N142 Health Assessment Exam 1
UPDATED QUESTIONS AND CORRECT
ANSWERS
What are the 4 main goals in nursing? - CORRECT ANSWER Promote, prevent, treat,
advocate
What does ADPIE stand for? - CORRECT ANSWER Assessment, Diagnosis, Plan,
Implement, Evaluation
What is the acronym for the nursing process that is a theoretical framework called? -
CORRECT ANSWER ADPIE
Which step of the nursing process is this, "John visits his general physician on Monday
because he was feeling sick over the weekend. When he is called back from the waiting
room, the nurse on staff takes his temperature, heart rate, and blood pressure. She then asks
John a series of questions about how he's been feeling lately. The nurse notes his responses
when he says he's been having difficulty breathing and has been feeling very tired?" -
CORRECT ANSWER Assessment
Which step of the nursing process is this, "The nurse looks over John's symptoms and notes
that his heart-rate is higher than average and his blood pressure is elevated. She also
considers that he's experienced fatigue and shortness of breath before when his cholesterol
levels were very high. The nurse determines that John is experiencing Hyperlipidemia, also
known as having high levels of fat within the blood"? - CORRECT
ANSWER Diagnosis
Which step of the nursing process is this, "John returns on Tuesday for a follow-up visit. The
nurse sits down with him in a closed room and explains his cholesterol levels and high blood
pressure. She suggests that John be put on medication to help lower these numbers and
recommends he exercise at least twice a week. The nurse also tells John he should stay away
from salty foods and eat less red meat."? - CORRECT ANSWER Plan
,Which step of the nursing process is this, "John is prescribed the medication and takes it as
recommended. One week later, he has a day where he feels especially sick and calls the
doctor's office. The nurse explains that the medication could cause nausea as a side-effect and
advises John to drink Ginger-Ale and avoid any foods that generally upset his stomach. John
continues taking the medication and goes to the gym four times during the two week
period."? - CORRECT ANSWER Implement
Which step of the nursing process is this, "
When John returns, the nurse asks him a series of questions about how he's been feeling. John
replies that he has been having an easier time breathing and feels significantly less tired since
exercising and taking the medication. The nurse marks "Patient's Condition Improved" on his
official medical records and congratulates John on his well being. She then advises him to
remain on the medication for one more month and to continue his exercise."? - CORRECT
ANSWER Evaluation
What are the three steps is gathering information for the Assessment part of ADPIE? -
CORRECT ANSWER Interview, health records, physical exam
What are the terms called that nurses can diagnosis patients with? - CORRECT
ANSWER NANDA-1
What are the two components of Planning in the ADPIE model? - CORRECT
ANSWER Individualized interventions, holistic care
What does the nurse do during the implementation component of the ADPIE model? -
CORRECT ANSWER Carry out the plan
What are they judging during the evaluation component in the ADPIE model? - CORRECT
ANSWER Effectiveness of intervention
What is the systematic method of collecting data about a client for the purpose of determining
the patients current and ongoing health status, predicting risks to health, and identifying
health-promoting activities called? - CORRECT ANSWER Health Assessment
, What is the purpose of collecting date in a situation like a health assessment for? -
CORRECT ANSWER Establishing a baseline for comparison
What are the four types of assessments? - CORRECT ANSWER Baseline, Problem
focused, emergency, ongoing
What is the comprehensive, as soon as possible assessment, that is used to establish a
baseline for future references called? - CORRECT ANSWER Baseline Assessment
Which type of assessment would be appropriate for a patient in an acute care setting? -
CORRECT ANSWER Baseline
Which type of assessment would be appropriate for a patient that is a new admission? -
CORRECT ANSWER Baseline
Which type of assessment would be appropriate for a patient that is new to your care? -
CORRECT ANSWER Baseline
Which type of assessment is appropriate for a specific system, an ongoing assessment, to
determine status for a particular problem, or to analyze a symptom? - CORRECT
ANSWER Problem focused
What type of assessment is appropriate for shift changes? - CORRECT
ANSWER Problem-focused
What type of assessment is appropriate for a patient that is familiar to you? - CORRECT
ANSWER Problem-focused
What type of assessment is appropriate for a patient that just returns from a procedure? -
CORRECT ANSWER Problem-focused
UPDATED QUESTIONS AND CORRECT
ANSWERS
What are the 4 main goals in nursing? - CORRECT ANSWER Promote, prevent, treat,
advocate
What does ADPIE stand for? - CORRECT ANSWER Assessment, Diagnosis, Plan,
Implement, Evaluation
What is the acronym for the nursing process that is a theoretical framework called? -
CORRECT ANSWER ADPIE
Which step of the nursing process is this, "John visits his general physician on Monday
because he was feeling sick over the weekend. When he is called back from the waiting
room, the nurse on staff takes his temperature, heart rate, and blood pressure. She then asks
John a series of questions about how he's been feeling lately. The nurse notes his responses
when he says he's been having difficulty breathing and has been feeling very tired?" -
CORRECT ANSWER Assessment
Which step of the nursing process is this, "The nurse looks over John's symptoms and notes
that his heart-rate is higher than average and his blood pressure is elevated. She also
considers that he's experienced fatigue and shortness of breath before when his cholesterol
levels were very high. The nurse determines that John is experiencing Hyperlipidemia, also
known as having high levels of fat within the blood"? - CORRECT
ANSWER Diagnosis
Which step of the nursing process is this, "John returns on Tuesday for a follow-up visit. The
nurse sits down with him in a closed room and explains his cholesterol levels and high blood
pressure. She suggests that John be put on medication to help lower these numbers and
recommends he exercise at least twice a week. The nurse also tells John he should stay away
from salty foods and eat less red meat."? - CORRECT ANSWER Plan
,Which step of the nursing process is this, "John is prescribed the medication and takes it as
recommended. One week later, he has a day where he feels especially sick and calls the
doctor's office. The nurse explains that the medication could cause nausea as a side-effect and
advises John to drink Ginger-Ale and avoid any foods that generally upset his stomach. John
continues taking the medication and goes to the gym four times during the two week
period."? - CORRECT ANSWER Implement
Which step of the nursing process is this, "
When John returns, the nurse asks him a series of questions about how he's been feeling. John
replies that he has been having an easier time breathing and feels significantly less tired since
exercising and taking the medication. The nurse marks "Patient's Condition Improved" on his
official medical records and congratulates John on his well being. She then advises him to
remain on the medication for one more month and to continue his exercise."? - CORRECT
ANSWER Evaluation
What are the three steps is gathering information for the Assessment part of ADPIE? -
CORRECT ANSWER Interview, health records, physical exam
What are the terms called that nurses can diagnosis patients with? - CORRECT
ANSWER NANDA-1
What are the two components of Planning in the ADPIE model? - CORRECT
ANSWER Individualized interventions, holistic care
What does the nurse do during the implementation component of the ADPIE model? -
CORRECT ANSWER Carry out the plan
What are they judging during the evaluation component in the ADPIE model? - CORRECT
ANSWER Effectiveness of intervention
What is the systematic method of collecting data about a client for the purpose of determining
the patients current and ongoing health status, predicting risks to health, and identifying
health-promoting activities called? - CORRECT ANSWER Health Assessment
, What is the purpose of collecting date in a situation like a health assessment for? -
CORRECT ANSWER Establishing a baseline for comparison
What are the four types of assessments? - CORRECT ANSWER Baseline, Problem
focused, emergency, ongoing
What is the comprehensive, as soon as possible assessment, that is used to establish a
baseline for future references called? - CORRECT ANSWER Baseline Assessment
Which type of assessment would be appropriate for a patient in an acute care setting? -
CORRECT ANSWER Baseline
Which type of assessment would be appropriate for a patient that is a new admission? -
CORRECT ANSWER Baseline
Which type of assessment would be appropriate for a patient that is new to your care? -
CORRECT ANSWER Baseline
Which type of assessment is appropriate for a specific system, an ongoing assessment, to
determine status for a particular problem, or to analyze a symptom? - CORRECT
ANSWER Problem focused
What type of assessment is appropriate for shift changes? - CORRECT
ANSWER Problem-focused
What type of assessment is appropriate for a patient that is familiar to you? - CORRECT
ANSWER Problem-focused
What type of assessment is appropriate for a patient that just returns from a procedure? -
CORRECT ANSWER Problem-focused
