NURS 251 Exam Questions with 100% Verified
Correct Answers
What is a health assessment
Gathering information about the health status of the patient, analysing and synthesizing those
data, making judgements about nursing interventions based on the findings and evaluating
patient care outcomes
What is included in the health assessment
- Health history
- Physical assessment
- Risk appraisal
What are the steps of a health assessment
- Collect subjective data (verbal communication)
- Collect objective data (physical assessment)
- Validate data
Document data
What is subjective data
What the patient tells you
What is objective data
What we as a nurse see
What is the health assessment frameworks
, - Functional assessment
- Head to toe assessment
- Body systems approach
What are the 7 vital sign steps
Temperature, pulse, pulse oximetry, respirations, blood pressure, pain level, and blood
glucose
When do we assess vital signs
- Upon admission
- Orders and/or policies
- Change in condition
- Before, during, and after surgical or invasive procedures
- Before and after medications/interventions
- When the patient reports nonspecific symptoms
What is the expected vital signs for temperature
C = 36-38 ; F = 98.8-100.4
What is the expected vital signs for pulse rate
60 to 100 bpm
What is the expected vital signs for respirations
12-20 breaths a minute
What is the expected vital signs for blood pressure
Systolic <120 and Diastolic <80
What is the expected vital signs for pulse ox
Correct Answers
What is a health assessment
Gathering information about the health status of the patient, analysing and synthesizing those
data, making judgements about nursing interventions based on the findings and evaluating
patient care outcomes
What is included in the health assessment
- Health history
- Physical assessment
- Risk appraisal
What are the steps of a health assessment
- Collect subjective data (verbal communication)
- Collect objective data (physical assessment)
- Validate data
Document data
What is subjective data
What the patient tells you
What is objective data
What we as a nurse see
What is the health assessment frameworks
, - Functional assessment
- Head to toe assessment
- Body systems approach
What are the 7 vital sign steps
Temperature, pulse, pulse oximetry, respirations, blood pressure, pain level, and blood
glucose
When do we assess vital signs
- Upon admission
- Orders and/or policies
- Change in condition
- Before, during, and after surgical or invasive procedures
- Before and after medications/interventions
- When the patient reports nonspecific symptoms
What is the expected vital signs for temperature
C = 36-38 ; F = 98.8-100.4
What is the expected vital signs for pulse rate
60 to 100 bpm
What is the expected vital signs for respirations
12-20 breaths a minute
What is the expected vital signs for blood pressure
Systolic <120 and Diastolic <80
What is the expected vital signs for pulse ox
