NSG 241 Exam 1 Marian ABSN Questions With Complete
Solutions
5 ways that critical thinking components are demonstrated
Correct Answers knowledge review - baseline & info gathering
reasoning - inductive/deductive
inferences - intuition/interpretation
validation - validity
attitudes - of thinker, positive
an immobile patient should be moved how often Correct
Answers every two hours
describe actual nursing process Correct Answers describes
human responses to health condition or life processes
describe acute would healing Correct Answers progresses
through the healing stages normally with no issues
describe assessment phase of nursing process Correct Answers
gather patient care data through observation, interviews, and
physical assessment
describe chronic wound healing Correct Answers fails to
progress/heal in a timely manner
describe diagnosis phase of nursing process Correct Answers
analyze, validate, and cluster patient data to identify patient
problems
,describe dorsal recumbent position and what is it used for
Correct Answers used for: fully insertion
patient is supine with legs bent
describe fowler position Correct Answers patient in sitting with
pillow under knees for support, head at 45 degrees
describe health promotion nursing diagnosis Correct Answers
clinical judgement of motivation, desire, and readiness to
enhance well-being and actualize human health potential
describe lithotomy position - dorsal sickle - and what is the
position used for Correct Answers used for: vaginal exams
patient lying prone, heels in the holders
Describe perineal care for females Correct Answers front to
back
each side
then center
Describe perineal care for males Correct Answers circular
motion
start from urethra & work way down penis
describe planning phase of nursing process Correct Answers
prioritize nursing diagnosis/identify short and long term goals
describe risk nursing diagnosis Correct Answers describes
human responses to health conditions/life process that may
develop
, describe semi-fowlers Correct Answers patient in semi sitting
position with head elevated at 30 degrees
describe Sim's position Correct Answers semi prone position
w/ patient lying on the left side
describe tertiary intention healing Correct Answers delayed
closing of wound when infection is a concern
i.e. abdominal surgery and worries about infection so it's left
open to let the infection drain out
describe the braden scale Correct Answers predicts pressure
sore risk
on scale of 1-4 with 5 sections to assess
describe the evaluation phase of nursing process Correct
Answers determines if the patients' goals are met; examine
effectiveness and decide whether the plan of care should be
discontinued/continued/revised
describe the implementation phase of nursing process Correct
Answers initiate specific nursing interventions and treatments
designed to help the patient achieve established goals/outcomes
describe the maturation phase of wound healing Correct
Answers remodeling phase when collagen is deposited
describe the norton pressure ulcer scale indications
16-30
11-15
<10 Correct Answers 16-30 is low risk
Solutions
5 ways that critical thinking components are demonstrated
Correct Answers knowledge review - baseline & info gathering
reasoning - inductive/deductive
inferences - intuition/interpretation
validation - validity
attitudes - of thinker, positive
an immobile patient should be moved how often Correct
Answers every two hours
describe actual nursing process Correct Answers describes
human responses to health condition or life processes
describe acute would healing Correct Answers progresses
through the healing stages normally with no issues
describe assessment phase of nursing process Correct Answers
gather patient care data through observation, interviews, and
physical assessment
describe chronic wound healing Correct Answers fails to
progress/heal in a timely manner
describe diagnosis phase of nursing process Correct Answers
analyze, validate, and cluster patient data to identify patient
problems
,describe dorsal recumbent position and what is it used for
Correct Answers used for: fully insertion
patient is supine with legs bent
describe fowler position Correct Answers patient in sitting with
pillow under knees for support, head at 45 degrees
describe health promotion nursing diagnosis Correct Answers
clinical judgement of motivation, desire, and readiness to
enhance well-being and actualize human health potential
describe lithotomy position - dorsal sickle - and what is the
position used for Correct Answers used for: vaginal exams
patient lying prone, heels in the holders
Describe perineal care for females Correct Answers front to
back
each side
then center
Describe perineal care for males Correct Answers circular
motion
start from urethra & work way down penis
describe planning phase of nursing process Correct Answers
prioritize nursing diagnosis/identify short and long term goals
describe risk nursing diagnosis Correct Answers describes
human responses to health conditions/life process that may
develop
, describe semi-fowlers Correct Answers patient in semi sitting
position with head elevated at 30 degrees
describe Sim's position Correct Answers semi prone position
w/ patient lying on the left side
describe tertiary intention healing Correct Answers delayed
closing of wound when infection is a concern
i.e. abdominal surgery and worries about infection so it's left
open to let the infection drain out
describe the braden scale Correct Answers predicts pressure
sore risk
on scale of 1-4 with 5 sections to assess
describe the evaluation phase of nursing process Correct
Answers determines if the patients' goals are met; examine
effectiveness and decide whether the plan of care should be
discontinued/continued/revised
describe the implementation phase of nursing process Correct
Answers initiate specific nursing interventions and treatments
designed to help the patient achieve established goals/outcomes
describe the maturation phase of wound healing Correct
Answers remodeling phase when collagen is deposited
describe the norton pressure ulcer scale indications
16-30
11-15
<10 Correct Answers 16-30 is low risk
