Quiz 1

Question 1

What are the components nursing process?

Answer 1

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 2

Mnemonic for the nursing process

Answer 2

ADPIE

Question 3

Step of the nursing process where you collect data

Answer 3

Assessment

Question 4

What do you do during assessment ( 5)

Answer 4

Review chart
Health history
Physical exam
Risk assessment
Functional assessment

Question 5

What step of the nursing process do you use objective and subjective data

Answer 5

Assessment

Question 6

Second step of the nursing process

Answer 6

Diagnosis

Question 7

What is done during the diagnosis step of the nursing process ( 5)

Answer 7

Compare clinical findings with normal and abnormal variations
Interpret data
Identify clusters of clues, make and test hypothesis
Validate diagnosis
Document diagnosis

Question 8

Third step of the nursing process

Answer 8

Planning

Question 9

What is done during the planning stage ( 6)

Answer 9

Establish priorities
Develop outcomes
Set timelines
Identify interventions
Integrate evidence-based trends
Document

Question 10

Fourth stage of the nursing process

Answer 10

Implementation

Question 11

What is done during the implementation stage ( 3)

Answer 11

Implement a safe and timeline matter
Collaborate with colleagues
Coordinate care delivery

Question 12

Fifth stage of the nursing process

Answer 12

Evaluation

Question 13

What is done during the evaluation stage ( 4)

Answer 13

Progress towards outcomes
Conduct ongoing evaluations
Use ongong assessment to revise diagnoses, outcome, plan
Disseminate results to patient and family

Question 14

Data collection step of the nursing process

Answer 14

Assessment

Question 15

What step is based upon assessment

Answer 15

Diagnosis

Question 16

Goal development step of the nursing process

Answer 16

Planning

Question 17

Nursing action/ client outcome step of the nursing process

Answer 17

Implementation

Question 18

What step do we ask if our actions worked?

Answer 18

Evaluation

Question 19

Data you can sense from using your senses ( irrefutable )

Answer 19

Objective data

Question 20

Data that can not be proven

Answer 20

Subjective data

Question 21

Listening to sounds produced by the body with a stethoscope

Answer 21

Auscultation

Question 22

Large side of the stethoscope

Answer 22

Diaphragm

Question 23

Side of the stethoscope best to hear high pitched sounds

Answer 23

Diaphragm

Question 24

Side of the stethoscope best to hear bowels, breath, heartbeat

Answer 24

Diaphragm

Question 25

Smaller side of the stethoscope

Answer 25

Bell

Question 26

Side of the stethoscope best to hear soft-pitched sounds

Answer 26

Bell

Question 27

Side of the stethoscope best to hear extra heart sounds or murmurs

Answer 27

Bell

Question 28

Sense of touch

Answer 28

Palpation

Question 29

What side should you palpate first?

Answer 29

Normal / unaffected side

Question 30

What can you assess with palpation (3)

Answer 30

Texture
Temperature
Pulsation

Question 31

Tapping body parts with fingers, hands, or instruments as part of a physical assessment

Answer 31

Percussion

Question 32

What location would be low, deep long sounds on percussion

Answer 32

Air filled location

Question 33

What location would be high, soft, short sounds with percussion

Answer 33

Solid location

Question 34

Types of nonverbal communication ( 5)

Answer 34

Eye contact
Facial expressions
Appropriate distance
Gestures
Posture