NUR 216 Exam 1Exam Questions and
Answers Verified Solutions
comprehensive assessment - CORRECT ANSWERS An assessment that includes a
complete health history and physical assessment; Usually brand new patients
focused assessment - CORRECT ANSWERS assessment conducted to assess a specific
problem; focuses on pertinent history and body regions
HIPAA - CORRECT ANSWERS Health Insurance Portability and Accountability Act
The nursing process - CORRECT ANSWERS Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment (ADPIE) - CORRECT ANSWERS Data collection (objective/subjective)
Prioritize Data: Primary (life threatening), Secondary (requires prompt attention), Tertiary (not urgent)
Planning (ADPIE) - CORRECT ANSWERS Develop SMART goals, plan nursing interventions
Implementation (ADPIE) - CORRECT ANSWERS Perform planned nursing interventions
Evaluation (ADPIE) - CORRECT ANSWERS Were the goals met? If not, re-assess
assessment skills - CORRECT ANSWERS Inspection
Palpation
Percussion
Auscultation
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter the bowel sounds
Inspection - CORRECT ANSWERS Observe for Symmetry, size, color, shape
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation - CORRECT ANSWERS Fine sensation (texture, swelling,
pulsation. lumps)
Dorsa of hands: Palpation - CORRECT ANSWERS Best for determining temperature
Base of fingers or ulnar surface: - CORRECT ANSWERS vibrations
Palpation - CORRECT ANSWERS Light: surface characteristics
, Deep: Organs, masses, tenderness (use intermittent pressure)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion - CORRECT ANSWERS tapping on a surface to determine the difference in the
density of the underlying structure
Ausculation - CORRECT ANSWERS listening to sounds within the body
Bell - CORRECT ANSWERS low pitched sounds
(mummers)
Diaphragm - CORRECT ANSWERS high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? - CORRECT ANSWERS Patients
safety
Bed to lowest position
Side Rails
Call button and personal belongings in reach
Contextual awareness - CORRECT ANSWERS Understanding the status of the client and
the events that led to their interaction
Analyzing assumptions - CORRECT ANSWERS Evaluating the client's clinical situation
Exploring alternatives - CORRECT ANSWERS The use of holistic approaches for treating
the whole person
(physical health, lifestyle choices, culture, living environment, life experiences)
Reflecting and deciding - CORRECT ANSWERS Reflect on the client's goals and decide on
the intervention with client input
Steps for communicating with members of the health care team - CORRECT ANSWERS
1.Identify the member by name and title
2.Provide info regarding the current situation
3.Provide info regarding the background situation
4.Give the most recent set of vital signs
5.Provide suggestions that may be helpful to the situation
6.Repeat the orders back that are given to you by the provider
Nonmaleficence - CORRECT ANSWERS Do no harm
Answers Verified Solutions
comprehensive assessment - CORRECT ANSWERS An assessment that includes a
complete health history and physical assessment; Usually brand new patients
focused assessment - CORRECT ANSWERS assessment conducted to assess a specific
problem; focuses on pertinent history and body regions
HIPAA - CORRECT ANSWERS Health Insurance Portability and Accountability Act
The nursing process - CORRECT ANSWERS Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment (ADPIE) - CORRECT ANSWERS Data collection (objective/subjective)
Prioritize Data: Primary (life threatening), Secondary (requires prompt attention), Tertiary (not urgent)
Planning (ADPIE) - CORRECT ANSWERS Develop SMART goals, plan nursing interventions
Implementation (ADPIE) - CORRECT ANSWERS Perform planned nursing interventions
Evaluation (ADPIE) - CORRECT ANSWERS Were the goals met? If not, re-assess
assessment skills - CORRECT ANSWERS Inspection
Palpation
Percussion
Auscultation
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter the bowel sounds
Inspection - CORRECT ANSWERS Observe for Symmetry, size, color, shape
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation - CORRECT ANSWERS Fine sensation (texture, swelling,
pulsation. lumps)
Dorsa of hands: Palpation - CORRECT ANSWERS Best for determining temperature
Base of fingers or ulnar surface: - CORRECT ANSWERS vibrations
Palpation - CORRECT ANSWERS Light: surface characteristics
, Deep: Organs, masses, tenderness (use intermittent pressure)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion - CORRECT ANSWERS tapping on a surface to determine the difference in the
density of the underlying structure
Ausculation - CORRECT ANSWERS listening to sounds within the body
Bell - CORRECT ANSWERS low pitched sounds
(mummers)
Diaphragm - CORRECT ANSWERS high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? - CORRECT ANSWERS Patients
safety
Bed to lowest position
Side Rails
Call button and personal belongings in reach
Contextual awareness - CORRECT ANSWERS Understanding the status of the client and
the events that led to their interaction
Analyzing assumptions - CORRECT ANSWERS Evaluating the client's clinical situation
Exploring alternatives - CORRECT ANSWERS The use of holistic approaches for treating
the whole person
(physical health, lifestyle choices, culture, living environment, life experiences)
Reflecting and deciding - CORRECT ANSWERS Reflect on the client's goals and decide on
the intervention with client input
Steps for communicating with members of the health care team - CORRECT ANSWERS
1.Identify the member by name and title
2.Provide info regarding the current situation
3.Provide info regarding the background situation
4.Give the most recent set of vital signs
5.Provide suggestions that may be helpful to the situation
6.Repeat the orders back that are given to you by the provider
Nonmaleficence - CORRECT ANSWERS Do no harm
