NUR-202 Fundamentals Exam 1
Questions and Answers
SBAR - Answer-consistent, clear, structured, and easy-to-use method of communication
between health care personnel; it organizes communication by the categories of:
Situation, Background, Assessment, and Recommendations.
Independent actions of the nurse - Answer-Vitals, Bedside care and Assistance,
Feeding Support, Postpartum Support, Administration of Medication
ABC - Answer-airway, breathing, circulation
Maslow's Hierarchy of Needs - Answer-physiological, safety, love/belonging, esteem,
self-actualization
nursing delegation - Answer-*E-A-T (do not delegate what nurse can: evaluate, assess,
teach)*
responsibility and authority of tasks are transferred from one to another who accepts
responsibility
o Responsibility: obligation to accomplish task, Accountability: accepting ownership,
Authority: right to act or empower
o UAP: no scope of practice, noninvasive, skin care, range-of-motion, ambulation,
grooming, and hygiene measures
o LPN: UAP and dressings, suctioning, urinary catheterization, administering meds (PO,
SQ, IM, some piggyback)
o RN: responsible for assessment, planning care, analyzing client data, implementing
and evaluating care, supervising care, initiating teaching, and administering medications
intravenously.
o RN can only delegate tasks RN is responsible for, remains accountable, delegation is
a contractual agreement
Rights of Delegation - Answer-right task, right circumstances, right person, right
direction/communication, right supervision
Corrective Action in Nursing - Answer-Report to managers and higher ups
ADPIE - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Prioritize patient care - Answer-The nurse emphasizes that the major advantage of
utilizing Maslow's Hierarchy of Needs when planning nursing care for patients is to: