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Nur 170 Final Exam (Actual Exam 2026) | Complete
Questions and Correct Answers (Detailed Answers) |
Updated Version
The nursing process is - (ANSWER)a critical thinking method used by nurses to
provide nursing care that is individualized and holistic.
5 steps of the nursing process - (ANSWER)1. assessment/data collection
2. analysis/ diagnosis
3. planning
4. implementation
5. evaluation
Times a nurse can collect data - (ANSWER)1. initial assessment (baseline data)
2. Focused assessment
3. Ongoing assessments
Methods of data collection include: - (ANSWER)Observation, interviews with
clients and families, medical history, comprehensive or focused physical
examination, diagnostic and laboratory reports, and collaboration with other
members of the health care team.
, 2
subjective data - (ANSWER)what the person says about himself or herself during
history taking
objective data - (ANSWER)information that is seen, heard, felt, or smelled by an
observer; signs
Analysis/diagnosis - (ANSWER)- identify patterns or trends
- compare data with expected standards or reference ranges
- arrive at conclusions to guide nursing care
Planning - (ANSWER)- must establish priorities and optimal outcomes of care they
can readily measure and evaluate
- direction interventions to include in a plan of care to promote, maintain, or
restore health of clients
Three types of planning - (ANSWER)- comprehensive: on admission, after
assessment
- ongoing: throughout provision of care
- discharge: needs for after discharge
, 3
What guidelines are used to set priorities? - (ANSWER)Maslow's Hierarchy of
needs
Maslow's Hierarchy of Needs Levels - (ANSWER)(level 1) Physiological Needs,
(level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4)
Self Esteem, (level 5) Self Actualization
Nurse-initiated/independent interventions - (ANSWER)nursing actions initiated
by the nurse that do not require direction or an order from a health care provider
Provider-initiated/dependent interventions - (ANSWER)Interventions nurses
initiate as a result of a provider's prescription (written, standing, or verbal) or the
facility's protocol, such as blood administration procedures.
collaborative interventions - (ANSWER)interdependent nursing actions
performed jointly by nurses and other members of the health care team
Implementation - (ANSWER)- nurses perform nursing actions, delegate tasks,
supervise other healthcare staff, document delivery of care and client responses
, 4
- put plan into action
Evaluation - (ANSWER)- nurses evaluate client responses to nursing interventions
to determine if any modifications to nursing care plan is needed
Asepsis - (ANSWER)is the absence of illness-producing micro-organisms
Medical asespsis - (ANSWER)clean technique: techniques that inhibit the growth
& spread of pathogenic microorganisms...example hand washing, changing pts
beds
Surgical Asepsis - (ANSWER)sterile technique
3 essential components to hand hygiene - (ANSWER)-soap
-water
-friction
Hand hygiene process - (ANSWER)- wash for at least 15 seconds with warm water
- wet hands first
Nur 170 Final Exam (Actual Exam 2026) | Complete
Questions and Correct Answers (Detailed Answers) |
Updated Version
The nursing process is - (ANSWER)a critical thinking method used by nurses to
provide nursing care that is individualized and holistic.
5 steps of the nursing process - (ANSWER)1. assessment/data collection
2. analysis/ diagnosis
3. planning
4. implementation
5. evaluation
Times a nurse can collect data - (ANSWER)1. initial assessment (baseline data)
2. Focused assessment
3. Ongoing assessments
Methods of data collection include: - (ANSWER)Observation, interviews with
clients and families, medical history, comprehensive or focused physical
examination, diagnostic and laboratory reports, and collaboration with other
members of the health care team.
, 2
subjective data - (ANSWER)what the person says about himself or herself during
history taking
objective data - (ANSWER)information that is seen, heard, felt, or smelled by an
observer; signs
Analysis/diagnosis - (ANSWER)- identify patterns or trends
- compare data with expected standards or reference ranges
- arrive at conclusions to guide nursing care
Planning - (ANSWER)- must establish priorities and optimal outcomes of care they
can readily measure and evaluate
- direction interventions to include in a plan of care to promote, maintain, or
restore health of clients
Three types of planning - (ANSWER)- comprehensive: on admission, after
assessment
- ongoing: throughout provision of care
- discharge: needs for after discharge
, 3
What guidelines are used to set priorities? - (ANSWER)Maslow's Hierarchy of
needs
Maslow's Hierarchy of Needs Levels - (ANSWER)(level 1) Physiological Needs,
(level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4)
Self Esteem, (level 5) Self Actualization
Nurse-initiated/independent interventions - (ANSWER)nursing actions initiated
by the nurse that do not require direction or an order from a health care provider
Provider-initiated/dependent interventions - (ANSWER)Interventions nurses
initiate as a result of a provider's prescription (written, standing, or verbal) or the
facility's protocol, such as blood administration procedures.
collaborative interventions - (ANSWER)interdependent nursing actions
performed jointly by nurses and other members of the health care team
Implementation - (ANSWER)- nurses perform nursing actions, delegate tasks,
supervise other healthcare staff, document delivery of care and client responses
, 4
- put plan into action
Evaluation - (ANSWER)- nurses evaluate client responses to nursing interventions
to determine if any modifications to nursing care plan is needed
Asepsis - (ANSWER)is the absence of illness-producing micro-organisms
Medical asespsis - (ANSWER)clean technique: techniques that inhibit the growth
& spread of pathogenic microorganisms...example hand washing, changing pts
beds
Surgical Asepsis - (ANSWER)sterile technique
3 essential components to hand hygiene - (ANSWER)-soap
-water
-friction
Hand hygiene process - (ANSWER)- wash for at least 15 seconds with warm water
- wet hands first
