NURS 175 Final Exam Questions with Correct Answers
/. Orthostatic BP is? - Answer-✅difference of >20 systolic and/or >10 diastolic
/.Apical pulse location - Answer-✅Mid clavicular line, 5th intercostal space
/.4 broad aims of nursing practice - Answer-✅1. To promote health
2. To prevent illness
3. To restore health
4. To facilitate coping with disability or death
/.Maslow's Hierarchy of Needs - Answer-✅(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization
/.Hans Selye's - General Adaptation Syndrome - Answer-✅(ARE)
Alarm Reaction - fight or flight, increase energy, increase O2, increase CO, increase
BP, increase alertness
Stage of Resistance - neuro activity returns to normal, LAS
Stage of Exhaustion - decrease BP, decrease HR, decrease resp, PANIC
/.Transmission precautions - Answer-✅Airborne, Droplet, Contact
/.Chain of infection: - Answer-✅infectious agent > reservoir > portal of exit > mode of
transmission > portal of entry > susceptible host
/.Aseptic vs Sterile - Answer-✅aseptic=clean
sterile=surgery
/.Signs & symptoms of Infection - Answer-✅- redness
- fever
- inflammation
- swelling
/.Delegation - Answer-✅UAP's can not "assess, teach or educate"
/.Comprehensive assessment - Answer-✅health history and complete physical
examination, usually conducted when a patient FIRST enters a health care setting;
provides a BASELINE for comparing later assessment
, /.Focused assessment - Answer-✅assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
/.Ongoing (time-lapsed) assessment - Answer-✅continuing assessment activities that
proceed from the initial nursing assessment
/.ADPIE - Nursing Process - Answer-✅Assessment
Diagnosis
Planning
Implementation
Evaluation
/.Patient centered goals: SMART - Answer-✅Specific
Measurable
Attainable
Realistic
Timed
/.What are the ABC's? - Answer-✅Airway, Breathing, Circulation
/.SBAR stands for? - Answer-✅Situation
Background
Assessment
Recommendation
/.Hemiparesis means - Answer-✅weakness on one side
/.Hemiplegia means - Answer-✅paralysis of one side of the body
/.Benefits of activity - Answer-✅improved CV and respiratory health;
improved strength and mobility;
maintenance of bone density;
maintenance of healthy weight and metabolism;
improved psycho social health
Improved elimination
healthy skin
/.Effects of Immobility - Answer-✅Muscle atrophy
Joint dysfunction
Atelectasis/pneumonia
Venous stasis
Increased coagulability
Orthostatic hypotension
Decrease skin integrity
/. Orthostatic BP is? - Answer-✅difference of >20 systolic and/or >10 diastolic
/.Apical pulse location - Answer-✅Mid clavicular line, 5th intercostal space
/.4 broad aims of nursing practice - Answer-✅1. To promote health
2. To prevent illness
3. To restore health
4. To facilitate coping with disability or death
/.Maslow's Hierarchy of Needs - Answer-✅(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization
/.Hans Selye's - General Adaptation Syndrome - Answer-✅(ARE)
Alarm Reaction - fight or flight, increase energy, increase O2, increase CO, increase
BP, increase alertness
Stage of Resistance - neuro activity returns to normal, LAS
Stage of Exhaustion - decrease BP, decrease HR, decrease resp, PANIC
/.Transmission precautions - Answer-✅Airborne, Droplet, Contact
/.Chain of infection: - Answer-✅infectious agent > reservoir > portal of exit > mode of
transmission > portal of entry > susceptible host
/.Aseptic vs Sterile - Answer-✅aseptic=clean
sterile=surgery
/.Signs & symptoms of Infection - Answer-✅- redness
- fever
- inflammation
- swelling
/.Delegation - Answer-✅UAP's can not "assess, teach or educate"
/.Comprehensive assessment - Answer-✅health history and complete physical
examination, usually conducted when a patient FIRST enters a health care setting;
provides a BASELINE for comparing later assessment
, /.Focused assessment - Answer-✅assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
/.Ongoing (time-lapsed) assessment - Answer-✅continuing assessment activities that
proceed from the initial nursing assessment
/.ADPIE - Nursing Process - Answer-✅Assessment
Diagnosis
Planning
Implementation
Evaluation
/.Patient centered goals: SMART - Answer-✅Specific
Measurable
Attainable
Realistic
Timed
/.What are the ABC's? - Answer-✅Airway, Breathing, Circulation
/.SBAR stands for? - Answer-✅Situation
Background
Assessment
Recommendation
/.Hemiparesis means - Answer-✅weakness on one side
/.Hemiplegia means - Answer-✅paralysis of one side of the body
/.Benefits of activity - Answer-✅improved CV and respiratory health;
improved strength and mobility;
maintenance of bone density;
maintenance of healthy weight and metabolism;
improved psycho social health
Improved elimination
healthy skin
/.Effects of Immobility - Answer-✅Muscle atrophy
Joint dysfunction
Atelectasis/pneumonia
Venous stasis
Increased coagulability
Orthostatic hypotension
Decrease skin integrity
