Exam 3: Nursing Process 121 Quiz &
Answers graded A+.
Exam 3: Nursing Process 121 Quiz &
Answers graded A+.
A nurse is collecting data on a patient who is being admitted into hospice care. The
nurse collects data from both the patient and the family so that a clear picture of the
patient status is obtained. The nurse is currently involved in which step of the nursing
process?
a.
Assessment
b.
Implementation
c.
Evaluation
d.
Diagnosing - answer- a. Assessment
The nurse is admitting a patient to the unit and asks the patient about the health history.
The nurse is engaged in which component of the nursing process?
a.
Evaluation
b.
Diagnosis
c.
Assessment
d.
Planning - answer- c. Assessment
A postoperative patient is continuing to have incisional pain. As part of the nurses
assessment, the nurse notes that the patient is grimacing when he or she changes
position. The patients grimace can be useful in the assessment and can be described
as which of the following?
a.
Cue
b.
Inference
c.
Diagnosis
d.
Health pattern - answer- a. Cue
,Exam 3: Nursing Process 121 Quiz &
Answers graded A+.
A postoperative patient has denied the need for pain medication. The nurse has noted
that the patient describes the pain as a 1 on a 0 to 10 scale. The nurse also notes that
the patient grimaces when he or she changes position and guards the incision. The
nurse believes that the patient is experiencing pain based on the information gathered
in the assessment. What is this phenomenon known as?
a.
Cue
b.
Inference
c.
Diagnosis
d.
Health pattern - answer- b. Inference
A nurse is collecting data during the assessment of a patient. During the assessment,
the nurse collects both subjective and objective data. Which information should the
nurse consider as subjective data?
a.
Heart rate of 96
b.
Incisional erythema
c.
Emesis of 150 mL
d.
Sharp, burning pain - answer- d. Sharp, burning pain
The nurse has just completed an assessment on a patient with a fractured right femur.
Which data will the nurse categorize as objective?
a.
The patients toes of right foot are warm and pink.
b.
The patient reports a dull ache in the right hip.
c.
The patient says feels tired all the time.
d.
The patient is concerned about insurance coverage. - answer- a. The patients toes of
right foot are warm and pink
,Exam 3: Nursing Process 121 Quiz &
Answers graded A+.
A student nurse is responsible for assessing a patient, who is abrupt and requests that
the assessment be done later by a nurse. As the student nurse charts the interaction,
which statement is the best way to document what happened?
a.
Appears to be in pain as evidenced by grouchy behavior
b.
Behavior is inappropriate, requests registered nurse do the assessment
c.
States, I want a registered nurse to do my assessment
d.
Is grumpy, registered nurse notified - answer- c. States, I want a registered nurse to do
my assessment
A mother of five children is admitted to the hospital for abdominal pain. The nurse asks
a series of questions before performing a physical assessment. The patient answers the
questions. When asking the patient some other questions, the patients spouse starts to
answer. As the admission process progresses and the nurse gathers subjective data,
the nurse requests that the patient answer the next questions. What is the rationale for
the nurses behavior?
a.
The patient is exhibiting confusion.
b.
The spouse is being obnoxious.
c.
The patient is the best source of information.
d.
The spouse is too controlling. - answer- c. The patient is the best source of information.
A 2-year-old patient is being admitted to the outpatient surgery for a tonsillectomy.
Which will provide the best primary source of information for what comforts the patient
when stressed?
a.
Patient chart
b.
Patient
c.
Parents
d.
Surgeon - answer- c. Parents
, Exam 3: Nursing Process 121 Quiz &
Answers graded A+.
A nurse is interviewing a patient being admitted to the hospital for surgery. During the
interview, the nurse introduces self and explains that will be gathering some information.
The nurse is in which phase of the interview?
a.
Orientation
b.
Working
c.
Assessment
d.
Termination - answer- a. Orientation
A nurse is teaching the staff about the phases of the interview process. Which
information should the nurse include in the teaching session?
a.
Orientation, working, termination
b.
Orientation, assessment, evaluation
c.
Planning, assessment, termination
d.
Planning, assessment, evaluation - answer- a. Orientation, working, termination
Which question or comment should the nurse initially use that would best gather the
most information during a health history assessment?
a.
Let us help you.
b.
Did you seek help when it first started?
c.
Tell me about the problems you are having.
d.
Do you have a family history of this problem? - answer- c. Tell me about the problems
you are having.
As a nurse is obtaining a health history from a patient, the nurse uses comments such
as go on. Which technique is the nurse using?
a.
Cues
b.
Inferences
c.
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