Week 1

Question 1

No experience with a specific population. Use rules to guide performance. Takes 2-3 years to gain competency.

Answer 1

novice nurse

Question 2

Some experience with a specified population including mere observation

Answer 2

advanced beginner

Question 3

understands a patients situation as a whole rather than a list of tasks. Envisions long term goals.

Answer 3

proficient nurse

Question 4

have an intuitive grasp on situation and can pin point the accurate solution. 15+ years of experience

Answer 4

expert nurse

Question 5

First level priority problems

Answer 5

emergencies and life threatening situations. Think ABCs and vital signs

Question 6

Second level priority problems

Answer 6

problems that are next in urgency, necessitating prompt intervention to prevent further deterioration

Question 7

third level priority problems

Answer 7

those that are important to the patients health but can be addressed after the more urgent health problems. Screening is an example

Question 8

what is the gold standard of nursing practice?

Answer 8

evidence informed practice

Question 9

as poverty rates increase..?

Answer 9

health status declines

Question 10

fingertips are best for?

Answer 10

fine tactile discrimination such as texture, swelling, pulsation and the presence of lumps

Question 11

fingers and thumb are best for?

Answer 11

position, shape, and consistency or organ or mass

Question 12

Dorsa of the hand is best for?

Answer 12

determining temperature. Skin is thinner than on the palms

Question 13

base of fingers is used for?

Answer 13

vibration

Question 14

deep palpitation is used for?

Answer 14

identifying abdominal contents

Question 15

percussion is used to?

Answer 15

depict the location and density of an organ

Question 16

Direct percussion

Answer 16

the striking hand contacts the body directly

Question 17

indirect percussion

Answer 17

involves both hands. The examiner strikes the stationary finger and the distal interphalangeal joint

Question 18

The stethoscope

Answer 18

does not magnify sounds but does block out extraneous room sounds

Question 19

Diaphragm is best used for?

Answer 19

high pitch sounds such as breath, bowel or normal heart sounds

Question 20

the bell is best used for?

Answer 20

low pitch sounds such as extra heart sounds or murmurs

Question 21

4 areas of the general survey

Answer 21

Physical appearance, body structure, mobility and behaviour

Question 22

a complete database is

Answer 22

used to perform a thorough or comprehensive health history and physical examination

Question 23

an episodic database is

Answer 23

for a limited or short term problem. Concerns mainly one problem or one body system

Question 24

A nursing diagnosis is described as

Answer 24

a concise statement of actual or potential health concerns or level of wellness

Question 25

emergency database

Answer 25

a rapid collection of data concurrently obtained with life saving measures

Question 26

an examination of the fundus is

Answer 26

an examination of the internal structures of the eye

Question 27

at the end of the examination the examiner should

Answer 27

review the findings with the patient