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 assessing a client who is newly admitted with heart failure. Which assessment finding requires immediate intervention?
Answer: Respiratory rate of 28 breaths/min with use of accessory muscles
Tachypnea with accessory muscle use indicates significant respiratory distress and demands immediate nursing intervention.
When documenting a health assessment finding as 'WNL,' what does this abbreviation mean?
Answer: Within Normal Limits
'WNL' stands for Within Normal Limits and is used in nursing documentation to indicate that a finding is within expected parameters.
During assessment, a nurse identifies that a client has a nursing problem that was not identified on the care plan. According to CNO accountability standards, what should the nurse do?
Answer: Update the plan of care and communicate the finding to the healthcare team
CNO standards require nurses to update the care plan and communicate new findings to ensure continuity and safety of care.
A nurse assesses a client's pedal pulses and rates them as 1+. What does this indicate?
Answer: Diminished pulses that are weak and barely palpable
A 1+ pulse rating indicates a weak, barely palpable pulse, suggesting reduced peripheral arterial perfusion.
A nurse is caring for a client who speaks limited English. How should the nurse best conduct the health assessment?
Answer: Use a trained professional interpreter to ensure accurate communication
A trained professional interpreter ensures accurate, confidential, and culturally appropriate communication during assessments.
When performing a nutritional assessment on an older adult client, which tool is commonly used to screen for malnutrition risk?
Answer: Mini Nutritional Assessment (MNA)
The Mini Nutritional Assessment (MNA) is a validated screening tool specifically designed to identify malnutrition risk in older adults.
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