Nsg-316 Exam 1 Questions With 100% Correct Answers 2024

NSG-316 Exam 1 Questions With 100% Correct Answers Describeitheielementsiofiaigeneralisurveyi-iCorrectiAnswer--physicaliappearancei(age,isex,iconsciousness,iskinicolor,ifacialifeatures,isignsiofidistress) -bodyistructurei(stature,inutrition,isymmetry,iposture,iposition,ibuild,ideformities) -mobilityi(gait,iinvoluntaryimovements) -behaviori(expression,imood,ispeech,idress,ihygiene) PBMB whenishouldiyouibeginiobservingi-iCorrectiAnswer-theisecondiyouiseeitheiclient healthiassessmenti-iCorrectiAnswer-collectioniofidataiaboutitheipatient'sihealthistate completeidatabasei-iCorrectiAnswer-fullihealthihistoryiandiphysicaliexaminationi(familyipractice) episodicidatabasei-iCorrectiAnswer-limitediorishortitermiproblem concernsi1iproblemioricomplexiorisystemi(urgenticare)follow-upidatabasei-iCorrectiAnswer-statusiofiperviousiproblemiatiregularischedulediintervalsi(doctorsioffice) emergencyidatabasei-iCorrectiAnswer-rapidicollectioniofidatai(ER) comprehensiveiassessmenti-iCorrectiAnswer-healthihistoryiandicompleteiphysicaliexamination,iusuallyiconductediwheniaipatientifirstientersiaihealthicareisetting focusediassessmenti-iCorrectiAnswer-assessmenticonducteditoiassessiaispecificiproblem;ifocusesionipertinentihistoryiandibodyiregions subjectiveidatai-iCorrectiAnswer-whatitheipersonisaysiaboutihimselfioriherselfiduringihistoryitaking objectiveidatai-iCorrectiAnswer-informationithatiisiseen,iheard,ifelt,iorismelledibyianiobserver;isigns firstilevelipriorityi-iCorrectiAnswer-Emergent,ilifeithreatening,iandiimmediatei(ABCs)secondilevelipriorityi-iCorrectiAnswer-Nextiiniurgency,irequiringiattentionisoiasitoiavoidifurtherideterioration thirdilevelipriorityi-iCorrectiAnswer-Importantitoipatient'sihealthibuticanibeiaddressediafterimoreiurgentiproblemsiareiaddressed functionaliassessmenticomponentsi-iCorrectiAnswer--basisiforicareiplanning,igoalisetting,iandidischargeiplanningi -selficarei(ADLs) -selfimaintenancei(IADLs) -physicalimobility collectingisubjectiveidataiforitheiillipersoni-iCorrectiAnswer-informationiaboutihealthiproblem obtainingianiaccurateiandicurrentihealthihistoryi-iCorrectiAnswer--subjectiveidatai -biographicalidatai(name,DOB,sex,race,ethniciorigin) -sourceiofihistoryi(themselvesiorifamily?) -reasoniforiseekingicarei(signs/symptoms) -presentihealth/illnessi(location,iseverity,itiming,isetting,irelievingifactors)-pastihealthi(childhoodiillness,ihospitalizations,ioperations,iimmunizations,iallergies,icurrentimeds) -familyihistory -reviewiofisystemsi -functionaliassessmenti(ADLs,iIADLs,iAADLs) culturalicompetencei-iCorrectiAnswer-Aniunderstandingiofihowiaipatient'siculturalibackgroundishapesihisibeliefs,ivalues,iandiexpectationsiforitherapy;iestablishedithroughiknowingiyouriownicultureifirst inspectioni-iCorrectiAnswer--beginsiwheniyouifirstiseeitheipatienti -firstiexamineiasiaiwholeiandithenisystemsi -goodilighting,iexposure,iandiinstruments palpationi-iCorrectiAnswer--examineibyitouch -doctoridoesithis,iifinursesidoithisiitiwillibeilight -fingertipsi(skinitexture,iswelling,ipulsation,ilumps) -fingers/thumbi(position,ishape,iconsistencyiofiorgan/mass) -dorsaiofihand/fingersi(temperature) -baseiofifingersi(vibration)directipercussioni-iCorrectiAnswer-strikingihandidirectlyicontactsibodyiwall indirectipercussioni-iCorrectiAnswer-usingibothihands,istrikingihandicontactsistationaryihandifixedionipatient'siskin Auscultationi-iCorrectiAnswer--listeningitoibodyisounds -belli(low-frequencyisounds:iextraiheartisoundsiorimurmurs) -diaphragmi(high-frequencyisounds:ibreaths,ibowels,inormaliheartisounds) acuteipaini-iCorrectiAnswer--shortiterm -fastionset -predictableitrajectory -goesiawayiafteriinjuryiheals incidentiacuteipaini-iCorrectiAnswer-happensiwithimovement chronicipaini-iCorrectiAnswer--lastsi6imonthsiorilonger -slowionseti -malignant -nonmalignanti(arthritis,ifibromyalgia,ilowibackipain)-isn'tiassociatediwithiinjury -BRADSi(bracing,irubbing,iappetite,idecreasediactivity,isighing) breakthroughipaini-iCorrectiAnswer-Occursiwhenipatientihasirecurrenceiofipainibeforeinextischeduledidoseiofimedication visceralipaini-iCorrectiAnswer-largeiinternaliorgansi(dull,ideep,isqueezing,icramping)iex.iappendicitisiandicholecystitis somaticipaini-iCorrectiAnswer-Painithatioriginatesifromiskeletalimuscles,iligaments,iorijoints.i(aching,ithrobbing) cutaneousipaini-iCorrectiAnswer-painifromiskinisurfaceiandisubcutaneousitissuei(superficial,isharp,inausea,isweating,itachycardia,iHTN) referredipaini-iCorrectiAnswer-painifeltiiniaipartiofitheibodyiotherithaniitsiactualisource nociceptiveipaini-iCorrectiAnswer--nerveifibersiareistimulatedi-Triggeredibyieventsioutsideitheinervousisystemifromiactualioripotentialitissueidamage -transduction,itransmission,iperception,imodulation (arthritis,imechanicalibackipain) neuropathicipaini-iCorrectiAnswer-Doesinotiadhereitoitheitypicaliphases Dueitoiailesionioridiseaseiinitheisomatosensoryinervousisystem Impliesiabnormaliprocessingiofitheipainimessageifromianiinjuryitoitheinerveifibers Mostidifficultitoiassess,idiagnose,ianditreat Mayievolveiintoichronicicondition Mayibeicausedibyidiabetes,ishingles,iHIV,ichemotherapy,istroke,iMS,iaitumor,ietc. PQRSTi-iCorrectiAnswer-provocative/palliative,iquality,iregion/radiation,iseverity,itiming Identifyichangesithatioccuriwheniaiclient'sipainiisipoorlyicontrolled.i-iCorrectiAnswer-Cardiacichanges:itachycardia,ielevatediBP,iincreasedimyocardialioxygenidemand,iincreasedicardiaciinput Pulmonaryichanges:ihypoventilation,ihypoxia,idecreasedicough,iatelectasis GIichanges:inausea,ivomiting,iileusRenalichanges:ioliguria,iurinaryiretention Musculoskeletalichanges:ispasm,ijointistiffness Endocrineichanges:iincreasediadrenergiciactivity CNSichanges:ifear,ianxiety,ifatigue Immuneichanges:iimpairedicellulariimmunity,iimpairediwoundihealing Poorlyicontrolledichronicipain:idepression,iisolation,ilimitedimobilityiandifunction,iconfusion,ifamilyidistress,idiminishediqualityiofilife whatiinformationiisiimportantiforitheinurseitoiknowiwheniprovidingicareiforipeopleifromidiverseibackgroundsi-iCorrectiAnswer-culturalicompetence whichiinterventionsiwillitheinurseidoitoiobtainiobjectiveidatai-iCorrectiAnswer-conductiphysicaliexam,ireviewilabireports,isummonipreviousimedirecords wheniwouldiainurseiestablishiaicompleteidatabaseiofiaipatienti-iCorrectiAnswer-duringiinitialihomeivisit,iiniprimaryihealthisetting,icommunityihealthicareisetting ACEiuniti-iCorrectiAnswer-focusesionipreventingifunctionalideclineiiniolderiadultsiduringihospitalizationTUGitesti-iCorrectiAnswer-timediupiandigoitest;iquantifiesifunctionalimobility;igoingioutsideialoneisafely,iwalkingi10ift,iturn,iwalkibackitoichairiandisitidown, ADLi-iCorrectiAnswer-activitiesiofidailyiliving;iwalking,idressing,iusingistairs,ieating,ifeeding,igrooming,itoileting IADLsi-iCorrectiAnswer-instrumentaliactivitiesiofidailyiliving;ishopping,imealicooking,icleaning,ilaundry,imanagingifinances,icounting,ihousekeeping,itakingimeds,iusingitransportation MiniiMentaliStateiExami-iCorrectiAnswer-Concentratesionlyionicognitiveifunctioning,inotionimoodiorithoughtiprocesses MontrealiCognitiveiAssessmenti(MoCA)i-iCorrectiAnswer-Mildicognitiveidysfunction;iAttentioniandiconcentration,iexecutiveifunctions,imemory,ilanguage,ivisuoconstructionaliskills,iconceptualithinkingicalculationsiandiorientation AADLsi-iCorrectiAnswer-AdvancediActivitiesiofiDailyiLiving;iactivitiesiperformediinitheicommunity-isocialiorirecreational,iactivitiesiperformediwithinitheifamilyKatziIndexiofiADLi-iCorrectiAnswer--Assessmentiforievaluationiofiactivitiesiofidailyiliving -Focus:iassessmentiofileveliofiindependenceifunctioningianditypeiofiassistanceirequirediinisixiareasiofiADL:i1)ibathingi2)idressingi3)itoiletingi4)itransferringi5)icontinencei6)ifeeding syncopei-iCorrectiAnswer-lossioficonsciousnessiorifaintingidueitoiweakness completeiskiniassessmenti-iCorrectiAnswer--iscrutinizeiouterisurfaceiofiskin -concentrateioniunderlyingistructuresiandiinspectithoroughly -inspectifeet,itoenails,iandibetweenitoes -checkiforicolor,itemperature,imoisture,itexture,ithickness,iedema,imobilityianditurgor,ivascularityioribruising,iandilesions whaticausesitrueipallori(skin)i-iCorrectiAnswer-couldibeidueitoibloodilossiorianemic;islowedicirculationi(immobility/inactivity,iprolongedielevation) jaundicei(skin)i-iCorrectiAnswer-Yellowingi-idecreasediliverifunctionWhereiisijaundiceifirstiseen?i-iCorrectiAnswer-Initheiscleraiofitheieye,iandithenitheiskin cyanotici(skin)i-iCorrectiAnswer-blue-iNotienoughioxygenigettingitoiredibloodicells erythemai(skin)i-iCorrectiAnswer-red-iindicatesitrauma,ifeverioriinfection;ivasodilation whatimightimultipleibruisesiatidifferentistagesiofihealingiindicatei-iCorrectiAnswer-physicaliabuse edemaicaniindicatei-iCorrectiAnswer-heartifailure ScaleitoiGradeiPittingiEdemai-iCorrectiAnswer-1+imildipitting,islightiindentation,ino perceptibleiswellingiinitheileg 2+imoderateipitting,iindentationisubsides rapidly 3+ideepipitting,iindentioniremainsiforia shortitime,ilegilooksiswollen 4+iveryideepipitting,iindentationilastsia longitime,ilegiisigrosslyiswolleniandidistortedcompleteinailiassessmenti-iCorrectiAnswer-shapeiandicontour,iconsistency,icolor,icapillaryirefill,iprofileisigni(160ideg) ABCDEiskiniassessmenti-iCorrectiAnswer-A:iasymmetry B:iborder C:icolor D:idiameter E:ielevationiandienlargement excoriationi-iCorrectiAnswer-Skinisoreioriabrasioniproducedibyiscratchingioriscraping lichenificationi-iCorrectiAnswer-excoriationiandiscaling;icausedibyiprolongediintenseiscratching keloidsi-iCorrectiAnswer-Irregularimassesiofiscaritissueiprotrudingifromitheiskinisurface primaryiskinilesionsi-iCorrectiAnswer-Macules Papules PatchesPlaques Nodules Wheals Tumors Urticariai(hives) Vesicles Cysts Bullasi Pustules macule/patchi-iCorrectiAnswer-Macule:icolorichange,iflatiandicircumscribed,ilessithani1cmi Patch:imaculesilargerithani1cmi(freckles,ipetechiae,imeasles) Papule/Plaquei-iCorrectiAnswer-Papule:ielevated,icircumscribed,ilessithani1cmi(moleioriwart) Plaque:iseveralipapulesicomingitogetheri(psoriasis) nodule/tumori-iCorrectiAnswer-Nodule:isolid,iroundioriovalielevatedilesioni1icmiorimoreiinidiameter,iextendsideeperiintoidermis Tumor:ilargerithanifewicm,iextendsideepiintoidermis,ibenigniorimalignantwheal/urticariai-iCorrectiAnswer-small,iround,iraisediareaionitheiskinithatimayibeiaccompaniedibyiitching;iusuallyiseeniiniallergicireactions -urticariaiisiailotiofiwheals -hives/mosquitoibite vesicle/bullai-iCorrectiAnswer-Vesicle:iAimembraneiboundisacithaticontainsimaterialsiinvolvediinitransportiofitheicell;ifluidifillediupitoi1cmi(chickenpox,ishingles) Bulla:ilargerithani1cm,isingleichambered,isuperficialiiniepidermis;ilargeiblisteri(blister,iburns) cysti-iCorrectiAnswer-sacicontainingifluid,ielevatesiskin pustulei-iCorrectiAnswer-elevationiofiskinicontainingipus,icircumscribediandielevatedi(acne,iimpetigo) scalei-iCorrectiAnswer-dryisilvery,iwhite,ideadiexcessiofikeratinicellsi(eczema,ipsoriasis) secondaryilesionsi-iCorrectiAnswer-resultifromitheichangesithatitakeiplaceiinitheiprimaryilesionidueitoiinfection,iscratching,itrauma,iorivariousistagesiofiaidiseasecrust,iscale,ifissure,ierosion,iulcer,iexcoriation,iscar,iatrophiciscar,ilichenification,ikeloid vascularilesionsi-iCorrectiAnswer-Hemangiomas Telangiectases Purpuricilesions Lesionsicausedibyitraumaioriabuse pressureiulcer-istagei1i-iCorrectiAnswer-skiniisiunbroken,ilocalizedi(light)iredness,ipatientiisiinipain pressureiulcer-istagei2i-iCorrectiAnswer-skiniisibroken,ilossiofi1stilayer,iopeniblister,irediandipinkiwoundicolor,inerveiendingsiareiexposed pressureiulcer-istagei3i-iCorrectiAnswer-expandsiintoisubcutaneousilayer,imayibeicrater-like,ipatientiisinotiinipain pressureiulcer-istagei4i-iCorrectiAnswer-mayibeideeperithaniitiappears,iallilayersitoisupportingistructures;icouldibeidownitoitheiboneclubbingi-iCorrectiAnswer-profileisigniofiheart/lungidisease,idueitoireductioniofiamountiofioxygeniinitheiblood;inailicurves subjectiveidataiincludesi-iCorrectiAnswer-signs whatidoesiaidataibaseiconsistiofi-iCorrectiAnswer-subjectiveiandiobjectiveidata,ipatientirecords,ilabistudies whatidoesiHIPAAistandifori-iCorrectiAnswer-HealthiInsuranceiPortabilityiandiAccountabilityiActi(patienticonfidentialityiiniwritten,iverbal,iorielectronicicommunication.ianythingithaticanibeilinkedibackitoitheipatient) CulturaliSensitiveigoalsi-iCorrectiAnswer-caregiverihasibasiciknowledgeiandiunderstanding culturallyiappropriateigoalsi-iCorrectiAnswer-Applyingiunderlyingibackgroundiknowledgeinecessaryitoiprovideitheibestipossibleihealthicare culturallyicompetentigoalsi-iCorrectiAnswer-applyingiaiuniversaliconceptiofiunderstandingitoialliaspectsioficare ethnicityi-iCorrectiAnswer--commonigeographicaliorigin-migratoryistatusi -religion -race -language -sharedivalues,itraditions,isymbols -foodipreferences religioni-iCorrectiAnswer-theibeliefiiniandiworshipiofiaisuperhumanicontrollingipower,iespeciallyiaipersonaliGodiorigods.imayiregularlyiattendiservices spiritualityi-iCorrectiAnswer-anythingithatipertainsitoiaiperson'sirelationshipiwithiainonmaterialilifeiforceiorihigheripower Aculturationi-iCorrectiAnswer-adaptingitraitsifromiothericultures assimilationi-iCorrectiAnswer-developingiainewiculturaliidentityiandibecomingimembersiofithaticulture openiendediquestionsi-iCorrectiAnswer-beginsitheiinterviewiorihelpsitoimoveionitoiainewitopiccloseiendediquestionsi-iCorrectiAnswer-Questionsithaticanibeianswerediinishortiorisingleiwordiresponses;itoigetitheimostirelevantiinfoiinitheidedicateditimeiwithitheiclient;itoiknowispecificiinfo whatiisiincludediinihealthihistoryi-iCorrectiAnswer--biographicalidata -sourceiofihistory -reasoniforiseekingicarei -presentihealthioriillnessi -pastihealthi -systemsireview -iFamilyihistory -iADLs whatiisiai"reliable"iperson/statementi-iCorrectiAnswer-whenitheyigiveitheisameianswersiafteritheiquestionsiareirepeatediorirephrasedilaterion PQRSTUi-iCorrectiAnswer-P:iProvocativeioripalliative-iwhatimakesipainibetter/worsei Q:iQualityioriquantity-idescribeitheipain R:iRegionioriradiation-iwhereiisitheipain,idoesiitispread S:iSeverityiscale-ihowibadiisiit,ihasiitigoneiawayiorigottenibetteri(usuallyinumericaliscale)T:iTiming:ionset,iduration,ifrequency U:iUnderstandipatient'siperception edema:i1+ipittingi-iCorrectiAnswer-mild,islightiindentation,inoiobservableiswelling edema:i2+ipittingi-iCorrectiAnswer-indentationigoesiawayiquickly edema:i3+ipittingi-iCorrectiAnswer-deepiandistaysiforishortitime;iobservableiswelling edema:i4+ipittingi-iCorrectiAnswer-veryideepipittingithatilastsiforiailongitime;iappearsiveryiswollen completeihealthihistoryi(welliperson)i-iCorrectiAnswer-lifestyle,iexercise,idiet,isubstanceiuse,iriskireduction,ihealthipromotion completeihealthihistoryi(illiperson)i-iCorrectiAnswer-infoiaboutihealthiproblems spiritualiresourceiquestionsi-iCorrectiAnswer-FICA -Faithi(doiyouiconsideriyourselfiaireligiousiorispiritualiperson?) -Influencei(howidoesiyourifaithiinfluenceitheiwayiyouiseeihealth)-Communityi(areiyouipartiofianyireligious/spiritualicommunity?) -Addressi(wouldiyouilikeimeitoiaddressianyireligious/spiritualiconcerns) CAGEitesti-iCorrectiAnswer-FeltitheineeditoiCutidownionidrinking? Annoyedibyipeopleicriticizingiyouridrinking? FeltiGuiltyiaboutiyouridrinking? NeedianiEye-openeriinitheimorning?