NSGA 142 Exam 1 – Questions With Applicable
Solutions
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Terms in this set (452)
What is the purpose of a nursing To establish a baseline, identify patient strengths and
assessment? weaknesses, identify potential and actual health
problems, and establish overall health status including
nutrition, mobility, and mental status.
When does nursing assessment begin? As soon as the nurse enters the patient's room; the
nurse immediately begins making visual observations.
What should a nurse observe during Level of consciousness, breathing pattern, respiratory
the initial visual assessment? effort, oxygen use, IVs, general appearance, mobility,
and other immediately observable findings.
Why is establishing a baseline It provides a reference point against which future
important? assessments and changes in the patient's condition
can be compared.
,What is subjective data? Information reported by the patient or caregiver, such
as pain, nausea, dizziness, or feelings.
What is objective data? Information the nurse observes, measures, or obtains
through physical examination or diagnostic testing.
What is an example of subjective data? The patient states, "My pain is 8 out of 10."
What is an example of objective data? The nurse observes that the patient's respiratory rate
is 28/min.
Who may provide or validate a Parents or caregivers, especially when the child's age
pediatric client's health history? or developmental level limits their ability to provide a
complete history.
What information should be included Birth history, developmental milestones, behavioral
in a pediatric health history? and emotional issues, functioning in various settings,
environmental factors, family history, illnesses,
hospitalizations and surgeries, medications,
immunizations, allergies, nutrition, and current
concerns.
What are the five major types of Health history, comprehensive assessment, physical
nursing assessment? assessment, focused assessment, and emergency
assessment.
What is a comprehensive assessment? A broad assessment of the patient's overall health
status.
What is a focused assessment? An assessment directed toward a specific problem,
complaint, body system, or condition.
What is an emergency assessment? A rapid assessment performed when a life-threatening
condition may be present.
,What is the nursing process? A systematic method of providing nursing care that
includes assessment, analysis, planning,
implementation, and evaluation.
What is Recognize Cues? The assessment step in which the nurse collects and
identifies relevant information.
What is Analyze Cues? The nurse interprets assessment findings and
determines what the cues mean.
What is Prioritize Hypotheses? The nurse determines which problems or hypotheses
require attention first.
What is Generate Solutions? The planning step in which the nurse identifies
appropriate interventions or solutions.
What is Take Actions? The implementation step in which the nurse carries
out planned interventions.
What is Evaluate Outcomes? The nurse determines whether interventions were
effective and whether the patient's condition
improved or changed.
What is the first step when a patient Perform an immediate assessment focused on life-
appears unstable? threatening problems, especially airway, breathing,
and circulation.
What does ABC stand for in nursing Airway, Breathing, Circulation.
prioritization?
Why are ABCs important? Airway, breathing, and circulation are essential to life
and take priority when compromised.
What does Maslow's hierarchy help Which patient needs should be addressed first, with
nurses determine? physiologic and safety needs generally taking priority.
, What does acute vs chronic mean in An acute or newly developing problem generally
priority setting? receives priority over a chronic, stable problem.
What does unstable vs stable mean in An unstable patient or condition takes priority over a
priority setting? stable patient or condition.
What does least restrictive/least When several interventions are appropriate, use the
invasive mean? least restrictive or invasive intervention that safely
addresses the problem.
What should a nurse do if there is Collect additional assessment data unless the patient
insufficient information to safely has an immediate life-threatening emergency
determine an intervention? requiring action.
What words commonly indicate a First, priority, immediate, most important, best, next,
priority question? and highest priority.
What is the difference between an An expected finding is normal or appropriate for the
expected and unexpected finding? patient's age or condition; an unexpected finding may
indicate a problem requiring further assessment or
intervention.
What is a thermometer used to assess? Body temperature.
What is a stethoscope used for? Auscultating sounds such as heart, lung, and bowel
sounds.
What is a sphygmomanometer? A blood pressure cuff or device used to measure
blood pressure.
What is a pulse oximeter used to Oxygen saturation.
measure?
What is a penlight used for? Assessing pupils and other areas requiring focused
illumination.
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (452)
What is the purpose of a nursing To establish a baseline, identify patient strengths and
assessment? weaknesses, identify potential and actual health
problems, and establish overall health status including
nutrition, mobility, and mental status.
When does nursing assessment begin? As soon as the nurse enters the patient's room; the
nurse immediately begins making visual observations.
What should a nurse observe during Level of consciousness, breathing pattern, respiratory
the initial visual assessment? effort, oxygen use, IVs, general appearance, mobility,
and other immediately observable findings.
Why is establishing a baseline It provides a reference point against which future
important? assessments and changes in the patient's condition
can be compared.
,What is subjective data? Information reported by the patient or caregiver, such
as pain, nausea, dizziness, or feelings.
What is objective data? Information the nurse observes, measures, or obtains
through physical examination or diagnostic testing.
What is an example of subjective data? The patient states, "My pain is 8 out of 10."
What is an example of objective data? The nurse observes that the patient's respiratory rate
is 28/min.
Who may provide or validate a Parents or caregivers, especially when the child's age
pediatric client's health history? or developmental level limits their ability to provide a
complete history.
What information should be included Birth history, developmental milestones, behavioral
in a pediatric health history? and emotional issues, functioning in various settings,
environmental factors, family history, illnesses,
hospitalizations and surgeries, medications,
immunizations, allergies, nutrition, and current
concerns.
What are the five major types of Health history, comprehensive assessment, physical
nursing assessment? assessment, focused assessment, and emergency
assessment.
What is a comprehensive assessment? A broad assessment of the patient's overall health
status.
What is a focused assessment? An assessment directed toward a specific problem,
complaint, body system, or condition.
What is an emergency assessment? A rapid assessment performed when a life-threatening
condition may be present.
,What is the nursing process? A systematic method of providing nursing care that
includes assessment, analysis, planning,
implementation, and evaluation.
What is Recognize Cues? The assessment step in which the nurse collects and
identifies relevant information.
What is Analyze Cues? The nurse interprets assessment findings and
determines what the cues mean.
What is Prioritize Hypotheses? The nurse determines which problems or hypotheses
require attention first.
What is Generate Solutions? The planning step in which the nurse identifies
appropriate interventions or solutions.
What is Take Actions? The implementation step in which the nurse carries
out planned interventions.
What is Evaluate Outcomes? The nurse determines whether interventions were
effective and whether the patient's condition
improved or changed.
What is the first step when a patient Perform an immediate assessment focused on life-
appears unstable? threatening problems, especially airway, breathing,
and circulation.
What does ABC stand for in nursing Airway, Breathing, Circulation.
prioritization?
Why are ABCs important? Airway, breathing, and circulation are essential to life
and take priority when compromised.
What does Maslow's hierarchy help Which patient needs should be addressed first, with
nurses determine? physiologic and safety needs generally taking priority.
, What does acute vs chronic mean in An acute or newly developing problem generally
priority setting? receives priority over a chronic, stable problem.
What does unstable vs stable mean in An unstable patient or condition takes priority over a
priority setting? stable patient or condition.
What does least restrictive/least When several interventions are appropriate, use the
invasive mean? least restrictive or invasive intervention that safely
addresses the problem.
What should a nurse do if there is Collect additional assessment data unless the patient
insufficient information to safely has an immediate life-threatening emergency
determine an intervention? requiring action.
What words commonly indicate a First, priority, immediate, most important, best, next,
priority question? and highest priority.
What is the difference between an An expected finding is normal or appropriate for the
expected and unexpected finding? patient's age or condition; an unexpected finding may
indicate a problem requiring further assessment or
intervention.
What is a thermometer used to assess? Body temperature.
What is a stethoscope used for? Auscultating sounds such as heart, lung, and bowel
sounds.
What is a sphygmomanometer? A blood pressure cuff or device used to measure
blood pressure.
What is a pulse oximeter used to Oxygen saturation.
measure?
What is a penlight used for? Assessing pupils and other areas requiring focused
illumination.
