NURS 245- Exam 1 Questions with
Complete Answers
The patient complains of inability to catch their breath and is turning blue (cyanotic) around the lips. -
Answers- What is ABCs (airway, breathing, circulation). Life threatening signs.
The patient expresses a 2/10 pain scale... But the RN notices the patient grimacing, guarding, and not
able to ambulate. These are examples of ... -Answers- Nonverbal cues for pain
In the middle of conducting a health history on a patient who has a laceration on their hand, the patient
asks for pain modification. The nurse will... -Answers- What is administer pain medication?
What the RN will do if the patient presents with severe injuries and the nurse needs to collect data. -
Answers- Conduct a physical assessment at the same time as conducting health history/providing
subjective data
When the nurse is assessing for sensory and cognition deficits, lifestyle, factors, health, history, etc. -
Answers- what is the older adult assessment?
What is ADLs? -Answers- the ability of an older adult to feed themselves, bathe, and ambulate from one
part of the home to the other
, Why is a functional assessment performed? -Answers- to determine if patent needs help with ADLs and
to promote health and prevent injury
When does the nurse perform a mental status assessment? -Answers- when they notice a new onset of
a change in a patients affect and behavior
five steps of nursing process in order... -Answers- Assessment, Diagnosis, Planning, Implementation,
Evaluation
What is holistic practice? -Answers- the practice of taking all aspects of a patients lifestyle into
consideration when conducting an assessment
- physical, emotional, social, economic, cultural, spiritual, etc.)
What is the purpose of the mini cog (mini cognition assessment)? -Answers- patient had a sudden
change in mental status and needs to identify if there is an emergent situation
difference between subjective and objective data? -Answers- when a person says they are feeling pain
versus when the nurse observes vital signs indicative of pain
- assessment phase in nursing process
How to set up proper environment when conducting an interview with an older adult? -Answers- Turn of
TV, minimize distractions, take frequent breaks, allows patient to respond at their own rate
The nurse is assigned three patients. Which do they see first?
patient a: recovering form abdominal surgery, 3 days post-op requesting pain meds.
patient b: complaining of itching and difficulty breathing after the start of antibiotic treatment
Complete Answers
The patient complains of inability to catch their breath and is turning blue (cyanotic) around the lips. -
Answers- What is ABCs (airway, breathing, circulation). Life threatening signs.
The patient expresses a 2/10 pain scale... But the RN notices the patient grimacing, guarding, and not
able to ambulate. These are examples of ... -Answers- Nonverbal cues for pain
In the middle of conducting a health history on a patient who has a laceration on their hand, the patient
asks for pain modification. The nurse will... -Answers- What is administer pain medication?
What the RN will do if the patient presents with severe injuries and the nurse needs to collect data. -
Answers- Conduct a physical assessment at the same time as conducting health history/providing
subjective data
When the nurse is assessing for sensory and cognition deficits, lifestyle, factors, health, history, etc. -
Answers- what is the older adult assessment?
What is ADLs? -Answers- the ability of an older adult to feed themselves, bathe, and ambulate from one
part of the home to the other
, Why is a functional assessment performed? -Answers- to determine if patent needs help with ADLs and
to promote health and prevent injury
When does the nurse perform a mental status assessment? -Answers- when they notice a new onset of
a change in a patients affect and behavior
five steps of nursing process in order... -Answers- Assessment, Diagnosis, Planning, Implementation,
Evaluation
What is holistic practice? -Answers- the practice of taking all aspects of a patients lifestyle into
consideration when conducting an assessment
- physical, emotional, social, economic, cultural, spiritual, etc.)
What is the purpose of the mini cog (mini cognition assessment)? -Answers- patient had a sudden
change in mental status and needs to identify if there is an emergent situation
difference between subjective and objective data? -Answers- when a person says they are feeling pain
versus when the nurse observes vital signs indicative of pain
- assessment phase in nursing process
How to set up proper environment when conducting an interview with an older adult? -Answers- Turn of
TV, minimize distractions, take frequent breaks, allows patient to respond at their own rate
The nurse is assigned three patients. Which do they see first?
patient a: recovering form abdominal surgery, 3 days post-op requesting pain meds.
patient b: complaining of itching and difficulty breathing after the start of antibiotic treatment
