Intro to Nursing - Exam 1 Test Questions with Answers
Graded A+
The foundation of the nursing profession; is the
systematic approach to problem-solving and
providing individualized care? - ANSWER - What is diagnosis? - ANSWER -The clinical
The Nursing Process act of identifying problems using the assessment
data collected. This step identifies an individual,
family or group response to an actual or potential
The phases of the nursing process? - health problem.
ANSWER -Assessment, Diagnosis,
Planning (includes Outcome), Implementation,
Evaluation What is the nursing diagnosis based on? -
ANSWER -The pathophysiology of the
disease process.
What is Assessment? - ANSWER -
Collection of data to help establish a goal of
making a clinical nursing judgment. Who established the list of nursing diagnosis for
classifying nursing problems, standardizing
language and facilitating communication for
Difference between subjective and objective nurses? - ANSWER -North American
data? - ANSWER -Subjective, from the Nursing Diagnosis Association (NANDA)
client; Objective, from the nurse's senses.
What is included in Outcome? - ANSWER -
Difference between primary, secondary and Development of patient focused goals...included
tertiary sources? - ANSWER -Primary, can in the planning phase.
only be the patient; Secondary, info from
families, medical records, or other health care
professionals; Tertiary, info from textbooks, What are the guidelines on making goals? -
nurse's and other health care team responses to ANSWER -Must be patient-focused,
patient specific to the nursing diagnosis or patient
problem, measurable, realistic and have time
frame.
What must be done by the nurse on admission to
a health care facility? And what does it identify? -
ANSWER -In depth nursing history and What is involved in the Planning phase? -
physical assessment must be done and it ANSWER -Preparing the nursing care plan
identifies the patient's strengths and with patient input in how to identify goals and
weakness/health problems. interventions to help with the identified problems.
When does data collection take place? - What is included in the Planning phase? -
ANSWER -Through observations, ANSWER -Patient goals/outcomes specific
interviews, physical assessment, and interpreting to the problem, assessment, specific treatments
lab and diagnostic results. (independent and dependent), medications,
, Intro to Nursing - Exam 1 Test Questions with Answers
Graded A+
teaching, and community care. What is included in vital signs? - ANSWER -
Temperature, Pulse, Respiration, Blood
Pressure, Pain, Pulse Oximetry
What is a Joint Commission on Accreditation of
Healthcare Organizations (JACHO) requirement?
- ANSWER -The care plan is a written What are normal vital ranges, in adults? -
summary of the care that a patient is to receive. ANSWER -Pulse: 60-100; Respirations: 12-
20; Temp: 97-99; Systolic: 90-120; Diastolic: 60-
80
What is the action phase? - ANSWER -
Implementatio/Intervention
When do you assess vital signs? -
ANSWER -Upon admission, physician
Why are nursing actions goal oriented? - order, facility policy; before and after- surgery,
ANSWER -To help the patient reach diagnostic procedure, medication administration,
maximum health potential nursing interventions, patient becomes
symptomatic
What is crucial in the implementation phase? -
ANSWER -Documentation What produces heat in the body? -
ANSWER -Basal metabolism, muscle
activity, hormones and cells (fever)
What is determined in the Evaluation phase? -
ANSWER -The patient's reactions to
nursing interventions and judging whether the What causes loss of heat in body? -
goals of the plan of care were achieved. ANSWER -Radiation,
conduction/convection, evaporation... 40% of
heat is lost through head.
What is ongoing and continuous process
performed throughout the process? -
ANSWER -Evaluation..."revised or What is included in core body temperature? -
reassessed" ANSWER -Temp of deep body tissue:
abdominal, chest, pelvic cavities, and cranium
Vital signs are a __________ mechanism? -
ANSWER -Homeostatic What is included in surface body temperature? -
ANSWER -Temp of skin, subcutaneous
tissue, and fat
What is an important component of assessment?
- ANSWER -It yields info about underlying
health status What factors affect temperature? -
ANSWER -Age, environment, time of day,
exercise, stress and hormones. (temp is lowest in
Graded A+
The foundation of the nursing profession; is the
systematic approach to problem-solving and
providing individualized care? - ANSWER - What is diagnosis? - ANSWER -The clinical
The Nursing Process act of identifying problems using the assessment
data collected. This step identifies an individual,
family or group response to an actual or potential
The phases of the nursing process? - health problem.
ANSWER -Assessment, Diagnosis,
Planning (includes Outcome), Implementation,
Evaluation What is the nursing diagnosis based on? -
ANSWER -The pathophysiology of the
disease process.
What is Assessment? - ANSWER -
Collection of data to help establish a goal of
making a clinical nursing judgment. Who established the list of nursing diagnosis for
classifying nursing problems, standardizing
language and facilitating communication for
Difference between subjective and objective nurses? - ANSWER -North American
data? - ANSWER -Subjective, from the Nursing Diagnosis Association (NANDA)
client; Objective, from the nurse's senses.
What is included in Outcome? - ANSWER -
Difference between primary, secondary and Development of patient focused goals...included
tertiary sources? - ANSWER -Primary, can in the planning phase.
only be the patient; Secondary, info from
families, medical records, or other health care
professionals; Tertiary, info from textbooks, What are the guidelines on making goals? -
nurse's and other health care team responses to ANSWER -Must be patient-focused,
patient specific to the nursing diagnosis or patient
problem, measurable, realistic and have time
frame.
What must be done by the nurse on admission to
a health care facility? And what does it identify? -
ANSWER -In depth nursing history and What is involved in the Planning phase? -
physical assessment must be done and it ANSWER -Preparing the nursing care plan
identifies the patient's strengths and with patient input in how to identify goals and
weakness/health problems. interventions to help with the identified problems.
When does data collection take place? - What is included in the Planning phase? -
ANSWER -Through observations, ANSWER -Patient goals/outcomes specific
interviews, physical assessment, and interpreting to the problem, assessment, specific treatments
lab and diagnostic results. (independent and dependent), medications,
, Intro to Nursing - Exam 1 Test Questions with Answers
Graded A+
teaching, and community care. What is included in vital signs? - ANSWER -
Temperature, Pulse, Respiration, Blood
Pressure, Pain, Pulse Oximetry
What is a Joint Commission on Accreditation of
Healthcare Organizations (JACHO) requirement?
- ANSWER -The care plan is a written What are normal vital ranges, in adults? -
summary of the care that a patient is to receive. ANSWER -Pulse: 60-100; Respirations: 12-
20; Temp: 97-99; Systolic: 90-120; Diastolic: 60-
80
What is the action phase? - ANSWER -
Implementatio/Intervention
When do you assess vital signs? -
ANSWER -Upon admission, physician
Why are nursing actions goal oriented? - order, facility policy; before and after- surgery,
ANSWER -To help the patient reach diagnostic procedure, medication administration,
maximum health potential nursing interventions, patient becomes
symptomatic
What is crucial in the implementation phase? -
ANSWER -Documentation What produces heat in the body? -
ANSWER -Basal metabolism, muscle
activity, hormones and cells (fever)
What is determined in the Evaluation phase? -
ANSWER -The patient's reactions to
nursing interventions and judging whether the What causes loss of heat in body? -
goals of the plan of care were achieved. ANSWER -Radiation,
conduction/convection, evaporation... 40% of
heat is lost through head.
What is ongoing and continuous process
performed throughout the process? -
ANSWER -Evaluation..."revised or What is included in core body temperature? -
reassessed" ANSWER -Temp of deep body tissue:
abdominal, chest, pelvic cavities, and cranium
Vital signs are a __________ mechanism? -
ANSWER -Homeostatic What is included in surface body temperature? -
ANSWER -Temp of skin, subcutaneous
tissue, and fat
What is an important component of assessment?
- ANSWER -It yields info about underlying
health status What factors affect temperature? -
ANSWER -Age, environment, time of day,
exercise, stress and hormones. (temp is lowest in
