NUR 2030 FINAL EXAM (2025)
1. interview (health history)
Answer -subjective
-past history and current problem
-verify and add info into chart
2. interview (cultural assessment)
Answer -therapeutic communication
-important cultural/spiritual beliefs
3. interview (functional assessment)
Answer -determine the impact of illness/injury on self-management
-ADLs, home, work, activities, social, shopping etc
4. normal vital signs for adults
Answer -temp
97-99 (36.1-37.2)
-pulse
,60-100
-resp
12-20
-BP
<120/<80
-O2
95%-100%
5. pain assessment (OPQRST)
Answer -onset
when did it start
-palliative/provoke
what makes it better or worse
-quality
what does it feel like, constant or intermittent, how does it attect your daily life
-region/radiate
,where is it
-severity
pain scale
-timing
when did it begin, sudden or gradual, how often and how long
6. order of assessment
Answer inspect, palpate, percuss, auscultate
7. order of abdomen assessment
Answer inspect, auscultate, percuss, palpate
8. percussion findings
Answer -resonance
normal lung tissue
-hyper-resonance
normal in children, abnormal in adults
-tympany
, air-filled space (stomach/intestine)
-flat
no air present, over a muscle
-dull
dense organs (liver) could be bone
9. head to toe assessment
Answer -mostly objective
-detect and document normals and abnormals
10. focused assessment
Answer -for injury or specific complaint
-inspect then palpate
-check distal perfusion (pulse, color, temperature, cap refill), motor, sensation
11. prioritization
Answer assess for and correct problems as you find them
-safety
1. interview (health history)
Answer -subjective
-past history and current problem
-verify and add info into chart
2. interview (cultural assessment)
Answer -therapeutic communication
-important cultural/spiritual beliefs
3. interview (functional assessment)
Answer -determine the impact of illness/injury on self-management
-ADLs, home, work, activities, social, shopping etc
4. normal vital signs for adults
Answer -temp
97-99 (36.1-37.2)
-pulse
,60-100
-resp
12-20
-BP
<120/<80
-O2
95%-100%
5. pain assessment (OPQRST)
Answer -onset
when did it start
-palliative/provoke
what makes it better or worse
-quality
what does it feel like, constant or intermittent, how does it attect your daily life
-region/radiate
,where is it
-severity
pain scale
-timing
when did it begin, sudden or gradual, how often and how long
6. order of assessment
Answer inspect, palpate, percuss, auscultate
7. order of abdomen assessment
Answer inspect, auscultate, percuss, palpate
8. percussion findings
Answer -resonance
normal lung tissue
-hyper-resonance
normal in children, abnormal in adults
-tympany
, air-filled space (stomach/intestine)
-flat
no air present, over a muscle
-dull
dense organs (liver) could be bone
9. head to toe assessment
Answer -mostly objective
-detect and document normals and abnormals
10. focused assessment
Answer -for injury or specific complaint
-inspect then palpate
-check distal perfusion (pulse, color, temperature, cap refill), motor, sensation
11. prioritization
Answer assess for and correct problems as you find them
-safety
