Nurs 3320 Exam 1 ELABORATED EXAM
(A+ GRADED 100% VERIFIED)
QUESTIONS & ANSWERS 2026 LATEST!!
What are the 4 basic phases of a nursing interview?
preintroductory (reviewing med chart before)
introductory (who you are, what ?s to be asked, assure HIPAA)
working (interview, get deets)
summary/closing (reviews info obtained, discusses plans)
Open-ended questions typically begin with? Closed-ended?
(open) how, what, tell me (use these first!)
(closed) when, did
What are 3 special considerations during an interview?
gerontologic (assess hearing first)
cultural (use a "cultural broker")
emotional
Define COLDSPA and when/where is it used?
(when/where) Hx of present health concern in health Hx interview
Character - how does it look/feel/etc.
Onset - when start, better/worse since then
Location - where, radiates?
Duration - how long does it last, reoccur?
Severity - scale 1-10
Pattern - what makes worse/better?
,Associated factors - what other SS w/ it? able to do work/activities?
What are questions to ask following the COLDSPA?
Character - what does the pain feel like
Onset - when did this pain start
Location - where does it hurt the most? does it radiate?
Duration - how long does the pain last? does it come & go or constant?
Severity - how intense is the pain on scale of 1-10?
Pattern - what makes your pain worse/better? what have you tried to relieve pain?
Associated factors - what do you think caused? how does it affect your daily activities?
Define ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
When documenting muscle strength, what score would be full active resistance,
passive ROM, and paralysis?
score of 5
2
0
(pg 540)
What are the stages of nurse expertise in Benner's Model? (4)
,novice (no experience, uses rules to guide)
competent (2-3 experience, sees actions as goals for pt)
proficient nurse (sees pt as a whole vs list of task, sees long term goals)
expert (arrives at clinical judgment quickly, intuitive grasp of situation)
What components make up the framework for a health assessment? (4)
History of present concern (chief complaint)
Personal health history
Family history
Lifestyle/Health practices
What are the 4 types of assessments?
Initial comprehensive
Ongoing/partial
Focus/problem-oriented (ie pain, upper respiratory problem)
Emergency (ie ABCs, code assessment)
What are the steps of health assessment? (4)
Collection of subjective data (what patient says)
Collection of objective data
Validation of assessment/accuracy
Documentation of assessment
What form of questions should you avoid?
"why" questions
What is a genogram?
A graphic family tree of at least three generations
, When documenting Review of Symptoms, what type of information is used;
subjective or objective?
only subjective (patient report of symptoms as well as denial of problems)
Regarding a general exam, define HEENT
Hearing
Eyes
Ears
Nose
Throat
For an adult patient, what is the order vital signs should be taken?
Temp
Pulse
Respirations
Blood Pressure
What is the core body temperature range? Define above and below range
96.0 - 99.9
hypothermia
hyperthermia
When is body temperature lowest? Highest?
Lowest - early AM
Highest - late in evening
Define normal temp ranges for the following;
oral
(A+ GRADED 100% VERIFIED)
QUESTIONS & ANSWERS 2026 LATEST!!
What are the 4 basic phases of a nursing interview?
preintroductory (reviewing med chart before)
introductory (who you are, what ?s to be asked, assure HIPAA)
working (interview, get deets)
summary/closing (reviews info obtained, discusses plans)
Open-ended questions typically begin with? Closed-ended?
(open) how, what, tell me (use these first!)
(closed) when, did
What are 3 special considerations during an interview?
gerontologic (assess hearing first)
cultural (use a "cultural broker")
emotional
Define COLDSPA and when/where is it used?
(when/where) Hx of present health concern in health Hx interview
Character - how does it look/feel/etc.
Onset - when start, better/worse since then
Location - where, radiates?
Duration - how long does it last, reoccur?
Severity - scale 1-10
Pattern - what makes worse/better?
,Associated factors - what other SS w/ it? able to do work/activities?
What are questions to ask following the COLDSPA?
Character - what does the pain feel like
Onset - when did this pain start
Location - where does it hurt the most? does it radiate?
Duration - how long does the pain last? does it come & go or constant?
Severity - how intense is the pain on scale of 1-10?
Pattern - what makes your pain worse/better? what have you tried to relieve pain?
Associated factors - what do you think caused? how does it affect your daily activities?
Define ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
When documenting muscle strength, what score would be full active resistance,
passive ROM, and paralysis?
score of 5
2
0
(pg 540)
What are the stages of nurse expertise in Benner's Model? (4)
,novice (no experience, uses rules to guide)
competent (2-3 experience, sees actions as goals for pt)
proficient nurse (sees pt as a whole vs list of task, sees long term goals)
expert (arrives at clinical judgment quickly, intuitive grasp of situation)
What components make up the framework for a health assessment? (4)
History of present concern (chief complaint)
Personal health history
Family history
Lifestyle/Health practices
What are the 4 types of assessments?
Initial comprehensive
Ongoing/partial
Focus/problem-oriented (ie pain, upper respiratory problem)
Emergency (ie ABCs, code assessment)
What are the steps of health assessment? (4)
Collection of subjective data (what patient says)
Collection of objective data
Validation of assessment/accuracy
Documentation of assessment
What form of questions should you avoid?
"why" questions
What is a genogram?
A graphic family tree of at least three generations
, When documenting Review of Symptoms, what type of information is used;
subjective or objective?
only subjective (patient report of symptoms as well as denial of problems)
Regarding a general exam, define HEENT
Hearing
Eyes
Ears
Nose
Throat
For an adult patient, what is the order vital signs should be taken?
Temp
Pulse
Respirations
Blood Pressure
What is the core body temperature range? Define above and below range
96.0 - 99.9
hypothermia
hyperthermia
When is body temperature lowest? Highest?
Lowest - early AM
Highest - late in evening
Define normal temp ranges for the following;
oral
