NSG 2317 MIDTERM 1 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
1. Nursing Process
Answer:
Systematic method of planning & providing patient care organized around a series of phrases that integrate
evidence-informed practice & critical thinking ADOPIE
Question:
2. Assessment's goal
Answer:
objective data collection organize data validate data document data
Question:
3. Critical thinking skills during interview
Answer:
use critical thinking find what is relevant look for inconsistencies look for patterns see if there's any info
missing find opportunities to promote health is there any potential risk for the patient
Question:
4. Criticial thinking skills with patient
Answer:
setting priorities identify patient-centered expected outcomes Evaluate and revise thinking determine a
comprehensive plan
Question:
5. levels of priorities
Answer:
1st level ABCs + V 2nd level : urgent but not ABCs + V change in mental status patient that need insulin
3rd level: can be done later 4th level: collaborative problem interprofessional problems
Question:
6. Patient-centered-expected outcomes
Answer:
should include a time frame what will be done to help the expected result the specific interventions
evaluation of the outcome
Question:
7. SBAR to communicate
Answer:
Situation Background Assessment Recommendation
Question:
8. SOAP to communicate
,Answer:
Subjective Objective Assessment Plan
Question:
9. 4 factors before a decision
Answer:
1- evidence from research 2- evidence from assessment 3- clinical expertise 4- patient preference & values
Question:
10. purpose of the interview
Answer:
to collect subjective data id health issues & strengths perform physical assessment teaching opportunity
Question:
11. Health history
Answer:
biographical data reason for seaking care current health/ history of current health past health history review
of system functional assessment
Question:
12. general survey
Answer:
overall impression
- physical
- body structure
- mobility & motor activity
- behavior
Question:
13. general survey physical
Answer:
appears the right age sex, appropriate dev. for age level of consciousness skin color facial expression signs
of distress
Question:
14. general survey body structure
Answer:
stature - normal range for genetics nutrition - normal range of height & built posture/position symmetry
Question:
15. general survey mobility & motor activity
Answer:
gait range of motion
Question:
16. general survey behavior
, Answer:
facial expression mood & affect speech dress personal hygiene
Question:
17. measurement
Answer:
BMI (Why?) height weight waist
Question:
18. Why do you need to take height & weight?
Answer:
in case you need to administer any medications
Question:
19. different sites to take temperature
Answer:
oral (official 6+) rectal (official infants) tympanic axillary
Question:
20. Normal range of temperature
Answer:
Oral = 35.8 - 37.3 mean = 37.0 rectal = o.4-0.5 higher mean = 37.2
Question:
21. Vital Sign - Pulse
Answer:
Count beats for 30-60 sec Normal range = 60-100 BPM
Question:
22. Vital sign - assessing pulse
Answer:
bradycardia? tachycardia?
- Don't forget critical thinking is it regular or irregular weak or strong what is the normal ? 0 1+ 2+ 3+
Question:
23. Vital sign - respiration
Answer:
Count resp. for 30-60 sec normal range = 10-20RPM trick to assess w/o impacting resp. rate?
Question:
24. Vital sign - assessment of resp.
Answer:
Bradypnea? Tachypnea?
- critical thinking normal, silent, relaxed? unlaboured?
Question:
25. Vital sign - Blood pressure the basics
AND CORRECT ANSWERS
Question:
1. Nursing Process
Answer:
Systematic method of planning & providing patient care organized around a series of phrases that integrate
evidence-informed practice & critical thinking ADOPIE
Question:
2. Assessment's goal
Answer:
objective data collection organize data validate data document data
Question:
3. Critical thinking skills during interview
Answer:
use critical thinking find what is relevant look for inconsistencies look for patterns see if there's any info
missing find opportunities to promote health is there any potential risk for the patient
Question:
4. Criticial thinking skills with patient
Answer:
setting priorities identify patient-centered expected outcomes Evaluate and revise thinking determine a
comprehensive plan
Question:
5. levels of priorities
Answer:
1st level ABCs + V 2nd level : urgent but not ABCs + V change in mental status patient that need insulin
3rd level: can be done later 4th level: collaborative problem interprofessional problems
Question:
6. Patient-centered-expected outcomes
Answer:
should include a time frame what will be done to help the expected result the specific interventions
evaluation of the outcome
Question:
7. SBAR to communicate
Answer:
Situation Background Assessment Recommendation
Question:
8. SOAP to communicate
,Answer:
Subjective Objective Assessment Plan
Question:
9. 4 factors before a decision
Answer:
1- evidence from research 2- evidence from assessment 3- clinical expertise 4- patient preference & values
Question:
10. purpose of the interview
Answer:
to collect subjective data id health issues & strengths perform physical assessment teaching opportunity
Question:
11. Health history
Answer:
biographical data reason for seaking care current health/ history of current health past health history review
of system functional assessment
Question:
12. general survey
Answer:
overall impression
- physical
- body structure
- mobility & motor activity
- behavior
Question:
13. general survey physical
Answer:
appears the right age sex, appropriate dev. for age level of consciousness skin color facial expression signs
of distress
Question:
14. general survey body structure
Answer:
stature - normal range for genetics nutrition - normal range of height & built posture/position symmetry
Question:
15. general survey mobility & motor activity
Answer:
gait range of motion
Question:
16. general survey behavior
, Answer:
facial expression mood & affect speech dress personal hygiene
Question:
17. measurement
Answer:
BMI (Why?) height weight waist
Question:
18. Why do you need to take height & weight?
Answer:
in case you need to administer any medications
Question:
19. different sites to take temperature
Answer:
oral (official 6+) rectal (official infants) tympanic axillary
Question:
20. Normal range of temperature
Answer:
Oral = 35.8 - 37.3 mean = 37.0 rectal = o.4-0.5 higher mean = 37.2
Question:
21. Vital Sign - Pulse
Answer:
Count beats for 30-60 sec Normal range = 60-100 BPM
Question:
22. Vital sign - assessing pulse
Answer:
bradycardia? tachycardia?
- Don't forget critical thinking is it regular or irregular weak or strong what is the normal ? 0 1+ 2+ 3+
Question:
23. Vital sign - respiration
Answer:
Count resp. for 30-60 sec normal range = 10-20RPM trick to assess w/o impacting resp. rate?
Question:
24. Vital sign - assessment of resp.
Answer:
Bradypnea? Tachypnea?
- critical thinking normal, silent, relaxed? unlaboured?
Question:
25. Vital sign - Blood pressure the basics