NSE 103 Final Exam | Questions and answers | 2025/2026
what is subjective data? data the patient tells you
what are symptoms? something the client feels
what are signs? observable findings
what is objective data what you observe and can measure
determination about a client's health status
what is clinical judgement?
deciding their capacity to engage in care and whether action should be
taken or not
what is clinical reasoning? the thinking process by which a nurse reaches a clinical judgement
what is clinical deterioration? a worsening clinical state related to physiological decompensation
what are priorities of care? what actions are most important to take first, and which can follow
self-
actualization
esteem
socia
l
what are the levels of maslow's
secur
hierachy of needs from top to
ity
bottom
physiological
what are the levels of priority of first, second, third
,care?
what is first level priority of care? problems that reflect critical findings & require urgent action
problems that may lead to clinical deterioration / may become life
what is second level priority of threatening
care?
requires prompt action
, problems that are not acute in nature
what is third level priority of
care? not urgent & can wait until the client is stable
effective
ineffective
unrelated
contraindicated
what are the four types of
interventions?
primary survey
focussed
assessment
head to toe
what are the types of health assessment
assessments? complete health assessment
what are the components of a ABCDE (Airway, breathing, circulation, disability and exposure)
primary survey?
what does D stand for in ABCDE disability - level of consciousness, speech, pain
(primary survey)? what does it
mean?
what does E stand for in ABCDE exposure - temperature, skin integrity, ability to transfer, wounds, etc
(primary survey)? what does it
mean?
what is a focussed assessment? specific to a health concern / reason for seeking care
assesses several body systems & provides an overview of
what is a head to toe
the client's current health status
assessment?
what does a cephalocaudal head to toe
, approach mean?
what is a complete health subjective & objective assessment of all body systems; comprehensive
assessment?
alert &
oriented
confused &
disoriented
lethargic
what are the five levels of obtunded
consciousness?
unconscious
what does lethargic mean (level slow to arouse to stimuli or questions, sleepy
of consciousness)?
what does obtunded mean (level significant impairment to level of consciousness; without
of consciousness)? stimuli they immediately return to sleep
by asking them about:
how do you assess someone's plac
level of orientation? e
time
pers
on
self
what is subjective data? data the patient tells you
what are symptoms? something the client feels
what are signs? observable findings
what is objective data what you observe and can measure
determination about a client's health status
what is clinical judgement?
deciding their capacity to engage in care and whether action should be
taken or not
what is clinical reasoning? the thinking process by which a nurse reaches a clinical judgement
what is clinical deterioration? a worsening clinical state related to physiological decompensation
what are priorities of care? what actions are most important to take first, and which can follow
self-
actualization
esteem
socia
l
what are the levels of maslow's
secur
hierachy of needs from top to
ity
bottom
physiological
what are the levels of priority of first, second, third
,care?
what is first level priority of care? problems that reflect critical findings & require urgent action
problems that may lead to clinical deterioration / may become life
what is second level priority of threatening
care?
requires prompt action
, problems that are not acute in nature
what is third level priority of
care? not urgent & can wait until the client is stable
effective
ineffective
unrelated
contraindicated
what are the four types of
interventions?
primary survey
focussed
assessment
head to toe
what are the types of health assessment
assessments? complete health assessment
what are the components of a ABCDE (Airway, breathing, circulation, disability and exposure)
primary survey?
what does D stand for in ABCDE disability - level of consciousness, speech, pain
(primary survey)? what does it
mean?
what does E stand for in ABCDE exposure - temperature, skin integrity, ability to transfer, wounds, etc
(primary survey)? what does it
mean?
what is a focussed assessment? specific to a health concern / reason for seeking care
assesses several body systems & provides an overview of
what is a head to toe
the client's current health status
assessment?
what does a cephalocaudal head to toe
, approach mean?
what is a complete health subjective & objective assessment of all body systems; comprehensive
assessment?
alert &
oriented
confused &
disoriented
lethargic
what are the five levels of obtunded
consciousness?
unconscious
what does lethargic mean (level slow to arouse to stimuli or questions, sleepy
of consciousness)?
what does obtunded mean (level significant impairment to level of consciousness; without
of consciousness)? stimuli they immediately return to sleep
by asking them about:
how do you assess someone's plac
level of orientation? e
time
pers
on
self
