EVIDENCE BASED PHYSICAL EXAMINATION
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ Subjective data.
Answer: things a person tells you about that you cannot observe
through your senses; symptoms
◉ Objective data.
Answer: What you as the health professional observe by inspecting,
percussing, palpating, and auscultating during a physical
examination.
◉ The Nursing Process six phases:.
Answer: 1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation
◉ Assessment.
,Answer: the collection of subjective and objective data about a
patients health
purpose: make a judgment or diagnosis
◉ Diagnosis.
Answer: identification of a disease
- compare clinical findings with normal and abnormal variations and
developmental events
- interpret data
- validate diagnoses
- document diagnoses
◉ Outcome Identification.
Answer: Identify expected outcomes, individualize to the person,
culturally appropriate, realistic and measurable, include a timeline
◉ Planning.
Answer: It involves determining outcome criteria and developing a
plan.
◉ Implementation.
Answer: involves carrying out the plan.
, ◉ Evaluation.
Answer: Involves assessing whether outcome criteria have been met
and revising the plan as necessary.
◉ First-level priority problems.
Answer: emergent, life threatening, and immediate, such as
establishing an airway or supporting breathing.
◉ Second-level priority problems.
Answer: those that are next in urgency—those requiring your
prompt intervention to forestall further deterioration (e.g., mental
status change, acute pain, acute urinary elimination problems,
untreated medical problems, abnormal laboratory values, risks of
infection, or risk to safety or security).
◉ Third-level priority problems.
Answer: those that are important to the patient's health but can be
addressed after more urgent health problems are addressed.
Interventions to treat these problems are more long term, and the
response to treatment is expected to take more time.
◉ Collaborative problems.
Answer: those in which the approach to treatment involves multiple
disciplines. Collaborative problems are certain physiologic
COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS
◉ Subjective data.
Answer: things a person tells you about that you cannot observe
through your senses; symptoms
◉ Objective data.
Answer: What you as the health professional observe by inspecting,
percussing, palpating, and auscultating during a physical
examination.
◉ The Nursing Process six phases:.
Answer: 1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation
◉ Assessment.
,Answer: the collection of subjective and objective data about a
patients health
purpose: make a judgment or diagnosis
◉ Diagnosis.
Answer: identification of a disease
- compare clinical findings with normal and abnormal variations and
developmental events
- interpret data
- validate diagnoses
- document diagnoses
◉ Outcome Identification.
Answer: Identify expected outcomes, individualize to the person,
culturally appropriate, realistic and measurable, include a timeline
◉ Planning.
Answer: It involves determining outcome criteria and developing a
plan.
◉ Implementation.
Answer: involves carrying out the plan.
, ◉ Evaluation.
Answer: Involves assessing whether outcome criteria have been met
and revising the plan as necessary.
◉ First-level priority problems.
Answer: emergent, life threatening, and immediate, such as
establishing an airway or supporting breathing.
◉ Second-level priority problems.
Answer: those that are next in urgency—those requiring your
prompt intervention to forestall further deterioration (e.g., mental
status change, acute pain, acute urinary elimination problems,
untreated medical problems, abnormal laboratory values, risks of
infection, or risk to safety or security).
◉ Third-level priority problems.
Answer: those that are important to the patient's health but can be
addressed after more urgent health problems are addressed.
Interventions to treat these problems are more long term, and the
response to treatment is expected to take more time.
◉ Collaborative problems.
Answer: those in which the approach to treatment involves multiple
disciplines. Collaborative problems are certain physiologic