NUR 215 Exam 1 Study Guide UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
ABCs - CORRECT ANSWER Airway, Breathing, Circulation
Prioritization - CORRECT ANSWER The process of deciding which problems need to
be addressed first based on factors such as problem urgency, future consequences, patient
preference, and computer-assisted diagnosing.
Scope of Practice - CORRECT ANSWER The range of responsibilities and activities
that a nurse is legally permitted to perform.
Actions without a Doctor's Order - CORRECT ANSWER Turning a patient, providing
comfort, raising the head of the bed, grooming/bathing, applying ice packs/heat pads (with
some exceptions), patient education, assisting in ADLs, preventing falls, and promoting
hydration and nourishment (with some exceptions).
Out of Scope Actions - CORRECT ANSWER If asked to perform out of scope, refer to
the facility's policies and procedures. If they cover the action, it is within scope; if not, it may
not be.
Primary Prevention - CORRECT ANSWER Designed to prevent or slow the onset of
disease through actions such as eating healthy foods, exercising, wearing sunscreen, obeying
seat belt laws, using car seats, using condoms, and keeping up with immunizations.
Secondary Prevention - CORRECT ANSWER Screening activities and education for
detecting illnesses in the early stages, including breast self-exams, testicular exams, regular
physical exams, BP and diabetic screenings, bone density screenings, and TB skin tests.
Tertiary Prevention - CORRECT ANSWER Focuses on stopping the disease from
progressing and returning the individual to the pre-illness phase, with rehab as the main
intervention during this stage, including preventing pressure ulcers, cardiac stent procedures,
support groups, physical rehab, and speech therapy.
, Nursing Process - CORRECT ANSWER A systematic approach to patient care
consisting of Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
Non-linear Nursing Process - CORRECT ANSWER The nursing process is not a linear
sequence; it involves continuous assessment and adjustment.
Assessment - CORRECT ANSWER Involves gathering data about the patient and their
health status; Info is related to the physiological, psychological, sociocultural, developmental,
and spiritual status of the individual.
Primary data - CORRECT ANSWER Data obtained directly from the patient.
Subjective data - CORRECT ANSWER What the patient SAYS/TELLS you.
Objective data - CORRECT ANSWER What you can SEE for yourself.
Secondary Data - CORRECT ANSWER Data obtained secondhand, from the medical
record or another care provider.
Diagnosis - CORRECT ANSWER Using critical-thinking skills, the nurse analyzes the
Assessment to identify patterns in the data and draw conclusions about the client's health
status (strengths, problems, and factors contributing to the problem).
Nursing diagnosis - CORRECT ANSWER A statement of patient health status that
nurses can identify, prevent, or treat independently.
Medical diagnosis - CORRECT ANSWER Describes a disease, illness, or injury;
Purpose is to identify a pathology so appropriate treatment can be given to cure the condition.
Planning - CORRECT ANSWER Encompasses identifying goals and outcomes,
choosing interventions, and creating nursing care plans.
QUESTIONS AND CORRECT ANSWERS
ABCs - CORRECT ANSWER Airway, Breathing, Circulation
Prioritization - CORRECT ANSWER The process of deciding which problems need to
be addressed first based on factors such as problem urgency, future consequences, patient
preference, and computer-assisted diagnosing.
Scope of Practice - CORRECT ANSWER The range of responsibilities and activities
that a nurse is legally permitted to perform.
Actions without a Doctor's Order - CORRECT ANSWER Turning a patient, providing
comfort, raising the head of the bed, grooming/bathing, applying ice packs/heat pads (with
some exceptions), patient education, assisting in ADLs, preventing falls, and promoting
hydration and nourishment (with some exceptions).
Out of Scope Actions - CORRECT ANSWER If asked to perform out of scope, refer to
the facility's policies and procedures. If they cover the action, it is within scope; if not, it may
not be.
Primary Prevention - CORRECT ANSWER Designed to prevent or slow the onset of
disease through actions such as eating healthy foods, exercising, wearing sunscreen, obeying
seat belt laws, using car seats, using condoms, and keeping up with immunizations.
Secondary Prevention - CORRECT ANSWER Screening activities and education for
detecting illnesses in the early stages, including breast self-exams, testicular exams, regular
physical exams, BP and diabetic screenings, bone density screenings, and TB skin tests.
Tertiary Prevention - CORRECT ANSWER Focuses on stopping the disease from
progressing and returning the individual to the pre-illness phase, with rehab as the main
intervention during this stage, including preventing pressure ulcers, cardiac stent procedures,
support groups, physical rehab, and speech therapy.
, Nursing Process - CORRECT ANSWER A systematic approach to patient care
consisting of Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
Non-linear Nursing Process - CORRECT ANSWER The nursing process is not a linear
sequence; it involves continuous assessment and adjustment.
Assessment - CORRECT ANSWER Involves gathering data about the patient and their
health status; Info is related to the physiological, psychological, sociocultural, developmental,
and spiritual status of the individual.
Primary data - CORRECT ANSWER Data obtained directly from the patient.
Subjective data - CORRECT ANSWER What the patient SAYS/TELLS you.
Objective data - CORRECT ANSWER What you can SEE for yourself.
Secondary Data - CORRECT ANSWER Data obtained secondhand, from the medical
record or another care provider.
Diagnosis - CORRECT ANSWER Using critical-thinking skills, the nurse analyzes the
Assessment to identify patterns in the data and draw conclusions about the client's health
status (strengths, problems, and factors contributing to the problem).
Nursing diagnosis - CORRECT ANSWER A statement of patient health status that
nurses can identify, prevent, or treat independently.
Medical diagnosis - CORRECT ANSWER Describes a disease, illness, or injury;
Purpose is to identify a pathology so appropriate treatment can be given to cure the condition.
Planning - CORRECT ANSWER Encompasses identifying goals and outcomes,
choosing interventions, and creating nursing care plans.
