NRSG 200 Exam 2 Nursing Process UPDATED ACTUAL
Questions and CORRECT Answers
Nursing Process A- collect data through observation, interview, physical exam, and diagnostic/ lab
data, primary source (patient), secondary sources (family, chart) -> understand
patient's current health status
D- analyze assessment data to identify actual, risk, strengths -> NANDA nursing
diagnosis
P- Prioritize problems: ABCS, Safety, PT needs -> SMART goals, select
interventions: independent, dependent, collaborative -> create care plan for
desired outcomes
I- reassess pt before acting, perform interventions, delegate/supervise care, pt
education, document -> carry out plan of care
E- assess pt response to interventions, compare outcomes w/ goals, determine if
goals are met, partially met, not met, modify/ continue care plan -> determine
effectiveness of care and make changes
Steps that allows nurse to respond to change in patients Assessment: ongiong detects new s/s and changes in patient conditions -> early
status intervention
Evaluation: determines if pt is improving/ worsening -> revised care plan, changed
intervention
Assessment dynamic process: continuous and ongoing
constantly collects, validates, and updates pt data as pt condition changes -> new
problems, responses, modify plan of care
Assessment Types - Initial On admission/ first contact w/ patient -> establish baseline data and identify
overall health status
Assessment Types - Problem-Focused Ongoing, when a specific issue arises -> assess particular problem/ symptom
Assessment Types - Emergency immediate; during urgent situations -> identifies life-threatening problems for
rapid intervention
Assessment Types - Time Lapsed follow-up assessment after a significant period of time to identify if pt's condition
has improved, worsened, or reamined stable over time
Data Collection Gathers subjective + objective data through interviews, observation, physical
Data Organization exam, and diagnostic results
Cluster & group related data -> identifies patterns/ abnormalities
Verifcation Validates accuracy of data by comparing findings, clarifying inconsistencies, and
Documentation checking with pt/ team
Record data accurately w/ approriate terminology in the patient's record;
last component of assessment; legal and professional responsibility
Questions and CORRECT Answers
Nursing Process A- collect data through observation, interview, physical exam, and diagnostic/ lab
data, primary source (patient), secondary sources (family, chart) -> understand
patient's current health status
D- analyze assessment data to identify actual, risk, strengths -> NANDA nursing
diagnosis
P- Prioritize problems: ABCS, Safety, PT needs -> SMART goals, select
interventions: independent, dependent, collaborative -> create care plan for
desired outcomes
I- reassess pt before acting, perform interventions, delegate/supervise care, pt
education, document -> carry out plan of care
E- assess pt response to interventions, compare outcomes w/ goals, determine if
goals are met, partially met, not met, modify/ continue care plan -> determine
effectiveness of care and make changes
Steps that allows nurse to respond to change in patients Assessment: ongiong detects new s/s and changes in patient conditions -> early
status intervention
Evaluation: determines if pt is improving/ worsening -> revised care plan, changed
intervention
Assessment dynamic process: continuous and ongoing
constantly collects, validates, and updates pt data as pt condition changes -> new
problems, responses, modify plan of care
Assessment Types - Initial On admission/ first contact w/ patient -> establish baseline data and identify
overall health status
Assessment Types - Problem-Focused Ongoing, when a specific issue arises -> assess particular problem/ symptom
Assessment Types - Emergency immediate; during urgent situations -> identifies life-threatening problems for
rapid intervention
Assessment Types - Time Lapsed follow-up assessment after a significant period of time to identify if pt's condition
has improved, worsened, or reamined stable over time
Data Collection Gathers subjective + objective data through interviews, observation, physical
Data Organization exam, and diagnostic results
Cluster & group related data -> identifies patterns/ abnormalities
Verifcation Validates accuracy of data by comparing findings, clarifying inconsistencies, and
Documentation checking with pt/ team
Record data accurately w/ approriate terminology in the patient's record;
last component of assessment; legal and professional responsibility
