©THEBRIGHTSTARS 2024
NUR 275 Final Exam Questions With
Correct And Revised 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 level of coniosuness? - 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 interact with patient? - answer✔✔develop trust and rapport, introduce
self, provide privacy, 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
, ©THEBRIGHTSTARS 2024
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 response 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 complained about,
like at a clinic (must have comprehensive baseline)
partial assessment performed when... - answer✔✔every time the nurse interacts with the patient
after the comprehensive assessment; focus on what is wrong and assess that
emergent assessment performed when... - answer✔✔emergency situation and only need vital
information; only focus on problem at hand
central cyanosis vs peripheral cyanosis - answer✔✔central cyanosis is a result of a
cardiopulmonary problem and peripheral cyanosis is probably a local problem resulting from
vasoconstriction; look for central cyanosis in oral mucosa; body parts appear blue; peripheral is
extremeties
normal temperature for adults - answer✔✔96- 99 degrees Fahrenheit orally; lowest early in
morning; tympanic 1 degree higher, axillary 1 degree lower
normal temperature for elderly - answer✔✔95- 97.5 degrees Fahrenheit
normal pulse for adults - answer✔✔+2, 60-100 bpm
normal pulse for elderly - answer✔✔unsure?
normal respirations for adults - answer✔✔12-20
normal respirations for the elderly - answer✔✔15-22
