NUR 275 FINAL EXAM QUESTIONS AND
ANSWERS
things to consider to determine acuity - ANSWER A: airway B: breathing C:
circulation D: change in awareness
What does a general survey include? - ANSWER appearance, body structure,
comfortability, position, stated vs appeared age, facial expression, smell. etc.
how do you verify the level of consciousness? - ANSWER person, place, time,
event
what nursing technique does a general survey utilize? - ANSWER inspection
subjective vs objective data - ANSWER subjective: what the patient tells you
objective: what you see, smell, hear, observe
subjective data includes... - ANSWER HPI, family history, review of systems,
social history
objective data includes... - ANSWER physical exam, appearance, things you see
about patient
what is the first step when interacting with patient? - ANSWER develop trust and
rapport, introduce self, provide privacy, and hand hygiene, verify ID of patient
who typically collects subjective data? - ANSWER nurse
what does a nurse do with a teenager who is experiencing abuse? - ANSWER ask
them the origin of the abuse, be kind, tell the charge nurse and report to DHS
and/or parents
what does ADPIE mean? - ANSWER assessment, diagnosis, planning,
implementation, evaluation
contact precaution equipment - ANSWER gloves and gown
droplet precaution equipment - ANSWER gown, mask, protective eyewear, gloves
, airborne precaution equipment - ANSWER N95 or respirator, negative pressure air
room
standard precautions - ANSWER wear gloves when contact with bodily fluid may
happen, hand hygiene
what is a collaborative problem? - ANSWER physiologic problems that are at risk
to occur or have occurred that require both medical and nursing interventions to
treat; collaborate with the patient and may need to collaborate with other providers
too
nurses respond to a collaborative problem by - ANSWER reporting to other
providers, following orders, monitoring, working with patient
why do nurses need to self reflect - ANSWER so know own biases and judgements
before enter room
when do you use diaphragm of stethoscope? - ANSWER heart, abdomen, lungs,
high pitched sounds; always compare sides of lungs
when do you use bell of stethoscope? - ANSWER heart (murmurs, bruits), low
pitched sounds
normal order of assessment - ANSWER inspect, percuss, palpate, auscultate
exception to normal order of assessment - ANSWER abdomen: inspect, auscultate,
percuss, palpate
comprehensive assessment performed when... - ANSWER patient first comes into
care
focused assessment performed when... - ANSWER certain area of body part is