NUR 216 Exam 1 Questions with 100%
Correct Answers
comprehensive assessment Correct Answer: An assessment that includes a
complete health history and physical assessment; Usually brand new patients
focused assessment Correct Answer: assessment conducted to assess a specific
problem; focuses on pertinent history and body regions
HIPAA Correct Answer: Health Insurance Portability and Accountability Act
The nursing process Correct Answer: Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment (ADPIE) Correct Answer: Data collection (objective/subjective)
Prioritize Data: Primary (life threatening), Secondary (requires prompt attention),
Tertiary (not urgent)
Planning (ADPIE) Correct Answer: Develop SMART goals, plan nursing
interventions
Implementation (ADPIE) Correct Answer: Perform planned nursing interventions
,Evaluation (ADPIE) Correct Answer: Were the goals met? If not, re-assess
assessment skills Correct Answer: Inspection
Palpation
Percussion
Auscultation
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter
the bowel sounds
Inspection Correct Answer: Observe for Symmetry, size, color, shape
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation Correct Answer: Fine sensation (texture, swelling,
pulsation. lumps)
Dorsa of hands: Palpation Correct Answer: Best for determining temperature
Base of fingers or ulnar surface: Correct Answer: vibrations
Palpation Correct Answer: Light: surface characteristics
, Deep: Organs, masses, tenderness (use intermittent pressure)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion Correct Answer: tapping on a surface to determine the difference in
the density of the underlying structure
Ausculation Correct Answer: listening to sounds within the body
Bell Correct Answer: low pitched sounds
(mummers)
Diaphragm Correct Answer: high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? Correct Answer: Patients
safety
Bed to lowest position
Side Rails
Correct Answers
comprehensive assessment Correct Answer: An assessment that includes a
complete health history and physical assessment; Usually brand new patients
focused assessment Correct Answer: assessment conducted to assess a specific
problem; focuses on pertinent history and body regions
HIPAA Correct Answer: Health Insurance Portability and Accountability Act
The nursing process Correct Answer: Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment (ADPIE) Correct Answer: Data collection (objective/subjective)
Prioritize Data: Primary (life threatening), Secondary (requires prompt attention),
Tertiary (not urgent)
Planning (ADPIE) Correct Answer: Develop SMART goals, plan nursing
interventions
Implementation (ADPIE) Correct Answer: Perform planned nursing interventions
,Evaluation (ADPIE) Correct Answer: Were the goals met? If not, re-assess
assessment skills Correct Answer: Inspection
Palpation
Percussion
Auscultation
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do not want to alter
the bowel sounds
Inspection Correct Answer: Observe for Symmetry, size, color, shape
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation Correct Answer: Fine sensation (texture, swelling,
pulsation. lumps)
Dorsa of hands: Palpation Correct Answer: Best for determining temperature
Base of fingers or ulnar surface: Correct Answer: vibrations
Palpation Correct Answer: Light: surface characteristics
, Deep: Organs, masses, tenderness (use intermittent pressure)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion Correct Answer: tapping on a surface to determine the difference in
the density of the underlying structure
Ausculation Correct Answer: listening to sounds within the body
Bell Correct Answer: low pitched sounds
(mummers)
Diaphragm Correct Answer: high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? Correct Answer: Patients
safety
Bed to lowest position
Side Rails
