NUR 231 EXAM 1 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS | Fall 2025 Illinois
State University
nursing assessment and care PACU - ANSWER -Airway, breathing, and
circulation
-Drainage Hemorrhage, tubes, lines in and out, vitals q 15 mins
-Pain control
Considerations during the nursing assessment to be used every time - ANSWER
consider the type of surgery, wound, exposure, movement and positioning, vitals
(especially <BP), assessments (lungs, airway, heart, bleeding stability), warm, dry,
comfort
What happens to the pulse and blood pressure if someone has internal bleeding?
- ANSWER pulse increases, BP decreases
head to toe assessment techniques - ANSWER i. Breath and heart sounds
under the gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER 5,000-10,000
Hemoglobin - ANSWER 12-16
,Hematocrit - ANSWER 35-50
priority of care - ANSWER 1. Airway
2. Breathing
3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER a. Is for older people (65+) or those with permanent
disability
b. What the parts do
i. Part A: Hospital insurance
, ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D - ANSWER medications
Medicaid - ANSWER a. For the low income clients
b. Federally and state funded
c. Single moms, etc
Who sets the national patient safety goals? - ANSWER set by QSEN and joint
commisssion
What are the national patient safety goals? - ANSWER 2 patient identifiers,
mark the operative site, universal protocols, label specimen container in presence
of patient, "time outs"
staff communicatiion - ANSWER 1. right person gets information at the right
time
Med Safety - ANSWER 1. Check labels, all syringes leaving the med room are
labeled. Any med that is crushed is labeled, take time in med room, be quiet in
med room
2. Be careful with high risk meds (infusions, blood thinners)
3. 9 rights
WITH COMPLETE SOLUTIONS | Fall 2025 Illinois
State University
nursing assessment and care PACU - ANSWER -Airway, breathing, and
circulation
-Drainage Hemorrhage, tubes, lines in and out, vitals q 15 mins
-Pain control
Considerations during the nursing assessment to be used every time - ANSWER
consider the type of surgery, wound, exposure, movement and positioning, vitals
(especially <BP), assessments (lungs, airway, heart, bleeding stability), warm, dry,
comfort
What happens to the pulse and blood pressure if someone has internal bleeding?
- ANSWER pulse increases, BP decreases
head to toe assessment techniques - ANSWER i. Breath and heart sounds
under the gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER 5,000-10,000
Hemoglobin - ANSWER 12-16
,Hematocrit - ANSWER 35-50
priority of care - ANSWER 1. Airway
2. Breathing
3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER a. Is for older people (65+) or those with permanent
disability
b. What the parts do
i. Part A: Hospital insurance
, ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D - ANSWER medications
Medicaid - ANSWER a. For the low income clients
b. Federally and state funded
c. Single moms, etc
Who sets the national patient safety goals? - ANSWER set by QSEN and joint
commisssion
What are the national patient safety goals? - ANSWER 2 patient identifiers,
mark the operative site, universal protocols, label specimen container in presence
of patient, "time outs"
staff communicatiion - ANSWER 1. right person gets information at the right
time
Med Safety - ANSWER 1. Check labels, all syringes leaving the med room are
labeled. Any med that is crushed is labeled, take time in med room, be quiet in
med room
2. Be careful with high risk meds (infusions, blood thinners)
3. 9 rights
