NSG 121 EXAMINATION TEST VERIFIED
QUESTIONS AND SOLUTIONS GRADED A+
●● types of assessment
Answer: Emergency (center on immediate and highest priority problem)
Comprehensive
General Survey
Focused
●● emergency assessment
Answer: involves a life-threatening or unstable situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
●● comprehensive assessment
Answer: broad and complete; includes a complete health history and
physical assessment and all body systems and areas; a patient's
perception of health, strengths to build upon, risk factors for illness,
functional abilities, methods of coping, and support systems
,●● general survey assessment
Answer: begins immediately upon meeting client and continues
throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and
development, behavior, facial expressions, posture, ROM, gait, speech,
LOC
●● focused assesssment
Answer: based on the patient's health issues; usually involves one or two
body systems and is smaller in scope than the comprehensive
assessment, but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
●● levels of intervention to promote healthy change
Answer: Primary prevention
Secondary prevention
Tertiary prevention
●● primary prevention
Answer: involves strategies aimed at preventing problems and focuses
on people and groups. Examples: Immunizations, health teaching, safety
precautions, and nutrition counseling, family planning services,
providing poison-control information, and accident-prevention education
,●● secondary prevention
Answer: focus on screening for early detection of disease with prompt
diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing,
scoliosis screening, and tuberculin skin testing
●● tertiary prevention
Answer: focuses on preventing complications of an existing disease and
promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy,
medication, surgical treatment
●● what is health assessment?
Answer: gathering information about the health status of the patient,
analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings, and evaluating patient care
outcomes
●● health assessment includes
Answer: healthy history and physical assessment
●● critical thinking in nursing
Answer: -Purposeful, outcome-directed (result-oriented) thinking
, -Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the
scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
●● health promotion
Answer: the behavior of a person who is motivated by a personal desire
to increase well-being and health potential
●● All life-threatening problems identified during the initial assessment
require the initiation of critical interventions:
Answer: Provide assistance with circulation (cardiopulmonary
resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
●● functional assessment
QUESTIONS AND SOLUTIONS GRADED A+
●● types of assessment
Answer: Emergency (center on immediate and highest priority problem)
Comprehensive
General Survey
Focused
●● emergency assessment
Answer: involves a life-threatening or unstable situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
●● comprehensive assessment
Answer: broad and complete; includes a complete health history and
physical assessment and all body systems and areas; a patient's
perception of health, strengths to build upon, risk factors for illness,
functional abilities, methods of coping, and support systems
,●● general survey assessment
Answer: begins immediately upon meeting client and continues
throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and
development, behavior, facial expressions, posture, ROM, gait, speech,
LOC
●● focused assesssment
Answer: based on the patient's health issues; usually involves one or two
body systems and is smaller in scope than the comprehensive
assessment, but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
●● levels of intervention to promote healthy change
Answer: Primary prevention
Secondary prevention
Tertiary prevention
●● primary prevention
Answer: involves strategies aimed at preventing problems and focuses
on people and groups. Examples: Immunizations, health teaching, safety
precautions, and nutrition counseling, family planning services,
providing poison-control information, and accident-prevention education
,●● secondary prevention
Answer: focus on screening for early detection of disease with prompt
diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing,
scoliosis screening, and tuberculin skin testing
●● tertiary prevention
Answer: focuses on preventing complications of an existing disease and
promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy,
medication, surgical treatment
●● what is health assessment?
Answer: gathering information about the health status of the patient,
analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings, and evaluating patient care
outcomes
●● health assessment includes
Answer: healthy history and physical assessment
●● critical thinking in nursing
Answer: -Purposeful, outcome-directed (result-oriented) thinking
, -Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the
scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
●● health promotion
Answer: the behavior of a person who is motivated by a personal desire
to increase well-being and health potential
●● All life-threatening problems identified during the initial assessment
require the initiation of critical interventions:
Answer: Provide assistance with circulation (cardiopulmonary
resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
●● functional assessment
