N313: Exam 1 UPDATED ACTUAL Questions and CORRECT Answers
Question: Active Listening (SOLER)
Correct Answer: SIT with good posture OBSERVE an open posture LEAN toward the patient
ESTABLISH eye contact RELAX
Question: Non-therapeutic Communication
Correct Answer: hinder or damage professional relationships examples: asking personal questions,
becoming defensive, sharing opinions/beliefs, changing the subject, stereotyping, false reassurance
Question: SBAR
Correct Answer: situation background assessment recommendations
Question: Situation
Correct Answer: concise statement of the problem providing specific information relative to the patient's
issue (identify self & unit, individual with name & DOB, symptom onset & severity)
Question: Background
Correct Answer: pertinent and brief information related to the situation; providing context and assessment
data relative to patient issue (date/time of admission, admitting diagnosis, relevant medical history,
lab/diagnostic results, notable changes)
Question: Assessment
Correct Answer: analysis and considerations of options; nurse's interpretation of data relative to patient
issue (suspected underlying cause or concerns)
Question: Recommendation
Correct Answer: action requested/recommended; expectation of physician orders relative to patient issue
(clear/specific about urgency of request & expected time frame)
Question: HIPAA
Correct Answer: Health Insurance Portability and Accountability Act
Question: PHI
Correct Answer: Protected Health Information (address, name, demographics, etc.)
Question: ADPIE - Nursing Process
Correct Answer: Assessment Diagnosis Planning Implementation Evaluation
Question: Subjective Data
Correct Answer: symptoms (what patient reports, pain, feelings)
Question: Objective Data
Correct Answer: observable characteristics (vitals, redness, lab values)
Question: What are the PRIORITIES when assessing a patient?
Correct Answer: airway breathing circulation
Question: CAI
, Correct Answer: community-acquired infection
Question: HAI
Correct Answer: hospital-acquired infection
Question: Chain of Infection
Correct Answer: 1. infectious agent 2. reservoir 3. portal of exit 4. mode of transmission 5. portal of entry
6. susceptible host
Question: Medical Asepsis
Correct Answer: CLEAN technique that involves REDUCTION of microorganisms example: boxes of
clean gloves in patient rooms used for: dressing changes that are clean (not sterile), standard care
Question: Surgical Asepsis
Correct Answer: STERILE technique that involves NO microorganisms example: single package sterile
gloves for procedures used for: sterile procedures like tracheal suctioning, urinary cath insertion, central
line dressing change sterile areas: respiratory tact, urinary tract, blood stream
Question: Donning PPE
Correct Answer: 1. gown 2. mask 3. goggle/face shield 4. gloves
Question: Protective Precautions
Correct Answer: protects patients who are immunocompromised (oncology, transplant patients, patients
on medication that reduces immune system)
Question: CLABSI
Correct Answer: central line-associated blood stream infections
Question: CAUTI
Correct Answer: catheter-associated urinary tract infections
Question: Signs of LOCAL Infection
Correct Answer: increased pain, erythema, edema, local warmth, increased exudate, delayed healing,
friable granulation, wound odor, pocketing
Question: Signs of SYSTEMIC Infection
Correct Answer: increased erythema, pyrexia (fever), abscess/pus, wound breakdown, cellulitis, general
malaise, raised WBC count, lymphangitis
Question: Inspection
Correct Answer: close, careful scrutiny, first of the individual as a whole and then of each body system
begins when you first meet person requires good lighting, adequate exposure, occasional use of instruments
(otoscope, ophthalmoscope, penlight, nasal and vaginal specula)
Question: Palpation
Correct Answer: applies sense of touch to assess texture, temp, moisture, organ location/size, swelling,
vibration, crepitation, pulsation, rigidity, lumps, tenderness, or pain should be performed slow and
systematic LIGHT palpation only in nursing
Question: Active Listening (SOLER)
Correct Answer: SIT with good posture OBSERVE an open posture LEAN toward the patient
ESTABLISH eye contact RELAX
Question: Non-therapeutic Communication
Correct Answer: hinder or damage professional relationships examples: asking personal questions,
becoming defensive, sharing opinions/beliefs, changing the subject, stereotyping, false reassurance
Question: SBAR
Correct Answer: situation background assessment recommendations
Question: Situation
Correct Answer: concise statement of the problem providing specific information relative to the patient's
issue (identify self & unit, individual with name & DOB, symptom onset & severity)
Question: Background
Correct Answer: pertinent and brief information related to the situation; providing context and assessment
data relative to patient issue (date/time of admission, admitting diagnosis, relevant medical history,
lab/diagnostic results, notable changes)
Question: Assessment
Correct Answer: analysis and considerations of options; nurse's interpretation of data relative to patient
issue (suspected underlying cause or concerns)
Question: Recommendation
Correct Answer: action requested/recommended; expectation of physician orders relative to patient issue
(clear/specific about urgency of request & expected time frame)
Question: HIPAA
Correct Answer: Health Insurance Portability and Accountability Act
Question: PHI
Correct Answer: Protected Health Information (address, name, demographics, etc.)
Question: ADPIE - Nursing Process
Correct Answer: Assessment Diagnosis Planning Implementation Evaluation
Question: Subjective Data
Correct Answer: symptoms (what patient reports, pain, feelings)
Question: Objective Data
Correct Answer: observable characteristics (vitals, redness, lab values)
Question: What are the PRIORITIES when assessing a patient?
Correct Answer: airway breathing circulation
Question: CAI
, Correct Answer: community-acquired infection
Question: HAI
Correct Answer: hospital-acquired infection
Question: Chain of Infection
Correct Answer: 1. infectious agent 2. reservoir 3. portal of exit 4. mode of transmission 5. portal of entry
6. susceptible host
Question: Medical Asepsis
Correct Answer: CLEAN technique that involves REDUCTION of microorganisms example: boxes of
clean gloves in patient rooms used for: dressing changes that are clean (not sterile), standard care
Question: Surgical Asepsis
Correct Answer: STERILE technique that involves NO microorganisms example: single package sterile
gloves for procedures used for: sterile procedures like tracheal suctioning, urinary cath insertion, central
line dressing change sterile areas: respiratory tact, urinary tract, blood stream
Question: Donning PPE
Correct Answer: 1. gown 2. mask 3. goggle/face shield 4. gloves
Question: Protective Precautions
Correct Answer: protects patients who are immunocompromised (oncology, transplant patients, patients
on medication that reduces immune system)
Question: CLABSI
Correct Answer: central line-associated blood stream infections
Question: CAUTI
Correct Answer: catheter-associated urinary tract infections
Question: Signs of LOCAL Infection
Correct Answer: increased pain, erythema, edema, local warmth, increased exudate, delayed healing,
friable granulation, wound odor, pocketing
Question: Signs of SYSTEMIC Infection
Correct Answer: increased erythema, pyrexia (fever), abscess/pus, wound breakdown, cellulitis, general
malaise, raised WBC count, lymphangitis
Question: Inspection
Correct Answer: close, careful scrutiny, first of the individual as a whole and then of each body system
begins when you first meet person requires good lighting, adequate exposure, occasional use of instruments
(otoscope, ophthalmoscope, penlight, nasal and vaginal specula)
Question: Palpation
Correct Answer: applies sense of touch to assess texture, temp, moisture, organ location/size, swelling,
vibration, crepitation, pulsation, rigidity, lumps, tenderness, or pain should be performed slow and
systematic LIGHT palpation only in nursing
