NURS 175 Final Exam – Nursing Fundamentals & Clinical Practice Study Guide
Orthostatic BP is? - (answer)difference of >20 systolic and/or >10 diastolic
Apical pulse location - (answer)Mid clavicular line, 5th intercostal space
4 broad aims of nursing practice - (answer)1. To promote health
2. To prevent illness
3. To restore health
4. To facilitate coping with disability or death
Maslow's Hierarchy of Needs - (answer)(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization
Hans Selye's - General Adaptation Syndrome - (answer)(ARE)
Alarm Reaction - fight or flight, increase energy, increase O2, increase CO, increase BP, increase
alertness
Stage of Resistance - neuro activity returns to normal, LAS
Stage of Exhaustion - decrease BP, decrease HR, decrease resp, PANIC
Transmission precautions - (answer)Airborne, Droplet, Contact
Chain of infection: - (answer)infectious agent > reservoir > portal of exit > mode of transmission > portal
of entry > susceptible host
Aseptic vs Sterile - (answer)aseptic=clean
sterile=surgery
,NURS 175 Final Exam – Nursing Fundamentals & Clinical Practice Study Guide
Signs & symptoms of Infection - (answer)- redness
- fever
- inflammation
- swelling
Delegation - (answer)UAP's can not "assess, teach or educate"
Comprehensive assessment - (answer)health history and complete physical examination, usually
conducted when a patient FIRST enters a health care setting; provides a BASELINE for comparing later
assessment
Focused assessment - (answer)assessment conducted to assess a specific problem; focuses on pertinent
history and body regions
Ongoing (time-lapsed) assessment - (answer)continuing assessment activities that proceed from the
initial nursing assessment
ADPIE - Nursing Process - (answer)Assessment
Diagnosis
Planning
Implementation
Evaluation
Patient centered goals: SMART - (answer)Specific
Measurable
Attainable
Realistic
Timed
, NURS 175 Final Exam – Nursing Fundamentals & Clinical Practice Study Guide
What are the ABC's? - (answer)Airway, Breathing, Circulation
SBAR stands for? - (answer)Situation
Background
Assessment
Recommendation
Hemiparesis means - (answer)weakness on one side
Hemiplegia means - (answer)paralysis of one side of the body
Benefits of activity - (answer)improved CV and respiratory health;
improved strength and mobility;
maintenance of bone density;
maintenance of healthy weight and metabolism;
improved psycho social health
Improved elimination
healthy skin
Effects of Immobility - (answer)Muscle atrophy
Joint dysfunction
Atelectasis/pneumonia
Venous stasis
Increased coagulability
Orthostatic hypotension
Decrease skin integrity
Orthostatic BP is? - (answer)difference of >20 systolic and/or >10 diastolic
Apical pulse location - (answer)Mid clavicular line, 5th intercostal space
4 broad aims of nursing practice - (answer)1. To promote health
2. To prevent illness
3. To restore health
4. To facilitate coping with disability or death
Maslow's Hierarchy of Needs - (answer)(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization
Hans Selye's - General Adaptation Syndrome - (answer)(ARE)
Alarm Reaction - fight or flight, increase energy, increase O2, increase CO, increase BP, increase
alertness
Stage of Resistance - neuro activity returns to normal, LAS
Stage of Exhaustion - decrease BP, decrease HR, decrease resp, PANIC
Transmission precautions - (answer)Airborne, Droplet, Contact
Chain of infection: - (answer)infectious agent > reservoir > portal of exit > mode of transmission > portal
of entry > susceptible host
Aseptic vs Sterile - (answer)aseptic=clean
sterile=surgery
,NURS 175 Final Exam – Nursing Fundamentals & Clinical Practice Study Guide
Signs & symptoms of Infection - (answer)- redness
- fever
- inflammation
- swelling
Delegation - (answer)UAP's can not "assess, teach or educate"
Comprehensive assessment - (answer)health history and complete physical examination, usually
conducted when a patient FIRST enters a health care setting; provides a BASELINE for comparing later
assessment
Focused assessment - (answer)assessment conducted to assess a specific problem; focuses on pertinent
history and body regions
Ongoing (time-lapsed) assessment - (answer)continuing assessment activities that proceed from the
initial nursing assessment
ADPIE - Nursing Process - (answer)Assessment
Diagnosis
Planning
Implementation
Evaluation
Patient centered goals: SMART - (answer)Specific
Measurable
Attainable
Realistic
Timed
, NURS 175 Final Exam – Nursing Fundamentals & Clinical Practice Study Guide
What are the ABC's? - (answer)Airway, Breathing, Circulation
SBAR stands for? - (answer)Situation
Background
Assessment
Recommendation
Hemiparesis means - (answer)weakness on one side
Hemiplegia means - (answer)paralysis of one side of the body
Benefits of activity - (answer)improved CV and respiratory health;
improved strength and mobility;
maintenance of bone density;
maintenance of healthy weight and metabolism;
improved psycho social health
Improved elimination
healthy skin
Effects of Immobility - (answer)Muscle atrophy
Joint dysfunction
Atelectasis/pneumonia
Venous stasis
Increased coagulability
Orthostatic hypotension
Decrease skin integrity
