Nursing 265 Final Exam Questions
with Correct Answers
subjective data - ANSWERSwhat the patient tells you
objective data - ANSWERSwhat you observe about the patient
primary data - ANSWERSinformation from the patient
secondary data - ANSWERSinformation from a 3rd source; family
primary objective - ANSWERSnurse's (your) assessment
secondary objective - ANSWERSanother health care personnel's data
general survey - ANSWERSoverall impression of the patient; physical appearance,
body structure, mobility, and behavior
complete database - ANSWERSphysical; goes through everything
focused database - ANSWERSexamine for a specific reason; injury
follow-up database - ANSWERScheck-up post operation
emergency database - ANSWERSneeds immediate focus; unconscious
inspection - ANSWERSlooking at the patient
percussion - ANSWERStapping the patient to hear sounds (abdomen)
palpation - ANSWERSfeeling areas of the patient; apply pressure; feel for masses
auscultation - ANSWERSlistening for sounds
first priority care - ANSWERSemergent; needs immediate attention; code blue
second priority care - ANSWERSrequires attention but not #1; pain or changes in vision
third priority care - ANSWERSnot as important, still requires attention; patient in
discomfort; needs to use the bathroom
sexuality - ANSWERSbiological sex, sexual activity, gender-roles & identity, and sexual
orientation
, spiritual interventions - ANSWERSspiritual counseling, meditation, psychotherapy;
provide quiet times and allow the patient to perform activities
cultural interventions - ANSWERSbe aware of the patient's culture and be respectful of
said culture; learn to do cultural assessment
therapeutic communication - ANSWERSsupportive, nonjudgmental, listening, don't
interrupt
ABCDE - ANSWERSasymmetry, border, color, diameter, evolving
primary lesions - ANSWERSappear as a direct result from the disease, occur at the
onset of the disease; macule-petechiae, measles, freckles
secondary lesions - ANSWERSmay develop from primary lesions or result from external
trauma; scales, crusts, ulcers
configurations of skin lesions - ANSWERSannular: circular, begins in the center and
spreads outwards
target: has a center/bullseye
linear: the shape of a line
zosteriform: a linear arrangement in a unilateral nerve
confluent: lesions that run together
grouped: little round vesicles, fluid-filled
gyrate: twisted, snake-like
polycyclic: annular lesions that grow together
normal vs abnormal integumentary assessment - ANSWERSnormal: milia (newborn),
mongolian spot (newborn), acrocyanosis (newborn), nevi, striae (pregnant), linea nigra
(pregnant), chloasma (pregnant), spider angiomas (pregnant), solar lentigines (aging),
keratoses (aging), acrochordons/skin tags (aging)
abnormal: pressure injuries, dirty, smelly, hot/cold to touch, bad turgor
S1 location - ANSWERSpoint of the heart; apex
S2 location - ANSWERStop of the heart; base
location of valves - ANSWERSAPE TO MAN
aortic: 2nd intercostal space, right sternal border
pulmonic: 2nd intercostal space, left sternal border
erb's point: 3rd intercostal space, left sternal border
tricuspid: 4th intercostal space, left sternal border
mitral: 5th intercostal space, mid-clavicular line
with Correct Answers
subjective data - ANSWERSwhat the patient tells you
objective data - ANSWERSwhat you observe about the patient
primary data - ANSWERSinformation from the patient
secondary data - ANSWERSinformation from a 3rd source; family
primary objective - ANSWERSnurse's (your) assessment
secondary objective - ANSWERSanother health care personnel's data
general survey - ANSWERSoverall impression of the patient; physical appearance,
body structure, mobility, and behavior
complete database - ANSWERSphysical; goes through everything
focused database - ANSWERSexamine for a specific reason; injury
follow-up database - ANSWERScheck-up post operation
emergency database - ANSWERSneeds immediate focus; unconscious
inspection - ANSWERSlooking at the patient
percussion - ANSWERStapping the patient to hear sounds (abdomen)
palpation - ANSWERSfeeling areas of the patient; apply pressure; feel for masses
auscultation - ANSWERSlistening for sounds
first priority care - ANSWERSemergent; needs immediate attention; code blue
second priority care - ANSWERSrequires attention but not #1; pain or changes in vision
third priority care - ANSWERSnot as important, still requires attention; patient in
discomfort; needs to use the bathroom
sexuality - ANSWERSbiological sex, sexual activity, gender-roles & identity, and sexual
orientation
, spiritual interventions - ANSWERSspiritual counseling, meditation, psychotherapy;
provide quiet times and allow the patient to perform activities
cultural interventions - ANSWERSbe aware of the patient's culture and be respectful of
said culture; learn to do cultural assessment
therapeutic communication - ANSWERSsupportive, nonjudgmental, listening, don't
interrupt
ABCDE - ANSWERSasymmetry, border, color, diameter, evolving
primary lesions - ANSWERSappear as a direct result from the disease, occur at the
onset of the disease; macule-petechiae, measles, freckles
secondary lesions - ANSWERSmay develop from primary lesions or result from external
trauma; scales, crusts, ulcers
configurations of skin lesions - ANSWERSannular: circular, begins in the center and
spreads outwards
target: has a center/bullseye
linear: the shape of a line
zosteriform: a linear arrangement in a unilateral nerve
confluent: lesions that run together
grouped: little round vesicles, fluid-filled
gyrate: twisted, snake-like
polycyclic: annular lesions that grow together
normal vs abnormal integumentary assessment - ANSWERSnormal: milia (newborn),
mongolian spot (newborn), acrocyanosis (newborn), nevi, striae (pregnant), linea nigra
(pregnant), chloasma (pregnant), spider angiomas (pregnant), solar lentigines (aging),
keratoses (aging), acrochordons/skin tags (aging)
abnormal: pressure injuries, dirty, smelly, hot/cold to touch, bad turgor
S1 location - ANSWERSpoint of the heart; apex
S2 location - ANSWERStop of the heart; base
location of valves - ANSWERSAPE TO MAN
aortic: 2nd intercostal space, right sternal border
pulmonic: 2nd intercostal space, left sternal border
erb's point: 3rd intercostal space, left sternal border
tricuspid: 4th intercostal space, left sternal border
mitral: 5th intercostal space, mid-clavicular line
