what are the steps of the nursing process - Answer assessment
diagnosis
planning
implementation
evaluation
what is the first step in the nursing process - Answer assessment
what is subjective data - Answer patient-reported symptoms
what is objective data - Answer observable signs (vital signs, lab results)
what does the acronym SMART stand for in goal setting - Answer specific
measurable
achievable
relevant
time-bound
when should the nurse evaluate the plan of care - Answer after implementing interventions
to see if goals were met
how do maslow's hierarchy and ABCs help in prioritizing care - Answer they help identify life-
threatening issues first - ABCs take priority, then safety, then other needs
What comes first: administering oxygen or repositioning a client with shortness of breath? -
Answer Administer oxygen (ABCs—Airway first)
What does the Safety/Risk Reduction strategy prioritize? - Answer Reducing the greatest
threat to the client's safety based on assessment data
When should standard precautions be used? - Answer With all patients, regardless of
diagnosis
What PPE is required for a patient on airborne precautions? - Answer N95 respirator
, What type of isolation is required for MRSA? - Answer Contact precautions—gloves and
gown
What is the correct way to lift a heavy object? - Answer Bend at the knees, not the waist; lift
with legs
When should a nurse use an assistive device for transferring a patient? - Answer When the
patient cannot safely assist or is too heavy for one person
What is a normal range for adult respiratory rate? - Answer 12-20 breaths per minute
At what blood pressure reading would you report hypertension? - Answer Anything
consistently above 120/80 mmHg (especially >130/80)
What is Erikson's psychosocial stage for toddlers? - Answer Autonomy vs. Shame and Doubt
What teaching strategy is appropriate for a school-age child? - Answer Use simple
explanations and provide opportunities for hands-on activities
What are the six rights of medication administration? - Answer Right patient, drug, dose,
route, time, documentation
What must be documented after giving medication? - Answer Medication name, dose, route,
time, and patient's response
What angle is used for subcutaneous injections? - Answer 45-90 degrees depending on
patient's body size
Which site is safest for IM injections in adults? - Answer Ventrogluteal site
How should perineal care be performed for a female client? - Answer Front to back to
prevent UTI
How often should a client be repositioned to prevent pressure injuries? - Answer At least
every 2 hours
What position should the head of the bed be for enteral feedings? - Answer 30-45 degrees