NUR 235 (EXAM #1) Questions with
Complete Solutions
As needed - ANSWER-PRN
By mouth - ANSWER-PO
Intramuscular - ANSWER-IM
intavenously - ANSWER-IV
Intradermal - ANSWER-ID
Every 2 hours - ANSWER-Q2H
Every 3 hours - ANSWER-Q3H
Every 12 hours - ANSWER-Q12H
Tablet - ANSWER-TAB
Before Meals - ANSWER-AC
Discontinue - ANSWER-DO NOT ABBREVIATE
Cubic centimeters - ANSWER-DO NOT ABBREVIATE
Units - ANSWER-DO NOT ABBREVIATE
International Units - ANSWER-DO NOT ABBREVIATE
Orange Juice - ANSWER-DO NOT ABBREVIATE ;)
A patient turns their neck with some resistance. What does this mean? What is their
muscular strength? - ANSWER-Muscle strength: 4/5
A patient abbducts their leg with full resistance. What does this mean? Muscle strength?
- ANSWER-Muscle strength: 5/5
What is Passive ROM? - ANSWER-When the patient cannot move their joints/muscles
by themselves and need assistance.
Active ROM? - ANSWER-When client can move muscles/joints by themselves
,What is involved in a Nursing Assessment? - ANSWER-Nursing Health History
(subjective data
Physical Exam (objective data)
All DATA is used to make clinical judgement
What's subjective data - ANSWER-sensations, symptoms, feelings, perceptions,
desires, preferences, beliefs, ideas, and values
(S.S.F.P.D.P.B.I.V)
Collection of health history - ANSWER-proceeds physical exam (?)
Health history (assess subjective) THEN physcial (objective)
Why collect health history - ANSWER-Informs nurse of what to further exam
Assists nurse in developing client-nurse relationship
Allows client participation
ANA Standard 1 - ANSWER-RN collects important data info relative to the health care
consumers wealth or situation-- we collect the assessment data
ANA standard 2 - ANSWER-RN will analyze data and determine if normal or abnormal--
then act upon it
HIPPA - ANSWER-establishes privacy and security within health and medical records
Phases of interview-- what happens in each - ANSWER-Introduction phase, Working
phase, and summary and closure statement
Hello Mrs Smith, My name is _________ and I will be your nurse today. I am here to
collect some information from you in order to make an accurate care plan. I will ask you
some sensitive questions and if you wish to stop at any moment that is fine. But, know
that everything said is private and confidential.
What is the PHASE of this statement? - ANSWER-Introduction Phase
What brought you in today? What does your lifestyle and health practices look like? Can
you tell me some more about your health history?
All of these are examples of WHAT? - ANSWER-All examples of a working Phase in the
interview process
Ok, so you came in today because you have a tightness in your chest, you do not
believe it is a heart condition based on your tests completed last week. Your goal is to
find out what the issue is and to have a consultation with Dr. Barnes. Let's start with
talking with your doctor and getting you comfortable.
This statement is an example of the ____________ and _____________ Phase -
ANSWER-Summary and Closure Phase
What questions should nurses use? - ANSWER-open and closed ended questions
, "How are you feeling?"
is an example of what? - ANSWER-Open-ended-- leaves room for response
"when did you eat last?"
Is an example of what? - ANSWER-Closed ended-- client will respond with 1-2 words
T/F all should begin with closed ended questions? - ANSWER-False-- begin with open
questions
Is the question, "is your pain severe?" an adequate way to get information? - ANSWER-
No. it would be a leading question. To get accurate response, use examples. "how is
your pain feeling? Is it sharp, dull, pinching, burning?"
Clarity--repeating or rephrasing, encouragement, ensure (double check), silence, and
laymens terms are all used in order to.... - ANSWER-They are used so that the nurse
can facilitate data
What can add to encourage data collection? - ANSWER-Acceptance, be non-
judgmental.
Do not make assumptions
Provide information and education
Use pictures
What should nurses avoid in communication? - ANSWER-Do use not too much or too
little eye contact
Be in the moment
Do not use biased or leading questions
Do not rush client
COLD-SPA ?? - ANSWER-Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Character - ANSWER-Describe the pain you're feeling please.
Onset - ANSWER-When did it begin?
Location - ANSWER-Where is it? Please point to it.
Duration - ANSWER-How long does it last?
Complete Solutions
As needed - ANSWER-PRN
By mouth - ANSWER-PO
Intramuscular - ANSWER-IM
intavenously - ANSWER-IV
Intradermal - ANSWER-ID
Every 2 hours - ANSWER-Q2H
Every 3 hours - ANSWER-Q3H
Every 12 hours - ANSWER-Q12H
Tablet - ANSWER-TAB
Before Meals - ANSWER-AC
Discontinue - ANSWER-DO NOT ABBREVIATE
Cubic centimeters - ANSWER-DO NOT ABBREVIATE
Units - ANSWER-DO NOT ABBREVIATE
International Units - ANSWER-DO NOT ABBREVIATE
Orange Juice - ANSWER-DO NOT ABBREVIATE ;)
A patient turns their neck with some resistance. What does this mean? What is their
muscular strength? - ANSWER-Muscle strength: 4/5
A patient abbducts their leg with full resistance. What does this mean? Muscle strength?
- ANSWER-Muscle strength: 5/5
What is Passive ROM? - ANSWER-When the patient cannot move their joints/muscles
by themselves and need assistance.
Active ROM? - ANSWER-When client can move muscles/joints by themselves
,What is involved in a Nursing Assessment? - ANSWER-Nursing Health History
(subjective data
Physical Exam (objective data)
All DATA is used to make clinical judgement
What's subjective data - ANSWER-sensations, symptoms, feelings, perceptions,
desires, preferences, beliefs, ideas, and values
(S.S.F.P.D.P.B.I.V)
Collection of health history - ANSWER-proceeds physical exam (?)
Health history (assess subjective) THEN physcial (objective)
Why collect health history - ANSWER-Informs nurse of what to further exam
Assists nurse in developing client-nurse relationship
Allows client participation
ANA Standard 1 - ANSWER-RN collects important data info relative to the health care
consumers wealth or situation-- we collect the assessment data
ANA standard 2 - ANSWER-RN will analyze data and determine if normal or abnormal--
then act upon it
HIPPA - ANSWER-establishes privacy and security within health and medical records
Phases of interview-- what happens in each - ANSWER-Introduction phase, Working
phase, and summary and closure statement
Hello Mrs Smith, My name is _________ and I will be your nurse today. I am here to
collect some information from you in order to make an accurate care plan. I will ask you
some sensitive questions and if you wish to stop at any moment that is fine. But, know
that everything said is private and confidential.
What is the PHASE of this statement? - ANSWER-Introduction Phase
What brought you in today? What does your lifestyle and health practices look like? Can
you tell me some more about your health history?
All of these are examples of WHAT? - ANSWER-All examples of a working Phase in the
interview process
Ok, so you came in today because you have a tightness in your chest, you do not
believe it is a heart condition based on your tests completed last week. Your goal is to
find out what the issue is and to have a consultation with Dr. Barnes. Let's start with
talking with your doctor and getting you comfortable.
This statement is an example of the ____________ and _____________ Phase -
ANSWER-Summary and Closure Phase
What questions should nurses use? - ANSWER-open and closed ended questions
, "How are you feeling?"
is an example of what? - ANSWER-Open-ended-- leaves room for response
"when did you eat last?"
Is an example of what? - ANSWER-Closed ended-- client will respond with 1-2 words
T/F all should begin with closed ended questions? - ANSWER-False-- begin with open
questions
Is the question, "is your pain severe?" an adequate way to get information? - ANSWER-
No. it would be a leading question. To get accurate response, use examples. "how is
your pain feeling? Is it sharp, dull, pinching, burning?"
Clarity--repeating or rephrasing, encouragement, ensure (double check), silence, and
laymens terms are all used in order to.... - ANSWER-They are used so that the nurse
can facilitate data
What can add to encourage data collection? - ANSWER-Acceptance, be non-
judgmental.
Do not make assumptions
Provide information and education
Use pictures
What should nurses avoid in communication? - ANSWER-Do use not too much or too
little eye contact
Be in the moment
Do not use biased or leading questions
Do not rush client
COLD-SPA ?? - ANSWER-Character
Onset
Location
Duration
Severity
Pattern
Associated factors
Character - ANSWER-Describe the pain you're feeling please.
Onset - ANSWER-When did it begin?
Location - ANSWER-Where is it? Please point to it.
Duration - ANSWER-How long does it last?
