NUR 200 Exam 2
Is the following statement true or false?
The six phases of the nursing process are linear in nature. - CORRECT ANSWER-False
The nursing student is reviewing assessment findings to organize existing cues into a pattern. This is
known as which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Outcome Identification - CORRECT ANSWER-B. Diagnosis
Is the following statement true or false?
Although critical thinking can be an important component of the nursing process, simple
memorization-style thinking can be sufficient to render effective nursing care. - CORRECT
ANSWER-False
Which of the following types of assessment is done to evaluate changes in the patient's functional health
from baseline?
A. Focus Assessment
B. Time-lapse Assessment
C. Emergency Assessment
D. Initial Assessment - CORRECT ANSWER-B. Time-lapse Assessment
The nurse taps on a pregnant woman's abdomen with her middle finger and listens to the resulting
sound. If the patient asks you what the nurse is doing, you would respond that the nurse is using:
A. Percussion
B. Auscultation
C. Palpation
D. Inspection - CORRECT ANSWER-A. Percussion
Is the following statement true or false?
A heart sound is an example of objective data. - CORRECT ANSWER-True
Is the following statement true or false?
A nursing diagnosis describes an existing or potential disease or pathology of specific organs and body
systems. - CORRECT ANSWER-False
Which of the following descriptors used by NANDA-I means "not consistent with standard"?
A. Depleted
B. Disproportionate
C. Disables
D. Disorganized - CORRECT ANSWER-B. Disproportionate
, Which of the following is the main purpose of validating a nursing diagnosis?
A. To derive the meaning of the cues
B. To identify individual cues
C. To synthesize cue clusters
D. To legitimize the nursing diagnosis - CORRECT ANSWER-D. To legitimize the nursing diagnosis
Select the statement that best reflects a nursing diagnosis.
A. Constipation related to decreased activity and fluid as manifested by small, hard, formed stool every 3
days
B. Potential activity intolerance
C. Adjustment impaired, possibly due to recent skateboard injury resulting in quadriplegia
D. Abnormal bleeding due to hemophilia - CORRECT ANSWER-A. Constipation related to decreased
activity and fluid manifested by small, hard, formed stool every 3 days
The nurse is reviewing the nursing diagnosis of a patient and begins to formulate a priority list. Which
phase of the nursing process is the nurse performing?
A. Outcome identification
B. Diagnosis
C. Evaluation
D. Planning - CORRECT ANSWER-A. Outcome identification
The nurse is reviewing the taxonomy of the Nursing Intervention Classification (NIC) System to develop a
patient plan of care. This activity is related to which phase of the nursing process?
A. Outcome identification
B. Diagnosis
C. Planning
D. Implementation - CORRECT ANSWER-C. Planning
A nursing student is asked by the nursing instructor to develop a plan of care for his or her assigned
patient. The most appropriate type of patient plan of care to be developed would be the?
A. Individual plan of care
B. Standardized plan of care
C. Generic plan of care
D. Instructional plan of care - CORRECT ANSWER-D. Instructional plan of care
Which of the following activities is the best example of a cognitive intervention?
A. Maintain equipment
B. Coordinate activities
C. Provide care
D. Provide feedback - CORRECT ANSWER-D. Provide feedback
Is the following statement true or false?
Is the following statement true or false?
The six phases of the nursing process are linear in nature. - CORRECT ANSWER-False
The nursing student is reviewing assessment findings to organize existing cues into a pattern. This is
known as which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Outcome Identification - CORRECT ANSWER-B. Diagnosis
Is the following statement true or false?
Although critical thinking can be an important component of the nursing process, simple
memorization-style thinking can be sufficient to render effective nursing care. - CORRECT
ANSWER-False
Which of the following types of assessment is done to evaluate changes in the patient's functional health
from baseline?
A. Focus Assessment
B. Time-lapse Assessment
C. Emergency Assessment
D. Initial Assessment - CORRECT ANSWER-B. Time-lapse Assessment
The nurse taps on a pregnant woman's abdomen with her middle finger and listens to the resulting
sound. If the patient asks you what the nurse is doing, you would respond that the nurse is using:
A. Percussion
B. Auscultation
C. Palpation
D. Inspection - CORRECT ANSWER-A. Percussion
Is the following statement true or false?
A heart sound is an example of objective data. - CORRECT ANSWER-True
Is the following statement true or false?
A nursing diagnosis describes an existing or potential disease or pathology of specific organs and body
systems. - CORRECT ANSWER-False
Which of the following descriptors used by NANDA-I means "not consistent with standard"?
A. Depleted
B. Disproportionate
C. Disables
D. Disorganized - CORRECT ANSWER-B. Disproportionate
, Which of the following is the main purpose of validating a nursing diagnosis?
A. To derive the meaning of the cues
B. To identify individual cues
C. To synthesize cue clusters
D. To legitimize the nursing diagnosis - CORRECT ANSWER-D. To legitimize the nursing diagnosis
Select the statement that best reflects a nursing diagnosis.
A. Constipation related to decreased activity and fluid as manifested by small, hard, formed stool every 3
days
B. Potential activity intolerance
C. Adjustment impaired, possibly due to recent skateboard injury resulting in quadriplegia
D. Abnormal bleeding due to hemophilia - CORRECT ANSWER-A. Constipation related to decreased
activity and fluid manifested by small, hard, formed stool every 3 days
The nurse is reviewing the nursing diagnosis of a patient and begins to formulate a priority list. Which
phase of the nursing process is the nurse performing?
A. Outcome identification
B. Diagnosis
C. Evaluation
D. Planning - CORRECT ANSWER-A. Outcome identification
The nurse is reviewing the taxonomy of the Nursing Intervention Classification (NIC) System to develop a
patient plan of care. This activity is related to which phase of the nursing process?
A. Outcome identification
B. Diagnosis
C. Planning
D. Implementation - CORRECT ANSWER-C. Planning
A nursing student is asked by the nursing instructor to develop a plan of care for his or her assigned
patient. The most appropriate type of patient plan of care to be developed would be the?
A. Individual plan of care
B. Standardized plan of care
C. Generic plan of care
D. Instructional plan of care - CORRECT ANSWER-D. Instructional plan of care
Which of the following activities is the best example of a cognitive intervention?
A. Maintain equipment
B. Coordinate activities
C. Provide care
D. Provide feedback - CORRECT ANSWER-D. Provide feedback
Is the following statement true or false?
