NUR1020C Term 1 Exam 2 Study Guide Questions With
Complete Solutions
A communication format specifically suggested for use in nurse-
physician interactions is Correct Answer SBAR
ABCDE Melanoma Assessment Correct Answer A-
Asymmetry Appearance
B- Borders Irregular
C- Color Variations
D- Diameter
E- Elevation
Abduction Correct Answer Moving a limb away from the
midline of the body
Actual nursing diagnosis is written as Correct Answer
problem/diagnosis related to (r/t) x factor/cause as evidenced by
data/observations.
Adduction Correct Answer Move the limb toward the midline
of the body
ADPIE Correct Answer Assessment - Gather information
about the patient's condition
Diagnosis - Identify the patient's problem
Planning - Set goals of care and desired outcomes and identify
appropriate nursing action
Implementation - Preform the nursing actions identified in
planning
,Evaluation - Determine if goals and expected outcomes are
achieved
APIE Notes Correct Answer An APIE note adds assessment
(A), combining subjective and objective data in the PIE format.
For example, an APIE note may read as follows:
A: Patient holding hand over surgical site and grimacing while
reporting pain at a level of 8 of 10 on the pain scale.
artery Correct Answer A blood vessel that carries blood away
from the heart
proximal -> distal
Bath water temperature should be approximately
a. 105°F
b. 90°F
c. 80°F
d. 120°F Correct Answer a. 105°F
Bathing a patient is a good time to assess ______ Correct
Answer the skin
bedside reporting is seen as Correct Answer "providing a real-
time exchange of information that increases patient safety,
improves quality of care, increases accountability, and
strengthens teamwork"
,Before delegation, the nurse should do the following: Correct
Answer • Identify
• The task to be performed.
• The specific time frame for the task to be completed.
• Assess
• The patient.
• The type of nursing care needed.
• The complexity and frequency of needed care.
• Patient stability.
• Assessments of other providers.
• Determine that all of the following apply:
• The task requires no nursing judgment.
• The outcomes are reasonably predictable.
• There is no need to alter the procedure for completing the task.
• The task does not require complex observations or critical
decisions.
• Repeated nursing assessments are not required.
• The consequences of delegating the task are not a risk to the
patient.
benefits for EHR Correct Answer 1. decreasing medical errors
2. improves pt quality of life
3. reduces cost of healthcare
bronchovesicular sounds: Correct Answer normal breath
sounds heard over the upper anterior chest and intercostal area
Capillary refill greater than 3 seconds can indicate problems
with ________ Correct Answer oxygenation and perfusion
, Cataract Correct Answer A clouding of the crystalline lens
from a clumping of proteins
Causes of decreased peripheral vision: Correct Answer Most
often, it's a side effect of other medical conditions. Two of these,
glaucoma and retinitis pigmentosa, are among the most
common.
Cerebellum Correct Answer concerned with motor
coordination of voluntary movements, equilibrium and muscle
tone
Cerebellum controls _______ and cerebrum is controls _______
Correct Answer balance an movement, cognitive function
Characteristics for critical thinking Correct Answer o
Interpretation
o Analysis
o Evaluation
o Inference
o Explanation
o Self Regulation
o Clinical Decision Making
Characteristics of goal Correct Answer SMART
(specific, measureable, mutually agreed upon by family, patient
and nurse, achievable, realistic, and has realistic time frame.
Charting by Exception Correct Answer documentation that
records only abnormal or significant data. It reduces charting
time by assuming certain norms. For this type of charting, each
Complete Solutions
A communication format specifically suggested for use in nurse-
physician interactions is Correct Answer SBAR
ABCDE Melanoma Assessment Correct Answer A-
Asymmetry Appearance
B- Borders Irregular
C- Color Variations
D- Diameter
E- Elevation
Abduction Correct Answer Moving a limb away from the
midline of the body
Actual nursing diagnosis is written as Correct Answer
problem/diagnosis related to (r/t) x factor/cause as evidenced by
data/observations.
Adduction Correct Answer Move the limb toward the midline
of the body
ADPIE Correct Answer Assessment - Gather information
about the patient's condition
Diagnosis - Identify the patient's problem
Planning - Set goals of care and desired outcomes and identify
appropriate nursing action
Implementation - Preform the nursing actions identified in
planning
,Evaluation - Determine if goals and expected outcomes are
achieved
APIE Notes Correct Answer An APIE note adds assessment
(A), combining subjective and objective data in the PIE format.
For example, an APIE note may read as follows:
A: Patient holding hand over surgical site and grimacing while
reporting pain at a level of 8 of 10 on the pain scale.
artery Correct Answer A blood vessel that carries blood away
from the heart
proximal -> distal
Bath water temperature should be approximately
a. 105°F
b. 90°F
c. 80°F
d. 120°F Correct Answer a. 105°F
Bathing a patient is a good time to assess ______ Correct
Answer the skin
bedside reporting is seen as Correct Answer "providing a real-
time exchange of information that increases patient safety,
improves quality of care, increases accountability, and
strengthens teamwork"
,Before delegation, the nurse should do the following: Correct
Answer • Identify
• The task to be performed.
• The specific time frame for the task to be completed.
• Assess
• The patient.
• The type of nursing care needed.
• The complexity and frequency of needed care.
• Patient stability.
• Assessments of other providers.
• Determine that all of the following apply:
• The task requires no nursing judgment.
• The outcomes are reasonably predictable.
• There is no need to alter the procedure for completing the task.
• The task does not require complex observations or critical
decisions.
• Repeated nursing assessments are not required.
• The consequences of delegating the task are not a risk to the
patient.
benefits for EHR Correct Answer 1. decreasing medical errors
2. improves pt quality of life
3. reduces cost of healthcare
bronchovesicular sounds: Correct Answer normal breath
sounds heard over the upper anterior chest and intercostal area
Capillary refill greater than 3 seconds can indicate problems
with ________ Correct Answer oxygenation and perfusion
, Cataract Correct Answer A clouding of the crystalline lens
from a clumping of proteins
Causes of decreased peripheral vision: Correct Answer Most
often, it's a side effect of other medical conditions. Two of these,
glaucoma and retinitis pigmentosa, are among the most
common.
Cerebellum Correct Answer concerned with motor
coordination of voluntary movements, equilibrium and muscle
tone
Cerebellum controls _______ and cerebrum is controls _______
Correct Answer balance an movement, cognitive function
Characteristics for critical thinking Correct Answer o
Interpretation
o Analysis
o Evaluation
o Inference
o Explanation
o Self Regulation
o Clinical Decision Making
Characteristics of goal Correct Answer SMART
(specific, measureable, mutually agreed upon by family, patient
and nurse, achievable, realistic, and has realistic time frame.
Charting by Exception Correct Answer documentation that
records only abnormal or significant data. It reduces charting
time by assuming certain norms. For this type of charting, each
