NUR 155 Nursing Exam 1 – A+ Graded Test Content
Focused on Patient-Centered Care
Nursing Process: Assessment - ✔✔Collecting data through subjective and objective data. 3 methods of
data collection include interviewing, observing, and examining. The nurse will organize, validate, and
document data.
Nursing Process: Diagnosis - ✔✔The nurse will analyze data, identify health problems, and formulate
diagnostic statements using NANDA (problem,. etiology, and defining characteristics)
Nursing Process: Planning - ✔✔The nurse will prioritize problems/diagnoses, formulate goals/outcomes,
and select nursing interventions (independent, dependent, or collaborative) by using Maslow's and
ABC's.
SMART goals during nursing process (planning) - ✔✔Specific, Measurable, Achievable, Realistic, Timely
Nursing Process: Implementation - ✔✔Putting care plan into action and giving care, the nurse will also
document the nursing activities. The nurse will also reassess the client, and know the policies and
procedures.
Nursing Process: Evaluate - ✔✔The nurse will collect data related to outcomes and compare data. The
nurse will continue, modify, and terminate the clients care plan depending on if the goals were met,
partially met, or not met.
Critical thinking - ✔✔is the process of intentional higher-level thinking to define a client's problem, and
also examine the evidence-based practice in caring for the client.
Clincial reasoning - ✔✔is the cognitive process that uses thinking strategies to gather and analyze the
client's information and decide on possible nursing actions to improve the clients physiological and
psychological outcomes.
inductive reasoning - ✔✔specific to general
, deductive reasoning - ✔✔general to specific
Trial and error - ✔✔several approaches are tried until a solution is found.
Intuition - ✔✔relies on a nurses inner sense, and clinical judgement.
Asepsis - ✔✔the freedom from disease-causing microorganisms
medical asepsis - ✔✔all practices intended to confine a specific microorganism to a specific area,
limiting the number, growth, and spread of microorganisms
surgical asepsis - ✔✔practices that keep an area or objects free from all microorganisms; it includes
practices that destroy all microorganisms and spores.
Sepsis - ✔✔is the condition in which acute organ dysfunction occurs secondary to infections.
signs of local infection - ✔✔redness, swelling, heat, pain
systemic infection signs - ✔✔redness, swelling, heat, pain, fever, tachycardia, malaise, enlarged/tender
lymph nodes, multiple rashes.
Seizure precautions - ✔✔1. Protect from injury
2. Do not force anything into mouth
3. Turn patient onto side
4. Maintain airway and suction oral secretions as needed.
5. Loosen any restrictive clothing
6. Guide movements if necessary.
7. RECORD THE TIME THE SEIZURE STARTED/ENDED
Focused on Patient-Centered Care
Nursing Process: Assessment - ✔✔Collecting data through subjective and objective data. 3 methods of
data collection include interviewing, observing, and examining. The nurse will organize, validate, and
document data.
Nursing Process: Diagnosis - ✔✔The nurse will analyze data, identify health problems, and formulate
diagnostic statements using NANDA (problem,. etiology, and defining characteristics)
Nursing Process: Planning - ✔✔The nurse will prioritize problems/diagnoses, formulate goals/outcomes,
and select nursing interventions (independent, dependent, or collaborative) by using Maslow's and
ABC's.
SMART goals during nursing process (planning) - ✔✔Specific, Measurable, Achievable, Realistic, Timely
Nursing Process: Implementation - ✔✔Putting care plan into action and giving care, the nurse will also
document the nursing activities. The nurse will also reassess the client, and know the policies and
procedures.
Nursing Process: Evaluate - ✔✔The nurse will collect data related to outcomes and compare data. The
nurse will continue, modify, and terminate the clients care plan depending on if the goals were met,
partially met, or not met.
Critical thinking - ✔✔is the process of intentional higher-level thinking to define a client's problem, and
also examine the evidence-based practice in caring for the client.
Clincial reasoning - ✔✔is the cognitive process that uses thinking strategies to gather and analyze the
client's information and decide on possible nursing actions to improve the clients physiological and
psychological outcomes.
inductive reasoning - ✔✔specific to general
, deductive reasoning - ✔✔general to specific
Trial and error - ✔✔several approaches are tried until a solution is found.
Intuition - ✔✔relies on a nurses inner sense, and clinical judgement.
Asepsis - ✔✔the freedom from disease-causing microorganisms
medical asepsis - ✔✔all practices intended to confine a specific microorganism to a specific area,
limiting the number, growth, and spread of microorganisms
surgical asepsis - ✔✔practices that keep an area or objects free from all microorganisms; it includes
practices that destroy all microorganisms and spores.
Sepsis - ✔✔is the condition in which acute organ dysfunction occurs secondary to infections.
signs of local infection - ✔✔redness, swelling, heat, pain
systemic infection signs - ✔✔redness, swelling, heat, pain, fever, tachycardia, malaise, enlarged/tender
lymph nodes, multiple rashes.
Seizure precautions - ✔✔1. Protect from injury
2. Do not force anything into mouth
3. Turn patient onto side
4. Maintain airway and suction oral secretions as needed.
5. Loosen any restrictive clothing
6. Guide movements if necessary.
7. RECORD THE TIME THE SEIZURE STARTED/ENDED
