NRS 2014 EXAM 1 LATEST 2026/2027
UPDATE OAKLAND UNIVERSITY 100%
ACCURATE Q&A HEALTH ASSESSMENT
Steps of the Nursing Process
ADOPIE
1. Assessment
2. Diagnosis
3. Outcome identification
4. Planning
5. Implementation
6. Evaluation
Types of assessment
comprehensive, focused, ongoing, and emergency
subjective data
Information you're getting directly from the patient (symptoms/history)
objective data
information that is seen, heard, felt, or smelled; sign
four techniques of physical assessment
inspection, percussion, palpation, auscultation
The best type of question to ask is...
open-ended questions
OLDCARTS
,Onset, Location, Duration, Characteristics, Aggravating factors, Relieving Factors,
Timing, Severity
Review of systems
General, skin,HEENT, cardiac, respiratory, GI, GU, musculoskeletal, neuro, and psych
layers of skin
epidermis, dermis, hypodermis
Epidermal appendages
nails, hair, glands (sebaceous and sweat)
phases of wound healing
Hemostasis
Inflammatory
Proliferation
Remodeling
Types of exudate
serous, sanguineous, serosanguineous, hemorrhaging, and purulent
serous exudate
Clear or straw colored; normal
Serosanguineous exudate
pink (mix of blood and serous drainage); normal
sanguineous exudate
red; abnormal
hemorrhaging exudate
frank blood; abnormal
, purulent exudate
yellow/gray/green; pus; due to infection
pallor
paleness; usually caused by laws of oxygenated hemoglobin, vasoconstriction
erythema
redness; caused by excess blood in capillaries
cyanosis
blue; caused by decreased blood profusion
jaundice
yellow; caused by an accumulation of bile pigment (bilirubin) in the blood
palpation of skin
temperature, moisture, texture, thickness, edema, and mobility/turgor
edema
swelling; caused by accumulation of fluid in interstitial spaces
diaphoresia
excessive sweating
capillary refill
normal: less than 3 seconds
senile letigines
hyperpigmentation (liver spots)
keratoses
seborrheic: raised thick, brown, scaly lesions (barnacles), benign
actinic: less common; red-tan, rough, can be pre-malignant
UPDATE OAKLAND UNIVERSITY 100%
ACCURATE Q&A HEALTH ASSESSMENT
Steps of the Nursing Process
ADOPIE
1. Assessment
2. Diagnosis
3. Outcome identification
4. Planning
5. Implementation
6. Evaluation
Types of assessment
comprehensive, focused, ongoing, and emergency
subjective data
Information you're getting directly from the patient (symptoms/history)
objective data
information that is seen, heard, felt, or smelled; sign
four techniques of physical assessment
inspection, percussion, palpation, auscultation
The best type of question to ask is...
open-ended questions
OLDCARTS
,Onset, Location, Duration, Characteristics, Aggravating factors, Relieving Factors,
Timing, Severity
Review of systems
General, skin,HEENT, cardiac, respiratory, GI, GU, musculoskeletal, neuro, and psych
layers of skin
epidermis, dermis, hypodermis
Epidermal appendages
nails, hair, glands (sebaceous and sweat)
phases of wound healing
Hemostasis
Inflammatory
Proliferation
Remodeling
Types of exudate
serous, sanguineous, serosanguineous, hemorrhaging, and purulent
serous exudate
Clear or straw colored; normal
Serosanguineous exudate
pink (mix of blood and serous drainage); normal
sanguineous exudate
red; abnormal
hemorrhaging exudate
frank blood; abnormal
, purulent exudate
yellow/gray/green; pus; due to infection
pallor
paleness; usually caused by laws of oxygenated hemoglobin, vasoconstriction
erythema
redness; caused by excess blood in capillaries
cyanosis
blue; caused by decreased blood profusion
jaundice
yellow; caused by an accumulation of bile pigment (bilirubin) in the blood
palpation of skin
temperature, moisture, texture, thickness, edema, and mobility/turgor
edema
swelling; caused by accumulation of fluid in interstitial spaces
diaphoresia
excessive sweating
capillary refill
normal: less than 3 seconds
senile letigines
hyperpigmentation (liver spots)
keratoses
seborrheic: raised thick, brown, scaly lesions (barnacles), benign
actinic: less common; red-tan, rough, can be pre-malignant
