NRSG 2220 EXAM 3 | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,steps of the nursing process Answer: ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment Answer: gather information about the patient's condition
focuses on the patient's response to health problem
systematic and continuous collection, analysis, validation, communication of patient data (data
reflect how health functioning is enhanced by health promotion or compromised by
illness/injury)
distinguishing normal from abnormal findings and identifying the risks for abnormal findings
primary source of information is the patient
diagnosis Answer: identify the patient's problems
planning Answer: set goals of care and desired outcomes and identify appropriate nursing
actions
implementation Answer: perform the nursing actions identified in planning
evaluation Answer: determine if goals and expected outcomes are achieved
characteristics of assessments Answer: Purposeful
Prioritized
Complete
Systematic
Accurate
Relevant
Recorded in a standard manner
comprehensive initial assessment Answer: performed shortly after patient is admitted to facility
purpose: establish complete database for problem identification and care planning
focused assessment Answer: nurse gathers data about specific problem that has already been
identified
routinely part of ongoing data collection
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, purpose: identify new or overlooked problems
quick priority assessments (QPA): short, focused, prioritized, "flag" existing problems and risks
emergency assessment Answer: patient in physiological/psychological crisis
purpose: identify life-threatening problem
time-lapsed assessment Answer: compares patient's current status to the baseline data obtained
earlier
purpose: reassess health status, make necessary revisions in plan
patient-centered assessment method (PCAM) Answer: used to assess patient complexity using
social determinants of health
purpose: discover factors that are affecting person's ability to manage heatlh
objective data Answer: observable and measurable data
can be seen, heard, or felt by someone other than the person experiencing them
elevated temp, skin moisture, vomiting
subjective data Answer: information perceived only by the affected person
pain experience, feeling dizzy, feeling anxious
establishing assessment priorities Answer: are there any aspects of this person to their life/needs
that are going to affect how we proceed with out assessment and with out plan of care?
health orientation
developmental stage
culture
need for nursing
nursing assessments Answer: focuses on patient's response to health problem
take what was done from medical assessment and continue to assess to see how patient is doing,
do we need to make any changes/ are there any problems
medical assessments Answer: look at the patient as a "problem"/ as a disease, what labs/tests
need to be ordered
target data pointing to pathologic conditions
problem-focused nursing diagnosis Answer: actual nursing diagnosis
ex: acute pain
something that is actually happening
most of the time this is the priority because it is an actual problem
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,steps of the nursing process Answer: ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment Answer: gather information about the patient's condition
focuses on the patient's response to health problem
systematic and continuous collection, analysis, validation, communication of patient data (data
reflect how health functioning is enhanced by health promotion or compromised by
illness/injury)
distinguishing normal from abnormal findings and identifying the risks for abnormal findings
primary source of information is the patient
diagnosis Answer: identify the patient's problems
planning Answer: set goals of care and desired outcomes and identify appropriate nursing
actions
implementation Answer: perform the nursing actions identified in planning
evaluation Answer: determine if goals and expected outcomes are achieved
characteristics of assessments Answer: Purposeful
Prioritized
Complete
Systematic
Accurate
Relevant
Recorded in a standard manner
comprehensive initial assessment Answer: performed shortly after patient is admitted to facility
purpose: establish complete database for problem identification and care planning
focused assessment Answer: nurse gathers data about specific problem that has already been
identified
routinely part of ongoing data collection
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, purpose: identify new or overlooked problems
quick priority assessments (QPA): short, focused, prioritized, "flag" existing problems and risks
emergency assessment Answer: patient in physiological/psychological crisis
purpose: identify life-threatening problem
time-lapsed assessment Answer: compares patient's current status to the baseline data obtained
earlier
purpose: reassess health status, make necessary revisions in plan
patient-centered assessment method (PCAM) Answer: used to assess patient complexity using
social determinants of health
purpose: discover factors that are affecting person's ability to manage heatlh
objective data Answer: observable and measurable data
can be seen, heard, or felt by someone other than the person experiencing them
elevated temp, skin moisture, vomiting
subjective data Answer: information perceived only by the affected person
pain experience, feeling dizzy, feeling anxious
establishing assessment priorities Answer: are there any aspects of this person to their life/needs
that are going to affect how we proceed with out assessment and with out plan of care?
health orientation
developmental stage
culture
need for nursing
nursing assessments Answer: focuses on patient's response to health problem
take what was done from medical assessment and continue to assess to see how patient is doing,
do we need to make any changes/ are there any problems
medical assessments Answer: look at the patient as a "problem"/ as a disease, what labs/tests
need to be ordered
target data pointing to pathologic conditions
problem-focused nursing diagnosis Answer: actual nursing diagnosis
ex: acute pain
something that is actually happening
most of the time this is the priority because it is an actual problem
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
