NSGD 2256: AHA FINAL (PACE FA24)
2026 LATEST QUESTIONS AND
ANSWERS| ACE YOUR GRADES.
A patient with an NG feeding tube via the right nare was
noted to have a pressure injury on the nare under the tape.
By what mechanism has this occurred?
Through prolonged pressure of hard medical equipment.
Identify a screening strategy to prevent pressure ulcers:
Completing the Braden Scale daily.
What conditions are associated with impaired mobility?
General health status.
The main function of bones:
Provide a structural foundation for the body, leverage movement
of body parts, support and protect internal organs, provides
attachment for muscles and ligaments. Stores calcium and RBS
production.
The main function of joints:
Provides stability and attachments for bones, allows for skeletal
movement.
Main function of muscles:
Under voluntary control, dependent on nerve impulses reaching
the muscle, the muscles response to the stimulus, proprioception
or the bodys awareness of movement, action, location, joint
mobility and mechanical load.
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Flexion:
Joint movement causing the bending of the limbs (reduction of
angle) at the joint.
Extension:
Joint movement causing the straightening of limbs (increase in
angle) at a joint.
Rotation:
Circular movement of a joint around a fixed point.
Adduction:
Joint movement toward the middle line of the body.
Abduction:
Joint movement away from the midline of the body.
Supination:
Turning the palm of the hand upward
Pronation:
Turning the palm down.
6 main categories of impaired tissue integrity:
1. Trauma
2. Lack of Perfusion
3. Immunologic Reaction
4. Infection
5. Thermal/ Radial Injury
6. Lesions
'Primary Intention' wound healing:
Defined wound edges are well approximated (sx incision)
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'Secondary Intention' wound healing:
Wound has distant edges and granulation tissue gradually fills in
the wound (pressure ulcer)
' Tertiary Healing' wound healing:
Wound stays open until infection is resolves, then sutured
afterwards (infected sx wound)
Identify a common concept related to both mobility and
tissue integrity?
Perfusion
Cranial nerve I transports the stimulus to the brain to
produce:
Smell
The difference between the nursing process and clinical
judgement:
The nursing process is the foundation of clinical judgement.
Clinical judgement is more comprehensive, action-oriented, and
guided by the philosophy of client safety. It is important to learn
when to act to prevent clinical deterioration.
In order to facilitate clinical judgement you must:
Determine is the collected data represents normal findings or
abnormal findings.
The process that leads to clinical judgement is called:
Clinical Reasoning
The steps to clinical judgement include:
1. Recognizing cues
2. Analyzing cues
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3.Prioritize hypothesis
4. Generate solution
5. Take action
6. Evaluate outcomes
3 Broad approaches to health promotion:
1. Behavioral
2. Relational
3. Structural
Noticing:
A nurse is looking for patterns that are consistent with previous
experiences and uses that information to guide care. A nurse
notices things about a patient in the context of the nurse's
background and experience, context of environment and knowing
the patient.
Interpreting:
The process of assembling information to make sense of it. Types
of reasoning patterns tend to vary with the experience of a nurse.
Novice nurses rely on analytic reasoning while expert nurses
draw from a variety of reasoning patterns (analytic, intuitive, and
narrative).
Responding:
Responding is the implementation of actions and interventions
based on patient needs. Depending on the level of expertise, the
nurse may or may not be able to judge the effectiveness of the
intervention before initiating it.
Reflecting: