NSG 100 FINAL EXAM | NEWEST VERSION | UPDATED
ACTUAL QUESTIONS AND VERIFIED ANSWERS
• what are the 5 steps to the nursing process? -✓✓ANSWER: assessment
diagnoses
planning
implementation
evaluation
• what's the assessment phase? -✓✓ANSWER: gathering information about pt's
psychological, physiological, sociological, and spiritual status;
gathered in pt interview; physical exams, hx, etc.
• what's the diagnosing phase? -✓✓ANSWER: nurse makes an educated
judgement about potential or actual health problem; include actual description
and whether or not patient is at risk for further issues
• what's the planning phase? -✓✓ANSWER: patient and nurse agree on diagnoses
and plan of action can be developed; assigned clear, measurable goal for
expected beneficial outcome
usually use evidence-based nursing outcome classification
• what's the evidence-based nursing outcome classification? -✓✓ANSWER: set of
standardized terms and measurements for tracking patient wellness; may be used
as a resource for planning
,• what's the implementing phase? -✓✓ANSWER: nurse follows through on
decided plan of action' specific to each patient and focuses on achievable
outcomes; can take place over hours, days, weeks, or months
• what's the evaluation phase? -✓✓ANSWER: nurse determines if all goals for
patient wellness have been met; patient's condition improved, patient's condition
stablished, and patient's condition deteriorated, died, or discharged...
• what are the functions of the skin? -✓✓ANSWER: protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
• what's the epidermis? -✓✓ANSWER: top layer of skin
helps with h20 production
• what's the dermis? -✓✓ANSWER: second layer of skin
nerves, hair follicles, etc.
• what's the subcutaneous tissue? -✓✓ANSWER: third layer of skin, below dermis
helps with padding, warmth, etc.
,• lifespan considerations for infants (tissue) -✓✓ANSWER: thinner skin with less
subcutaneous fat
milia on face
risk for dehydration
• lifespan considerations for children (tissue) -✓✓ANSWER: thinner skin
larger body surface area than adults
• lifespan considerations for adolescents (tissue) -✓✓ANSWER: increase in sweat
and sebaceous glands
higher incidence of warts and fungal infections
acne, hygiene, etc.
• lifespan considerations for adults (tissue) -✓✓ANSWER: skin thickens to 40-50s
• lifespan considerations for pregnant women (tissue) -✓✓ANSWER: hyper
pigmentation
striae (stretch marks)
pruritus (itching)
• lifespan considerations for elderly (tissue) -✓✓ANSWER: decreased skin
thickness
decreased collagen content (decrease elasticity)
increase wrinkles, sagging skin
, decreased subcutaneous tissue
dry sin from decreased swear glands
• risk factors for press injury development? -✓✓ANSWER: -impaired mobility and
partial mobility
-inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
• complications of wound healing? -✓✓ANSWER: hemorrhage
infection
dehiscence
evisceration
• what's hemorrhage? -✓✓ANSWER: excessive bleeding --hold pressure and DO
NOT REMOVE DRESSING until surgeon has been called & assessed
• what's noted with infection in a wound? -✓✓ANSWER: redness
drainage
fever
ACTUAL QUESTIONS AND VERIFIED ANSWERS
• what are the 5 steps to the nursing process? -✓✓ANSWER: assessment
diagnoses
planning
implementation
evaluation
• what's the assessment phase? -✓✓ANSWER: gathering information about pt's
psychological, physiological, sociological, and spiritual status;
gathered in pt interview; physical exams, hx, etc.
• what's the diagnosing phase? -✓✓ANSWER: nurse makes an educated
judgement about potential or actual health problem; include actual description
and whether or not patient is at risk for further issues
• what's the planning phase? -✓✓ANSWER: patient and nurse agree on diagnoses
and plan of action can be developed; assigned clear, measurable goal for
expected beneficial outcome
usually use evidence-based nursing outcome classification
• what's the evidence-based nursing outcome classification? -✓✓ANSWER: set of
standardized terms and measurements for tracking patient wellness; may be used
as a resource for planning
,• what's the implementing phase? -✓✓ANSWER: nurse follows through on
decided plan of action' specific to each patient and focuses on achievable
outcomes; can take place over hours, days, weeks, or months
• what's the evaluation phase? -✓✓ANSWER: nurse determines if all goals for
patient wellness have been met; patient's condition improved, patient's condition
stablished, and patient's condition deteriorated, died, or discharged...
• what are the functions of the skin? -✓✓ANSWER: protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
• what's the epidermis? -✓✓ANSWER: top layer of skin
helps with h20 production
• what's the dermis? -✓✓ANSWER: second layer of skin
nerves, hair follicles, etc.
• what's the subcutaneous tissue? -✓✓ANSWER: third layer of skin, below dermis
helps with padding, warmth, etc.
,• lifespan considerations for infants (tissue) -✓✓ANSWER: thinner skin with less
subcutaneous fat
milia on face
risk for dehydration
• lifespan considerations for children (tissue) -✓✓ANSWER: thinner skin
larger body surface area than adults
• lifespan considerations for adolescents (tissue) -✓✓ANSWER: increase in sweat
and sebaceous glands
higher incidence of warts and fungal infections
acne, hygiene, etc.
• lifespan considerations for adults (tissue) -✓✓ANSWER: skin thickens to 40-50s
• lifespan considerations for pregnant women (tissue) -✓✓ANSWER: hyper
pigmentation
striae (stretch marks)
pruritus (itching)
• lifespan considerations for elderly (tissue) -✓✓ANSWER: decreased skin
thickness
decreased collagen content (decrease elasticity)
increase wrinkles, sagging skin
, decreased subcutaneous tissue
dry sin from decreased swear glands
• risk factors for press injury development? -✓✓ANSWER: -impaired mobility and
partial mobility
-inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
• complications of wound healing? -✓✓ANSWER: hemorrhage
infection
dehiscence
evisceration
• what's hemorrhage? -✓✓ANSWER: excessive bleeding --hold pressure and DO
NOT REMOVE DRESSING until surgeon has been called & assessed
• what's noted with infection in a wound? -✓✓ANSWER: redness
drainage
fever
