Assessment Data
Types of Assessment
Terminology
Vital Signs
Pain
Miscellaneous
100

The patient states he is feeling chills.  This is _______ type of data.

Subjective

100

The nurse knows to use these types of questions to obtain more information from a patient than a yes or no answer.

Open-ended questions

100

Includes a bell and a diaphram for listening to low-pitched and high-pitched sounds. 

Stethescope

100

A heart rate of 39 beats per minute for a normal adult.

Bradycardia

100

The best person to measure the intensity of a patient's pain.

The patient.

100

Rapid shallow breathing.

Tachypnea

200

Data gathered that is measurable and quantifiable.

Objective

200

This re-assessment is performed by the nurse to compare a patient’s current status to baseline data obtained earlier and will guide revisions in the care plan.

An on-going or time-lapsed assessement.

200

Assessment technique that uses vibration from tapping to detect tissue density

Percussion

200

Key times when the nurse should obtain vital signs.

New symptoms, after or before medications, when VS order is placed by the medical team, when patient arrives to the unit, or changes locations.

200

Increased pain will result in these changes to vital signs.

Increased BP, increased HR, maybe increased RR, maybe decreased Oxygen saturation.

200

Sweat cools the body and can lead to insensible water loss and dehydration.

Evaporation

300

The normal range in heart rate for a 6 year-old child.

65 - 130 beats per minute

300

A screening assessment either on the phone or in person to determine the extent and severity of patient problems and recommend appropriate follow-up.

Triage assesment

300

Known commonly as a blood pressure cuff.

Sphygmomanometer

300

Best site for the most accurate core temperature

Rectal

300

The pain scale in which the child is asked to select the face that "shows how much you hurt?"

Faces pain scale - revised (FPS-R)

300

Normal systolic blood pressure for an infant

85 mm Hg

400

Obtaining a family history, the nurse collects this type of data.

Subjective

400

Three things the nurse will assess during a neurological exam.

A & O x 3, numbness, tingling, trembling, seizures, dizziness, changes in vision, taste or smell, substance use, balance, coordination, bilateral strength, cognitive abilities, memory, cranial nerves.

400

Pain lasting longer than 4 months.

Chronic pain

400

Normal adult temporal temperature range in Fahrenheit.

98.7 - 100.5 degrees

400

Pain that originates in one part of the body and is perceived in an area distant to that part.

Referred pain

400

For a patient who is A + O x 1 who would the nurse ask about past medical history?

A family member, close friend, guardian, or health proxy.

500

This is a non-verbal communication practice of the nurse at the bedside to promote equality and engagement of the patient.

Sit at the patients eye level

500

The five types of assessment

1) Initial, 2) triage, 3)focused, 4) emergency, 5) time-lapse

500

A neurological assessment tool that includes the rating of patient eye, motor and verbal responses.

Glasgow Coma Scale

500

Error in measurement that occurs when the BP cuff is too large for the patient.

Blood pressure measurement will be lower than actual. 

500

The 3 main terms used by the nurse to describe subjective pain characteristics.

Quality, Severity & Periodicity (or timing)

500

An apical-radial pulse deficit indicates this serious nursing concern.

Blood flow is not adequately reaching the peripheral arm and hand.