NR224 Fundamentals: Skills - Exam 1 Concepts UPDATED ACTUAL
Questions and CORRECT Answers
The observed outcome of critical thinking and decision-making using nursing
What is clinical judgment?
knowledge to provide safe, evidence-based care.
What connects the nursing process and Clinical reasoning connects assessment, interventions, and outcomes—forming the
clinical judgment? thought process behind decisions.
What does ADPIE stand for? Assessment, Diagnosis, Planning, Implementation, Evaluation
, What are the benefits of concept Encourages critical thinking, holistic approach, and helps visualize relationships in
mapping? client data.
1. Collect and analyze information
2. Identify main health concern
What is the order of steps in creating a 3. Place sub-concepts
concept map? 4. Identify connections
5. Review
6. Revise
What does SOAP in SOAP notes stand for? Subjective, Objective, Assessment, Plan
What are documentation standards? Must be factual, accurate, complete, current, and organized.
Infectious Agent → Reservoir → Portal of Exit → Mode of Transmission → Portal of
What is the chain of infection?
Entry → Susceptible Host
How can you break the chain of infection at Use hand hygiene, PPE, and safe practices to prevent contact.
the mode of transmission?
What are the contact precautions diseases MRSA, RSV, Skin infections, Wound infections, Enteric (C. diff), Eye infections
(Mrs. WEE)?
What PPE is required for droplet Mask (add gown/eye protection if risk of contact exists)
precautions?
What diseases require airborne precautions Measles, Chickenpox, Herpes zoster, Tuberculosis (and COVID)
(My Chicken Has TB)?
What is the correct order to don PPE? Hand hygiene → Gown → Mask → Goggles → Gloves
What is the correct order to doff PPE? Gloves → Goggles → Gown → Mask → Hand hygiene
What are the normal adult vital sign range 36-38°C (96.8-100.4°F)
for temperature?
What are the normal adult vital sign range 60-100 bpm
for pulse?
What are the normal adult vital sign range 12-20 bpm
for Respiration?
What are the normal adult vital sign range <120/<80 mmHg
for Blood Pressure?
What are the normal adult vital sign range ≥95%
for O2 Saturation?
Which pulse site is used in emergencies? Carotid
What is thermoregulation? The body's ability to balance heat production and heat loss.
What are the four types of heat loss? Radiation, Conduction, Convection, Evaporation
What is the most accurate site for core Rectal or tympanic
temperature?
What factors affect body temperature? Age, gender/hormones, exercise, time of day, stress, and environment
What is the difference between fever and Fever is a regulated rise in temperature due to pyrogens; hyperthermia is
hyperthermia? uncontrolled heat increase due to hypothalamic dysfunction.
Symptoms of fever include: Chills, shivering, flushed skin, increased WBCs, diaphoresis, increased RR and HR
What are nursing interventions for fever? Reduce blankets, antipyretics, hydrate, encourage rest, monitor labs
Key signs of heatstroke: Temp ≥ 40°C (104°F), hot dry skin, confusion, possible coma, no sweating
Questions and CORRECT Answers
The observed outcome of critical thinking and decision-making using nursing
What is clinical judgment?
knowledge to provide safe, evidence-based care.
What connects the nursing process and Clinical reasoning connects assessment, interventions, and outcomes—forming the
clinical judgment? thought process behind decisions.
What does ADPIE stand for? Assessment, Diagnosis, Planning, Implementation, Evaluation
, What are the benefits of concept Encourages critical thinking, holistic approach, and helps visualize relationships in
mapping? client data.
1. Collect and analyze information
2. Identify main health concern
What is the order of steps in creating a 3. Place sub-concepts
concept map? 4. Identify connections
5. Review
6. Revise
What does SOAP in SOAP notes stand for? Subjective, Objective, Assessment, Plan
What are documentation standards? Must be factual, accurate, complete, current, and organized.
Infectious Agent → Reservoir → Portal of Exit → Mode of Transmission → Portal of
What is the chain of infection?
Entry → Susceptible Host
How can you break the chain of infection at Use hand hygiene, PPE, and safe practices to prevent contact.
the mode of transmission?
What are the contact precautions diseases MRSA, RSV, Skin infections, Wound infections, Enteric (C. diff), Eye infections
(Mrs. WEE)?
What PPE is required for droplet Mask (add gown/eye protection if risk of contact exists)
precautions?
What diseases require airborne precautions Measles, Chickenpox, Herpes zoster, Tuberculosis (and COVID)
(My Chicken Has TB)?
What is the correct order to don PPE? Hand hygiene → Gown → Mask → Goggles → Gloves
What is the correct order to doff PPE? Gloves → Goggles → Gown → Mask → Hand hygiene
What are the normal adult vital sign range 36-38°C (96.8-100.4°F)
for temperature?
What are the normal adult vital sign range 60-100 bpm
for pulse?
What are the normal adult vital sign range 12-20 bpm
for Respiration?
What are the normal adult vital sign range <120/<80 mmHg
for Blood Pressure?
What are the normal adult vital sign range ≥95%
for O2 Saturation?
Which pulse site is used in emergencies? Carotid
What is thermoregulation? The body's ability to balance heat production and heat loss.
What are the four types of heat loss? Radiation, Conduction, Convection, Evaporation
What is the most accurate site for core Rectal or tympanic
temperature?
What factors affect body temperature? Age, gender/hormones, exercise, time of day, stress, and environment
What is the difference between fever and Fever is a regulated rise in temperature due to pyrogens; hyperthermia is
hyperthermia? uncontrolled heat increase due to hypothalamic dysfunction.
Symptoms of fever include: Chills, shivering, flushed skin, increased WBCs, diaphoresis, increased RR and HR
What are nursing interventions for fever? Reduce blankets, antipyretics, hydrate, encourage rest, monitor labs
Key signs of heatstroke: Temp ≥ 40°C (104°F), hot dry skin, confusion, possible coma, no sweating
