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NUR1020 Exam 2 Latest Update @
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NUR1020 Exam 2 Latest Update @2024-2025
What two steps does the nursing assessment involve? - Answer collection of data and
the interpretation and validity of that data
What are the two types of nursing assessments? - Answer Patient-centered interview
and periodic problem-focused assessments
when is a patient-centered interview conducted? - Answer during the nursing history
When is a periodic assessment conducted? - Answer during ongoing contact with
patients
What is a detailed assessment of a patients physical, psychosocial, cultural, spiritual
and lifestyle needs? - Answer comprehensive nursing history
What kind of assessment do you use when conducting a comprehensive nursing
history? - Answer patient-centered interview
Health perception and management, nutritional-metabolic, elimination,
activity-exercise, sleep-rest, cognitive-perceptual, self-concept, role-relationship,
sexuality-reproduction, coping-stress tolerance, and value beliefs are all part of what? -
Answer Gordon's 11 functional health patterns
What is the ABCDE approach? - Answer Airway
Breathing
Circulation
Disability
Exposure
A med-surg nurse performs a quick screening on a patient demonstrating incisional
pain. What type of assessment is the nurse utilizing? - Answer problem-focused
assessment
What are the three main steps in data collection? - Answer observation, interview, and
physical examination
What is a transfer and acceptance of patient care responsibility achieved through
effective communication? - Answer a hand-off report
What are the three phases of a patient centered interview? - Answer orientation/setting
the agenda
,working phase
termination of the interview
In what phase of the assessment interview will you introduce yourself, explain why you
are collecting data and that it will be kept confidential, and focus on patients' goals,
preferences and concerns? - Answer orientation/setting the agenda
What phase of the assessment interview involves gathering accurate, relevant, and
complete information about a patients condition? - Answer the working phase
During what phase of the assessment interview do you summarize your discussion with
the patient and check for accuracy of the information you collected? - Answer
termination phase
What kind of questions are asked when you are seeking specific information about a
problem? - Answer closed-ended questions
"Is that true" and "Do you agree" are what kinds of questions? - Answer leading
questions
Prompts such as, "all right", "go on", and "uh-huh" are examples of what interview
technique? - Answer back channeling
"Is there anything else you can tell me?" or "What else is bothering you?" is a form of
what interview technique? - Answer probing
What is a brief statement about why a patient is seeking health care? - Answer chief
complaint/concern
What is PQRST? - Answer Provoke
Quality
Radiation
Severity
Timing
What is the systematic collection of subjective information from patients about the
presence or absence of health-related issues in each body sytem? - Answer review of
systems (ROS)
What are the signs and symptoms that a nurse obtains through observation and
measurement? - Answer cues
What is the interpretation of cues and the ongoing collection of more data, which
involves clinical judgement? - Answer clinical inference
What is the comparison of data with another source to determine data accuracy? -
, Answer validation
The nurse observed an open, inflamed area of a patients of a patient's surgical incision
and then took the patient's body temperature. What part of the assessment process is
the nurse using? - Answer validation
Normal range for sODium - Answer (sODium) odd numbers 135-145 mEq/L
normal range for potassium - Answer (3-5 bananas/bunch 1/2 off) 3.5-5.0 mEq/L
Normal range for BUN - Answer (BUNion 10 digits, 20 total) 10-20 mg/dL
Normal range for creatinine - Answer (creatiNINE 5, 7, 9, 11) 0.5-1.1 mg/dL
Normal range for glucose - Answer (glucose=energy, energy declines between 74 and
106 years of age) 74-106 mg/dL
Normal range for calcium - Answer (milk weighs 9lbs + 1.5%) 9-10.5 mg/dL
Normal range for chloride - Answer (hot tub temp) 98-106 mEq/L
Normal range for bicarbonate - Answer (soda 12 pack bi=2, 12x2=24) 23-30
Normal range for ALP (alkaline phosphatase) - Answer 30-120 U/L
Normal range for total bilirubin - Answer (i can eat 1/3-1 whole rueben) 0.3-1 mg/dL
Normal range for direct bilirubin - Answer (who directly eats only a tenth to a third of a
rueben sandwich?) 0.1-0.3 mg/dL
Normal range for albumin - Answer (salmon 3.5-5 oz portion) 3.5-5 g/dL
Normal range for WBC - Answer (Wanna
Buy a
Car for 5-10K) 5,000-10,000
Normal range for RBC - Answer Male: 4.7-6.1
Female: 4.2-5.4
Normal range for hemoglobin - Answer Hemoglobin carries O2- think of normal breaths
per minute (12-20)
Male: 14-18 g/dL
Female: 12-16 g/dL
Normal range for hematocrit - Answer think of a midlife hematocrisis for a:
male is 40-52%
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