nurse 251 exam 1| Nursing 251 Exam 1/
Strategies Review of Key Quizzes & Correct
Answers
what's the difference between subjective and objective data - Correct
answersubjective- what the person says about himself/herself during history taking;
also referred to as symptoms
objective- what you as the health professional observe by inspecting, percussing,
palpating, auscultating, during the physical exam; also referred to as signs
inspection - Correct answer•Looking and examining physical aspects of the body,
posture, appearance, and behavior
•Seeing, hearing, smelling
palpation - Correct answer•Using your hands to touch and feel surface
characteristics
•Light and deep (light- surface, deep- organs, masses, tenderness)
•*WEAR GLOVES* with open wounds, areas, or internal structures of the body
auscultation - Correct answer•Listening for sounds produced by the body
•Stethoscope
percussion - Correct answer•Tapping different areas of the body to assess
underlying structures
•Different tones elicited depending on tissue type
•Direct or indirect
signs - Correct answerobjectively observed indicators of a disorder
symptoms - Correct answersubjective characteristics of disease felt only by the
patient
priority nursing - Correct answer•First-level priority
•Emergent, life threatening, and immediate (airway)
•Second-level priority
•Next in urgency, requiring attention so as to avoid further deterioration
,•Third-level priority
•Important to patient's health but can be addressed after more urgent problems are
addressed.
•Collaborative problems
•Approach to treatment involves multiple disciplines.
the nursing process - Correct answer•6 phases:
1.Assessment
2.Diagnosis
3.Outcome identification
4.Planning
5.Implementation
6.Evaluation
health history - Correct answer•Complete (baseline):
•Total health history and full physical examination describing current and past health
state
•Focused:
•Problem centered: limited, targeted, mainly 1 problem or 1 body system
•Patient presents with a rash
•Episodic or emergency:
•Urgent, rapid collection of information with lifesaving measures
physical assessment techniques - Correct answer•Inspection
•Palpation
•Percussion
•Auscultation
Your patient complains of a severe headache, dizziness, and lightheadedness as soon
as you meet them at the beginning of your shift. What is this information an example of?
A. Objective Data
B. Subjective Data - Correct answerCorrect answer: B- Subjective Data
Why? - Headache, dizziness, and lightheadedness are all things
that the patient says they are experiencing. This is not
something that we can observe or measure.
When you enter your patient's room, you observe a 4 inch laceration across your
patient's forehead that's bleeding. What is this information an example of?
A. Objective Data
B. Subjective Data - Correct answerCorrect answer: A- Objective Data
, Why?- This is objective data because you are seeing the
laceration and collecting data yourself through inspection.
You can learn alot about your patient through inspection in
the first 30 seconds of being with them.
A nurse takes their patient's blood pressure and the reading is 145/95. What should the
nurse do NEXT?
A. Document the blood pressure of 145/95 and finish the
other vital signs.
B. Contact the physician.
C. Recheck the blood pressure 1-2 more times in the next
few minutes.
D. Recognize this blood pressure as normal. - Correct answerCorrect
answer: C- Recheck the blood pressure 1-2 more
times in the next few minutes.
Why?- In class we discussed that accurate information is
ESSENTIAL. Before you do anything else, you need to make
sure the numbers you obtained are reliable before moving
forward.
The nurse is starting her shift and just finished getting bedside shift report. Which
patient is the nurse's priority to assess first?
A. A 56 y/o male with a pain rating of 8/10 requesting medication
B. A 42 y/o female with a pulse ox of 79 who is short of breath
C. A 23 y/o male newly diagnosed diabetic who needs education
D. A 84 y/o female who needs help ordering her breakfast tray - Correct
answerCorrect answer: B- A 42 y/o female with a pulse ox of 79 who is short
of breath
Why?- When deciding on priority problems, the first to be
assessed is the emergent/ immediate/ life threatening
situation. The priority is always ABCs or airway, breathing,
circulation. The others also need addressed but are not the
priority over the ABCs.
When using the nursing process, the nurse knows that the first step to care is:
A. Evaluation
B. Diagnosis
C. Planning
D. Assessment - Correct answerCorrect answer: D- Assessment
Why?- The steps of the nursing process are : Assessment →
Diagnosis → Outcome Identification → Planning →
Implementation → Evaluation →
Strategies Review of Key Quizzes & Correct
Answers
what's the difference between subjective and objective data - Correct
answersubjective- what the person says about himself/herself during history taking;
also referred to as symptoms
objective- what you as the health professional observe by inspecting, percussing,
palpating, auscultating, during the physical exam; also referred to as signs
inspection - Correct answer•Looking and examining physical aspects of the body,
posture, appearance, and behavior
•Seeing, hearing, smelling
palpation - Correct answer•Using your hands to touch and feel surface
characteristics
•Light and deep (light- surface, deep- organs, masses, tenderness)
•*WEAR GLOVES* with open wounds, areas, or internal structures of the body
auscultation - Correct answer•Listening for sounds produced by the body
•Stethoscope
percussion - Correct answer•Tapping different areas of the body to assess
underlying structures
•Different tones elicited depending on tissue type
•Direct or indirect
signs - Correct answerobjectively observed indicators of a disorder
symptoms - Correct answersubjective characteristics of disease felt only by the
patient
priority nursing - Correct answer•First-level priority
•Emergent, life threatening, and immediate (airway)
•Second-level priority
•Next in urgency, requiring attention so as to avoid further deterioration
,•Third-level priority
•Important to patient's health but can be addressed after more urgent problems are
addressed.
•Collaborative problems
•Approach to treatment involves multiple disciplines.
the nursing process - Correct answer•6 phases:
1.Assessment
2.Diagnosis
3.Outcome identification
4.Planning
5.Implementation
6.Evaluation
health history - Correct answer•Complete (baseline):
•Total health history and full physical examination describing current and past health
state
•Focused:
•Problem centered: limited, targeted, mainly 1 problem or 1 body system
•Patient presents with a rash
•Episodic or emergency:
•Urgent, rapid collection of information with lifesaving measures
physical assessment techniques - Correct answer•Inspection
•Palpation
•Percussion
•Auscultation
Your patient complains of a severe headache, dizziness, and lightheadedness as soon
as you meet them at the beginning of your shift. What is this information an example of?
A. Objective Data
B. Subjective Data - Correct answerCorrect answer: B- Subjective Data
Why? - Headache, dizziness, and lightheadedness are all things
that the patient says they are experiencing. This is not
something that we can observe or measure.
When you enter your patient's room, you observe a 4 inch laceration across your
patient's forehead that's bleeding. What is this information an example of?
A. Objective Data
B. Subjective Data - Correct answerCorrect answer: A- Objective Data
, Why?- This is objective data because you are seeing the
laceration and collecting data yourself through inspection.
You can learn alot about your patient through inspection in
the first 30 seconds of being with them.
A nurse takes their patient's blood pressure and the reading is 145/95. What should the
nurse do NEXT?
A. Document the blood pressure of 145/95 and finish the
other vital signs.
B. Contact the physician.
C. Recheck the blood pressure 1-2 more times in the next
few minutes.
D. Recognize this blood pressure as normal. - Correct answerCorrect
answer: C- Recheck the blood pressure 1-2 more
times in the next few minutes.
Why?- In class we discussed that accurate information is
ESSENTIAL. Before you do anything else, you need to make
sure the numbers you obtained are reliable before moving
forward.
The nurse is starting her shift and just finished getting bedside shift report. Which
patient is the nurse's priority to assess first?
A. A 56 y/o male with a pain rating of 8/10 requesting medication
B. A 42 y/o female with a pulse ox of 79 who is short of breath
C. A 23 y/o male newly diagnosed diabetic who needs education
D. A 84 y/o female who needs help ordering her breakfast tray - Correct
answerCorrect answer: B- A 42 y/o female with a pulse ox of 79 who is short
of breath
Why?- When deciding on priority problems, the first to be
assessed is the emergent/ immediate/ life threatening
situation. The priority is always ABCs or airway, breathing,
circulation. The others also need addressed but are not the
priority over the ABCs.
When using the nursing process, the nurse knows that the first step to care is:
A. Evaluation
B. Diagnosis
C. Planning
D. Assessment - Correct answerCorrect answer: D- Assessment
Why?- The steps of the nursing process are : Assessment →
Diagnosis → Outcome Identification → Planning →
Implementation → Evaluation →
