NRSG 2220 FINAL EXAM REVIEW WITH ACCURATE
SOLUTIONS 100% VERIFIED
What are Maslow's Hierarchy of Needs? -Answer 1. physiological needs: water, O2,
sleep
2. safety and security: support sys, environmental safety
3. love and belonging: partners, relationships
4. self-esteem: self-care
5. self-actualization: goals, ambition, drive
What are the ABC's of physiological needs? -Answer A - airway
B - breathing
C - circulation
D - disability/ability
E - Exposure
*time will determine which to prioritize what is happening rn
What are the components of the nursing process (Tanners Judgmental Model)? -
Answer ADPIE
Assess = recognize cues; collecting data (subjective, objective)
Diagnosis = building on data; nursing diagnosis ex: imparied gas exchange
Prepare = patient centered; prioritize w/ safety and ABC's to create a care plan
Implement = action; interventions to adjust prioritized problems
Evaluate = patient centered SMART; did we meet our goals
What are SMART goals? -Answer Specific, Measurable, Attainable, Realistic, Timely
,What are the components of a patients health history?-Answer SAMPLE
S- signs and symptoms
A- allergies
M- medications
P - past medical history
L - last meal (last bowel movement)
E- events (why are they here today)
What is hypoxia?-Answer deficiency in the amount of oxygen reaching the tissues
< 90% SpO2
What are the early symptoms of hypoxia? - Answer (RAT)
R- restlessness
A - anxiety
T - tachycardia, tachypnea
What are the late symptoms of hypoxia? - Answer (BED)
B - bradycardia
E - extreme restlessness
D - dyspnea
What is an initial assessment? - Answer Performed shortly after admittance to a
healthcare facility.
Establishes a complete database for problem identification and care planning
Performed by the nurse (baseline data)
Focused Assessment What is a focused assessment? -Answer May be done in initial
assessment or as routine ongoing data collection.
, Done to collect data about a problem that has already been identified, or to identify new
or overlooked problems
Done by the nurse to collect data about the specific problem.
Comprehensive Planning What is a comprehensive planning? -Answer Three basic
stages of planning: initial, ongoing, and discharge.
In other settings, like long term care, hospice care, or a community clinic, initial and
ongoing planning may be major types of planning.
If a nurse creates a thorough plan of care on the patient's first day but does not revise
the plan, the plan will not be effective or efficient.
S Put it all together
What is done during a general survey? - Answer Provides clues to overall health.
Begins the moment of contact, first impressions -> cues to what need f/o during exam
Challenges your observational skills, usually includes vital signs, height and weight.
When you first enter a room, what do you do as a nurse? - Answer WIPE
W - walk in/ wash hands
I - introduce
P - patient (confirm)
E - evaluate
What is the difference between subjective and objective data? - Answer Subjective =
what the patient feels, symptoms
Objective = observable signs
What is considered normal and abnormal in regards to the heart? - Answer Normal:
BP: 90-120/60-80
HR: 60 - 100
SOLUTIONS 100% VERIFIED
What are Maslow's Hierarchy of Needs? -Answer 1. physiological needs: water, O2,
sleep
2. safety and security: support sys, environmental safety
3. love and belonging: partners, relationships
4. self-esteem: self-care
5. self-actualization: goals, ambition, drive
What are the ABC's of physiological needs? -Answer A - airway
B - breathing
C - circulation
D - disability/ability
E - Exposure
*time will determine which to prioritize what is happening rn
What are the components of the nursing process (Tanners Judgmental Model)? -
Answer ADPIE
Assess = recognize cues; collecting data (subjective, objective)
Diagnosis = building on data; nursing diagnosis ex: imparied gas exchange
Prepare = patient centered; prioritize w/ safety and ABC's to create a care plan
Implement = action; interventions to adjust prioritized problems
Evaluate = patient centered SMART; did we meet our goals
What are SMART goals? -Answer Specific, Measurable, Attainable, Realistic, Timely
,What are the components of a patients health history?-Answer SAMPLE
S- signs and symptoms
A- allergies
M- medications
P - past medical history
L - last meal (last bowel movement)
E- events (why are they here today)
What is hypoxia?-Answer deficiency in the amount of oxygen reaching the tissues
< 90% SpO2
What are the early symptoms of hypoxia? - Answer (RAT)
R- restlessness
A - anxiety
T - tachycardia, tachypnea
What are the late symptoms of hypoxia? - Answer (BED)
B - bradycardia
E - extreme restlessness
D - dyspnea
What is an initial assessment? - Answer Performed shortly after admittance to a
healthcare facility.
Establishes a complete database for problem identification and care planning
Performed by the nurse (baseline data)
Focused Assessment What is a focused assessment? -Answer May be done in initial
assessment or as routine ongoing data collection.
, Done to collect data about a problem that has already been identified, or to identify new
or overlooked problems
Done by the nurse to collect data about the specific problem.
Comprehensive Planning What is a comprehensive planning? -Answer Three basic
stages of planning: initial, ongoing, and discharge.
In other settings, like long term care, hospice care, or a community clinic, initial and
ongoing planning may be major types of planning.
If a nurse creates a thorough plan of care on the patient's first day but does not revise
the plan, the plan will not be effective or efficient.
S Put it all together
What is done during a general survey? - Answer Provides clues to overall health.
Begins the moment of contact, first impressions -> cues to what need f/o during exam
Challenges your observational skills, usually includes vital signs, height and weight.
When you first enter a room, what do you do as a nurse? - Answer WIPE
W - walk in/ wash hands
I - introduce
P - patient (confirm)
E - evaluate
What is the difference between subjective and objective data? - Answer Subjective =
what the patient feels, symptoms
Objective = observable signs
What is considered normal and abnormal in regards to the heart? - Answer Normal:
BP: 90-120/60-80
HR: 60 - 100
