NUR 3121 Health Assessment Exam 1
UPDATED QUESTIONS AND CORRECT
ANSWERS
What is the Nursing Process - CORRECT ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
What is "risk" diagnosis? - CORRECT ANSWER Clinical judgements that a problem
does not yet exist; risk factors are present. The two components include (1) risk diagnostic
label and (2) related factors
What is "actual" diagnosis? - CORRECT ANSWER A problem-focused diagnosis; the
client's problem is present at the time of assessment. The three components include (1)
nursing diagnosis, (2) related factors, and (3) defining characteristics
What are the aspects of clinical decision making? - CORRECT ANSWER best
evidence from literature + patient preference + clinical expertise and experience + physical
exam
Subjective data - CORRECT ANSWER what the patient tells you; symptoms
Objective data - CORRECT ANSWER information that is seen, heard, felt, or smelled
by an observer; signs
Complete total health database/assessment - CORRECT ANSWER Describes current
and past health state and forms the baseline to measure all future changes
, Focused or problem-centered database/assessment - CORRECT ANSWER Collect
"mini" database, smaller scope and more focused on current situation than the complete
database
Follow-up database/assessment - CORRECT ANSWER Status of all identified
problems should be evaluated at regular and appropriate intervals
Emergency database/assessment - CORRECT ANSWER Rapid data collection, may be
done along with lifesaving measures
What are the 5 tiers of Maslow's Hierarchy of Needs? - CORRECT
ANSWER Physiological needs, safety needs, belongingness and love needs, esteem
needs, and self actualization
What is first level priority in nursing? - CORRECT ANSWER Emergency, life
threatening, and immediate.
ie. ABCs
What is second level priority in nursing? - CORRECT ANSWER Next in urgency,
requiring attention to avoid further deterioration.
ie. pain, mental status changes, abnormal labs, elimination patterns
What is third level priority in nursing? - CORRECT ANSWER Important to patient's
health but can be addressed after more urgent problems are addressed.
ie. mobility and living situation, edema
What are the ABC's? - CORRECT ANSWER airway, breathing, circulation
What type of infection should be avoided in nursing practice? - CORRECT
ANSWER Nosocomial (hospital based)
UPDATED QUESTIONS AND CORRECT
ANSWERS
What is the Nursing Process - CORRECT ANSWER Assessment
Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
What is "risk" diagnosis? - CORRECT ANSWER Clinical judgements that a problem
does not yet exist; risk factors are present. The two components include (1) risk diagnostic
label and (2) related factors
What is "actual" diagnosis? - CORRECT ANSWER A problem-focused diagnosis; the
client's problem is present at the time of assessment. The three components include (1)
nursing diagnosis, (2) related factors, and (3) defining characteristics
What are the aspects of clinical decision making? - CORRECT ANSWER best
evidence from literature + patient preference + clinical expertise and experience + physical
exam
Subjective data - CORRECT ANSWER what the patient tells you; symptoms
Objective data - CORRECT ANSWER information that is seen, heard, felt, or smelled
by an observer; signs
Complete total health database/assessment - CORRECT ANSWER Describes current
and past health state and forms the baseline to measure all future changes
, Focused or problem-centered database/assessment - CORRECT ANSWER Collect
"mini" database, smaller scope and more focused on current situation than the complete
database
Follow-up database/assessment - CORRECT ANSWER Status of all identified
problems should be evaluated at regular and appropriate intervals
Emergency database/assessment - CORRECT ANSWER Rapid data collection, may be
done along with lifesaving measures
What are the 5 tiers of Maslow's Hierarchy of Needs? - CORRECT
ANSWER Physiological needs, safety needs, belongingness and love needs, esteem
needs, and self actualization
What is first level priority in nursing? - CORRECT ANSWER Emergency, life
threatening, and immediate.
ie. ABCs
What is second level priority in nursing? - CORRECT ANSWER Next in urgency,
requiring attention to avoid further deterioration.
ie. pain, mental status changes, abnormal labs, elimination patterns
What is third level priority in nursing? - CORRECT ANSWER Important to patient's
health but can be addressed after more urgent problems are addressed.
ie. mobility and living situation, edema
What are the ABC's? - CORRECT ANSWER airway, breathing, circulation
What type of infection should be avoided in nursing practice? - CORRECT
ANSWER Nosocomial (hospital based)
