Exam (elaborations)
N307 Exam 1 questions with correct answer1
- Course
- Nurs 307
- Institution
- Maryville University Of St. Louis
N307 Exam 1 questions with correct answer1
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N307 Exam 1 questions with correct answersWhat are the four types of assessments? Correct Answer-1.
Comprehensive/Initial
2. Focused
3. Full Bedside
4. Partial Bedside
Comprehensive/Initial Assessment Correct Answer-Full health history
and physical exam. Performed within a specified time frame upon
admission to a healthcare agency.
Focused Assessment Correct Answer-Assessing a specific problem or
system. Ongoing care to determine status of a specific pre-identified
problem.
Full Bedside Assessment Correct Answer-Head to toe assessment with
focused subjective and assessment. Performed as part of the nurses shift
assessment.
Expedited Bedside Assessment Correct Answer-Done in an emergent
situation to assess any physiologic or psychologic crisis. Example: rapid
assessment of A, B, and C's during cardiac arrest or assessment of
suicidal tendencies or potential for violence.
Nursing Health History Correct Answer-Subjective: biographical data,
chief complaint, Hx of present illness (OLDCART), past medical Hx,
,medial reconciliation, family Hx, lifestyle, social data, psychologic data,
patterns of healthcare.
What are the goals for subjective assessment? Correct Answer-discover
info leading to diagnosis and management, counsel, about disease
prevention
Therapeutic communication Correct Answer-active listening, guided
questioning, nonverbal communication, empathetic responses,
validation, reassurance, summarizing
What does OLDCART stand for? Correct Answer-Onset, Location,
Duration, Characteristics, Associated manifestations/ Aggravating
factors, Relieving factors, Treatments
What does PQRST stand for? Correct Answer-Provocation,
Quality/quantity, Region/radiation, Severity, Timing
What are the 4 primary techniques of physical examination? Correct
Answer-Inspection: visual examination
Palpation: tactile examination
Percussion: tapping skin to assess underlying structures creates a
vibration and sound
Auscultation: auditory examination using ears or stethoscope
, Dorsal recumbent position Correct Answer-back-lying with knees flexed
and hips externally rotated.
Assess: female genitals, rectum, reproductive tract
Supine (horizontal recumbent) position Correct Answer-back-lying
position with legs extended (flat)
Assess: head, neck, axillae, anterior thorax, lungs, breasts, heart, vital
signs, abdomen, extremities, peripheral pulses.
Sitting position Correct Answer-seated position, back unsupported, legs
hang freely.
Assess: everything besides rectum
Lithotomy position Correct Answer-back-lying with feet supported in
stirrups, hips inline with edge of table
Assess: female genitals retcum, female reproductive tract
Sims position Correct Answer-side-lying with lowermost arm behind
body. Uppermost leg flexed at hip and knee (bent) and upper arm flexed
at shoulder and elbow (bent)
Assess: rectum, vagina
Prone position Correct Answer-lies on abdomen with head turned to side
Assess: posterior thorax, hip joint movement
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