NURS 3320 Exam 1 with accurate solutions ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What are the types of assessments? - correct answer✔✔Initial comprehensive
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Ongoing
Focused
Emergency
Normal BP - correct answer✔✔120/80
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Normal HR - correct answer✔✔60-100 bpm
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Normal RR - correct answer✔✔10-20 bpm, usually 1:4 with HR
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Normal SpO2 - correct answer✔✔>97%
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Normal oral temperature - correct answer✔✔96-99.5F (35.8-37.3C)
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Normal axillary temperature - correct answer✔✔1 degree Celsius lower than oral
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Normal TM temperature - correct answer✔✔0.3-0.6 degrees Celsius higher than oral
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Normal rectal temperature - correct answer✔✔1 degree Celsius higher than oral
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Equipment for nutritional status exam - correct answer✔✔skin-fold calipers, tape measure,
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skin pen, scale
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,Equipment for VS - correct answer✔✔sphygmomanometer, thermometer, watch, pain scale
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Equipment for skin, hair and nail exam - correct answer✔✔light, mirror, metric ruler,
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magnifying glass, woods lamp, Braden scale, PUSH scale
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Equipment for head and neck exam - correct answer✔✔stethoscope and water
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Equipment for eye exam - correct answer✔✔pen light, snellen E chart, newspaper, opaque
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card, ophthalmoscope
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Equipment for ear exam - correct answer✔✔tuning fork and otoscope
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Equipment for mouth, throat and nose exam - correct answer✔✔penlight, 4x4 gauze,
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tongue depressor, otoscope
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Equipment for thoracic exam - correct answer✔✔stethoscope, metric ruler, skin pen
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Equipment for cardiac and neck vessel exam - correct answer✔✔stethoscope and 2 metric
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rulers
Equipment for peripheral vascular exam - correct answer✔✔sphygmomanometer,
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stethoscope, measuring tape, tuning fork, doppler
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Equipment for abdominal exam - correct answer✔✔stethoscope, measuring tape, skin pen,
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2 pillows
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, Equipment for musculoskeletal exam - correct answer✔✔measuring tape, goniometer ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for neuro exam - correct answer✔✔cotton tipped applicators, things to elicit ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
senses, eye exam objects, reflex hammer, cotton ball, paper clip, tongue depressor, tuning
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fork
Equipment for male GU exam - correct answer✔✔gloves, lube, penlight, specimen card ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for female GU exam - correct answer✔✔speculum, lube, bifid spatula, ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
endocervical broom, large swabs, liquid pap medium, specimen card ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is a nursing diagnosis? - correct answer✔✔A clinical judgement about individual,
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family or community responses to actual and potential health problems or life processes
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Client/pt centered ||/|\|||
What is a medical diagnosis? - correct answer✔✔Identification of a disease condition based
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on specific evaluation of signs and symptoms - physiologic status only
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What are the interview phases? - correct answer✔✔Pre-introductory
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Introductory
Working
Summary/Closing
What is an open ended question? - correct answer✔✔an interview question that encourages
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an answer phrased in the respondent's own words
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What are the types of assessments? - correct answer✔✔Initial comprehensive
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Ongoing
Focused
Emergency
Normal BP - correct answer✔✔120/80
||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal HR - correct answer✔✔60-100 bpm
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal RR - correct answer✔✔10-20 bpm, usually 1:4 with HR
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal SpO2 - correct answer✔✔>97%
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Normal oral temperature - correct answer✔✔96-99.5F (35.8-37.3C)
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal axillary temperature - correct answer✔✔1 degree Celsius lower than oral
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal TM temperature - correct answer✔✔0.3-0.6 degrees Celsius higher than oral
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Normal rectal temperature - correct answer✔✔1 degree Celsius higher than oral
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Equipment for nutritional status exam - correct answer✔✔skin-fold calipers, tape measure,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
skin pen, scale
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,Equipment for VS - correct answer✔✔sphygmomanometer, thermometer, watch, pain scale
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for skin, hair and nail exam - correct answer✔✔light, mirror, metric ruler,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
magnifying glass, woods lamp, Braden scale, PUSH scale
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Equipment for head and neck exam - correct answer✔✔stethoscope and water
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for eye exam - correct answer✔✔pen light, snellen E chart, newspaper, opaque
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
card, ophthalmoscope
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Equipment for ear exam - correct answer✔✔tuning fork and otoscope
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for mouth, throat and nose exam - correct answer✔✔penlight, 4x4 gauze,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
tongue depressor, otoscope
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Equipment for thoracic exam - correct answer✔✔stethoscope, metric ruler, skin pen
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for cardiac and neck vessel exam - correct answer✔✔stethoscope and 2 metric
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
rulers
Equipment for peripheral vascular exam - correct answer✔✔sphygmomanometer,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
stethoscope, measuring tape, tuning fork, doppler
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Equipment for abdominal exam - correct answer✔✔stethoscope, measuring tape, skin pen,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
2 pillows
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, Equipment for musculoskeletal exam - correct answer✔✔measuring tape, goniometer ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for neuro exam - correct answer✔✔cotton tipped applicators, things to elicit ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
senses, eye exam objects, reflex hammer, cotton ball, paper clip, tongue depressor, tuning
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
fork
Equipment for male GU exam - correct answer✔✔gloves, lube, penlight, specimen card ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Equipment for female GU exam - correct answer✔✔speculum, lube, bifid spatula, ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
endocervical broom, large swabs, liquid pap medium, specimen card ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What is a nursing diagnosis? - correct answer✔✔A clinical judgement about individual,
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
family or community responses to actual and potential health problems or life processes
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Client/pt centered ||/|\|||
What is a medical diagnosis? - correct answer✔✔Identification of a disease condition based
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
on specific evaluation of signs and symptoms - physiologic status only
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
What are the interview phases? - correct answer✔✔Pre-introductory
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
Introductory
Working
Summary/Closing
What is an open ended question? - correct answer✔✔an interview question that encourages
||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\||| ||/|\|||
an answer phrased in the respondent's own words
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