Nursing Process
Vital Signs/Pain
Nutrition
Physical Assessment
Health History
100
This step of the nursing process involves collecting objective and subjective data through interview, physical exam, and observation.

What is assessment?

100

When the heart rate is greater than 100 bpm.

What is tachycardia?

100

A questionnaire that assess the client's risk for being malnourished.

What is the Malnutrition Screening Tool (MST)?

100

The first technique used during a physical assessment.

What is inspection?

100

Asking about specific symptoms the client is experiencing in a particular body system.

What is review of symptoms (ROS)?

200

This step of the nursing process involves using evidence-based resources and clinical judgment to prioritize nursing interventions and create goals.

What is planning?

200

When the respiratory rate is less than 12 breaths per minute.

What is bradypnea?

200

Dizziness, irritability, and decreased urine output are symptoms of this condition.

What is dehydration?

200

This part of the stethoscope is used to listen to high frequency sounds such as lung sounds and bowel sounds.

What is the diaphragm?

200

This interview technique invites the client to share more information than a simple "yes or no" question.

What is open-ended questioning?

300
This step of the nursing process is ongoing, in which the nurse considers whether the intervention was helpful to the patient.

What is evaluation?

300

Blood pressure measuring 130-139/80-89 on 3 separate occasions.

What is stage 1 hypertension?

300
Blood work to assess nutritional status.

What is CBC, Vitamin B12, and albumin/prealbumin?

300

This technique is used to assess the temperature, texture, and moisture of the skin.

What is palpation?

300

A description of the patient's current concern and how it developed.

What is history of present illness (HPI)?

400

The step of the nursing process in which you would carry out the intervention.

Implementation

400

When the client's blood pressure is lower when standing than when lying down or sitting.

What is orthostatic (postural) hypotension?

400

A BMI of 25-29.9.

What is overweight?

400

This is a medium, drum-like sound that should occur when percussing the abdomen.

What is tympany?

400

A therapeutic communication technique used to validate the accuracy of the client's story.

What is summarizing?

500
The nurse documents: "Client grimaced upon palpation of the abdomen in the RLQ." This is an example of ___.

What is objective data?

500

PQRST (list them!)

P- Provocation

Q- Quality

R- Region

S- Severity

T- Timing

500

The nurse recognizes that client's from other parts of the world may have different eating habits than in the United States. This is an example of ____.

What is culturally competent care?

500

This portion of the assessment involves assessing a client's physical appearance, posture, and personal hygiene.

What is the general survey?

500

The client states: "I have a sharp pain in my stomach every time I eat greasy food." This is an example of ___.

What is subjective data?