CORRECT ANSWERS (GRADE
A+) 2026 UPDATE!!
Types of Assessment - answer-comprehensive, episodic or problem-focused,
emergency
comprehensive assessment - answer-(initial) results in baseline data for problem
identification and care planning, time consuming, complete, all aspects of preventive
health/physical disease
episodic/problem-focused assessment - answer-based on the patient's health issues,
involves one or two body systems. smaller scope, but more in depth
What is the nursing process? - answer-systematic problem-solving approach to
identifying and treating human responses to actual or potential health difficulties.
patient centered and focuses on problem solving and inhaling strengths. uses ADPIE
emergency assessment - answer-involves life threatening or unstable situation,
traumatic injury, uses ABCDE
ABCDE - answer-airway, breathing, circulation, disability, and exposure
ADPIE - answer-assessment of patient, nursing diagnosis, planning care, implementing
and then evaluating patients status
implementation - answer-collaboration with other team members, involvement of
patient and family, actually doing the phase
evaluation - answer-how effective is nursing care and each phases affects the other
, nursing diagnosis vs medical diagnosis - answer-medical focuses on diagnosis and
treatment of disease whereas nursing focuses on the human response to actual or
potential health problems
assessment - answer-establish baseline, review history, physical assessment
diagnosis - answer-clustering of data to make a judgement or statement about the
patient's difficulties or condition
Nanda diagnosis for nursing - answer-a clinical judgement about individual, family, or
community responses to actual or potential health difficulties/life processes. Provides
the basis for selection of nursing interventions to achieve outcomes for which the nurse
is accountable
Normal range of blood pressure - answer-120/80
normal range of pulse - answer-60-100 bpm
scale of pulse strength - answer-0-4+
scale of 0 pulse - answer-non palpable or absent
1+ of pulse - answer-weak, diminished, and barely palpable
2+ of pulse - answer-normal, expected
3+ of pulse - answer-Full, increased
4+ of pulse - answer-Bounding