NSE 103 MID TERM REVIEW QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026
clinical judgment definition - Answers Observed outcome of critical thinking and decision making.
priorities of care - Answers Actions that are most important to take first and what actions can follow
Primary Survey - Answers an examination of the patient to determine the presence of any life-
threatening emergencies; the initial assessment of airway, breathing, circulation, disability and
exposure
level of consciousness - Answers Alert and oriented, confused & disoriented, lethargic, obtunded,
unconscious.
level of orientation - Answers Place, time, person, self
Mental health examination - Answers Appearance, Behavior, cognition, thinking
First level priorities - Answers Emergent, life threatening, and immediate
second level priorities - Answers May lead to clinical deterioration, prompt action.
third level priorities - Answers Non urgent but need addressing
intervention types - Answers Effective, ineffective, unrelated, contraindicated.
Health assessment frequency - Answers Primary care, long term care, acute care.
Health assessment types - Answers Primary survey, focused assessment, head to toe, complete
health assessment.
health promotion - Answers Social and environmental interventions to enable people and
communities to increase control over health.
Broad approaches to health promotion - Answers Behavioral, relational, structural
objective assessment - Answers inspection, auscultation, percussion, palpation. Measurements
obtain by the nurse observing.
Trauma-informed approach - Answers Physical touch, trauma, trauma-informed-approach
Always perform assessments on bare skin - Answers Yes
inspection - Answers purposeful and systematic observation, bilateral comparison, client's overall &
then, specific body areas, noting normal & abnormal findings.
Palpation - Answers Using your hands/ fingers, permission to touch, bilateral comparison. Dorsal
aspect of hands for temperature. ; texture, thickness, moisture, swelling or masses, pain/tenderness,
pulsatility.
crepitation - Answers An abnormal grating or crunching sound or sensation felt and heard over joints
at the location where bones meet.
percussion - Answers Tapping the body to elicit sounds. Air filled, fluid filled, dense.
Indirect percussion techniques - Answers Flatness, resonance, hyper resonance, dullness, tympany.
Auscultation - Answers Listening with a stethoscope. High pitched, low pitched.
Closing the objective assessment - Answers Brief summary, next steps, inquire, questions.
Temperature - Answers Oral;35.8-37.3
Axillary: 34.8-36.3
Tympanic: 36.1-37.9
Rectal: 36.8-38.2
Older adults::;;;;36.5-37.5
Infants&children:;::35.5-37.7
oral temperature - Answers Hot or cold liquids wait 15-25min
Smoked or chewing gum wait 5min
pulse oximetry - Answers SpO2 O2 saturation.
Arterial oxygen saturation
97-100% is normal
92-100% is acceptable in adult
Adult 60-100
Newborn 100-175
Rhythm; sinus arrhythmia
Force; 3+ bounding
2+Normal
1+ weak, thready
0 absent
Equality
Respiration - Answers Adult and older adult:10-20
clinical judgment definition - Answers Observed outcome of critical thinking and decision making.
priorities of care - Answers Actions that are most important to take first and what actions can follow
Primary Survey - Answers an examination of the patient to determine the presence of any life-
threatening emergencies; the initial assessment of airway, breathing, circulation, disability and
exposure
level of consciousness - Answers Alert and oriented, confused & disoriented, lethargic, obtunded,
unconscious.
level of orientation - Answers Place, time, person, self
Mental health examination - Answers Appearance, Behavior, cognition, thinking
First level priorities - Answers Emergent, life threatening, and immediate
second level priorities - Answers May lead to clinical deterioration, prompt action.
third level priorities - Answers Non urgent but need addressing
intervention types - Answers Effective, ineffective, unrelated, contraindicated.
Health assessment frequency - Answers Primary care, long term care, acute care.
Health assessment types - Answers Primary survey, focused assessment, head to toe, complete
health assessment.
health promotion - Answers Social and environmental interventions to enable people and
communities to increase control over health.
Broad approaches to health promotion - Answers Behavioral, relational, structural
objective assessment - Answers inspection, auscultation, percussion, palpation. Measurements
obtain by the nurse observing.
Trauma-informed approach - Answers Physical touch, trauma, trauma-informed-approach
Always perform assessments on bare skin - Answers Yes
inspection - Answers purposeful and systematic observation, bilateral comparison, client's overall &
then, specific body areas, noting normal & abnormal findings.
Palpation - Answers Using your hands/ fingers, permission to touch, bilateral comparison. Dorsal
aspect of hands for temperature. ; texture, thickness, moisture, swelling or masses, pain/tenderness,
pulsatility.
crepitation - Answers An abnormal grating or crunching sound or sensation felt and heard over joints
at the location where bones meet.
percussion - Answers Tapping the body to elicit sounds. Air filled, fluid filled, dense.
Indirect percussion techniques - Answers Flatness, resonance, hyper resonance, dullness, tympany.
Auscultation - Answers Listening with a stethoscope. High pitched, low pitched.
Closing the objective assessment - Answers Brief summary, next steps, inquire, questions.
Temperature - Answers Oral;35.8-37.3
Axillary: 34.8-36.3
Tympanic: 36.1-37.9
Rectal: 36.8-38.2
Older adults::;;;;36.5-37.5
Infants&children:;::35.5-37.7
oral temperature - Answers Hot or cold liquids wait 15-25min
Smoked or chewing gum wait 5min
pulse oximetry - Answers SpO2 O2 saturation.
Arterial oxygen saturation
97-100% is normal
92-100% is acceptable in adult
Adult 60-100
Newborn 100-175
Rhythm; sinus arrhythmia
Force; 3+ bounding
2+Normal
1+ weak, thready
0 absent
Equality
Respiration - Answers Adult and older adult:10-20
