NURS 3320 - ASSESSMENT EXAM 1 QUSTIONS
WITH 100% CORRECT ANSWERS
What are the types of assessments? - CORRECT ANSWER-Initial comprehensive
Ongoing
Focused
Emergency
Normal BP - CORRECT ANSWER-120/80
Normal HR - CORRECT ANSWER-60-100 bpm
Normal RR - CORRECT ANSWER-10-20 bpm, usually 1:4 with HR
Normal SpO2 - CORRECT ANSWER->97%
Normal oral temperature - CORRECT ANSWER-96-99.5F (35.8-37.3C)
Normal axillary temperature - CORRECT ANSWER-1 degree Celsius lower than oral
Normal TM temperature - CORRECT ANSWER-0.3-0.6 degrees Celsius higher than oral
Normal rectal temperature - CORRECT ANSWER-1 degree Celsius higher than oral
Equipment for nutritional status exam - CORRECT ANSWER-skin-fold calipers, tape measure,
skin pen, scale
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
,Equipment for VS - CORRECT ANSWER-sphygmomanometer, thermometer, watch, pain scale
Equipment for skin, hair and nail exam - CORRECT ANSWER-light, mirror, metric ruler,
magnifying glass, woods lamp, Braden scale, PUSH scale
Equipment for head and neck exam - CORRECT ANSWER-stethoscope and water
Equipment for eye exam - CORRECT ANSWER-pen light, snellen E chart, newspaper, opaque
card, ophthalmoscope
Equipment for ear exam - CORRECT ANSWER-tuning fork and otoscope
Equipment for mouth, throat and nose exam - CORRECT ANSWER-penlight, 4x4 gauze, tongue
depressor, otoscope
Equipment for thoracic exam - CORRECT ANSWER-stethoscope, metric ruler, skin pen
Equipment for cardiac and neck vessel exam - CORRECT ANSWER-stethoscope and 2 metric
rulers
Equipment for peripheral vascular exam - CORRECT ANSWER-sphygmomanometer,
stethoscope, measuring tape, tuning fork, doppler
Equipment for abdominal exam - CORRECT ANSWER-stethoscope, measuring tape, skin pen, 2
pillows
Equipment for musculoskeletal exam - CORRECT ANSWER-measuring tape, goniometer
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
, Equipment for neuro exam - CORRECT ANSWER-cotton tipped applicators, things to elicit
senses, eye exam objects, reflex hammer, cotton ball, paper clip, tongue depressor, tuning fork
Equipment for male GU exam - CORRECT ANSWER-gloves, lube, penlight, specimen card
Equipment for female GU exam - CORRECT ANSWER-speculum, lube, bifid spatula, endocervical
broom, large swabs, liquid pap medium, specimen card
What is a nursing diagnosis? - CORRECT ANSWER-A clinical judgement about individual, family
or community responses to actual and potential health problems or life processes
Client/pt centered
What is a medical diagnosis? - CORRECT ANSWER-Identification of a disease condition based on
specific evaluation of signs and symptoms - physiologic status only
What are the interview phases? - CORRECT ANSWER-Pre-introductory
Introductory
Working
Summary/Closing
What is an open ended question? - CORRECT ANSWER-an interview question that encourages
an answer phrased in the respondent's own words
What is a closed ended question? - CORRECT ANSWER-yes or no question
What are blockers of communication? - CORRECT ANSWER-excessive or insufficient eye contact
distraction/distance
standing
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
WITH 100% CORRECT ANSWERS
What are the types of assessments? - CORRECT ANSWER-Initial comprehensive
Ongoing
Focused
Emergency
Normal BP - CORRECT ANSWER-120/80
Normal HR - CORRECT ANSWER-60-100 bpm
Normal RR - CORRECT ANSWER-10-20 bpm, usually 1:4 with HR
Normal SpO2 - CORRECT ANSWER->97%
Normal oral temperature - CORRECT ANSWER-96-99.5F (35.8-37.3C)
Normal axillary temperature - CORRECT ANSWER-1 degree Celsius lower than oral
Normal TM temperature - CORRECT ANSWER-0.3-0.6 degrees Celsius higher than oral
Normal rectal temperature - CORRECT ANSWER-1 degree Celsius higher than oral
Equipment for nutritional status exam - CORRECT ANSWER-skin-fold calipers, tape measure,
skin pen, scale
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
,Equipment for VS - CORRECT ANSWER-sphygmomanometer, thermometer, watch, pain scale
Equipment for skin, hair and nail exam - CORRECT ANSWER-light, mirror, metric ruler,
magnifying glass, woods lamp, Braden scale, PUSH scale
Equipment for head and neck exam - CORRECT ANSWER-stethoscope and water
Equipment for eye exam - CORRECT ANSWER-pen light, snellen E chart, newspaper, opaque
card, ophthalmoscope
Equipment for ear exam - CORRECT ANSWER-tuning fork and otoscope
Equipment for mouth, throat and nose exam - CORRECT ANSWER-penlight, 4x4 gauze, tongue
depressor, otoscope
Equipment for thoracic exam - CORRECT ANSWER-stethoscope, metric ruler, skin pen
Equipment for cardiac and neck vessel exam - CORRECT ANSWER-stethoscope and 2 metric
rulers
Equipment for peripheral vascular exam - CORRECT ANSWER-sphygmomanometer,
stethoscope, measuring tape, tuning fork, doppler
Equipment for abdominal exam - CORRECT ANSWER-stethoscope, measuring tape, skin pen, 2
pillows
Equipment for musculoskeletal exam - CORRECT ANSWER-measuring tape, goniometer
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
, Equipment for neuro exam - CORRECT ANSWER-cotton tipped applicators, things to elicit
senses, eye exam objects, reflex hammer, cotton ball, paper clip, tongue depressor, tuning fork
Equipment for male GU exam - CORRECT ANSWER-gloves, lube, penlight, specimen card
Equipment for female GU exam - CORRECT ANSWER-speculum, lube, bifid spatula, endocervical
broom, large swabs, liquid pap medium, specimen card
What is a nursing diagnosis? - CORRECT ANSWER-A clinical judgement about individual, family
or community responses to actual and potential health problems or life processes
Client/pt centered
What is a medical diagnosis? - CORRECT ANSWER-Identification of a disease condition based on
specific evaluation of signs and symptoms - physiologic status only
What are the interview phases? - CORRECT ANSWER-Pre-introductory
Introductory
Working
Summary/Closing
What is an open ended question? - CORRECT ANSWER-an interview question that encourages
an answer phrased in the respondent's own words
What is a closed ended question? - CORRECT ANSWER-yes or no question
What are blockers of communication? - CORRECT ANSWER-excessive or insufficient eye contact
distraction/distance
standing
NURS 3320 - Assessment Exam 1 QUSTIONS WITH 100% CORRECT ANSWERS
