NUR 216 FINAL EXAM COMPREHENSIVE EXAM QUESTIONS
WITH DETAILED VERIFIED AND 100% ACCURATE
ANSWERS BRAND NEW EXAM ALREADY GRADED A+ PASS
What are the steps in the nursing process? Ans✓✓✓ADPIE
A=assessment D=diagnosis P=planning I=implementation E=evaluation
assessment Ans✓✓✓Obtaining subjective and objective data
Diagnosis Ans✓✓✓Nursing diagnosis analyzes the data collected,
identifying actual and
potential problems.
planning Ans✓✓✓Using SMART to create a plan based off data and
diagnosis
implementation Ans✓✓✓Use skills to implement appropriate
therapeutic interventions
Evolution Ans✓✓✓Monitor the effectiveness and achievability of goals
and the need for
intervention or adjustment
What are the components of the general survey? Ans✓✓✓Physical
Appearance
Body structure Mobility/Gait
,Behavior
Speech
Dress, hygiene, grooming, and odors (body, breath)
Vital signs with asking about Pain
What types of questions may be asked in the review of systems?
Ans✓✓✓Start with the head all the way down to toes and ask relevant
questions that are age-appropriate for each system
o Integumentary
o Head, neck, cognitive
o Eyes, ears, nose, mouth
o Respiratory
o Cardiovascular
o GI
o GU
o MSK
o Neuro
o Endocrine
o Mental
What are the four techniques used in physical assessment?
Ans✓✓✓Inspection
Palpation
Auscultation
,Percussion
What are the techniques used when assessing the abdomen?
Ans✓✓✓Inspection
Auscultation
Percussion
Palpation
How do you properly palpate for temperature? Ans✓✓✓Dorsal side of
the hand
What is each side of the stethoscope called and used for?
Ans✓✓✓Diaphragm: used for high pitched
Bell: Low pitched (heart murmur)
What are the vital signs you typically need to collect from every patient?
Ans✓✓✓Temperature 96.8-100.4F
Pulse 60-100 bpm
Respiration rate 12-20 bpm
Pulse Ox 95-100%
Blood pressure
hypotension Ans✓✓✓lower than normal blood pressure
ex: 90/60
, hypertension Ans✓✓✓higher than normal blood pressure
ex: 140/90
common pulse points Ans✓✓✓carotid, femoral, brachial, radial,
posterior tibial, dorsalis pedis
different ways to take temperature Ans✓✓✓Oral
Rectal
Axillary
Tympanic
Temporal
how to take rectal temperature Ans✓✓✓sims position with upper leg
flexed. 2.5-3.5 cm (1-1.5 inches) for adult.
-Wear gloves
-Lubricate tip no less than 1 inch
-Insert 1 inch
-Hold for 3 minutes
-Standard precautions
WITH DETAILED VERIFIED AND 100% ACCURATE
ANSWERS BRAND NEW EXAM ALREADY GRADED A+ PASS
What are the steps in the nursing process? Ans✓✓✓ADPIE
A=assessment D=diagnosis P=planning I=implementation E=evaluation
assessment Ans✓✓✓Obtaining subjective and objective data
Diagnosis Ans✓✓✓Nursing diagnosis analyzes the data collected,
identifying actual and
potential problems.
planning Ans✓✓✓Using SMART to create a plan based off data and
diagnosis
implementation Ans✓✓✓Use skills to implement appropriate
therapeutic interventions
Evolution Ans✓✓✓Monitor the effectiveness and achievability of goals
and the need for
intervention or adjustment
What are the components of the general survey? Ans✓✓✓Physical
Appearance
Body structure Mobility/Gait
,Behavior
Speech
Dress, hygiene, grooming, and odors (body, breath)
Vital signs with asking about Pain
What types of questions may be asked in the review of systems?
Ans✓✓✓Start with the head all the way down to toes and ask relevant
questions that are age-appropriate for each system
o Integumentary
o Head, neck, cognitive
o Eyes, ears, nose, mouth
o Respiratory
o Cardiovascular
o GI
o GU
o MSK
o Neuro
o Endocrine
o Mental
What are the four techniques used in physical assessment?
Ans✓✓✓Inspection
Palpation
Auscultation
,Percussion
What are the techniques used when assessing the abdomen?
Ans✓✓✓Inspection
Auscultation
Percussion
Palpation
How do you properly palpate for temperature? Ans✓✓✓Dorsal side of
the hand
What is each side of the stethoscope called and used for?
Ans✓✓✓Diaphragm: used for high pitched
Bell: Low pitched (heart murmur)
What are the vital signs you typically need to collect from every patient?
Ans✓✓✓Temperature 96.8-100.4F
Pulse 60-100 bpm
Respiration rate 12-20 bpm
Pulse Ox 95-100%
Blood pressure
hypotension Ans✓✓✓lower than normal blood pressure
ex: 90/60
, hypertension Ans✓✓✓higher than normal blood pressure
ex: 140/90
common pulse points Ans✓✓✓carotid, femoral, brachial, radial,
posterior tibial, dorsalis pedis
different ways to take temperature Ans✓✓✓Oral
Rectal
Axillary
Tympanic
Temporal
how to take rectal temperature Ans✓✓✓sims position with upper leg
flexed. 2.5-3.5 cm (1-1.5 inches) for adult.
-Wear gloves
-Lubricate tip no less than 1 inch
-Insert 1 inch
-Hold for 3 minutes
-Standard precautions