The Nursing Process/Vital Signs/Documentation/Admission, Transfer, Discharge (Unitek) Exam Questions And Answers | 2026 | Guaranteed Pass

The Nursing Process/Vital Signs/Documentation/Admission, Transfer, Discharge (Unitek) Exam Questions And Answers | 2026 | Guaranteed Pass Nursing Process (ADPIE) - answer-five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating Nursing Diagnosis - answer-describes a health problem that can be treated by nursing measures; a step in the nursing process medical diagnosis - answer-the identification of a disease or condition by a doctor medical diagnosis vs nursing diagnosis - answer-Medical Diagnosis: is used to evaluate the cause or etiology of disease Nursing Diagnosis: clinical judements about a persons response to an actual or potential health state NANDA-I - answer-North American Nursing Diagnosis Association International a professional nursing organization that provides standardized language to identify patient problems and plan customized care everywhere. Basically puts everyone on the same page for continuity of caredirect care - answer-Deals directly with the patients such as a hospital, nursing home, physician practice, and assisted living facilities. subjective - answer-based on or influenced by personal feelings, tastes, or opinions objective - answer-Factual, related to reality or physical objects; not influenced by emotions, unbiased 5 Purposes for Patient Records - answer-1) Documented Communication 2) Permanent Record for Accountability 3) Legal Record of Care 4) Teaching 5) Research and Data Collection OBRA - answer-Omnibus Budget Reconciliation Act of 1987. Purpose is to improve the quality of life of nursing center residents. Nursing Care Plan - answer-includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation. What does data collection include? - answerTwo primary methods of collecting patient data? - answer-Interview patient & physical exam focused assessment - answer-assessment conducted to assess a specific problem; focuses on pertinent history and body regions During which phase of the nursing process does the nurse identify the problem? - answer-Assessment What will a nurse do during the last phase of the nursing process.... - answer-A nurse will evaluate the desired outcomes vs the actual outcomesHow do you take temporal lobe Vital Signs differently for an adult and child? (Tympanic Pulse) - answerAdult: lobe (pinna) pulled up and back Child: lobe (pinna) pulled down and back Factors that influence pulse rates - answer-Age Exercise Fever, heat Hemorrhage Medications Metabolism Postural changes Pulmonary Conditions Unrelieved severe pain/ chronic pain Factors that affect body temp - answer-Exercise Hormonal Influences Daily Variations (diurnal) Stress Environment Food ingestion and liquids (hot and cold) Smoking Celsius to Fahrenheit - answer-(C x 1.8) + 32 = F Farenheit to Celsius - answer-(F - 32) / 1.8 = C When to assess vital signs (give examples) - answer-During admission to healthcare facility On a routine schedule as determined by providerWhen the patient reports non specific symptoms Before and after certain nursing interventions (ambulation) When the patients general condition changes (loss of consciousness, hemorrhage, cardiac dysrhythmias) What B/P is considered PREhypertension? - answer-120/80 mm Hg apical pulse (location and definition) - answer-Located at the heart (chest) The actual heartbeat Pulse Deficit (define and example) - answer-This is the difference found found between the apical and radial rates For example, the apical pulse is 90, but the radial is 87. This makes the pulse deficit 3. Hypothermia - answer-abnormally low body temperature