NURS 6001 EXAM 1 Questions and Verified
Answers
Types of Assessment Correct Answer: comprehensive, episodic or problem-focused,
emergency
comprehensive assessment Correct Answer: (initial) results in baseline data for
problem identification and care planning, time consuming, complete, all aspects of
preventive health/physical disease
episodic/problem-focused assessment Correct Answer: based on the patient's health
issues, involves one or two body systems. smaller scope, but more in depth
What is the nursing process? Correct Answer: systematic problem-solving approach
to identifying and treating human responses to actual or potential health
difficulties. patient centered and focuses on problem solving and inhaling strengths.
uses ADPIE
emergency assessment Correct Answer: involves life threatening or unstable
situation, traumatic injury, uses ABCDE
ABCDE Correct Answer: airway, breathing, circulation, disability, and exposure
ADPIE Correct Answer: assessment of patient, nursing diagnosis, planning care,
implementing and then evaluating patients status
implementation Correct Answer: collaboration with other team members,
involvement of patient and family, actually doing the phase
evaluation Correct Answer: how effective is nursing care and each phases affects the
other
nursing diagnosis vs medical diagnosis Correct Answer: medical focuses on diagnosis
and treatment of disease whereas nursing focuses on the human response to actual
or potential health problems
, assessment Correct Answer: establish baseline, review history, physical assessment
diagnosis Correct Answer: clustering of data to make a judgement or statement
about the patient's difficulties or condition
Nanda diagnosis for nursing Correct Answer: a clinical judgement about individual,
family, or community responses to actual or potential health difficulties/life
processes. Provides the basis for selection of nursing interventions to achieve
outcomes for which the nurse is accountable
Normal range of blood pressure Correct Answer: 120/80
normal range of pulse Correct Answer: 60-100 bpm
scale of pulse strength Correct Answer: 0-4+
scale of 0 pulse Correct Answer: non palpable or absent
1+ of pulse Correct Answer: weak, diminished, and barely palpable
2+ of pulse Correct Answer: normal, expected
3+ of pulse Correct Answer: Full, increased
4+ of pulse Correct Answer: Bounding
normal oral temperature range Correct Answer: 97.7-99.5 F
normal range for Temporal range Correct Answer: 98.7-100.5 F
five ways to take temperature Correct Answer: oral, axillary, rectal, tympanic, and
temporal
normal respirations Correct Answer: 12-20
Answers
Types of Assessment Correct Answer: comprehensive, episodic or problem-focused,
emergency
comprehensive assessment Correct Answer: (initial) results in baseline data for
problem identification and care planning, time consuming, complete, all aspects of
preventive health/physical disease
episodic/problem-focused assessment Correct Answer: based on the patient's health
issues, involves one or two body systems. smaller scope, but more in depth
What is the nursing process? Correct Answer: systematic problem-solving approach
to identifying and treating human responses to actual or potential health
difficulties. patient centered and focuses on problem solving and inhaling strengths.
uses ADPIE
emergency assessment Correct Answer: involves life threatening or unstable
situation, traumatic injury, uses ABCDE
ABCDE Correct Answer: airway, breathing, circulation, disability, and exposure
ADPIE Correct Answer: assessment of patient, nursing diagnosis, planning care,
implementing and then evaluating patients status
implementation Correct Answer: collaboration with other team members,
involvement of patient and family, actually doing the phase
evaluation Correct Answer: how effective is nursing care and each phases affects the
other
nursing diagnosis vs medical diagnosis Correct Answer: medical focuses on diagnosis
and treatment of disease whereas nursing focuses on the human response to actual
or potential health problems
, assessment Correct Answer: establish baseline, review history, physical assessment
diagnosis Correct Answer: clustering of data to make a judgement or statement
about the patient's difficulties or condition
Nanda diagnosis for nursing Correct Answer: a clinical judgement about individual,
family, or community responses to actual or potential health difficulties/life
processes. Provides the basis for selection of nursing interventions to achieve
outcomes for which the nurse is accountable
Normal range of blood pressure Correct Answer: 120/80
normal range of pulse Correct Answer: 60-100 bpm
scale of pulse strength Correct Answer: 0-4+
scale of 0 pulse Correct Answer: non palpable or absent
1+ of pulse Correct Answer: weak, diminished, and barely palpable
2+ of pulse Correct Answer: normal, expected
3+ of pulse Correct Answer: Full, increased
4+ of pulse Correct Answer: Bounding
normal oral temperature range Correct Answer: 97.7-99.5 F
normal range for Temporal range Correct Answer: 98.7-100.5 F
five ways to take temperature Correct Answer: oral, axillary, rectal, tympanic, and
temporal
normal respirations Correct Answer: 12-20
