Guaranteed Pass Solutions 2026/2027
Updated.
what is subjective data? - Answer data the patient tells you
what are symptoms? - Answer something the client feels
what are signs? - Answer observable findings
what is objective data - Answer what you observe and can measure
what is clinical judgement? - 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? - Answer the thinking process by which a nurse reaches a clinical
judgement
what is clinical deterioration? - Answer a worsening clinical state related to physiological
decompensation
what are priorities of care? - 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 - Answer self-
actualization
esteem
social
security
physiological
,what are the levels of priority of care? - Answer first, second, third
what is first level priority of care? - Answer problems that reflect critical findings & require
urgent action
what is second level priority of care? - Answer problems that may lead to clinical
deterioration / may become life threatening
requires prompt action
what is third level priority of care? - Answer problems that are not acute in nature
not urgent & can wait until the client is stable
what are the four types of interventions? - Answer effective
ineffective
unrelated
contraindicated
what are the types of health assessments? - Answer primary survey
focussed assessment
head to toe assessment
complete health assessment
what are the components of a primary survey? - Answer ABCDE (Airway, breathing,
circulation, disability and exposure)
what does D stand for in ABCDE (primary survey)? what does it mean? - Answer disability -
level of consciousness, speech, pain
,what does E stand for in ABCDE (primary survey)? what does it mean? - Answer exposure -
temperature, skin integrity, ability to transfer, wounds, etc
what is a focussed assessment? - Answer specific to a health concern / reason for seeking
care
what is a head to toe assessment? - Answer assesses several body systems & provides an
overview of the client's current health status
what does a cephalocaudal approach mean? - Answer head to toe
what is a complete health assessment? - Answer subjective & objective assessment of all
body systems; comprehensive
what are the five levels of consciousness? - Answer alert & oriented
confused & disoriented
lethargic
obtunded
unconscious
what does lethargic mean (level of consciousness)? - Answer slow to arouse to stimuli or
questions, sleepy
what does obtunded mean (level of consciousness)? - Answer significant impairment to level
of consciousness; without stimuli they immediately return to sleep
how do you assess someone's level of orientation? - Answer by asking them about:
place
time
person
self
, what is health promotion? - Answer strategies that enable people/communities to increase
control over & improve their health
what are the three types of health promotion? - Answer behavioural
relational
structural
what is behavioural health promotion? - Answer focus on lifestyles & behaviours on an
individual level
what is relational health promotion? - Answer emphasizes social change at the relational
level
what is structural health promotion? - Answer addresses policies & practices that affect
health at a broader community level
what is hyperthermia? - Answer elevated body temperature
what is hypothermia? - Answer low body temperature
what factors may cause hyperthermia? - Answer internal (fever caused by infection) or
external (exposure to heat)
what are the five ways temperature can be taken? - Answer tympanic
oral
axillary
rectal
dermal
how are temperatures usually taken in pediatric populations? - Answer rectal