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What are the steps in the nursing process? - Correct
Answers ✅assessment, diagnosis, outcome & planning,
implementation, evaluation
What is the correct way to assess the abdomen? - Correct
Answers ✅inspection, auscultation, palpation, (percussion?)
What is done in assessment? - Correct Answers ✅cluster
data, gathering data from subjective and objective data.
What assessments are done when gathering objective data? -
Correct Answers ✅Inspection, palpation, percussion,
Auscultation
What is the highest priority in assessment? - Correct
Answers ✅Airway, breathing, circulation, vital signs
What is the secondary priority when assessing a patient? -
Correct Answers ✅safety, security, mental status,
unrelated emergent, acute pain, infection
What is the third priority when assessing a patient? - Correct
Answers ✅non urgent, long term intervention
, Holistic Assessment Exam Questions and
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(Latest 2025)
What is orthostatic hypotension? - Correct Answers
✅taking the blood pressure at different positions (laying,
sitting, standing). decrease in 20 or greater btw each bp. If
the blood pressure continues to drop until last phase, it is a
positive test. if negative, may mean the symptoms are from a
different cause like vertigo.
What happens during a nursing diagnosis? - Correct
Answers ✅assessment of data- organization and
prioritizing.
-actual vs potential risk
-collaborative medical and nursing interventions
What happens during outcome identification? - Correct
Answers ✅identify expected outcomes. goal related, broad
statements regarding to patient. realistic and measurable. a
SMART goal
What happens during the orientation phase of the nurse
client relationship? - Correct Answers ✅introduction &
purpose, set the contract; time and duration, confidentiality.
the goal is to develop trust and security
What happens during the working phase of the nurse client
relationship - Correct Answers ✅client begins identifying
problems to work on. development of strategies to help