Clinical Practice Study Guide 2026
Orthostatic BP is? - Answer-difference of >20 systolic and/or >10 diastolic
Apical pulse location - Answer-Mid clavicular line, 5th intercostal space
4 broad aims of nursing practice - Answer-1. To promote health
2. To prevent illness
3. To restore health
4. To facilitate coping with disability or death
Maslow's Hierarchy of Needs - Answer-(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization
Hans Selye's - General Adaptation Syndrome - Answer-(ARE)
,Alarm Reaction - fight or flight, increase energy, increase O2, increase CO,
increase BP, increase alertness
Stage of Resistance - neuro activity returns to normal, LAS
Stage of Exhaustion - decrease BP, decrease HR, decrease resp, PANIC
Transmission precautions - Answer-Airborne, Droplet, Contact
Chain of infection: - Answer-infectious agent > reservoir > portal of exit > mode of
transmission > portal of entry > susceptible host
Aseptic vs Sterile - Answer-aseptic=clean
sterile=surgery
Signs & symptoms of Infection - Answer-- redness
- fever
- inflammation
- swelling
Delegation - Answer-UAP's can not "assess, teach or educate"
Comprehensive assessment - Answer-health history and complete physical
examination, usually conducted when a patient FIRST enters a health care setting;
provides a BASELINE for comparing later assessment
, Focused assessment - Answer-assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
Ongoing (time-lapsed) assessment - Answer-continuing assessment activities that
proceed from the initial nursing assessment
ADPIE - Nursing Process - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Patient centered goals: SMART - Answer-Specific
Measurable
Attainable
Realistic
Timed
What are the ABC's? - Answer-Airway, Breathing, Circulation
SBAR stands for? - Answer-Situation
Background
Assessment
Recommendation