CNO - College of Nurses of Ontario Health Assessment and Clinical Decision Making Flashcards
6 cards from real CNO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CNO - College of Nurses of Ontario Health Assessment and Clinical Decision Making flashcards as text
A nurse is performing a Glasgow Coma Scale (GCS) assessment. Which three components are evaluated?
Answer: Eye opening, verbal response, and motor response
The GCS assesses eye opening, verbal response, and motor response, with a maximum score of 15 indicating full consciousness.
A nurse assesses a client and identifies a nursing diagnosis of 'impaired gas exchange.' Which finding most directly supports this diagnosis?
Answer: SpO2 of 88% on room air with altered mental status
An SpO2 of 88% with associated altered mental status provides objective evidence of impaired gas exchange.
During a mental status examination, which assessment tool is commonly used to screen for cognitive impairment in older adults?
Answer: MMSE (Mini-Mental State Examination)
The Mini-Mental State Examination (MMSE) is a widely used standardized tool to screen for cognitive impairment and dementia in older adults.
A nurse notes that a client's capillary refill time is 4 seconds. How should the nurse interpret this finding?
Answer: Abnormal — may indicate poor peripheral perfusion
Normal capillary refill time is less than 2 seconds; a 4-second refill suggests impaired peripheral circulation.
In clinical decision making, which action best reflects evidence-based practice as required by CNO standards?
Answer: Using validated research evidence combined with clinical expertise and client preferences
Evidence-based practice requires integrating best available research, clinical expertise, and client preferences to guide nursing decisions.
A nurse auscultates a client's abdomen before and after administering a nasogastric tube feeding. What is the purpose of this assessment?
Answer: To confirm tube placement and assess bowel sounds indicating gut motility
Abdominal auscultation before tube feeding helps confirm bowel sounds are present and assesses gut motility, supporting safe enteral nutrition delivery.
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