide accurate information.

Answer

Minimizes the need for additional follow-up appointments, saving time and resources for both patients and healthcare providers.

Answer

Ensures that all patients receive a uniform level of care, regardless of their individual backgrounds or preferences.

Question 47

In nursing assessments, critical thinking is essential because it:

Accepted Answer

Allows nurses to analyze assessment findings logically, leading to accurate interpretations.

Answer

Eliminates the need for collaboration among healthcare professionals during assessments.

Answer

Suggests that nurses should question all assessment findings without considering patient perspectives.

Answer

Is only beneficial for nurses with extensive experience in conducting assessments.

Question 48

Which of the following steps is **not** included in the nursing assessment process?

Accepted Answer

Formulating treatment plans

Answer

Collecting patient data

Answer

Interpreting findings

Answer

Developing nursing diagnoses

Question 49

Which of the following is an example of a nursing diagnosis?

Accepted Answer

Impaired Physical Mobility

Answer

Diabetes mellitus

Answer

Pneumonia

Answer

Acute renal failure

Question 50

Which type of assessment technique is commonly used to gather psychological data?

Accepted Answer

Interview

Answer

Observation

Answer

Physical examination

Answer

Laboratory test

Question 51

What is the primary role of a nurse in interdisciplinary collaboration during the assessment process?

Accepted Answer

To collect and share relevant patient information

Answer

To analyze and interpret assessment data

Answer

To make independent decisions about patient care

Answer

To document the assessment findings

Question 52

Identify the step in the nursing assessment process that is NOT included.

Accepted Answer

Care plan implementation

Answer

Data collection

Answer

Data interpretation

Answer

Nursing diagnosis formulation

Question 53

Which type of data involves the patient's own perceptions and experiences?

Accepted Answer

Subjective data

Answer

Objective data

Answer

Historical data

Answer

Physical data

Question 54

Which of the following nursing diagnoses is related to the patient's ability to perform activities of daily living?

Accepted Answer

Impaired physical mobility

Answer

Risk for falls

Answer

Altered nutrition: less than body requirements

Answer

Infection risk

Question 55

What is the primary purpose of using a nursing care plan?

Accepted Answer

To organize and guide nursing care

Answer

To communicate with other healthcare professionals

Answer

To evaluate patient outcomes

Answer

To facilitate insurance reimbursement

Question 56

In the nursing assessment process, which step is the initial and most fundamental?

Accepted Answer

Collecting data

Answer

Formulating nursing diagnoses

Answer

Interpreting findings

Answer

Planning nursing interventions

Question 57

Which data collection method in nursing involves observing a patient's behavior?

Accepted Answer

Inspection

Answer

Palpation

Answer

Auscultation

Answer

Interview

Question 58

Which element is NOT included in the structure of a nursing diagnosis?

Accepted Answer

Nursing intervention

Answer

Problem

Answer

Etiology

Answer

Assessment finding

Question 59

During a physical examination, it is essential to observe all of the following ethical and procedural considerations EXCEPT:

Accepted Answer

Examining the patient in a public area

Answer

Respecting the patient's privacy

Answer

Providing an explanation for each procedure

Answer

Using sterile equipment

Question 60

When assessing a patient's respiratory status, which parameter is NOT relevant?

Accepted Answer

Blood pressure

Answer

Rate

Answer

Depth

Answer

Effort

Question 61

Which of the following is not a step in the nursing assessment process?

Accepted Answer

Treatment planning

Answer

Data collection

Answer

Data analysis

Answer

Nursing diagnosis

Question 62

When interviewing a patient, which type of question is most effective for gathering in-depth information?

Accepted Answer

Open-ended question

Answer

Closed-ended question

Answer

Leading question

Answer

Multiple-choice question

Question 63

Which assessment technique is used to evaluate a patient's joint mobility?

Accepted Answer

Palpation

Answer

Observation

Answer

Auscultation

Answer

Percussion

Question 64

What is the primary purpose of a nursing diagnosis?

Accepted Answer

To direct the plan of care

Answer

To categorize a patient's condition

Answer

To identify the patient's strengths and weaknesses

Answer

To justify medical treatment