#1
Which of the following is NOT a component of a comprehensive nursing assessment?
Physical examination
Health history
Diagnostic test results
Treatment plan
#2
During a nursing assessment, which action should the nurse prioritize?
Obtaining a detailed health history
Performing a comprehensive physical examination
Administering prescribed medications
Reviewing diagnostic test results
#3
Which of the following is an example of objective data in a nursing assessment?
The patient reports feeling nauseous
The patient's blood pressure is 120/80 mmHg
The patient expresses fear of needles
The patient states experiencing abdominal pain
#4
When assessing a patient's skin turgor, which finding indicates dehydration?
Skin returns to normal immediately
Skin remains elevated for a few seconds
Skin remains elevated for several seconds
Skin shows no response to pinching
#5
Which nursing action is appropriate during the assessment phase of the nursing process?
Developing a care plan
Administering medications
Assessing the patient's vital signs
Evaluating the effectiveness of interventions
#6
What is the primary purpose of the Braden Scale in nursing practice?
To assess risk for pressure ulcer development
To monitor oxygen saturation levels
To evaluate fluid balance
To measure cardiac output
#7
Which critical thinking skill involves recognizing when to consult with other healthcare professionals?
Inference
Analysis
Clinical judgment
Collaboration
#8
A patient presents with sudden chest pain. The nurse's immediate action should be to:
Administer pain medication
Notify the physician
Perform a complete physical assessment
Take the patient's blood pressure
#9
Which of the following is a priority when assessing a patient's airway?
Checking for peripheral edema
Assessing capillary refill
Ensuring patency
Monitoring urine output
#10
When conducting a neurological assessment, which finding would be of most concern?
Equal and reactive pupils
Clear and coherent speech
Weakness on one side of the body
Pulse rate of 80 beats per minute
#11
Which nursing action best demonstrates the application of clinical judgment?
Administering prescribed medication
Initiating patient teaching
Reassessing a patient's condition after interventions
Documenting vital signs in the patient's chart
#12
During a physical examination, which technique should the nurse use to assess lung sounds?
Auscultation
Palpation
Percussion
Inspection
#13
Which statement best describes the purpose of a nursing diagnosis?
To identify medical diagnoses
To establish a treatment plan
To guide nursing interventions
To predict patient outcomes
#14
Which aspect of critical thinking involves examining assumptions and biases?
Inference
Analysis
Evaluation
Interpretation
#15
When conducting a nutritional assessment, which parameter is the most reliable indicator of a patient's nutritional status?
Height and weight ratio
Body mass index (BMI)
Triceps skinfold thickness
Serum albumin level