NURS 310 REVISION EXAM 1 FREQUENTLY TESTED QUESTIONS AND ACCURATE
SOLUTIONS A+ GRADED.
1. what does the involves the collection, clinical judgment, and evalutation
health assess- of data to plan and deliver client centered care
ment involve and - identifies the needs of the client to help them acheive
what is its pru- their highest level of help
pose? - can be a comprehensive or focused exam
2. what is full examination of all body systems that is conducted
a comprehensive from head to toe
exam? - review health record and SDOH to direct the approach
and plan of care
- if transgender, exam will be individualized to their as-
signed sex at birth, current anatomy, and any gender
affirming treatments
3. what is a focused assessment of a body system or body part that is guided
exam? by the client's presenting concern
4. what are socail factors that affect a client's health, well being and out-
determinants of comes
health (SDOH)? - where they live, economic stability, access to education,
access to health care, physcial environment, and social
context
5. what is the assessment findings, client preferences, and evidence
client's plan of based practice (EBP)
care based on?
6. what is a health valuable tool and a legal document that communicates
record? lab and radiologic findings and assessment notes from
the health care team regarding the plan of care and
interactions with client
- provides a roadmap to the health and well being of the
client and interventions
- individualized collection of health information and data
abour a client's health, identifies the health care previo-
suly gievn to the client
- contains demographics, vital signs, medical history,
meds, allergies, and immunizations
, NURS 310 REVISION EXAM 1 FREQUENTLY TESTED QUESTIONS AND ACCURATE
SOLUTIONS A+ GRADED.
7. what are the - inspection, palpation, percussion, and auscultation
nursing actions - critical thinking
that play a role - therapeutic communication
in health assess- - documentation of findings
ment? - collaboration with health care team and client
8. what is the nurs- to develop, implement and evaluate the care of clients
ing process used - problem solving approach that is holistic
for?
9. what are the RN: validate and analyze the inforamtion collected by
roles of an RN vs the PN and plan and initiate interventions to address the
a PN in the nurs- client's health care needs
ing process? PN: acts under directions from RN and carries out inter-
ventions
10. What are the 1. Assessment
steps in the nurs- 2. Analysis
ing process? 3. Planning
4. Implementation
5. Evaluation
11. what takes place nurse obtains client's health history through interview,
during the as- preforms a physical assessment, and reviews the medical
sessment phase record (lab results and diagnostic testing)
of the nursing - collects, organizes, and validates data
process? - involves subjective and objective data
- unexpected findings should be assessed further and
reported accordingly and PN responsible to notify RN
- uses critical thinking (identifying important data from
client info, obataining additional data if problem identified,
and organizing the data per an established framework
12. what is subjec- client's reason for seeking care, sympotoms, or from fam-
tive data? ily member
- nurse guides the conversation to get a timeframe and
extent of current issue and past medical history, medica-
tions, substance use, sexual history, enconomic needs,
spiritual needs
, NURS 310 REVISION EXAM 1 FREQUENTLY TESTED QUESTIONS AND ACCURATE
SOLUTIONS A+ GRADED.
- documented using quotes
Ex: self report of pain and client's reason for seeking care
13. what is objective nurse's observations or measurements of a client's health
data? condition
- obtained through PA or lab/ diagnostic studies
Ex: facial expressions, PA findings, and vital signs
14. where does the - interview/ health history (subjective data)
collection of data - review of clinical record
come from? (as- - physcial examination (objective data)
sessment phase) - functional assessment
- cultural and spiritual assessment
- consultation and review of the literature
15. once we col- interview, family members, past medical history, measur-
lect the data, able methods
how do we veri-
fy the data? (as-
sessment phase)
16. what forms the client's reports (subjective data) and lab/ diagnostic stud-
health database? ies (objective data)
What qualities - must be thorough, organized, and accurate due to diag-
should this have noses, decisions and interventionas rely upon the quality
and why? (as- of the data collected
sessment phase)
17. What is the di- - nurses analyze the subjective and objective data collect-
agnosis/ analy- ed during the assessment phase using clinical judgement
sis phase? to determine the client's problem and formulate plan of
care
- asses the need for client education, any barriers
- not diagnosing, only identifying the client problem
- we are worried about care, comfort and safety and whole
body
18. what is impor- important in determining nurisng interventions that are
tant about the needed for health promotion
- outside scope of practice for PN
, NURS 310 REVISION EXAM 1 FREQUENTLY TESTED QUESTIONS AND ACCURATE
SOLUTIONS A+ GRADED.
diagnosis/ analy-
sis phase?
19. what is the plan- uses problem solving and decision making skills to prior-
ning phase? tize care
- nurse priortizes outcomes and goals and develops inter-
ventions to meet the goals
- collaboration between RN, client, and maybe family so
that goals are set and agreed upon together
- uses evidence based practice (EBP) and current nursing
standards
- short term goals are acheived within a few days and long
term goals may take weeks to months
20. what are first lev- Emergent, life threatening, and immediate
el priority prob- - ABC (airway, breathing and circulation)
lems?
21. what are sec- Next in urgency, requiring attention so as to avoid further
ond level priority deterioration
problems? - mental status change, acute pain, and abnoral lab val-
ues, safety, comfort, nutrition
22. what are third important to client's health but can be addressed after
level priority more urgent problems are addressed
problems? - interventions that are more long term focused, ADL,
patient education
23. what is a SMART S- specific
goal? (planning M- measurable
phase) A- attainable
R- reasonable
T- timely
24. what is RN carries out the interventions that have been estab-
the implementa- lished
tion phase? - uses clinical judgement to monitor client's progress to-
ward achieving their goals
- undertermined amount of time
- considers any learning barriers