1
NUR 155 EXAM NEWEST VERSION -2025/2026- 100+ Q AND
ANS MOST POPULAR EXAM GUARANTEED SUCCESS
Implementing
To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
Nursing ABC's
airway, breathing, circulation
Maslows level 1: physiologic needs
oxygen, food, water, sex, rest, physical activity; physiologic needs are highest
priority
Maslows level 2: safety and security needs
both physical and emotional components; being protected from potential or
actual harm
Maslows level 3: love and belonging needs
understanding and acceptance of others in both giving and receiving love; feeling
of belonging; unmet needs produce loneliness and isolation
Maslows level 4: self-esteem needs
Need for a person to feel good about oneself, to feel pride and a sense of
accomplishment and to believe that others also respect and appreciate those
accomplishments
-Positive self-esteem facilitates the person's confidence and independence
, 2
Maslows level 5: Self-Actualization
acceptance of self and others as they are; each lower level must be met; focus of
interest on problems outside oneself; respect for all people; focus on strengths
and possibilities vs problems
Diagnosing
To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
Planning
To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
Evaluating
To determine whether to continue,
modify, or terminate the plan of care
Macule
flat, colored spot on the skin ex- birthmark
papule
small, solid, raised lesion on surface of the skin - less then 1cm ex- wart, acne
plaque
, 3
a solid mass greater than 1 cm in diameter and limited to the surface of the skin
ex- psoriasis, rubeola
nodule
solid, round or oval elevated lesion 1 cm or more in diameter ex- squamous cell
carcinoma
pustule
elevation of skin containing pus ex- acne
Vesicle/Bulla
circumscribed, round or oval thin translucent mass vesicles less than 0.5 cm
Example 2nd degree burns and herpes simplex
cyst
sac containing fluid
wheal
raised red skin lesion due to interstitial fluid ex- hives, mosquito bites
healthy nail shape
160 degree angle, smooth, return to usual color in less than 2 seconds
clubbing of nails
finding in the nails that indicates chronic hypoxia. Greater thank 180 degree angle.
vesicular lung sounds
low pitch, soft amplitude, rustling sound, located over peripheral lung fields at the
base of the lungs where air flows through smaller bronchioles and alveoli. Best
heard on inspiration.
bronchovesicular lung sounds
Medium pitch sound heard over main bronchus area and over upper right
posterior lung field. Equal inspiratory and expiratory.
NUR 155 EXAM NEWEST VERSION -2025/2026- 100+ Q AND
ANS MOST POPULAR EXAM GUARANTEED SUCCESS
Implementing
To assist the client to meet desired goals/
outcomes; promote wellness; prevent
illness and disease; restore health; and
facilitate coping with altered functioning
Nursing ABC's
airway, breathing, circulation
Maslows level 1: physiologic needs
oxygen, food, water, sex, rest, physical activity; physiologic needs are highest
priority
Maslows level 2: safety and security needs
both physical and emotional components; being protected from potential or
actual harm
Maslows level 3: love and belonging needs
understanding and acceptance of others in both giving and receiving love; feeling
of belonging; unmet needs produce loneliness and isolation
Maslows level 4: self-esteem needs
Need for a person to feel good about oneself, to feel pride and a sense of
accomplishment and to believe that others also respect and appreciate those
accomplishments
-Positive self-esteem facilitates the person's confidence and independence
, 2
Maslows level 5: Self-Actualization
acceptance of self and others as they are; each lower level must be met; focus of
interest on problems outside oneself; respect for all people; focus on strengths
and possibilities vs problems
Diagnosing
To identify client strengths and health
problems that can be prevented
or resolved by collaborative and
independent nursing interventions
To develop a list of nursing and
collaborative problems
Planning
To develop an individualized care plan
that specifies client goals/desired out-
comes, and related nursing interventions
Evaluating
To determine whether to continue,
modify, or terminate the plan of care
Macule
flat, colored spot on the skin ex- birthmark
papule
small, solid, raised lesion on surface of the skin - less then 1cm ex- wart, acne
plaque
, 3
a solid mass greater than 1 cm in diameter and limited to the surface of the skin
ex- psoriasis, rubeola
nodule
solid, round or oval elevated lesion 1 cm or more in diameter ex- squamous cell
carcinoma
pustule
elevation of skin containing pus ex- acne
Vesicle/Bulla
circumscribed, round or oval thin translucent mass vesicles less than 0.5 cm
Example 2nd degree burns and herpes simplex
cyst
sac containing fluid
wheal
raised red skin lesion due to interstitial fluid ex- hives, mosquito bites
healthy nail shape
160 degree angle, smooth, return to usual color in less than 2 seconds
clubbing of nails
finding in the nails that indicates chronic hypoxia. Greater thank 180 degree angle.
vesicular lung sounds
low pitch, soft amplitude, rustling sound, located over peripheral lung fields at the
base of the lungs where air flows through smaller bronchioles and alveoli. Best
heard on inspiration.
bronchovesicular lung sounds
Medium pitch sound heard over main bronchus area and over upper right
posterior lung field. Equal inspiratory and expiratory.
