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NUR 215 Fundamentals of Nursing Exam Questions with Correct Answers
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NUR 215 Fundamentals of Nursing Exam Questions with Correct Answers
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NUR 215 Fundamentals of Nursing ExamQuestions with Correct Answers
Nursing Process - Answer-ADPIE; systemic problem solving process that guides all
nursing actions
Nursing Process Assessment - Answer-Use open ended questions to gather subjective
data and look at lab tests and a physical assessment for objective data which you then
cluster together to analyze
CAN COME FROM OTHER HEALTHCARE PROVIDERS AND THEIR
OBSERVATIONS AS WELL AS PATIENTS FAMILY
Nursing Process Diagnoses - Answer-What statement best fits the patients situation
and leads us to the intervention phase where we can then pick interventions and create
goals; diagnosis r/t aeb (PES; problem, etiology and symptoms)
This is where you select a label with information of why you selected and the evidence
you used to back it up
Nursing Process Planning - Answer-Prioritize problems/diagnoses (ABC's) and then
decide client specific outcomes you want, goals for the client to get them there and the
interventions you as a nurse will take; SMART goals (Specific, Measurable, Attainable,
Realistic, and timed)
Outcomes and interventions
Can use NOC list for outcomes or develop a appropriate outcome statement.
Nursing Process Implementation - Answer-Phase where you put plan into action and
involve delegation to other healthcare providers (CNA, PCT, PT, LPN, Speech
Therapist, etc)
MAKE SURE THE IMPLEMENTATIONS ARE AGREED UPON BY PATIENT AND
FAMILY (if needed)
Nursing Process Evaluation - Answer-Did the goal fail or prosper? If the goal failed what
contributed to the failure. Reassess and go back through ADPIE to make sure client
care does not need to change.
How to Prioritize Care - Answer-1. ABC's
2. Hierarchy of needs
3. Acute/Chronic
,Sources of Data - Answer-Subjective: Communicated by client
Objective: Gathered through assessment/tests and can be observed by a nurse
Primary: Objective/Subjective obtained from the client
Secondary: Secondhand; from a med record, family member, or other healthcare
provider
Types of Assessment - Answer-Initial: Completed when client first walks in (static)
Ongoing: Preformed as needed (dynamic)
Comprehensive: Provides holistic data about patients overall health status (observation,
physical assessment and nursing interview
Focused assessment: preformed to obtain data about a problem with a specific body
part or system (initial is used to followup with client complaints and ongoing is used to
evaluate status of existing problems)
Special Needs Assessment: Type of focused that provides in depth information about a
particular area of client functioning
Etiologies are always inferences b/c? - Answer-B/c you can never observe a link b/w
etiology and problem
Types of Planning - Answer-Formal: Conscious/deliberate critical thinking and ends in
holistic care plan
Informal: Occurs during other nursing processes
Discharge Planning: Process of planning for self-care and continuity of care after the
patient leaves healthcare setting
Critical Pathway - Answer-Outcome based, interdisciplinary plans that sequence patient
care according to case type. (emphasis on med problems/interventions)
Integrated Plans of Care: Standardized plans that function as both care plan and
documentation
Types of Interventions - Answer-Direct-care: through interactions with client
Indirect: preformed away from the client but on behalf of them
Independent: RN's are licsensed to prescribe, preform or delegate based on their
knowledge
, Dependent: Prescribed by a physician or advanced practice nurse but carried out by
bedside nurse
Collaborative (interdependent): Carried out in collab with other healthcare team
members
Nursing Interventions Classification (NIC) - Answer-first comprehensive, validated list of
nursing interventions applicable to all settings that can be used by nurses in multiple
specialties and facilitates the work of identifying appropriate interventions
Clinical Care Classification and Omaha System - Answer-Used for community health
care or home health care
Nursing Orders - Answer-instructions that describe how and when nursing interventions
are to be implemented
Date/time, subject, action verb, times/limits, and signature
Adolescent Girls (12-20) physical development - Answer-Grow 5-20 cm and gain 15.5-
55 lbs
Stop growing around 16-17 years
Mature sexually in the appearance of breast buds, growth of pubic hair,, and onset of
mensuration
Adolescent Boys physical development - Answer-Grow 10 to 30 cm and gain 15 to 65
lbs
Stop growing around 18-20 years
Mature sexually in increase in teste and scrotum size, appearance of pubic hair, rapid
growth of geneitalia, growth o axillary hair, appearance of downy on upper lip and
change in voice
Adolescents Cognitive Development - Answer-Think at adult level, think abstractly and
deal with principles and hypotheticals, evaluate quality of their thinking, have longer
attention span, highly imaginative/idealistic, make decisions through logical operations,
future-oriented, capable of deductive reasoning, understand how actions of individual
influence others
Psychocosocial Development - Answer-Erikson: identity vs. role confusion (develop a
sense of personal identity that family expectations influence and adolescents strive for
independence from parents and identify with peers
Adolescent Moral development - Answer-Don't see rules as absolutes rather looking at
each situation and adjusting the rules
Adolescent Self-Concept Development - Answer-Healthy self-concept means they have
healthy relationships with family and teachers and strive for emotional independence
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