NSE 103- MIDTERM WEEK 1 QUESTIONS WITH COMPLETE SOLUTION.
what is health assessment - (answer)the first phase of the nursing process, involves collection of analysis
of client data. It is an ongoing process throughout the patients stay
Health assessment: related legislation - (answer)- Any health assessment performed must fall under the
nursing scope of practice and be informed by the appropriate nursing College or associated practice
standard
- CNO is the legal governing body for nurses, so a health assessment must be performed based within
the CNO legislated scope of practice, the practice standard, and based on your individual level of
competence (i.e., knowledge and expert practice to perform an action)
What is subjective data? - (answer)information that a client net or another person shares regarding the
clients
Questions to ask patients - (answer)P> provocative (what makes the symptoms worse)
Q>quality (what does it feel like) quantity ( tell me how bad the pain is) qualification
R> region (where is it) radiation (does it move anywhere)
S>severity ( on scale) quantification
T>Timing (when did it start/what were you doing) Treatment (have you treated it with anything)
U> understanding (what do you think is going on) look at symptoms and signs
what is Objective data? - (answer)Information the nurse observes when conduction a physical
examination (collecting lab and diagnostic results)
Measurements in order from 1-5 when taking vital signs on a newborn who is not in distress - (answer)1.
Respiration
2. Pulse
3. Oxygen saturation
4. Temperature
5. Blood pressure
, NSE 103- MIDTERM WEEK 1 QUESTIONS WITH COMPLETE SOLUTION.
Consider the following when analyzing vital signs measurements - (answer)Knowledge of accurate vital
signs ranges for the age of the person (an infant will have a highway pulse than an adult)
Knowledge of a person's trends in vital sign measurements (this shows if the person is getting better or
deteriorating)
Knowledge of a person's baseline vital signs
What is the purpose of an health assessment? - (answer)To facilitate clinical judgment. ( A
determination about a client's health and illness status
Their health concerns and needs
The capacity to engage in their own care
The decision to intervene/act or not if action is required then what action is needed)
how do you facilitate clinical judgment? - (answer)Determine if the collected data represented are
normal findings or abnormal findings
clinical judgment process - (answer)1. Recognize cues
2. Analyze cues/ prioritize hypothesis
3. Generate solutions
4. take action
5. Evaluate outcomes
Recognize cues - (answer)Relevant/important cues/immediate concerns
Analyze cues - (answer)Why is the cue of concern? How do the cues relate to one another? What other
information is important to collect to determine the significance of a cue?
Prioritize hypothesis - (answer)What explanations are most/least likely? Which explanations are the
most serious?
what is health assessment - (answer)the first phase of the nursing process, involves collection of analysis
of client data. It is an ongoing process throughout the patients stay
Health assessment: related legislation - (answer)- Any health assessment performed must fall under the
nursing scope of practice and be informed by the appropriate nursing College or associated practice
standard
- CNO is the legal governing body for nurses, so a health assessment must be performed based within
the CNO legislated scope of practice, the practice standard, and based on your individual level of
competence (i.e., knowledge and expert practice to perform an action)
What is subjective data? - (answer)information that a client net or another person shares regarding the
clients
Questions to ask patients - (answer)P> provocative (what makes the symptoms worse)
Q>quality (what does it feel like) quantity ( tell me how bad the pain is) qualification
R> region (where is it) radiation (does it move anywhere)
S>severity ( on scale) quantification
T>Timing (when did it start/what were you doing) Treatment (have you treated it with anything)
U> understanding (what do you think is going on) look at symptoms and signs
what is Objective data? - (answer)Information the nurse observes when conduction a physical
examination (collecting lab and diagnostic results)
Measurements in order from 1-5 when taking vital signs on a newborn who is not in distress - (answer)1.
Respiration
2. Pulse
3. Oxygen saturation
4. Temperature
5. Blood pressure
, NSE 103- MIDTERM WEEK 1 QUESTIONS WITH COMPLETE SOLUTION.
Consider the following when analyzing vital signs measurements - (answer)Knowledge of accurate vital
signs ranges for the age of the person (an infant will have a highway pulse than an adult)
Knowledge of a person's trends in vital sign measurements (this shows if the person is getting better or
deteriorating)
Knowledge of a person's baseline vital signs
What is the purpose of an health assessment? - (answer)To facilitate clinical judgment. ( A
determination about a client's health and illness status
Their health concerns and needs
The capacity to engage in their own care
The decision to intervene/act or not if action is required then what action is needed)
how do you facilitate clinical judgment? - (answer)Determine if the collected data represented are
normal findings or abnormal findings
clinical judgment process - (answer)1. Recognize cues
2. Analyze cues/ prioritize hypothesis
3. Generate solutions
4. take action
5. Evaluate outcomes
Recognize cues - (answer)Relevant/important cues/immediate concerns
Analyze cues - (answer)Why is the cue of concern? How do the cues relate to one another? What other
information is important to collect to determine the significance of a cue?
Prioritize hypothesis - (answer)What explanations are most/least likely? Which explanations are the
most serious?
