Nursing 1002 Questions And Answers With Complete Study
Solutions
Framework of practice thinking - (ANSWERS)assesses the patient and draws conclusions given
the signs and symptoms presented
Conceptual framework - (ANSWERS)heavily relates to the biopsychosocial model of health and
its interaction with nursing care
Subjective data - (ANSWERS)opinionated and based on patient's perceptions of their own
health
Objective data - (ANSWERS)collected from physical examination and diagnostic testing,
susceptible to errors in data collection
SOAPIER - (ANSWERS)subjective, objective, assessment, plan, intervention, evaluation,
revision
SURETY - (ANSWERS)sit at an angle, uncross arms and legs, relax, eye contact, touch (where
appropriate), your intuition
Accurate data collection - (ANSWERS)legibility, patient clearly identified, date and time,
signature, approved abbreviation
Levels of measurement - (ANSWERS)reliability and validity
Reliability - (ANSWERS)consistency of measurement
Validity - (ANSWERS)measures what it's supposed to measure
Errors in physiology measurement - (ANSWERS)procedural error (in the user), technical error
with the machine or instruments used
Purpose of health assessment - (ANSWERS)performed frequently to detect changes,
foundation for decision making
Types of health assessment - (ANSWERS)Initial comprehensive, ongoing or partial, focused or
problem oriented, emergency
Primary assessment - (ANSWERS)structured and systematic; seen in A-G approach. Crucial in
every patient encounter - plans and prioritises patients. Identifies threats to immediate health
Secondary assessment - (ANSWERS)focused and in depth. Systematic, logical and organised.
Head to toe. Provides insight on patient history
, Nursing 1002 Questions And Answers With Complete Study
Solutions
SAMPLE - (ANSWERS)signs/symptoms, allergies, medication, pertinent past medical history,
last oral intake, events leading to the illness or injury
A-G Assessment - (ANSWERS)airway, breathing, circulation, disability, exposure, fluids,
glucose
A-G: Airway - (ANSWERS)airway patency - are they speaking?
A-G: Breathing - (ANSWERS)measuring respiratory rate, oxygen saturation and their work of
breathing - i.e. Using accessory muscles
A-G: Circulation - (ANSWERS)palpate pulse rate, measure manual blood pressure, assess urine
output - using fluid balance chart or catheter bag
A-G: Disability - (ANSWERS)level of consciousness, evaluate speech, assess for pain. What is
causing discomfort?
A-G: Exposure - (ANSWERS)body temperature. Inspect skin integrity. Inspect and palpate skin
for signs of pressure injury. Observe any wounds, dressings, drains and lines. Assess bowel
movements.
A-G: Fluids - (ANSWERS)input and output. Fluid loss in drains and tubes. UA, thirst and skin
turgor to measure hydration.
A-G: Glucose - (ANSWERS)assess blood glucose levels. Look for signs of hypoglycemia
(sweating, nausea, dizziness). Assess for diaphoresis
Neurological System Assessments - (ANSWERS)level of consciousness, evaluate speech,
pupils are equal and reactive to light, muscle strength
Cardiovascular System Assessments - (ANSWERS)Palpate for skin colour and temperature.
Palpate capillary refill. Palpate extremities for distal pulses and oedema. Palpate calve for
tenderness. Auscultate heart sounds and apical pulse. Interpret ECG for abnormal changes.
Respiratory System Assessments - (ANSWERS)Airway patency. Ability to cough. Evaluate work
of breathing. Auscultate lung sounds - no adventitious sounds
Gastrointestinal System Assessments - (ANSWERS)Inspect abdomen. Auscultate bowel
sounds. Palpate abdomen. Assess bowel movements.
Nutrition Assessments - (ANSWERS)Inspect oral cavity. Assess ability to swallow. Estimate
amount of meals eaten. Measure glucose. Measure body weight. Measure BMI.
Solutions
Framework of practice thinking - (ANSWERS)assesses the patient and draws conclusions given
the signs and symptoms presented
Conceptual framework - (ANSWERS)heavily relates to the biopsychosocial model of health and
its interaction with nursing care
Subjective data - (ANSWERS)opinionated and based on patient's perceptions of their own
health
Objective data - (ANSWERS)collected from physical examination and diagnostic testing,
susceptible to errors in data collection
SOAPIER - (ANSWERS)subjective, objective, assessment, plan, intervention, evaluation,
revision
SURETY - (ANSWERS)sit at an angle, uncross arms and legs, relax, eye contact, touch (where
appropriate), your intuition
Accurate data collection - (ANSWERS)legibility, patient clearly identified, date and time,
signature, approved abbreviation
Levels of measurement - (ANSWERS)reliability and validity
Reliability - (ANSWERS)consistency of measurement
Validity - (ANSWERS)measures what it's supposed to measure
Errors in physiology measurement - (ANSWERS)procedural error (in the user), technical error
with the machine or instruments used
Purpose of health assessment - (ANSWERS)performed frequently to detect changes,
foundation for decision making
Types of health assessment - (ANSWERS)Initial comprehensive, ongoing or partial, focused or
problem oriented, emergency
Primary assessment - (ANSWERS)structured and systematic; seen in A-G approach. Crucial in
every patient encounter - plans and prioritises patients. Identifies threats to immediate health
Secondary assessment - (ANSWERS)focused and in depth. Systematic, logical and organised.
Head to toe. Provides insight on patient history
, Nursing 1002 Questions And Answers With Complete Study
Solutions
SAMPLE - (ANSWERS)signs/symptoms, allergies, medication, pertinent past medical history,
last oral intake, events leading to the illness or injury
A-G Assessment - (ANSWERS)airway, breathing, circulation, disability, exposure, fluids,
glucose
A-G: Airway - (ANSWERS)airway patency - are they speaking?
A-G: Breathing - (ANSWERS)measuring respiratory rate, oxygen saturation and their work of
breathing - i.e. Using accessory muscles
A-G: Circulation - (ANSWERS)palpate pulse rate, measure manual blood pressure, assess urine
output - using fluid balance chart or catheter bag
A-G: Disability - (ANSWERS)level of consciousness, evaluate speech, assess for pain. What is
causing discomfort?
A-G: Exposure - (ANSWERS)body temperature. Inspect skin integrity. Inspect and palpate skin
for signs of pressure injury. Observe any wounds, dressings, drains and lines. Assess bowel
movements.
A-G: Fluids - (ANSWERS)input and output. Fluid loss in drains and tubes. UA, thirst and skin
turgor to measure hydration.
A-G: Glucose - (ANSWERS)assess blood glucose levels. Look for signs of hypoglycemia
(sweating, nausea, dizziness). Assess for diaphoresis
Neurological System Assessments - (ANSWERS)level of consciousness, evaluate speech,
pupils are equal and reactive to light, muscle strength
Cardiovascular System Assessments - (ANSWERS)Palpate for skin colour and temperature.
Palpate capillary refill. Palpate extremities for distal pulses and oedema. Palpate calve for
tenderness. Auscultate heart sounds and apical pulse. Interpret ECG for abnormal changes.
Respiratory System Assessments - (ANSWERS)Airway patency. Ability to cough. Evaluate work
of breathing. Auscultate lung sounds - no adventitious sounds
Gastrointestinal System Assessments - (ANSWERS)Inspect abdomen. Auscultate bowel
sounds. Palpate abdomen. Assess bowel movements.
Nutrition Assessments - (ANSWERS)Inspect oral cavity. Assess ability to swallow. Estimate
amount of meals eaten. Measure glucose. Measure body weight. Measure BMI.
