GNUR 238 Exam 1 Rubric and Study guide
Your Exam 1 will consist of 60 multiple choice question. 5 of these questions will be “select all
that apply”, you will have 75 minutes to complete the exam.
This rubric is provided as a courtesy to help you focus your studies. All content covered in your
readings, lectures, Lab information and power-points are considered “testable material”. Please
do not hesitate to ask questions if you need additional clarification.
Wed 2/6/19 10:00 AM - 11:15 AM, Room 202A & B
Nursing Process
· Critical thinking
· Nursing diagnosis
· Planning – prioritizing care, Goal Development and Care plans
· Implementation and Evaluation
· Communication
· Terminology
· Safety
· Restraints/Alternatives
· Health History
· PPE
· Hand hygiene
· Standard Precautions
Suggestion for studying
· Do all critical thinking question in back of each chapter (Yoost)
· Complete case studies in books, practice writing nursing diagnosis, patient centered goals
and nursing interventions in proper format.
· Answers to review questions, case studies and critical thinking exercises is in your online
resources for each book.
· Complete case studies in your online resources for both text when available.
· Take any practice quizzes online or in the book for each text.
Exam 1 Review
Read the following scenario and answer the following questions:
A 32-year-old female arrives at an urgent care center stating, “my stomach has been killing me since last night.”
She is sitting in a chair, using her arms to hold her stomach as she rocks back and forth. She is dressed in a
long, blue velvet gown with a tiara on her head. As you move closer to her, you smell cigarette smoke. She is
about 5’2” and 120 lbs. When you speak to her, she replies with short answers and makes facial grimaces.
You begin to gather more data and decide to measure her vital signs: oral temperature 101.2 degrees Fahrenheit.
Blood pressure 116/72. Right radial pulse is 122 bpm and feels weak. Respiratory rate is 18 breaths/min.
Oxygen saturation is 99% on Room Air.
, You ask questions to obtain the history. The client states that her pain is in the right lower quadrant of her
abdomen rated at a 7/10. She says it is constant and stabbing and worse with movement. She tried taking
Tylenol last night but she states “it did not do a thing.” She knew she had a problem when she had trouble
putting on her costume at the theater rehearsal this morning. She used meditation for 10 minutes backstage to
get through the rehearsal but it was difficult. She says, I am the lead actress and opening night is in 3 days.”
What is the Subjective Data?
Subjective data is what the patient says. How they feel. Health history.
Patient states “My stomach has been killing me since last night”.
Patient states her pain is in the right lower quadrant of her abdomen and rates 7/10.
Patient describes the pain as constant, stabbing, and worse with movement.
Patient attempted meditation but said it was difficult
Patient states she took tylenol last night for pain but “it did not do a thing”.
What is the Objective Data?
Objective data is what the nurse can see, feel, smell. Data with measurements is also objective data.
Patient holds her stomach and rocks back and forth while sitting in a chair
Patient smells of cigarette smoke
Patient appears to be 5’2, 120 lb
Patient replies with short answers and makes facial grimaces when speaking to her
Patient’s oral temperature is 101.2 F
Patient’s blood pressure is 116/72
Patient’s right radial pulse is 122 bpm and feels weak
Patient’s respiratory rate is 18 breaths/minute
Patient’s oxygen saturation is 99% on Room Air
Using OLDCARTS describe what you know about the client.
O (onset) - “since last night”
L (location) - right lower quadrant of abdomen
D (duration: acute or chronic) - constant
C (character) - stabbing
A (aggravating/alleviating) - worse with movement, putting on a costume
R (related symptoms) - elevated and weak radial pulse, fever, elevated respiratory rate
T (treatments) - meditation, tylenol didn’t help
S (severity) - 7/10 pain rating
When writing up a Health History, what are the following components?
Source of Information:
Primary (patient - BEST), Secondary (other individuals, client records and charts)
Chief Complaint: reason for seeking care; onset of symptoms
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