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NURS 220 – Midterm Review 150 Questions & Answers (Patient Safety, ADPIE, Relational Inquiry, Nutrition) 2026

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This document contains a comprehensive set of approximately 150 midterm review questions and answers for NURS 220, focusing on patient safety, the nursing process (ADPIE), relational inquiry, and foundational health concepts. It includes definition-based and concept-driven questions that reinforce key nursing principles such as assessment, diagnosis, planning, implementation, and evaluation, as well as safety practices and clinical judgment. According to the content on pages 1–5, the document begins with patient safety principles, types of safety incidents (harmful, near miss, no harm), and the ADPIE framework. Pages 6–15 expand into broader health concepts including social determinants of health, health equity, and levels of healthcare delivery such as primary, community, and public health nursing. The middle sections (pages 16–25) focus on relational inquiry, including the five C’s (compassion, curiosity, competence, commitment, and corresponding), as well as functional ability, ADLs/IADLs, and patient-centered care. The later sections (pages 25–35) provide in-depth coverage of stress, coping, resilience, and nutrition, including macronutrients, micronutrients, and clinical indicators of nutritional status. The material aligns closely with standard nursing textbooks such as Fundamentals of Nursing by Patricia A. Potter and Anne Griffin Perry and Health Assessment in Nursing by Janet R. Weber and Jane H. Kelley, reflecting essential frameworks used in nursing education. It is highly effective for midterm exam preparation, reinforcing theoretical understanding, and supporting the development of clinical reasoning and patient-centered care skills. This document is suitable for students enrolled in NURS 220, Health Assessment, Fundamentals of Nursing, Community Health Nursing, or Clinical Practice courses. It is particularly relevant for undergraduate nursing students, pre-nursing students, and those preparing for midterm exams or NCLEX-style assessments. It can also benefit learners seeking a structured and in-depth review of patient safety, nursing frameworks, and holistic care concepts. Keywords: patient safety, ADPIE, nursing process, relational inquiry, functional ability, ADLs, IADLs, social determinants of health, health equity, stress and coping, resilience, nutrition, macronutrients, micronutrients, patient centered care

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NURS 220 Midterm Review 2026
Exam Questions and Correct
Answers | New Update



Patient Safety - 🧠 ANSWER ✔✔the pursuit of the reduction and mitigation

of unsafe acts within the healthcare system, as well as the use of best

practices show to lead to optimal patient outcomes.

Nurses are responsible for assessing the patient and environment for - 🧠

ANSWER ✔✔•hazards as well as plan, intervene, and maintain that safe

environment.

,•Educating the patient

•making / keeping the environment clean

•While caring for someone who is ill, encourage sleep, good nutrition and

plenty of fluids

•Proper hygiene and PPE- the transmission of pathogen is reduced (or

eliminated)

•Basic needs are met

•Physical hazards are reduced

•Pollution is controlled

•Plans are in place for potential disasters Ex. fire, tornado ect


Nurses must have knowledge of - 🧠 ANSWER ✔✔The patient


The environment

yourself


types of patient safety incidents - 🧠 ANSWER ✔✔•Harmful


•Near Miss

•No harm

,Harmful - 🧠 ANSWER ✔✔an incident that results in patient harm


Near miss - 🧠 ANSWER ✔✔an incident that didn't reach the patient (no

harm)


No harm - 🧠 ANSWER ✔✔an incident that reached the patient but no harm

resulted

Specific risks to patient safety within the healthcare system include - 🧠

ANSWER ✔✔•Falls


•Patient inherent injuries

•Procedure related injuries

•Equipment related injuries


Assess - 🧠 ANSWER ✔✔the situation/ Patient ~ Involves a collection and

verification of data and the analysis of all data to establish a database

about a clients perceived needs, health problems, and responses to those

problems. gather data and information about what we are dealing with.


Diagnose - 🧠 ANSWER ✔✔review the clusters of data to identify patterns.

Three types of diagnosis exist 1) actual 2) at risk 3) wellness




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, Written in a two part format including a diagnostic label and an etiological

or related factor

The related factors become the basis for selecting the nursing diagnosis

Ex. disturbed thought process at risk for trauma


Planning - 🧠 ANSWER ✔✔you determine client centered goals, set

priorities, develop expected outcomes of nursing care and develop a

nursing care plan.

A client-centered goal is singular, observable,measurable, time limited,

mutual and realistic.

we want to make sure the patient doesn't get sicker- not picking up other

infections (we want to keep the patient as healthy as possible)


Implementation - 🧠 ANSWER ✔✔Is the step in which you provide direct and

indirect nursing care interventions to patients

Routine practice~ hand hygiene (soap and water OR hand sanitizer) and

PPE (to protect yourself and patients). We want to break the chain of

infection

Giving the client medication

Trying a new diet

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