NSE 103 Final Exam Questions With
Correct Answers
what is subjective data? - CORRECT ANSWER✔✔-data the patient tells you
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what are symptoms? - CORRECT ANSWER✔✔-something the client feels
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what are signs? - CORRECT ANSWER✔✔-observable findings
| | | | | |
what is objective data - CORRECT ANSWER✔✔-what you observe and can
| | | | | | | | | |
measure
|
what is clinical judgement? - CORRECT ANSWER✔✔-determination about a
| | | | | | | |
client's health status
| | |
deciding their capacity to engage in care and whether action should be taken or
| | | | | | | | | | | | |
not
|
what is clinical reasoning? - CORRECT ANSWER✔✔-the thinking process by which
| | | | | | | | | |
a nurse reaches a clinical judgement
| | | | | |
,what is clinical deterioration? - CORRECT ANSWER✔✔-a worsening clinical state
| | | | | | | | |
related to physiological decompensation
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what are priorities of care? - CORRECT ANSWER✔✔-what actions are most
| | | | | | | | | |
important to take first, and which can follow
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what are the levels of maslow's hierachy of needs from top to bottom - CORRECT
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ANSWER✔✔-self-actualization
|
esteem
social
security
physiological
what are the levels of priority of care? - CORRECT ANSWER✔✔-first, second, third
| | | | | | | | | | | |
what is first level priority of care? - CORRECT ANSWER✔✔-problems that reflect
| | | | | | | | | | |
critical findings & require urgent action
| | | | | |
what is second level priority of care? - CORRECT ANSWER✔✔-problems that may
| | | | | | | | | | |
lead to clinical deterioration / may become life threatening
| | | | | | | | |
,requires prompt action | |
what is third level priority of care? - CORRECT ANSWER✔✔-problems that are not
| | | | | | | | | | | |
acute in nature
| | |
not urgent & can wait until the client is stable
| | | | | | | | |
what are the four types of interventions? - CORRECT ANSWER✔✔-effective
| | | | | | | | |
ineffective
unrelated
contraindicated
what are the types of health assessments? - CORRECT ANSWER✔✔-primary
| | | | | | | | |
survey
|
focussed assessment |
head to toe assessment
| | |
complete health assessment | |
, what are the components of a primary survey? - CORRECT ANSWER✔✔-ABCDE
| | | | | | | | | |
(Airway, breathing, circulation, disability and exposure)
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what does D stand for in ABCDE (primary survey)? what does it mean? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-disability - level of consciousness, speech, pain
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what does E stand for in ABCDE (primary survey)? what does it mean? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-exposure - temperature, skin integrity, ability to transfer, wounds,
| | | | | | | | |
etc
|
what is a focussed assessment? - CORRECT ANSWER✔✔-specific to a health
| | | | | | | | | |
concern / reason for seeking care
| | | | | |
what is a head to toe assessment? - CORRECT ANSWER✔✔-assesses several body
| | | | | | | | | | |
systems & provides an overview of the client's current health status
| | | | | | | | | | |
what does a cephalocaudal approach mean? - CORRECT ANSWER✔✔-head to toe
| | | | | | | | | |
what is a complete health assessment? - CORRECT ANSWER✔✔-subjective &
| | | | | | | | |
objective assessment of all body systems; comprehensive
| | | | | | |
what are the five levels of consciousness? - CORRECT ANSWER✔✔-alert &
| | | | | | | | | |
oriented
|
Correct Answers
what is subjective data? - CORRECT ANSWER✔✔-data the patient tells you
| | | | | | | | | |
what are symptoms? - CORRECT ANSWER✔✔-something the client feels
| | | | | | | |
what are signs? - CORRECT ANSWER✔✔-observable findings
| | | | | |
what is objective data - CORRECT ANSWER✔✔-what you observe and can
| | | | | | | | | |
measure
|
what is clinical judgement? - CORRECT ANSWER✔✔-determination about a
| | | | | | | |
client's health status
| | |
deciding their capacity to engage in care and whether action should be taken or
| | | | | | | | | | | | |
not
|
what is clinical reasoning? - CORRECT ANSWER✔✔-the thinking process by which
| | | | | | | | | |
a nurse reaches a clinical judgement
| | | | | |
,what is clinical deterioration? - CORRECT ANSWER✔✔-a worsening clinical state
| | | | | | | | |
related to physiological decompensation
| | | |
what are priorities of care? - CORRECT ANSWER✔✔-what actions are most
| | | | | | | | | |
important to take first, and which can follow
| | | | | | | |
what are the levels of maslow's hierachy of needs from top to bottom - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-self-actualization
|
esteem
social
security
physiological
what are the levels of priority of care? - CORRECT ANSWER✔✔-first, second, third
| | | | | | | | | | | |
what is first level priority of care? - CORRECT ANSWER✔✔-problems that reflect
| | | | | | | | | | |
critical findings & require urgent action
| | | | | |
what is second level priority of care? - CORRECT ANSWER✔✔-problems that may
| | | | | | | | | | |
lead to clinical deterioration / may become life threatening
| | | | | | | | |
,requires prompt action | |
what is third level priority of care? - CORRECT ANSWER✔✔-problems that are not
| | | | | | | | | | | |
acute in nature
| | |
not urgent & can wait until the client is stable
| | | | | | | | |
what are the four types of interventions? - CORRECT ANSWER✔✔-effective
| | | | | | | | |
ineffective
unrelated
contraindicated
what are the types of health assessments? - CORRECT ANSWER✔✔-primary
| | | | | | | | |
survey
|
focussed assessment |
head to toe assessment
| | |
complete health assessment | |
, what are the components of a primary survey? - CORRECT ANSWER✔✔-ABCDE
| | | | | | | | | |
(Airway, breathing, circulation, disability and exposure)
| | | | | |
what does D stand for in ABCDE (primary survey)? what does it mean? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-disability - level of consciousness, speech, pain
| | | | | | |
what does E stand for in ABCDE (primary survey)? what does it mean? - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-exposure - temperature, skin integrity, ability to transfer, wounds,
| | | | | | | | |
etc
|
what is a focussed assessment? - CORRECT ANSWER✔✔-specific to a health
| | | | | | | | | |
concern / reason for seeking care
| | | | | |
what is a head to toe assessment? - CORRECT ANSWER✔✔-assesses several body
| | | | | | | | | | |
systems & provides an overview of the client's current health status
| | | | | | | | | | |
what does a cephalocaudal approach mean? - CORRECT ANSWER✔✔-head to toe
| | | | | | | | | |
what is a complete health assessment? - CORRECT ANSWER✔✔-subjective &
| | | | | | | | |
objective assessment of all body systems; comprehensive
| | | | | | |
what are the five levels of consciousness? - CORRECT ANSWER✔✔-alert &
| | | | | | | | | |
oriented
|
