NURS 3290 Final Exam Questions And
Answers Scored A+.
Clinical judgment - Answer Conclusion about a patient's needs or health problems, influenced by a
nurse's experience and knowledge and the context of clinical situations and the culture of patient care
settings
Critical thinking - Answer The ability to think in a systematic and logical manner; a continuous process
characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to
look at each unique pt situation and determine which identified assumptions are true and relevant
Reflection - Answer Purposefully reviewing a situation to discover its purpose or meaning
Critical thinking model for clinical decision making - Answer Components: competence, specific
knowledge base, experience, the nursing process competency, attitudes for critical thinking, standards
for critical thinking
Nursing process - Answer Assessment, diagnosis, planning, implementation, evaluation
2 stages of nursing assessment - Answer Collection of information from a primary source and
secondary sources;
Interpretation and validation of data to determine whether more data is needed or the database is
complete
Types of nursing assessments - Answer 1. patient-centered interview, 2. periodic assessments, 3.
physical examination
Types of data - Answer Subjective, objective, qualitative, quantitative
Phases of patient interview - Answer 1. Orientation and setting an agenda, 2. Working phase--collecting
data, 3. termination phase
,Assessment process - Answer Data collection, interpretation, and validation
Problem-focused nursing diagnosis - Answer Identify an undesirable human response to existing
problems or concerns of a patient
Risk nursing diagnosis - Answer Diagnoses that apply when there is an increased potential or
vulnerability for a patient to develop a problem or complication
Health promotion nursing diagnosis - Answer Identify the desire or motivation to improve health status
through a positive behavioral change
Data cluster - Answer A set of assessment findings/defining characteristics
High priority - Answer Nursing diagnoses that, if untreated, result in harm to a patient or other
Intermediate priority - Answer Non-emergent, non-life threatening
Low priority - Answer Not always directly related to a specific illness or prognosis but affect a patient's
future wellbeing
Goal - Answer A broad statement that describes the desired change in a patient's condition,
perceptions, or behavior
SMART - Answer Specific, measurable, attainable, realistic, time
Direct care interventions - Answer Treatments nurses provide through interactions with patients or a
group of patients
Indirect care interventions - Answer Treatments performed away from a patient but on behalf of the
patient or group of patients, i.e., documentation
,Standard interventions - Answer Allow nurses to act more quickly and appropriately, help capture
patient care information that can be shared across disciplines and care settings
Clinical practice guidelines and protocols - Answer A systematically developed set of statements about
appropriate health care for specific health care problems or clinical situation
Care bundle - Answer Group of interventions related to a disease process or condition
Standing orders - Answer Preprinted document containing medical orders, directs patient care in a
specific clinical setting
Quality and safety education for nurses (QSEN) - Answer Standard competencies in knowledge, skills,
and attitudes for the preparation of future nurses
Implementation process - Answer Reassessing the patient, reviewing and revising the existing nursing
care plan, preparing for implementation
Activities of daily living - Answer Direct care measures usually performed during a normal day
Instrumental ADLs - Answer Activities that support daily life and are oriented toward interacting with
the environment
Physical care techniques - Answer The safe and competent administration of nursing procedures
Evaluation - Answer Determines whether a patient's condition or wellbeing improved after nursing
interventions were delivered
6 P's - Answer Paresthesia, pain, pressure, pallor, paralysis, puleslessness
RICE - Answer Rest, ice, compression, elevation
, Fracture s/sx - Answer Edema, pain/tenderness, muscle spasms, deformity, contusion, loss of function,
crepitation
Reduction - Answer Realignment of fragments
Immobilization - Answer To maintain alignment
Closed reduction - Answer Manual manipulation followed by immobilization
Open reduction - Answer Surgical realignment
Traction - Answer A pulling force to an injury while another force pulls in the opposite direction
Buck's traction (skin) - Answer Short-term (hours to few days), until skeletal traction/surgical care is
initiated, 5-10lbs max
Skeletal traction - Answer Long term, pin or wire inserted in bone, 5-45lbs, risk of infection at pin site
Pin care - Answer 1/2 strength hydrogen peroxide and sterile cotton tip applicators
Casting - Answer Immobilizes extremity until bone can form callus and heal
Foot drop causes - Answer Paralysis of muscles of ankle and foot, nerve damage, muscle damage,
wearing leg cast
Amputation compression wrapping - Answer Mold residual limb for prosthesis, support soft tissue,
reduce pain
Uses of heat - Answer Vasodilation, promotes decreased viscosity of synovial fluids, may cause edema
from leakage of plasma proteins
Answers Scored A+.
Clinical judgment - Answer Conclusion about a patient's needs or health problems, influenced by a
nurse's experience and knowledge and the context of clinical situations and the culture of patient care
settings
Critical thinking - Answer The ability to think in a systematic and logical manner; a continuous process
characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to
look at each unique pt situation and determine which identified assumptions are true and relevant
Reflection - Answer Purposefully reviewing a situation to discover its purpose or meaning
Critical thinking model for clinical decision making - Answer Components: competence, specific
knowledge base, experience, the nursing process competency, attitudes for critical thinking, standards
for critical thinking
Nursing process - Answer Assessment, diagnosis, planning, implementation, evaluation
2 stages of nursing assessment - Answer Collection of information from a primary source and
secondary sources;
Interpretation and validation of data to determine whether more data is needed or the database is
complete
Types of nursing assessments - Answer 1. patient-centered interview, 2. periodic assessments, 3.
physical examination
Types of data - Answer Subjective, objective, qualitative, quantitative
Phases of patient interview - Answer 1. Orientation and setting an agenda, 2. Working phase--collecting
data, 3. termination phase
,Assessment process - Answer Data collection, interpretation, and validation
Problem-focused nursing diagnosis - Answer Identify an undesirable human response to existing
problems or concerns of a patient
Risk nursing diagnosis - Answer Diagnoses that apply when there is an increased potential or
vulnerability for a patient to develop a problem or complication
Health promotion nursing diagnosis - Answer Identify the desire or motivation to improve health status
through a positive behavioral change
Data cluster - Answer A set of assessment findings/defining characteristics
High priority - Answer Nursing diagnoses that, if untreated, result in harm to a patient or other
Intermediate priority - Answer Non-emergent, non-life threatening
Low priority - Answer Not always directly related to a specific illness or prognosis but affect a patient's
future wellbeing
Goal - Answer A broad statement that describes the desired change in a patient's condition,
perceptions, or behavior
SMART - Answer Specific, measurable, attainable, realistic, time
Direct care interventions - Answer Treatments nurses provide through interactions with patients or a
group of patients
Indirect care interventions - Answer Treatments performed away from a patient but on behalf of the
patient or group of patients, i.e., documentation
,Standard interventions - Answer Allow nurses to act more quickly and appropriately, help capture
patient care information that can be shared across disciplines and care settings
Clinical practice guidelines and protocols - Answer A systematically developed set of statements about
appropriate health care for specific health care problems or clinical situation
Care bundle - Answer Group of interventions related to a disease process or condition
Standing orders - Answer Preprinted document containing medical orders, directs patient care in a
specific clinical setting
Quality and safety education for nurses (QSEN) - Answer Standard competencies in knowledge, skills,
and attitudes for the preparation of future nurses
Implementation process - Answer Reassessing the patient, reviewing and revising the existing nursing
care plan, preparing for implementation
Activities of daily living - Answer Direct care measures usually performed during a normal day
Instrumental ADLs - Answer Activities that support daily life and are oriented toward interacting with
the environment
Physical care techniques - Answer The safe and competent administration of nursing procedures
Evaluation - Answer Determines whether a patient's condition or wellbeing improved after nursing
interventions were delivered
6 P's - Answer Paresthesia, pain, pressure, pallor, paralysis, puleslessness
RICE - Answer Rest, ice, compression, elevation
, Fracture s/sx - Answer Edema, pain/tenderness, muscle spasms, deformity, contusion, loss of function,
crepitation
Reduction - Answer Realignment of fragments
Immobilization - Answer To maintain alignment
Closed reduction - Answer Manual manipulation followed by immobilization
Open reduction - Answer Surgical realignment
Traction - Answer A pulling force to an injury while another force pulls in the opposite direction
Buck's traction (skin) - Answer Short-term (hours to few days), until skeletal traction/surgical care is
initiated, 5-10lbs max
Skeletal traction - Answer Long term, pin or wire inserted in bone, 5-45lbs, risk of infection at pin site
Pin care - Answer 1/2 strength hydrogen peroxide and sterile cotton tip applicators
Casting - Answer Immobilizes extremity until bone can form callus and heal
Foot drop causes - Answer Paralysis of muscles of ankle and foot, nerve damage, muscle damage,
wearing leg cast
Amputation compression wrapping - Answer Mold residual limb for prosthesis, support soft tissue,
reduce pain
Uses of heat - Answer Vasodilation, promotes decreased viscosity of synovial fluids, may cause edema
from leakage of plasma proteins
