NURS 100 Fundamentals of Nursing Assessment
1 Final UPDATED ACTUAL Questions and CORRECT
Answers
• Proper use of communications skills when a nurse feels uncomfortable at the
work site. -✓✓ Group Communication: Communication among members of a team
or a collective about topics such as goals, strategies, and conflict.
Verbal Communication: expressing ideas to others by using spoken or written
words
Nonverbal Communication: communication using body movements, gestures, and
facial expressions rather than speech
Intrapersonal Communication: communication with oneself; important for nurse's
behavior
• Vital signs and the proper use of the ISBAR when calling the doctor. -✓✓
(Situation, Background, Assessment, Recommendation) - framework for
communication between members of the healthcare team about a patient's
condition.
• Therapeutic communication and techniques that the nurse should implement
during patient care. -✓✓ Verbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
Conversation Skills: Control tone of voice, be knowledgeable, be flexible, be clear
and concise, avoid words with different interpretations, be truthful, keep an open
mind, and take advantage of opportunities
,Listening Skills: When possible sit when communicating, be alert and relaxed,
keep the conversation as natural as possible, maintain eye contact, think before
responding, do not pretend to listen, listen for themes
Interviewing Techniques: Open-ended questions or commentsClosed questions or
commentsValidating questions or commentsClarifying questions or
commentsReflective questions or commentsSequencing questions or
commentsDirecting questions or comments
• Proper use of the PPE: Airborne, Droplet, and Contact precautions -✓✓ Contact:
Gown and gloves
Droplet: Surgical mask within 3 feet
Airborne: N95, negative pressure
• Laboratory Data Indicating Infection ? -✓✓ Elevated white blood cell count—
normal is 5,000 to 10,000/mm3
Increase in specific types of white blood cells
Elevated erythrocyte sedimentation rate
Presence of pathogen in urine, blood, sputum, or draining cultures
• Nursing care and the proper use of clean gloves. -✓✓ Sterile vs. Nonsterile
Purpose: patient care, environment servces, other
Latex Glove Irritant/Allergy
"Limit touch of contaminations"
,When torn or soiled - replace gloves
Discard in appropriate container
• What is MRSA what PPE the nurse should be wearing? -✓✓ Contant precaution:
GOWN and GLOVES
• What is health care-associated infection (HAI) -✓✓ An infection acquired within
a healthcare setting during the delivery of medical care
Catheter-associated urinary tract infection (CAUTI)
Surgical site infection (SSI)
Central-line associated bloodstream infection.
Ventilator associated pneumonia (VAP)
• Review the normal ranges for Vital Signs: B/P, Respirations, Pulse,
SPO2,Temperature, Pain -✓✓ Adult:
Temp: 96.4-99.5 (35.8-37.5)
Pulse: 60-100
Respirations: 12-20
Blood Pressure: 120/80
Older Adult:
Temp: 96.4-98.3 (35.8-36.8)
, Pulse: 40-100
Respirations: 16-24
Blood Pressure: 120/80
• What nursing consideration the nurse should take for a patient who's taking
morphine PO -✓✓ Hinder the brain
Adverse effects:
- sedation
- respiratory depression
- orthostatic hypotension
- urinary retention
- N/V
- constipation
• OTC pains relieve medication and proper nursing education -✓✓ Most nurses are
familiar with the gastrointestinal and renal risks that NSAIDs carry, particularly for
those patients who are prone to GI and renal complications.
ADVERSE EFFECTS
• Pain scale for adults and Peds -✓✓ Children:
FACES
Adults:
Numeric Pain Intensity Scale (most common)
1 Final UPDATED ACTUAL Questions and CORRECT
Answers
• Proper use of communications skills when a nurse feels uncomfortable at the
work site. -✓✓ Group Communication: Communication among members of a team
or a collective about topics such as goals, strategies, and conflict.
Verbal Communication: expressing ideas to others by using spoken or written
words
Nonverbal Communication: communication using body movements, gestures, and
facial expressions rather than speech
Intrapersonal Communication: communication with oneself; important for nurse's
behavior
• Vital signs and the proper use of the ISBAR when calling the doctor. -✓✓
(Situation, Background, Assessment, Recommendation) - framework for
communication between members of the healthcare team about a patient's
condition.
• Therapeutic communication and techniques that the nurse should implement
during patient care. -✓✓ Verbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
Conversation Skills: Control tone of voice, be knowledgeable, be flexible, be clear
and concise, avoid words with different interpretations, be truthful, keep an open
mind, and take advantage of opportunities
,Listening Skills: When possible sit when communicating, be alert and relaxed,
keep the conversation as natural as possible, maintain eye contact, think before
responding, do not pretend to listen, listen for themes
Interviewing Techniques: Open-ended questions or commentsClosed questions or
commentsValidating questions or commentsClarifying questions or
commentsReflective questions or commentsSequencing questions or
commentsDirecting questions or comments
• Proper use of the PPE: Airborne, Droplet, and Contact precautions -✓✓ Contact:
Gown and gloves
Droplet: Surgical mask within 3 feet
Airborne: N95, negative pressure
• Laboratory Data Indicating Infection ? -✓✓ Elevated white blood cell count—
normal is 5,000 to 10,000/mm3
Increase in specific types of white blood cells
Elevated erythrocyte sedimentation rate
Presence of pathogen in urine, blood, sputum, or draining cultures
• Nursing care and the proper use of clean gloves. -✓✓ Sterile vs. Nonsterile
Purpose: patient care, environment servces, other
Latex Glove Irritant/Allergy
"Limit touch of contaminations"
,When torn or soiled - replace gloves
Discard in appropriate container
• What is MRSA what PPE the nurse should be wearing? -✓✓ Contant precaution:
GOWN and GLOVES
• What is health care-associated infection (HAI) -✓✓ An infection acquired within
a healthcare setting during the delivery of medical care
Catheter-associated urinary tract infection (CAUTI)
Surgical site infection (SSI)
Central-line associated bloodstream infection.
Ventilator associated pneumonia (VAP)
• Review the normal ranges for Vital Signs: B/P, Respirations, Pulse,
SPO2,Temperature, Pain -✓✓ Adult:
Temp: 96.4-99.5 (35.8-37.5)
Pulse: 60-100
Respirations: 12-20
Blood Pressure: 120/80
Older Adult:
Temp: 96.4-98.3 (35.8-36.8)
, Pulse: 40-100
Respirations: 16-24
Blood Pressure: 120/80
• What nursing consideration the nurse should take for a patient who's taking
morphine PO -✓✓ Hinder the brain
Adverse effects:
- sedation
- respiratory depression
- orthostatic hypotension
- urinary retention
- N/V
- constipation
• OTC pains relieve medication and proper nursing education -✓✓ Most nurses are
familiar with the gastrointestinal and renal risks that NSAIDs carry, particularly for
those patients who are prone to GI and renal complications.
ADVERSE EFFECTS
• Pain scale for adults and Peds -✓✓ Children:
FACES
Adults:
Numeric Pain Intensity Scale (most common)
