NUR 233 Final Exam Questions And 100%
Correct Answers
Rights of delegation - ANSWER person, task, circumstance, communication, evaluation
components of cultural assessment - ANSWER communication, space, time, orientation,
social, organization, environmental control, biological variations
nursing process steps - ANSWER A(ssessment)
D(iagnosis)
P(lanning)
I(nterventions)
E(valuation)
components of nursing diagnosis - ANSWER P(roblem) --> dx
E(tiology) --> r/t
S(ymptoms) --> AEB
components of risk diagnosis - ANSWER nursing dx. r/t
components of condition dx - ANSWER nursing dx. r/t. AEB
S(ituation)
B(ackground)
A(ssessment)
, R(ecommendation) - ANSWER used to provide a framework for communication between
members of the healthcare team in regards to pt care + their current condition
rights of medication administration - ANSWER drug, dose, pt, route, time,
documentation
stage 1 pressure ulcer - ANSWER localized area of intact skin w/ nonblanchable
redness; area can be painful, soft, firm, or warm
stage 2 pressure ulcer-ANS partial thickness loss of dermis; open, shallow w/
reddish-pink wound bed; no slough; skin not intact
stage 3 pressure ulcer-ANS deep crater characterized by full thickness skin loss w/
damage or necrosis of subQ; adipose visible; may extend to but not through fascia;
undermining may be present; skin not intact
stage 4 pressure ulcer-ANSWER full thickness skin loss w/ tissue necrosis/damage to
muscle, bone, or support structure; exposed bone/tendon is visible/ palpable; possible
presence of slough + eschar; ebole, undermining, + tunneling may be present
unstageable pressure ulcer-ANSWER full thickness skin loss; base of wound is
obscured by slough or eschar
Bradden Scale-purpose of ANSWER measures pt's risk for impaired skin integrity + skin
breakdown; total score < 18 = risk
Braden Scale-components of ANSWER sensory perception, moisture, activity, mobility,
nutrition, friction/shear
COPD s+s ANSWER accessory muscle use, dyspnea, SOB, tripod position, barrel chest,
cough, inc sputum, pursed lip breathing, skin color changes, anxiety, O2 <90, crackles,
wheezes, clubbing of fingers
Correct Answers
Rights of delegation - ANSWER person, task, circumstance, communication, evaluation
components of cultural assessment - ANSWER communication, space, time, orientation,
social, organization, environmental control, biological variations
nursing process steps - ANSWER A(ssessment)
D(iagnosis)
P(lanning)
I(nterventions)
E(valuation)
components of nursing diagnosis - ANSWER P(roblem) --> dx
E(tiology) --> r/t
S(ymptoms) --> AEB
components of risk diagnosis - ANSWER nursing dx. r/t
components of condition dx - ANSWER nursing dx. r/t. AEB
S(ituation)
B(ackground)
A(ssessment)
, R(ecommendation) - ANSWER used to provide a framework for communication between
members of the healthcare team in regards to pt care + their current condition
rights of medication administration - ANSWER drug, dose, pt, route, time,
documentation
stage 1 pressure ulcer - ANSWER localized area of intact skin w/ nonblanchable
redness; area can be painful, soft, firm, or warm
stage 2 pressure ulcer-ANS partial thickness loss of dermis; open, shallow w/
reddish-pink wound bed; no slough; skin not intact
stage 3 pressure ulcer-ANS deep crater characterized by full thickness skin loss w/
damage or necrosis of subQ; adipose visible; may extend to but not through fascia;
undermining may be present; skin not intact
stage 4 pressure ulcer-ANSWER full thickness skin loss w/ tissue necrosis/damage to
muscle, bone, or support structure; exposed bone/tendon is visible/ palpable; possible
presence of slough + eschar; ebole, undermining, + tunneling may be present
unstageable pressure ulcer-ANSWER full thickness skin loss; base of wound is
obscured by slough or eschar
Bradden Scale-purpose of ANSWER measures pt's risk for impaired skin integrity + skin
breakdown; total score < 18 = risk
Braden Scale-components of ANSWER sensory perception, moisture, activity, mobility,
nutrition, friction/shear
COPD s+s ANSWER accessory muscle use, dyspnea, SOB, tripod position, barrel chest,
cough, inc sputum, pursed lip breathing, skin color changes, anxiety, O2 <90, crackles,
wheezes, clubbing of fingers
