NURS 247 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS!!
Evidence Based Practice relies on? Answer - clinician's experience and patient's
preferences
What is the first step for care? Answer - Health Assessment
What is subjective data? Answer - what the person says
What is objective data? Answer - what the examiner observes by inspection,
percussion, palpating, and auscultating
What is the patient's database made up of? Answer - subjective data, objective
data, medical record, lab studies, and diagnostic imaging studies
What are the four types of databases? Answer - Complete Database, Problem-
Centered Database, Follow Up Database, Emergency Database
What is a complete database? Answer - All past and present information, the
baseline for everything, the initial first meeting with a physician
What is a problem-centered database? Answer - Info about a specific problem
or concern, more focused
,What is a follow up database? Answer - Assesses status of something, after
surgery, after previous issues
What is an emergency database? Answer - Information collected while
performing life saving measures
What is diagnostic reasoning? Answer - Collection of all assessments to make a
judgment about health
What are the steps of the Nursing Process? Answer - Assessment, Diagnosis,
Outcome Identification, Planning, Implementation, and Evaluation
What is functional assessment? Answer - how well someone is able to do
something physically
What would be an example of a first level priority problem? Answer - An
airway obstruction
What would be an example of a second level priority problem? Answer -
Mental status change, acute pain, acute urinary elimination problems,
abnormal labs, risks for safety, infection
What would be an example of a third level priority problem? Answer - ongoing
support, follow up, family coping
What does it mean if there is a collaborative problem? Answer - Multiple
disciplines are involved (ex: PT, OT, speech therapy, social work, etc.)
What is something you could do for a health promotion? Answer - Encourage
patient to stop smoking, wear their seatbelt, wear a helmet, etc.
, Four necessary skills to perform a physical exam (in this order) Answer -
Inspection, Palpation, Percussion, Auscultation
What does it mean to inspect a patient? Answer - overall examine,
concentrated watching. May need ophthalmoscope (begins the moment you
enter the room)
What does it mean to palpate a patient? Answer - feel and press down to
examine (assess texture, temp, moisture, organ location, and size)
What part of hand is best for determining temperature? Answer - Dorsa (back)
of hands and fingers
What part of hand is best for determining position, shape, and consistency of
organ or mass? Answer - grasping action of finger and thumb
What part of hand is easiest to feel for vibration? Answer - base of fingers
(metacarpophalangeal joints) or ulnar surface of hand
What does it mean to percuss a patient? Answer - if applicable, tapping
What are the two methods of percussion? Answer - direct and indirect
What does it mean to auscultate a patient? Answer - listen to body sounds
Diaphragm of a stethoscope is used for listening to? Answer - high pitched
sounds (breath, bowel, and normal heart sounds)
SOLUTIONS!!
Evidence Based Practice relies on? Answer - clinician's experience and patient's
preferences
What is the first step for care? Answer - Health Assessment
What is subjective data? Answer - what the person says
What is objective data? Answer - what the examiner observes by inspection,
percussion, palpating, and auscultating
What is the patient's database made up of? Answer - subjective data, objective
data, medical record, lab studies, and diagnostic imaging studies
What are the four types of databases? Answer - Complete Database, Problem-
Centered Database, Follow Up Database, Emergency Database
What is a complete database? Answer - All past and present information, the
baseline for everything, the initial first meeting with a physician
What is a problem-centered database? Answer - Info about a specific problem
or concern, more focused
,What is a follow up database? Answer - Assesses status of something, after
surgery, after previous issues
What is an emergency database? Answer - Information collected while
performing life saving measures
What is diagnostic reasoning? Answer - Collection of all assessments to make a
judgment about health
What are the steps of the Nursing Process? Answer - Assessment, Diagnosis,
Outcome Identification, Planning, Implementation, and Evaluation
What is functional assessment? Answer - how well someone is able to do
something physically
What would be an example of a first level priority problem? Answer - An
airway obstruction
What would be an example of a second level priority problem? Answer -
Mental status change, acute pain, acute urinary elimination problems,
abnormal labs, risks for safety, infection
What would be an example of a third level priority problem? Answer - ongoing
support, follow up, family coping
What does it mean if there is a collaborative problem? Answer - Multiple
disciplines are involved (ex: PT, OT, speech therapy, social work, etc.)
What is something you could do for a health promotion? Answer - Encourage
patient to stop smoking, wear their seatbelt, wear a helmet, etc.
, Four necessary skills to perform a physical exam (in this order) Answer -
Inspection, Palpation, Percussion, Auscultation
What does it mean to inspect a patient? Answer - overall examine,
concentrated watching. May need ophthalmoscope (begins the moment you
enter the room)
What does it mean to palpate a patient? Answer - feel and press down to
examine (assess texture, temp, moisture, organ location, and size)
What part of hand is best for determining temperature? Answer - Dorsa (back)
of hands and fingers
What part of hand is best for determining position, shape, and consistency of
organ or mass? Answer - grasping action of finger and thumb
What part of hand is easiest to feel for vibration? Answer - base of fingers
(metacarpophalangeal joints) or ulnar surface of hand
What does it mean to percuss a patient? Answer - if applicable, tapping
What are the two methods of percussion? Answer - direct and indirect
What does it mean to auscultate a patient? Answer - listen to body sounds
Diaphragm of a stethoscope is used for listening to? Answer - high pitched
sounds (breath, bowel, and normal heart sounds)
