NUR 311 Final Exam Study Guide PART 1
With Correct Questions And Answers 2024
Subjective .vs. .Objective .- .correct .answer.Subjective: .emotion-based, .opinion
Objective: .Factual, .evidence-based
Examples .of .Subjective .Data .- .correct .answer.I .feel .sick .to .my .stomach
I .have .a .stabbing .pain .in .my .side
He .said ."I .ate .all .my .breakfast"
I .feel .short .of .breathe
Examples .of .Objective .data .- .correct .answer.Red .rash .on .right .arm
You .saw .him .eat .all .of .his .breakfast
Urinated .150 .ml .clear .yellow .urine
Respiration .rate .
BP
Heart .rate .
Pale
Pulse .Ox
what .does .COLDSPA .stand .for? .- .correct .answer.Character
Onset
Location
Duration
Severity
Pattern
Associated .factors
What .information .is .gained .from .comprehensive .health .assessment? .- .correct
.answer.Insight .to .patient's .physical .status .through .observation,
Measurement .of .vital .signs,
Self-reported .symptoms,
Medical .history,
General .Survey, .
Complete .physical .exam .(most .frequently .used),
COLDSPA
, Methods .of .taking .vital .temperature? .- .correct .answer.Rectal .(most .accurate) .
Tympanic .
Oral
Axillary .
Temporal .artery
Abnormal .vs. .Normal .Temperature .- .correct .answer.Normal: .97 .- .99 .degrees .Fahrenheit .
Abnormal: .Higher .than .100 .degrees .Fahrenheit
Factors .than .may .affect .temperature .- .correct .answer.Age .
Hormonal .changes .
Stress .level
Diurnal .rhythms
When .is .temperature .the .lowest? .- .correct .answer.LOWEST .in .the .morning .(1am-4am)
.rises .steadily, .PEAKING .in .the .late .afternoon .(4pm)
*Varies .with .patient .sleep .schedule
Abnormal .vs. .Normal .Pulse .- .correct .answer.Bradycardia: .LESS .than .60 .bpm
Tachycardia: .MORE .than .100 .bpm
Abnormal .vs. .Normal .Respiration .- .correct .answer.Bradypnea: .LESS .than .12 .respirations
.a .min.
Tachypnea: .MORE .than .20 .respirations .a .minute
Abnormal .vs. .Normal .Blood .pressure .- .correct .answer.Normal: .for .adults, .systolic .less
.than .120 .mm .Hg
-------------------- .diastolic .less .than .80 .mm .HG
Abnormal: .Hypotension .- .systolic .less .than .90 .mm .Hg
----------------------------diastolic .less .than .60 .mm .Hg
Hypertension .- .systolic: .140 .mm .Hg .or .higher .
---------------- .diastolic: .90 .mm .Hg .or .higher
What .does .stage .1 .of .hyper .tension .look .like? .- .correct .answer.systolic .pressure .of .130-
139 .mm .Hg
diastolic .pressure .of .80 .-89 .mm .Hg
T/F .pain .is .considered .a .5th .vital .sign. .- .correct .answer.True
T/F .Pain .is .individualized .and .subjective; .therefore, .the .patient's .self-report .of .pain .is .the
.most .reliable .gauge .of .the .experience. .- .correct .answer.True
T/F .If .a .patient .is .unable .to .communicate, .the .family .or .caregiver .can .provide .input. .The
.use .of .interpreter .services .may .be .necessary. .- .correct .answer.True
How .is .pain .assessed? .- .correct .answer.•Patient's .self-report .of .pain
With Correct Questions And Answers 2024
Subjective .vs. .Objective .- .correct .answer.Subjective: .emotion-based, .opinion
Objective: .Factual, .evidence-based
Examples .of .Subjective .Data .- .correct .answer.I .feel .sick .to .my .stomach
I .have .a .stabbing .pain .in .my .side
He .said ."I .ate .all .my .breakfast"
I .feel .short .of .breathe
Examples .of .Objective .data .- .correct .answer.Red .rash .on .right .arm
You .saw .him .eat .all .of .his .breakfast
Urinated .150 .ml .clear .yellow .urine
Respiration .rate .
BP
Heart .rate .
Pale
Pulse .Ox
what .does .COLDSPA .stand .for? .- .correct .answer.Character
Onset
Location
Duration
Severity
Pattern
Associated .factors
What .information .is .gained .from .comprehensive .health .assessment? .- .correct
.answer.Insight .to .patient's .physical .status .through .observation,
Measurement .of .vital .signs,
Self-reported .symptoms,
Medical .history,
General .Survey, .
Complete .physical .exam .(most .frequently .used),
COLDSPA
, Methods .of .taking .vital .temperature? .- .correct .answer.Rectal .(most .accurate) .
Tympanic .
Oral
Axillary .
Temporal .artery
Abnormal .vs. .Normal .Temperature .- .correct .answer.Normal: .97 .- .99 .degrees .Fahrenheit .
Abnormal: .Higher .than .100 .degrees .Fahrenheit
Factors .than .may .affect .temperature .- .correct .answer.Age .
Hormonal .changes .
Stress .level
Diurnal .rhythms
When .is .temperature .the .lowest? .- .correct .answer.LOWEST .in .the .morning .(1am-4am)
.rises .steadily, .PEAKING .in .the .late .afternoon .(4pm)
*Varies .with .patient .sleep .schedule
Abnormal .vs. .Normal .Pulse .- .correct .answer.Bradycardia: .LESS .than .60 .bpm
Tachycardia: .MORE .than .100 .bpm
Abnormal .vs. .Normal .Respiration .- .correct .answer.Bradypnea: .LESS .than .12 .respirations
.a .min.
Tachypnea: .MORE .than .20 .respirations .a .minute
Abnormal .vs. .Normal .Blood .pressure .- .correct .answer.Normal: .for .adults, .systolic .less
.than .120 .mm .Hg
-------------------- .diastolic .less .than .80 .mm .HG
Abnormal: .Hypotension .- .systolic .less .than .90 .mm .Hg
----------------------------diastolic .less .than .60 .mm .Hg
Hypertension .- .systolic: .140 .mm .Hg .or .higher .
---------------- .diastolic: .90 .mm .Hg .or .higher
What .does .stage .1 .of .hyper .tension .look .like? .- .correct .answer.systolic .pressure .of .130-
139 .mm .Hg
diastolic .pressure .of .80 .-89 .mm .Hg
T/F .pain .is .considered .a .5th .vital .sign. .- .correct .answer.True
T/F .Pain .is .individualized .and .subjective; .therefore, .the .patient's .self-report .of .pain .is .the
.most .reliable .gauge .of .the .experience. .- .correct .answer.True
T/F .If .a .patient .is .unable .to .communicate, .the .family .or .caregiver .can .provide .input. .The
.use .of .interpreter .services .may .be .necessary. .- .correct .answer.True
How .is .pain .assessed? .- .correct .answer.•Patient's .self-report .of .pain
