NURS 3320 Final Exam with accurate detailed ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
solutions
When is an initial comprehensive assessment completed? - correct answer✔✔a total health
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
assessment needs to be done when a patient first enters into the health care system ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is subjective data? - correct answer✔✔client's perception of their own health
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is objective data? - correct answer✔✔data gathered by physical exam
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
When is an ongoing partial assessment performed? - correct answer✔✔mini-overview after
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
the patient is established in the health care system
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is included in an ongoing partial assessment? - correct answer✔✔-reassessing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
problems that were previously identified ||/|\||| ||/|\||| ||/|\||| ||/|\|||
How often is an ongoing partial assessment performed> - correct answer✔✔Frequency of
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
this assessment is going to depend on the acuity of the client
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is included in the working interview? - correct answer✔✔-biographical data (name,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
DOB, gender) ||/|\|||
-Reasons for seeking care ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Hx of present health concern (COLDSPA)
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Personal hx (PMH, PSH) ||/|\||| ||/|\||| ||/|\|||
-Family hx ||/|\|||
,-ROS of current health problems-each body system is addressed and the nurse asks further
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
questions to elicit greater details of the client's current health problem ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What should you ask onself when prioritizing one's assessment? - correct answer✔✔Why do
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
we assess what we assess when conducting a focused assessment? Do they have a problem
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
that could potentially kill them?||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Address pain first before going to a physical assessment ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Why do we conduct a head-to-toe assessment? - correct answer✔✔-So we do not miss
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
anything and to save time ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-helps create a routine ||/|\||| ||/|\||| ||/|\|||
What is included on an abdominal assessment? - correct answer✔✔-Inspect
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Auscultate
-Percussion
-Palpation
Why do nurses do an assessment? - correct answer✔✔Our job is to make a nursing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
diagnosis that is relevant to the patient so that we can base our care off of it ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
When/where are you going to use the bell of a stethoscope? - correct answer✔✔-low pitched ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
sounds: bruits, murmurs
||/|\||| ||/|\||| ||/|\|||
When/where are you going to use the diaphragm of a stethoscope? - correct answer✔✔-high ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
pitched sounds
||/|\||| ||/|\|||
In which order should you perform your assessment? - correct answer✔✔least invasive to
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
most invasive ||/|\|||
, What is the FDSR (Faces pain scale) used for? - correct answer✔✔cognitively impaired
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
adults
What is the NRS (Numeric rating scale) used for? - correct answer✔✔best for adults without
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
cognitive impairment
||/|\||| ||/|\|||
What does the holistic health approach of nursing include? - correct answer✔✔addressing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
the client's needs for their mind, body, and spirit
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is the proper placement and technique for measuring a patient's BP? - correct
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
answer✔✔-Palpate radial pulse ||/|\||| ||/|\||| ||/|\|||
-inflate cuff until pulse disappears ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-deflate cuff until you feel the pulse again ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
How to assess for orthostatic hypotension - what are the parameters for that? What are they
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
at high risk for? - correct answer✔✔-if a patient stands up and their blood pressure drops 20
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
mmHg below baseline ||/|\||| ||/|\||| ||/|\|||
-patients are at risk for falls ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is the correct BP cuff placement? - correct answer✔✔about an inch above antecubital,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
with bladder midline over pulsation area
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is pulse pressure? - correct answer✔✔the difference between systolic and diastolic BP
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-<30 may signal CV disease ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is a pulse deficit? - correct answer✔✔the number difference between apical and
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
peripheral pulse rates ||/|\||| ||/|\||| ||/|\|||
solutions
When is an initial comprehensive assessment completed? - correct answer✔✔a total health
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
assessment needs to be done when a patient first enters into the health care system ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is subjective data? - correct answer✔✔client's perception of their own health
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is objective data? - correct answer✔✔data gathered by physical exam
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
When is an ongoing partial assessment performed? - correct answer✔✔mini-overview after
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
the patient is established in the health care system
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is included in an ongoing partial assessment? - correct answer✔✔-reassessing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
problems that were previously identified ||/|\||| ||/|\||| ||/|\||| ||/|\|||
How often is an ongoing partial assessment performed> - correct answer✔✔Frequency of
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
this assessment is going to depend on the acuity of the client
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is included in the working interview? - correct answer✔✔-biographical data (name,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
DOB, gender) ||/|\|||
-Reasons for seeking care ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Hx of present health concern (COLDSPA)
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Personal hx (PMH, PSH) ||/|\||| ||/|\||| ||/|\|||
-Family hx ||/|\|||
,-ROS of current health problems-each body system is addressed and the nurse asks further
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
questions to elicit greater details of the client's current health problem ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What should you ask onself when prioritizing one's assessment? - correct answer✔✔Why do
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
we assess what we assess when conducting a focused assessment? Do they have a problem
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
that could potentially kill them?||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Address pain first before going to a physical assessment ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Why do we conduct a head-to-toe assessment? - correct answer✔✔-So we do not miss
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
anything and to save time ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-helps create a routine ||/|\||| ||/|\||| ||/|\|||
What is included on an abdominal assessment? - correct answer✔✔-Inspect
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-Auscultate
-Percussion
-Palpation
Why do nurses do an assessment? - correct answer✔✔Our job is to make a nursing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
diagnosis that is relevant to the patient so that we can base our care off of it ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
When/where are you going to use the bell of a stethoscope? - correct answer✔✔-low pitched ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
sounds: bruits, murmurs
||/|\||| ||/|\||| ||/|\|||
When/where are you going to use the diaphragm of a stethoscope? - correct answer✔✔-high ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
pitched sounds
||/|\||| ||/|\|||
In which order should you perform your assessment? - correct answer✔✔least invasive to
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
most invasive ||/|\|||
, What is the FDSR (Faces pain scale) used for? - correct answer✔✔cognitively impaired
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
adults
What is the NRS (Numeric rating scale) used for? - correct answer✔✔best for adults without
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
cognitive impairment
||/|\||| ||/|\|||
What does the holistic health approach of nursing include? - correct answer✔✔addressing
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
the client's needs for their mind, body, and spirit
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is the proper placement and technique for measuring a patient's BP? - correct
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
answer✔✔-Palpate radial pulse ||/|\||| ||/|\||| ||/|\|||
-inflate cuff until pulse disappears ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-deflate cuff until you feel the pulse again ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
How to assess for orthostatic hypotension - what are the parameters for that? What are they
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
at high risk for? - correct answer✔✔-if a patient stands up and their blood pressure drops 20
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
mmHg below baseline ||/|\||| ||/|\||| ||/|\|||
-patients are at risk for falls ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is the correct BP cuff placement? - correct answer✔✔about an inch above antecubital,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
with bladder midline over pulsation area
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is pulse pressure? - correct answer✔✔the difference between systolic and diastolic BP
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
-<30 may signal CV disease ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is a pulse deficit? - correct answer✔✔the number difference between apical and
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
peripheral pulse rates ||/|\||| ||/|\||| ||/|\|||
