Nursing Knowledge Assessment Quiz
Nursing Knowledge Assessment Quiz
Test your nursing knowledge and skills with our comprehensive quiz designed for nursing students and professionals alike. This quiz covers essential concepts such as the nursing process, physical assessments, and patient care strategies.
- Multiple choice questions
- Focused on nursing principles
- Scores to help gauge your understanding
Step-by-step procedure of ADPIE
Nursing Process
Nursing care plan
Nursing documenting
Determine if goals met and outcomes achieved
Assessment
Nursing Diagnosis
Evaluating
Trying to analyze the health problem of the patient
Problem Solving
Critical Thinking
Decision Making
problem is already existing
Potential Problem
Actual Problem
Problem Solving
It perform several weeks/months after initial assessment
Initial Assessment
Time-Lapsed Assessment
Emergency Assessment
The patient can expound and explain
Open-ended Questions
Close-ended Questions
Can identify possible contributing factors to the problem of the patient
Chief Complaint / Reason for Visit
Biographic Data
History of Present Illness
It Composed of 3 parts: PED/PES format
Evaluating
Nursing diagnosis
Implentation
Which is not belong in Types of Diagnosis
Symptoms
Wellness
Possible
The predisposing factors, the causes that can make the problem become present are already there
Actual
Wellness
Risk
Prioritize list of client’s nursing diagnoses using Maslow
Planning
Evaluation
Assessment
Short and quick Planning
Initial – admission
Ongoing - confinement
Discharge – before discharge
Any action the nurse can initiate without direct supervision
Dependent
Independent
Collaborative
Nursing actions performed jointly with other health care team members
Dependent
Independent
Collaborative
This includes monitoring, teaching, further assessing, reviewing NCP, incorporating physicians orders and monitoring cost effectiveness of interventions
Implementing
Nursing Diagnosis
Evaluation
What will you do if outcome criteria not fully met?
Continue plan of care–ongoing
Review each previous step of NCP and determine if modification of the NCP is needed
A systematic way of collecting objective data from a client using the four examination techniques.
Mental assessment
Vital signs
Physical Assessment
Patients who are weak, disabled, or paralyzed may need assistance or may not be able to assume this position.
Sitting
Standing
Supine
For elderly and weak clients may require support
Sitting
Standing
Supine
For Head and neck, axillae, anterior & thorax, lungs, breasts, heart, extremities, peripheral pulses, vital signs and vagina
Supine
Sim's
Dorsal recumbent
For head neck axillae, anterior thorax, lungs, abdomen, extremities, peripheral pulses
Supine
Prone
Dorsal recumbent
For assessment of rectum and vagina
Orthopneic or tripod position
Sim's
Lithotomy
For assessment of female rectum and vagina. (for a brief period only)
Lithotomy
Orthopneic or tripod position
Lateral recumbent
For posterior thorax, hip joint movement
Prone
Knee chest
Fowler and Semi Fowler
For assessment of rectal area(for brief period only)
Tredelenburg
Knee chest
Fowler and Semi Fowler
For facilitating drainage in abdominal cavity, relieves breathing difficulty, relieves tension on abdominal sutures, facilitates eating, watching, reading etc.
Tredelenburg
Fowler and Semi Fowler
Orthopneic or tripod position
For Patient with dyspnea, cardiac patients, thoracenthesis,
Orthopneic or tripod position
Tredelenburg
Lateral recumbent
For Assessment of heart, aids in detecting murmurs
Lateral recumbent
Tredelenburg
Orthopneic or tripod position
For Postural drainage
Tredelenburg
Reverse Tredelenburg
Lateral recumbent
Prevent rapid change of position.
Lateral recumbent
Reverse Tredelenburg
Tredelenburg
No response to all stimuli + eyes are closed
Lethargy
Obtunded
Stupor
Coma
Awakes to vigorous shake or painful stimuli but returns to unresponsive sleep
Lethargy
Obtunded
Stupor
Coma
Opens eyes to loud voice, responds slowly with confusions, seems unaware of surroundings
Lethargy
Obtunded
Stupor
Coma
Opens eyes, answers questions and falls back to sleep
Lethargy
Obtunded
Stupor
Coma
Non-invasive physical assessment procedure done to clients;
Mental assessment
Physical assessment
Vital Signs
Balance between the heat produced by the body and the heat lost from the body.
Blood pressure
Temperature
Respiratory rate
Temperature of deep tissue of the body.
Surface Temperature
Core Temperature
Normal body Temperature
36.5 - 38.5C
36.5 and 37.70C
35.5 - 37.5C
Our temperature center
Cerebellum
Thalamus
Hypothalamus
Alternates at regular interval where temperature is elevated for several hours or periods of fever and followed by an interval of normal temperature.
Remittent Fever
Intermittent Fever
Relapsing/Recurrent Fever
A wide range of temperature fluctuations, occurs over the 24- hour period all of which are above normal (pyrexia) throughout the day.
Remittent Fever
Relapsing/Recurrent Fever
Intermittent Fever
Temperature does not touch the baseline and remains above normal throughout the day.
Intermittent Fever
Constant/Continuous Fever
Relapsing/Recurrent Fever
Wave of blood created by contraction of the Left Ventricle of the heart.
Pulse
Vital signs
Rhythm
Rate of less than 60 beats/min.
Bradycardia
Tachycardia
Bounding / full
Thready / weak
Diminished strength
Bradycardia
Bounding / full
Thready / weak
Tachycardia
Rate of more than 100 beats/min.
Bradycardia
Thready / weak
Bounding / full
Tachycardia
Strong pulse
Bradycardia
Bounding / full
Thready / weak
Tachycardia
Rise & fall are not together
ASYMMETRICAL
SYMMETRY
EXPIRATION/ EXHALATION
Sides of the chest normally rise & fall together
ASYMMETRICAL
EXPIRATION/ EXHALATION
SYMMETRY
Characterized by a gradual increase in breathing then decrease followed by apnea very deep, very shallow with apnea
Cheyne Stoke
Kussmauls
Biots
A rapid, deep, labored breathing associated with acidosis, particularly diabetes.
Cheyne Stoke
Kussmauls
Biots
Characterized by regular deep inspirations followed by regular or irregular periods of apnea.
Cheyne Stoke
Biots
Kussmauls
Refers to a need to sit up/uprightposition in order to breath
Orthopnea
Dyspnea
Apnea
Describes difficult & labored breathing
Orthopnea
Dyspnea
Apnea
It is a condition in which you start to breathe very fast.
Hyperventilation
Hypoventilation
Tachypnea
Decreased in amount of air in lungs caused by shallow breaths (hypopnea) or too slow (bradypnea) or may be caused by diminished lung function.
Hyperventilation
Hypoventilation
Tachypnea
The difference between systolic and diastolic pressure
PULSE PRESSURE
STROKE VOLUME
The volume of blood ejected with each heartbeat.
PULSE PRESSURE
STROKE VOLUME
Inflatable rubber bladder, tube connects to the manometer, another to the bulb, important to have correct cuff size (judge by circumference of the arm not age) Support arm at heart level, palm turned upward
Cuff
Cuff too wide
Cuff too narrow
Cuff too loose
Pressure of blood as a result of contraction of the ventricles.
Systolic Pressure
Diastolic Pressure
Lower pressure as a result of ventricular relaxation.
Systolic Pressure
Diastolic Pressure
The more blood the heart pumps, the greater the pressure in the blood vessels.
Cardiac Output
Elasticity of Vessel walls
Peripheral vascular resistance
An increase in volume, will increase BP
Cardiac Output
Viscosity of blood
Circulating blood volume
An increase stiffness such as atherosclerosis, will increase BP.
Viscosity of blood
Elasticity of Vessel walls
Cardiac Output
Ligaments, tendons, bones, blood vessels and nerves Last longer than cutaneous pain
DEEP SOMATIC
VISCERAL
CUTANEOUS
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