NSE 103 FINAL EXAM QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
What is subjective data? - answers - data the patient tells you
What are symptoms? - answers - something the client feels
What are signs? - answers - observable findings
What is objective data - answers - what you observe and can measure
What is clinical judgement? - answers - determination about a client's health status
Deciding their capacity to engage in care and whether action should be taken or not
What is clinical reasoning? - answers - the thinking process by which a nurse reaches a
clinical judgement
What is clinical deterioration? - answers - a worsening clinical state related to
physiological decompensation
What are priorities of care? - answers - what actions are most important to take first,
and which can follow
What are the levels of maslow's hierachy of needs from top to bottom - answers - self-
actualization
Esteem
Social
Security
Physiological
What are the levels of priority of care? - answers - first, second, third
What is first level priority of care? - answers - problems that reflect critical findings &
require urgent action
What is second level priority of care? - answers - problems that may lead to clinical
deterioration / may become life threatening
Requires prompt action
,What is third level priority of care? - answers - problems that are not acute in nature
Not urgent & can wait until the client is stable
What are the four types of interventions? - answers - effective
Ineffective
Unrelated
Contraindicated
What are the types of health assessments? - answers - primary survey
Focussed assessment
Head to toe assessment
Complete health assessment
What are the components of a primary survey? - answers - abcde (airway, breathing,
circulation, disability and exposure)
What does d stand for in abcde (primary survey)? What does it mean? - answers -
disability - level of consciousness, speech, pain
What does e stand for in abcde (primary survey)? What does it mean? - answers -
exposure - temperature, skin integrity, ability to transfer, wounds, etc
What is a focussed assessment? - answers - specific to a health concern / reason for
seeking care
What is a head to toe assessment? - answers - assesses several body systems &
provides an overview of the client's current health status
What does a cephalocaudal approach mean? - answers - head to toe
What is a complete health assessment? - answers - subjective & objective assessment
of all body systems; comprehensive
What are the five levels of consciousness? - answers - alert & oriented
Confused & disoriented
Lethargic
,Obtunded
Unconscious
What does lethargic mean (level of consciousness)? - answers - slow to arouse to
stimuli or questions, sleepy
What does obtunded mean (level of consciousness)? - answers - significant impairment
to level of consciousness; without stimuli they immediately return to sleep
How do you assess someone's level of orientation? - answers - by asking them about:
Place
Time
Person
Self
What is health promotion? - answers - strategies that enable people/communities to
increase control over & improve their health
What are the three types of health promotion? - answers - behavioural
Relational
Structural
What is behavioural health promotion? - answers - focus on lifestyles & behaviours on
an individual level
What is relational health promotion? - answers - emphasizes social change at the
relational level
What is structural health promotion? - answers - addresses policies & practices that
affect health at a broader community level
What is hyperthermia? - answers - elevated body temperature
What is hypothermia? - answers - low body temperature
What factors may cause hyperthermia? - answers - internal (fever caused by infection)
or external (exposure to heat)
What are the five ways temperature can be taken? - answers - tympanic
Oral
, Axillary
Rectal
Dermal
How are temperatures usually taken in pediatric populations? - answers - rectal
For children, what age are rectal thermometers used? - answers - usually children
under two, but over 30 days
What may happen if you take the temperature of a newborn (>30 days) with a rectal
thermometer? - answers - rectal tearing
What is a dermal thermometer? - answers - non-contact infrared thermometers
What must you assess before taking an oral temperature? - answers - whether the
client has consumed any hot or cold liquids reccently
What is the normal temperature range for an adult? - answers - 36.5-37.5 c
What is the normal temperature range for an older adult? - answers - slightly lower than
younger adults
What is the normal temperature range for infants & young children? - answers - 35.5-
37.7 c
What factors may influence temperature? (increase) - answers - diurnal rhythm (can
also decrease)
Exercise
Stress & anxiety
Menstrual cycle
Pregnancy
What is hypoexmia? - answers - low oxygen in the blood
What are the two ways oxygen saturation is measured? - answers - pulse oximetry
device (can be put on fingers, toes, earlobes or forehead)
Arterial line
ACCURATE ANSWERS
What is subjective data? - answers - data the patient tells you
What are symptoms? - answers - something the client feels
What are signs? - answers - observable findings
What is objective data - answers - what you observe and can measure
What is clinical judgement? - answers - determination about a client's health status
Deciding their capacity to engage in care and whether action should be taken or not
What is clinical reasoning? - answers - the thinking process by which a nurse reaches a
clinical judgement
What is clinical deterioration? - answers - a worsening clinical state related to
physiological decompensation
What are priorities of care? - answers - what actions are most important to take first,
and which can follow
What are the levels of maslow's hierachy of needs from top to bottom - answers - self-
actualization
Esteem
Social
Security
Physiological
What are the levels of priority of care? - answers - first, second, third
What is first level priority of care? - answers - problems that reflect critical findings &
require urgent action
What is second level priority of care? - answers - problems that may lead to clinical
deterioration / may become life threatening
Requires prompt action
,What is third level priority of care? - answers - problems that are not acute in nature
Not urgent & can wait until the client is stable
What are the four types of interventions? - answers - effective
Ineffective
Unrelated
Contraindicated
What are the types of health assessments? - answers - primary survey
Focussed assessment
Head to toe assessment
Complete health assessment
What are the components of a primary survey? - answers - abcde (airway, breathing,
circulation, disability and exposure)
What does d stand for in abcde (primary survey)? What does it mean? - answers -
disability - level of consciousness, speech, pain
What does e stand for in abcde (primary survey)? What does it mean? - answers -
exposure - temperature, skin integrity, ability to transfer, wounds, etc
What is a focussed assessment? - answers - specific to a health concern / reason for
seeking care
What is a head to toe assessment? - answers - assesses several body systems &
provides an overview of the client's current health status
What does a cephalocaudal approach mean? - answers - head to toe
What is a complete health assessment? - answers - subjective & objective assessment
of all body systems; comprehensive
What are the five levels of consciousness? - answers - alert & oriented
Confused & disoriented
Lethargic
,Obtunded
Unconscious
What does lethargic mean (level of consciousness)? - answers - slow to arouse to
stimuli or questions, sleepy
What does obtunded mean (level of consciousness)? - answers - significant impairment
to level of consciousness; without stimuli they immediately return to sleep
How do you assess someone's level of orientation? - answers - by asking them about:
Place
Time
Person
Self
What is health promotion? - answers - strategies that enable people/communities to
increase control over & improve their health
What are the three types of health promotion? - answers - behavioural
Relational
Structural
What is behavioural health promotion? - answers - focus on lifestyles & behaviours on
an individual level
What is relational health promotion? - answers - emphasizes social change at the
relational level
What is structural health promotion? - answers - addresses policies & practices that
affect health at a broader community level
What is hyperthermia? - answers - elevated body temperature
What is hypothermia? - answers - low body temperature
What factors may cause hyperthermia? - answers - internal (fever caused by infection)
or external (exposure to heat)
What are the five ways temperature can be taken? - answers - tympanic
Oral
, Axillary
Rectal
Dermal
How are temperatures usually taken in pediatric populations? - answers - rectal
For children, what age are rectal thermometers used? - answers - usually children
under two, but over 30 days
What may happen if you take the temperature of a newborn (>30 days) with a rectal
thermometer? - answers - rectal tearing
What is a dermal thermometer? - answers - non-contact infrared thermometers
What must you assess before taking an oral temperature? - answers - whether the
client has consumed any hot or cold liquids reccently
What is the normal temperature range for an adult? - answers - 36.5-37.5 c
What is the normal temperature range for an older adult? - answers - slightly lower than
younger adults
What is the normal temperature range for infants & young children? - answers - 35.5-
37.7 c
What factors may influence temperature? (increase) - answers - diurnal rhythm (can
also decrease)
Exercise
Stress & anxiety
Menstrual cycle
Pregnancy
What is hypoexmia? - answers - low oxygen in the blood
What are the two ways oxygen saturation is measured? - answers - pulse oximetry
device (can be put on fingers, toes, earlobes or forehead)
Arterial line
