NR 226 FINAL REVIEW EXAM
QUESTIONS AND ANSWERS GRADED A+
2026
ADPIE - ANS assessment, diagnosis, plan, implementation, evaluation
SMART goals - ANS specific, measurable, achievable, relevant, time bound
2017 National Patient Safety Goals - ANS improve accuracy of patient identification, improve
staff communication, use medications safely, prevent infection, identify patient safety risks,
prevent surgery mistakes
Prioritizing Client Care - ANS airway, breathing, circulation
Actual vs At Risk diagnosis - ANS actual has current diagnosis, at risk doesn't
Chain of infection - ANS pathogen, reservoir, portal of exit, transmission, portal of entry, host
High risk for infection - ANS sick, immunocompromised, young and elderly
Adult Vital Sign Ranges: T, P, R, BP, SpO2 - ANS 96.8-100.4, 60-100, 12-20, 120/80, 95%
Surface temp - ANS oral, axillary
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 1
, Location for apical HR - ANS 5th intercoastal mid clavicular line
Stage 1 pressure ulcer - ANS skin in tact, Nonblanchable erythema
stage 2 pressure ulcer - ANS partial thickness skin loss, wound bed pink
stage 3 pressure ulcer - ANS full thickness, tunneling, undermining
stage 4 pressure ulcer - ANS full thickness, exposed bone, ligament
unstageable pressure ulcer - ANS would bed covered in slough or eschar
Deep tissue injury - ANS discolored intact skin, mushy
serous drainage - ANS thing, clear, watery
serosanguineous drainage - ANS thin, watery, pale red
sanguineous drainage - ANS thin bright red
Primary intention healing - ANS wound stapled or sutured
secondary intention healing - ANS heals from ground up
hematoma - ANS localized collection of blood under skin
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 2
QUESTIONS AND ANSWERS GRADED A+
2026
ADPIE - ANS assessment, diagnosis, plan, implementation, evaluation
SMART goals - ANS specific, measurable, achievable, relevant, time bound
2017 National Patient Safety Goals - ANS improve accuracy of patient identification, improve
staff communication, use medications safely, prevent infection, identify patient safety risks,
prevent surgery mistakes
Prioritizing Client Care - ANS airway, breathing, circulation
Actual vs At Risk diagnosis - ANS actual has current diagnosis, at risk doesn't
Chain of infection - ANS pathogen, reservoir, portal of exit, transmission, portal of entry, host
High risk for infection - ANS sick, immunocompromised, young and elderly
Adult Vital Sign Ranges: T, P, R, BP, SpO2 - ANS 96.8-100.4, 60-100, 12-20, 120/80, 95%
Surface temp - ANS oral, axillary
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 1
, Location for apical HR - ANS 5th intercoastal mid clavicular line
Stage 1 pressure ulcer - ANS skin in tact, Nonblanchable erythema
stage 2 pressure ulcer - ANS partial thickness skin loss, wound bed pink
stage 3 pressure ulcer - ANS full thickness, tunneling, undermining
stage 4 pressure ulcer - ANS full thickness, exposed bone, ligament
unstageable pressure ulcer - ANS would bed covered in slough or eschar
Deep tissue injury - ANS discolored intact skin, mushy
serous drainage - ANS thing, clear, watery
serosanguineous drainage - ANS thin, watery, pale red
sanguineous drainage - ANS thin bright red
Primary intention healing - ANS wound stapled or sutured
secondary intention healing - ANS heals from ground up
hematoma - ANS localized collection of blood under skin
@COPYRIGHT 2026/2027 ALLRIGHTS RESERVED 2
