NUR 3029 Exam #1 QUESTIONS WITH
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ANSWERS
Subjective Data - CORRECT ANSWERS ✔✔What pt tells you
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Process of Communication - CORRECT ANSWERS ✔✔- Sending
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- Receiving
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- Internal (empathy)/External factors(note-taking)
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Objective Data - CORRECT ANSWERS ✔✔What can be seen, felt, heard, smelt
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Steps of Nursing Process - CORRECT ANSWERS ✔✔ADOPIE
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What is Assessment? - CORRECT ANSWERS ✔✔Interview, physical exam,
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health history etc.
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What is Diagnosis? - CORRECT ANSWERS ✔✔Interpretation of data
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What is Outcome-Identification? - CORRECT ANSWERS ✔✔SMART goals
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What is Planning? - CORRECT ANSWERS ✔✔Establish priorities & document
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plan of care
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,What is Implementation? - CORRECT ANSWERS ✔✔Review planned
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interventions & continue care |\ |\ |\
What is Evaluation? - CORRECT ANSWERS ✔✔Compare pt status with
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expected outcomes |\
Sequential Steps - CORRECT ANSWERS ✔✔Patterns of foundation develop for
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clinical practice
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Multidimensional - CORRECT ANSWERS ✔✔Organized, systematic assessment
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format
Nonjudgemental - CORRECT ANSWERS ✔✔Check accuracy/reliability of data
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First-Level Priority - CORRECT ANSWERS ✔✔Emergent, life-threatening
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Second-Level Priority - CORRECT ANSWERS ✔✔Next in urgency, require
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attention for further deterioration
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Third-Level Priority - CORRECT ANSWERS ✔✔Important to pt health but can
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be addressed later
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Complete Total Health Database - CORRECT ANSWERS ✔✔Health history, full
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physical exam, current/past health state, yields 1st diagnoses
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,Episodic (Problem-Centered) Database - CORRECT ANSWERS ✔✔Limited/short-
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term problem, mainly 1 problem, history/exam follow concern
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Follow-Up Database - CORRECT ANSWERS ✔✔All identified problems, note
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changes, identify coping strategies
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Emergency Database - CORRECT ANSWERS ✔✔Rapid collection of data,
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diagnosis must be rapid/comprehensive
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Interval of Assessment - CORRECT ANSWERS ✔✔Varies w/ illness and wellness
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needs
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Routine Periodic Assessment - CORRECT ANSWERS ✔✔Examination might
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include screening for history for dietary intake, sexual practices etc.
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Well-Persons Assessment - CORRECT ANSWERS ✔✔Opinions are changing
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about assessment intervals
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Holistic Model of Health Care - CORRECT ANSWERS ✔✔Assessment must
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include culture |\
What does ABCs Stand For? - CORRECT ANSWERS ✔✔Airway, Breathing, and
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Circulation
Types of Assessment - CORRECT ANSWERS ✔✔1. Complete Exam
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2. Specific Screening
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, 3. Problem Orientated
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4. "Shift Assessment" --> Focused head-to-toe
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What is the Physical Assessment Pneumonic? - CORRECT ANSWERS ✔✔I
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Palpate People's Abdomen (Inspection, Palpate, Percussion, Auscultation)
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Inspection - CORRECT ANSWERS ✔✔- Always FIRST
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- Inspecting/re-inspecting
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- Observe for : symmetry, norms, size, shape, color, behavior
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Difference Between General and Systematic Inspection - CORRECT ANSWERS
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✔✔General = front to back/side to side (overall appearance)
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Systematic = from "head to toe"|\ |\ |\ |\ |\
Palpation (Feel Pulse) - CORRECT ANSWERS ✔✔-Skin
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-Organs
-Glands
-Vessels
-Thorax
What to Look for When Palpating? - CORRECT ANSWERS ✔✔- Texture
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- Temp
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- Moisture
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- Location/size
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ANSWERS
Subjective Data - CORRECT ANSWERS ✔✔What pt tells you
|\ |\ |\ |\ |\ |\ |\ |\
Process of Communication - CORRECT ANSWERS ✔✔- Sending
|\ |\ |\ |\ |\ |\ |\ |\
- Receiving
|\ |\
- Internal (empathy)/External factors(note-taking)
|\ |\ |\
Objective Data - CORRECT ANSWERS ✔✔What can be seen, felt, heard, smelt
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Steps of Nursing Process - CORRECT ANSWERS ✔✔ADOPIE
|\ |\ |\ |\ |\ |\ |\
What is Assessment? - CORRECT ANSWERS ✔✔Interview, physical exam,
|\ |\ |\ |\ |\ |\ |\ |\ |\
health history etc.
|\ |\
What is Diagnosis? - CORRECT ANSWERS ✔✔Interpretation of data
|\ |\ |\ |\ |\ |\ |\ |\
What is Outcome-Identification? - CORRECT ANSWERS ✔✔SMART goals
|\ |\ |\ |\ |\ |\ |\
What is Planning? - CORRECT ANSWERS ✔✔Establish priorities & document
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plan of care
|\ |\
,What is Implementation? - CORRECT ANSWERS ✔✔Review planned
|\ |\ |\ |\ |\ |\ |\ |\
interventions & continue care |\ |\ |\
What is Evaluation? - CORRECT ANSWERS ✔✔Compare pt status with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
expected outcomes |\
Sequential Steps - CORRECT ANSWERS ✔✔Patterns of foundation develop for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinical practice
|\
Multidimensional - CORRECT ANSWERS ✔✔Organized, systematic assessment
|\ |\ |\ |\ |\ |\ |\
format
Nonjudgemental - CORRECT ANSWERS ✔✔Check accuracy/reliability of data
|\ |\ |\ |\ |\ |\ |\
First-Level Priority - CORRECT ANSWERS ✔✔Emergent, life-threatening
|\ |\ |\ |\ |\ |\
Second-Level Priority - CORRECT ANSWERS ✔✔Next in urgency, require
|\ |\ |\ |\ |\ |\ |\ |\ |\
attention for further deterioration
|\ |\ |\
Third-Level Priority - CORRECT ANSWERS ✔✔Important to pt health but can
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
be addressed later
|\ |\
Complete Total Health Database - CORRECT ANSWERS ✔✔Health history, full
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
physical exam, current/past health state, yields 1st diagnoses
|\ |\ |\ |\ |\ |\ |\
,Episodic (Problem-Centered) Database - CORRECT ANSWERS ✔✔Limited/short-
|\ |\ |\ |\ |\ |\
term problem, mainly 1 problem, history/exam follow concern
|\ |\ |\ |\ |\ |\ |\
Follow-Up Database - CORRECT ANSWERS ✔✔All identified problems, note
|\ |\ |\ |\ |\ |\ |\ |\ |\
changes, identify coping strategies
|\ |\ |\
Emergency Database - CORRECT ANSWERS ✔✔Rapid collection of data,
|\ |\ |\ |\ |\ |\ |\ |\ |\
diagnosis must be rapid/comprehensive
|\ |\ |\
Interval of Assessment - CORRECT ANSWERS ✔✔Varies w/ illness and wellness
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
needs
|\
Routine Periodic Assessment - CORRECT ANSWERS ✔✔Examination might
|\ |\ |\ |\ |\ |\ |\ |\
include screening for history for dietary intake, sexual practices etc.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Well-Persons Assessment - CORRECT ANSWERS ✔✔Opinions are changing
|\ |\ |\ |\ |\ |\ |\ |\
about assessment intervals
|\ |\
Holistic Model of Health Care - CORRECT ANSWERS ✔✔Assessment must
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
include culture |\
What does ABCs Stand For? - CORRECT ANSWERS ✔✔Airway, Breathing, and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Circulation
Types of Assessment - CORRECT ANSWERS ✔✔1. Complete Exam
|\ |\ |\ |\ |\ |\ |\ |\ |\
2. Specific Screening
|\ |\
, 3. Problem Orientated
|\ |\
4. "Shift Assessment" --> Focused head-to-toe
|\ |\ |\ |\ |\
What is the Physical Assessment Pneumonic? - CORRECT ANSWERS ✔✔I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Palpate People's Abdomen (Inspection, Palpate, Percussion, Auscultation)
|\ |\ |\ |\ |\ |\
Inspection - CORRECT ANSWERS ✔✔- Always FIRST
|\ |\ |\ |\ |\ |\
- Inspecting/re-inspecting
|\ |\
- Observe for : symmetry, norms, size, shape, color, behavior
|\ |\ |\ |\ |\ |\ |\ |\ |\
Difference Between General and Systematic Inspection - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔General = front to back/side to side (overall appearance)
|\ |\ |\ |\ |\ |\ |\ |\
Systematic = from "head to toe"|\ |\ |\ |\ |\
Palpation (Feel Pulse) - CORRECT ANSWERS ✔✔-Skin
|\ |\ |\ |\ |\ |\
-Organs
-Glands
-Vessels
-Thorax
What to Look for When Palpating? - CORRECT ANSWERS ✔✔- Texture
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- Temp
|\
- Moisture
|\
- Location/size
|\