Nursing Theory

Question 1

Phases of the nursing process: ADPIE

Answer 1

Assessment, Diagnosis, Planning, Implementation, Evaluation

Question 2

Assessment is:

Answer 2

ongoing

Question 3

If a patient says “yes” to allergies, always:

Answer 3

ask “What is your reaction?”

Question 4

Subjective Data Collection: COLDSPA

Answer 4

Condition/Character, Onset, Location, Duration, Severity, Pattern, Associated factors

Question 5

Pain is:

Answer 5

the fifth vital sign

Question 6

Types of pain:

Answer 6

Acute, chronic, cancer, radiating

Question 7

How many physical exam techniques are there?

Answer 7

Four: Inspection, Palpation, Percussion, Auscultation

Question 8

Inspection

Answer 8

Passive and active

Question 9

Palpation

Answer 9

Feeling size, texture and shape

Question 10

Percussion

Answer 10

Evaluate size, boarders, tenderness, pitch of area

Question 11

Auscultation

Answer 11

Listening

Question 12

When examining the abdomen, what comes after inspection?

Answer 12

auscultation

Question 13

Normal heart rate

Answer 13

60-100

Question 14

Normal respiratory rate

Answer 14

12-20 breaths per min

Question 15

Normal blood pressure (normotensive)

Answer 15

120/80

Question 16

Culture is

Answer 16

learned, shared, universal

Question 17

For documentation: SOAP

Answer 17

Subjective, Abjective, Assessment, Plan

Question 18

For oral report: SBAR

Answer 18

Situation, Background, Assessment, Recommendations

Question 19

Four types of Health Assessment: COFE

Answer 19

Comprehensive, Ongoing, Focused, Emergency

Question 20

Phases of the Interview:

Answer 20

Preintroductory, Introductory, Working, Closing

Question 21

Normal temperature (afebrile)

Answer 21

36.5-37.7 C, 96.0-99.9 F

Question 22

RC

Answer 22

Risk for complications

Question 23

Emergency Assessment: ABC’s of CPR

Answer 23

Airway, Breathing, Circulation