NUR 215 EXAM 1 FUNDAMENTALS OF
NURSING REAL 200 EXAM QUESTIONS AND
CORRECT ANSWERS/ NURS 215 EXAM 1
LATEST 2024/2025 (BRAND NEW!)
A nurse with a large caseload of patients needs to delegate some assessment tasks
to other members of the health team. The nurse is unsure which tasks can be
delegated to nursing assistive personnel (NAP) and which are appropriate for a
licensed practical nurse (LPN) or a registered nurse (RN). To which sources should
the nurse turn for the answer to his question? Choose all that are appropriate.
a. The nurse practice act of his state
b. The American Medical Association guidelines
c. The Code of Ethics for Nurses
d. The American Nurses Association's Scope and Standards of Practice -
ANSWER-a and d
Which of the following questions would be effective for obtaining information
from a patient? Choose all that apply.
a. "How did this happen to you?"
b. "What was your first symptom?"
c. "Why didn't you seek healthcare earlier?"
d. "When did you start having symptoms?" - ANSWER-a, b, d
pg. 1
,Which situation is the most conducive to conducting a successful interview of an
elderly woman whose husband and two children are in the hospital room visiting
and watching television? The woman is alert and oriented.
a. Provide enough chairs so the family and you are able to sit facing the client.
b. Introduce yourself and ask, "Dear, what name do you prefer to go by?" before
asking any questions.
c. After the family leaves, ask the client if she is comfortable and willing to answer
a few questions.
d. Ask the client if you can talk with her while her family is watching the
television. - ANSWER-c.
Which critical-thinking skills will a nurse utilize when reviewing the health record
of a new client to prepare a nursing diagnosis? Select all that apply. - ANSWER-1.
Visualizing potential solutions to a problem
2. Prioritizing or ranking data as needed
3. Separating relevant from irrelevant data
The nurse is admitting a client to the clinic and performs a focused assessment.
What makes a focused assessment different from a comprehensive assessment? -
ANSWER-A focused assessment is more in-depth on specific issues, unlike a
comprehensive assessment
Which action by a nurse is appropriate before beginning a physical examination of
a client? - ANSWER-Perform hand hygiene before the examination in the
examination room
Which individual typically would be responsible for collecting the subjective data
on a client during the initial comprehensive assessment? - ANSWER-Nurse
pg. 2
,A nurse is preparing to interview a client who is a Seventh Day Adventist. The
nurse does not agree with this religion's view of modern medicine. Reflection of
the nurse on their personal feelings regarding this client and their religious beliefs
prior to the initial encounter with a client may help to avoid the occurrence of what
situation? - ANSWER-Formation of judgments that may interfere with the
interview
The nurse enters a client's room to obtain a fasting blood glucose reading and
notices the breakfast tray is in front of the client. Which action best indicates the
nurse using critical thinking? - ANSWER-Asking the client if he or she has eaten
any food yet
Rationale: The nurse understands the need to obtain more information before
making a decision, demonstrating critical thinking.
A client, sipping hot tea, is scheduled for routine vital signs. Which illustration
shows the least appropriate method for the nurse to use to obtain an accurate
temperature reading? - ANSWER-Oral
The nurse is taking routine vital signs toward the end of shift. A client's BP reads
204/148. The client's baseline BP has been in the 130's systolic. What should the
nurse do first? - ANSWER-Retake the BP
Which statement best reflects a critical-thinking philosophy? - ANSWER-"Think
about different interventions that can be used with this client."
A nurse with several years of experience in the intensive care unit obtains a new
job in the newborn nursery at the healthcare facility. Which critical-thinking
attitude would be best for the nurse to employ in this new setting when asking for
guidance? - ANSWER-Intellectual humility
Rationale: A nurse in a new care setting may use intellectual humility when asking
for help during orientation or work.
pg. 3
, Which nursing action reflects the nurse assisting the client in maintaining belief as
a component of caring? - ANSWER-Providing encouragement to a client with a
new amputation
A nurse is ambulating a client in the hallway who says, "I feel a little dizzy." The
nurse immediately grabs a chair and slides it behind the client, having him sit
down. According to Tanner's Model of Clinical Judgment, which reasoning skill is
the nurse using after hearing this statement? - ANSWER-B. Intuitive reasoning
Which of the nurse's questions demonstrates critical thinking? - ANSWER-"Have I
gathered enough data to make a decision?"
An older adult client is thinking about several treatment options for a new
diagnosis of cancer. The client's family is strongly encouraging the client to take
the most aggressive medications despite the client's hesitation. The nurse is asked
to provide an opinion. Which critical-thinking attitude should the nurse present? -
ANSWER-Fair-mindedness
A nurse is working in a healthcare facility with a protocol stipulating that clients
with pneumonia should turn, cough, and deep breathe. This nurse is assigned to
care for a client admitted with pneumonia but does not encourage the client to
cough because the client also has esophageal varices from cirrhosis. Which aspect
of critical thinking is this nurse using to guide client care? - ANSWER-Individual
differences
Which is the best example of intellectual courage? - ANSWER-A nurse fairly
examines his or her own values and beliefs even when uncomfortable.
Which nursing action is part of the evaluation phase when performing wound care
for a client? - ANSWER-Obtaining wound measurements once a week
pg. 4
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