N125 EXAM 1 STUDY SET QUESTIONS WITH
COMPLETE SOLUTIONS
Actual Nursing Diagnosis Correct Answer Describe human
responses to levels of wellness that have a readiness for
enhancement
ADPIE-Nursing Process Examples Correct Answer
•Assessment (Subjective v. Objective)
•Diagnosis (Actual v. At risk for-NANDA)
•Planning (Prioritized Goals & Expected Outcomes- NOC)
•Implementation (Standardized nursing interventions- NIC)
•Evaluating (Rigorous follow-up, Nursing judgment, Critical
thinking).
Apical pulse location Correct Answer Mid-clavicular
Fifth intercostal space and it is called PMI- point of maximum
impulse
Arterial Blood Pressure Correct Answer •Force exerted on
walls of an artery
(Systolic and diastolic)
•Cardiac output
•Peripheral resistance
•Blood volume
•Viscosity
•Elasticity
Assess s/s : variables Correct Answer Onset
Location
Duration
, Characteristics
Aggravating factors
Relief factors
Treatment
Assessment of Pulse: Sites (ADD ) Correct Answer
Assessment of Pulse: Use of stethoscope Correct Answer
Assessment: Ventilation Diffusion and Perfusion Correct
Answer •Easy to assess
•Respiratory rate
•Depth/rhythm
See P&P Table 30-6
•Diffusion and perfusion
Arterial oxygen saturation
Body Temperature range Correct Answer 96.8* F to 100.4* F
or 36* C to 38* C
Body Temperature Regulation Correct Answer Neural and
Vascular Control
Heat Production
Heat Loss
Skin
Behavior
Character of pulse Correct Answer
Characteristics of pain Correct Answer Onset and duration
Location
COMPLETE SOLUTIONS
Actual Nursing Diagnosis Correct Answer Describe human
responses to levels of wellness that have a readiness for
enhancement
ADPIE-Nursing Process Examples Correct Answer
•Assessment (Subjective v. Objective)
•Diagnosis (Actual v. At risk for-NANDA)
•Planning (Prioritized Goals & Expected Outcomes- NOC)
•Implementation (Standardized nursing interventions- NIC)
•Evaluating (Rigorous follow-up, Nursing judgment, Critical
thinking).
Apical pulse location Correct Answer Mid-clavicular
Fifth intercostal space and it is called PMI- point of maximum
impulse
Arterial Blood Pressure Correct Answer •Force exerted on
walls of an artery
(Systolic and diastolic)
•Cardiac output
•Peripheral resistance
•Blood volume
•Viscosity
•Elasticity
Assess s/s : variables Correct Answer Onset
Location
Duration
, Characteristics
Aggravating factors
Relief factors
Treatment
Assessment of Pulse: Sites (ADD ) Correct Answer
Assessment of Pulse: Use of stethoscope Correct Answer
Assessment: Ventilation Diffusion and Perfusion Correct
Answer •Easy to assess
•Respiratory rate
•Depth/rhythm
See P&P Table 30-6
•Diffusion and perfusion
Arterial oxygen saturation
Body Temperature range Correct Answer 96.8* F to 100.4* F
or 36* C to 38* C
Body Temperature Regulation Correct Answer Neural and
Vascular Control
Heat Production
Heat Loss
Skin
Behavior
Character of pulse Correct Answer
Characteristics of pain Correct Answer Onset and duration
Location
