PNG 1167 Exam 1 Complete Study Guide and Introductory Course Revision
Notes
data base/admission form - correct answer ✔✔completed on each patient admitted to hospital;
Includes systems' assessment and pertinent information such as how they manage ADL's as well
as their support system when discharged
systems assessment - correct answer ✔✔(head to toe) are completed on every patient at
beginning of shift and throughout shift if patients condition changes or deteriorates
focused assessment - correct answer ✔✔used to focus on one problem such as not being able
to void
emergent assessment - correct answer ✔✔focus on ABC's, which is life-threatening. (can be on
any Unit if patient condition becomes critical
Vital Signs Averages - correct answer ✔✔Temperature: 35.8C - 37.3C tympanic or temporal;
Pulse: 50-95 bpm (beats per minute) (50 is a low heart rate for most people); Respirations: 12-
20 respirations per minute; Blood Pressure: 90/60-140/90
Temperature - correct answer ✔✔Hypothalamus as thermostat mechanism; Influences on
temperature: Diurnal cycle, Menstrual cycle, Exercise, and Age; Routes of temperature
measurement: Oral; electronic thermometer; axillary; rectal; tympanic membrane
thermometer; Presently in healthcare, we use tympanic thermometer and temporal
thermometer; Use of "sensor patch" is new (OR and Recovery)
pulse - correct answer ✔✔Stroke volume; Technique of measurement; Rate-Normal rate for age
group; Bradycardia(slow) ;Tachycardia (fast); Rhythm- Sinus arrhythmia; Force; Elasticity
, influences on BP - correct answer ✔✔age, Gender, Ethnocultural background, Diurnal rhythm,
Weight, Exercise, Emotions, and Stress; Physiological factors controlling blood pressure: Cardiac
output, Peripheral vascular resistance, Volume of circulating blood, Viscosity, and Elasticity of
vessel walls
oxygen saturation - correct answer ✔✔Measurement of oxygen saturation; Pulse oximetry;
Sensor compares ratio of light emitted to light absorbed by hemoglobin and converts into a
percentage of SpO2; Normal range: 97%-98%
developmental considerations for older adults - correct answer ✔✔Changes in body contour,
posture, and gait related to age, Decrease in body weight and height; Vital signs; With age less
likely to be febrile, but great risk for hypothermia; Pulse rate may be irregular; Shallower
respiratory rate; Increase in blood pressure
10 traps of interviewing - correct answer ✔✔Providing false assurance or reassurance, giving
unwanted advice, using authority, using avoidance language, engaging in distancing, using
professional jargon, using leading or biased questions, talking too much, interrupting, using
"why" questions
diagnostic reasoning - correct answer ✔✔Attending to cues, Formulating hypotheses, Gathering
data, and Evaluating hypotheses + data
nursing process - correct answer ✔✔Assessment, Diagnosis, Outcome identification, Planning,
Implementation, Evaluation, and Nursing
Priority setting - correct answer ✔✔First-level priority problems-Emergent, life-threatening,
immediate; Second level-Urgent, necessitating prompt intervention; Third level- Important,
addressed after more urgent problems; Collaborative problems-Treatment involves multiple
disciplines
evidence informed assessment - correct answer ✔✔What "counts" as evidence; Assessment
skills are
Notes
data base/admission form - correct answer ✔✔completed on each patient admitted to hospital;
Includes systems' assessment and pertinent information such as how they manage ADL's as well
as their support system when discharged
systems assessment - correct answer ✔✔(head to toe) are completed on every patient at
beginning of shift and throughout shift if patients condition changes or deteriorates
focused assessment - correct answer ✔✔used to focus on one problem such as not being able
to void
emergent assessment - correct answer ✔✔focus on ABC's, which is life-threatening. (can be on
any Unit if patient condition becomes critical
Vital Signs Averages - correct answer ✔✔Temperature: 35.8C - 37.3C tympanic or temporal;
Pulse: 50-95 bpm (beats per minute) (50 is a low heart rate for most people); Respirations: 12-
20 respirations per minute; Blood Pressure: 90/60-140/90
Temperature - correct answer ✔✔Hypothalamus as thermostat mechanism; Influences on
temperature: Diurnal cycle, Menstrual cycle, Exercise, and Age; Routes of temperature
measurement: Oral; electronic thermometer; axillary; rectal; tympanic membrane
thermometer; Presently in healthcare, we use tympanic thermometer and temporal
thermometer; Use of "sensor patch" is new (OR and Recovery)
pulse - correct answer ✔✔Stroke volume; Technique of measurement; Rate-Normal rate for age
group; Bradycardia(slow) ;Tachycardia (fast); Rhythm- Sinus arrhythmia; Force; Elasticity
, influences on BP - correct answer ✔✔age, Gender, Ethnocultural background, Diurnal rhythm,
Weight, Exercise, Emotions, and Stress; Physiological factors controlling blood pressure: Cardiac
output, Peripheral vascular resistance, Volume of circulating blood, Viscosity, and Elasticity of
vessel walls
oxygen saturation - correct answer ✔✔Measurement of oxygen saturation; Pulse oximetry;
Sensor compares ratio of light emitted to light absorbed by hemoglobin and converts into a
percentage of SpO2; Normal range: 97%-98%
developmental considerations for older adults - correct answer ✔✔Changes in body contour,
posture, and gait related to age, Decrease in body weight and height; Vital signs; With age less
likely to be febrile, but great risk for hypothermia; Pulse rate may be irregular; Shallower
respiratory rate; Increase in blood pressure
10 traps of interviewing - correct answer ✔✔Providing false assurance or reassurance, giving
unwanted advice, using authority, using avoidance language, engaging in distancing, using
professional jargon, using leading or biased questions, talking too much, interrupting, using
"why" questions
diagnostic reasoning - correct answer ✔✔Attending to cues, Formulating hypotheses, Gathering
data, and Evaluating hypotheses + data
nursing process - correct answer ✔✔Assessment, Diagnosis, Outcome identification, Planning,
Implementation, Evaluation, and Nursing
Priority setting - correct answer ✔✔First-level priority problems-Emergent, life-threatening,
immediate; Second level-Urgent, necessitating prompt intervention; Third level- Important,
addressed after more urgent problems; Collaborative problems-Treatment involves multiple
disciplines
evidence informed assessment - correct answer ✔✔What "counts" as evidence; Assessment
skills are
