NSE 203 Questions #1 Exam And
Answers
What does the primary survey include? - Answer 1. Airway
2. Breathing
3. Circulation
4. Disability
5. Exposure
What is bedside assessment? - Answer the process of interviewing and examining a
patient for signs and symptoms of disease as well as the effect of treatment
What are the four areas of a general appearance survey? - Answer 1. Physical
Appearance
2. Body Structure
3. Mobility
4. Behaviour
What are the factors a part of physical appearance? - Answer Appears stated age; level
of consciousness and sings of distress; skin colour and facial features.
What are factors that are a part of body structure? - Answer Nutritional status; posture
and position; symmetry and deformities.
What are factors that are a part of mobility? - Answer Mobility; gait and range of
movement
What are the factors that are a part of behaviour? - Answer Facial expression; mood and
affect; speech and hearing; and personal hygiene.
How many hours do hospitalized clients require for every specialized examination? -
Answer every 8 hours
What is included in the health history of a bedside assessment? - Answer 1.
Trauma-informed approaches
2. Isolation precautions, allergies, and fall precautions.
3. Introducing yourself
4. Direct eye contact
, 5. Wash hands in prescence
6. Name band
7. How the patient is feeling
8. Pain
9. Checking IV fluids/rates
10. Offering water if permitted
What are the steps to completing a bedside assessment? - Answer 1. Primary Survey
2. General Appearance Survey
3. Measurements of vital signs and pain
4. Neurological system
5. Respiratory System
6. Cardiovascular System
7. Integumentary System
8. Abdomen
9. Urinary Elimination
10. Activity
What are critical findings in a bedside assessment? - Answer Altered level of
consciousness and confusion
Systolic is less than 90 or greater than 160
Temperature is greater than or equal to 38
Heart rate is less than 60 or greater than 100
Respiratory rate is less than 10 or greater than 28
Oxygen saturation is less than 92
Urine output is less than 30 ml per hour for 2 hours
Dark amber or bloody urine
Post-operative pain, nausea, vomiting not relieved with medication
Unusual chest pain
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