UTA Assessment Exam 1 Objectives
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Physical Assessment - CORRECT ANSWER - systematic examination of the patient for
objective data to better define the patient's condition and to help the nurse in planning care,
usually performed in a head-to-toe format; a collection of objective data about changes in the
patient's body systems
focused assessment - CORRECT ANSWER - A type of physical assessment that is based
on the chief complaint and focuses on one body system or part.
emergency assessment - CORRECT ANSWER - rapid focused assessment conducted to
determine potentially fatal situations
subjective data - CORRECT ANSWER - what the person says about himself or herself
during history taking
objective data - CORRECT ANSWER - information that is seen, heard, felt, or smelled by
an observer; signs
What does COLDSPA mean? - CORRECT ANSWER - Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Used to ensure that you collect enough information regarding pain
,Normal body temperature (oral) - CORRECT ANSWER - 96 - 98 Deg F (35.8-37.3 C)
Temperature vs. Route - CORRECT ANSWER - Auxillary will result in the lowest temp (-
1 degree)
Rectum will result in +1 F degree (should only be used if client can't cooperate, or others are not
available)
Tempanic will result in the highest temperature (+3 to +6)
lower for older adults
Normal pulse rate - CORRECT ANSWER - 60-100 bpm
arteries of older pts may feel rigid, hard or bent
Normal respiration rate - CORRECT ANSWER - 12-20 breaths per minute
older adult can range from 15-22 breaths/min
normal oxygen saturation - CORRECT ANSWER - 95-100%
normal blood pressure - CORRECT ANSWER - 120/80 mmHg
no nicotine or caffeine 30 mins prior
client should empty bladder
older adults usually have high bp due rigid arteries
hypertension= over 140, under 90
othostatic hypotension= drop over more than 20 mmHg
Phases of the interview process - CORRECT ANSWER - pre-interaction phase- Review
medical records before meeting client
, working phase- gathering subjective and objective data
closing phase- validates findings and sets goals
Phases of collecting objective data - CORRECT ANSWER - inspection- use of vision,
smelling and learning
Palpitations- using fingers and hands to feel abnormalities
Percussion- the use of tapping to find superficial abnormalities
Auscultation- use of the stethoscope
Steps of the Nursing Process - CORRECT ANSWER - ADPIE
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
systolic vs diastolic pressure - CORRECT ANSWER - systolic: the greatest force exerted
a/g the walls of the arteries by contraction of left ventricle (1st sound)
diastolic: the least force exerted against the walls of the arteries by blood when the heart relaxes
(once the beat disappears after the first sound)
80/40 rule - CORRECT ANSWER - states that in order to obtain an accurate blood
pressure measurement, the cuff bladder length should be approximately 80% of the
circumference of the upper arm and the cuff bladder width should be optimally 40% of the
circumference of the upper arm
Palpation levels - CORRECT ANSWER - Light (less than 1 cm), feel for pulse,
tenderness, surface skin texture, temperature and moisture
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Physical Assessment - CORRECT ANSWER - systematic examination of the patient for
objective data to better define the patient's condition and to help the nurse in planning care,
usually performed in a head-to-toe format; a collection of objective data about changes in the
patient's body systems
focused assessment - CORRECT ANSWER - A type of physical assessment that is based
on the chief complaint and focuses on one body system or part.
emergency assessment - CORRECT ANSWER - rapid focused assessment conducted to
determine potentially fatal situations
subjective data - CORRECT ANSWER - what the person says about himself or herself
during history taking
objective data - CORRECT ANSWER - information that is seen, heard, felt, or smelled by
an observer; signs
What does COLDSPA mean? - CORRECT ANSWER - Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Used to ensure that you collect enough information regarding pain
,Normal body temperature (oral) - CORRECT ANSWER - 96 - 98 Deg F (35.8-37.3 C)
Temperature vs. Route - CORRECT ANSWER - Auxillary will result in the lowest temp (-
1 degree)
Rectum will result in +1 F degree (should only be used if client can't cooperate, or others are not
available)
Tempanic will result in the highest temperature (+3 to +6)
lower for older adults
Normal pulse rate - CORRECT ANSWER - 60-100 bpm
arteries of older pts may feel rigid, hard or bent
Normal respiration rate - CORRECT ANSWER - 12-20 breaths per minute
older adult can range from 15-22 breaths/min
normal oxygen saturation - CORRECT ANSWER - 95-100%
normal blood pressure - CORRECT ANSWER - 120/80 mmHg
no nicotine or caffeine 30 mins prior
client should empty bladder
older adults usually have high bp due rigid arteries
hypertension= over 140, under 90
othostatic hypotension= drop over more than 20 mmHg
Phases of the interview process - CORRECT ANSWER - pre-interaction phase- Review
medical records before meeting client
, working phase- gathering subjective and objective data
closing phase- validates findings and sets goals
Phases of collecting objective data - CORRECT ANSWER - inspection- use of vision,
smelling and learning
Palpitations- using fingers and hands to feel abnormalities
Percussion- the use of tapping to find superficial abnormalities
Auscultation- use of the stethoscope
Steps of the Nursing Process - CORRECT ANSWER - ADPIE
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
systolic vs diastolic pressure - CORRECT ANSWER - systolic: the greatest force exerted
a/g the walls of the arteries by contraction of left ventricle (1st sound)
diastolic: the least force exerted against the walls of the arteries by blood when the heart relaxes
(once the beat disappears after the first sound)
80/40 rule - CORRECT ANSWER - states that in order to obtain an accurate blood
pressure measurement, the cuff bladder length should be approximately 80% of the
circumference of the upper arm and the cuff bladder width should be optimally 40% of the
circumference of the upper arm
Palpation levels - CORRECT ANSWER - Light (less than 1 cm), feel for pulse,
tenderness, surface skin texture, temperature and moisture
