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Exam (elaborations)

HAP Midterm Exam Practice Questions & Answers(RATED A+)

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After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be: A. Objective B. Reflective C. Subjective D. Introspective - ANSWERA Objective data are what the health professio...

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  • October 20, 2024
  • 186
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HAP Midt
  • HAP Midt
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HAP Midterm Exam Practice Questions &
Answers(RATED A+)

After completing an initial assessment of a patient, the nurse has charted that his respirations are
eupneic and his pulse is 58 beats per minute. These types of data

would be:



A. Objective

B. Reflective

C. Subjective

D. Introspective - ANSWERA



Objective data are what the health professional observes by inspecting, percussing,

palpating, and auscultating during the physical examination. Subjective data is what the

person says about him or herself during history taking. The terms reflective and

introspective are not used to describe data.



A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." These types of data
would be:



A. Objective

B. Reflective

C. Subjective

D. Introspective - ANSWERC



Subjective data are what the person says about him or herself during history taking. Objective data
are what the health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The terms reflective and

introspective are not used to describe data.



The patient's record, laboratory studies, objective data, and subjective data combine to form the:

,A. Data base

B. Admitting data

C. Financial statement

D. Discharge summary - ANSWERA



Together with the patient's record and laboratory studies, the objective and subjective



When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The nurse's
next action should be to:



A. Immediately notify the patient's physician

B. Document the sound exactly as it was heard

C. Validate the data by asking a coworker to listen to the breath sounds

D. Assess again in 20 minutes to note whether the sound is still present - ANSWERC



When unsure of a sound heard while listening to a patient's breath sounds, the nurse

validates the data to ensure accuracy. If the nurse has less experience in an area, then he

or she asks an expert to listen.



The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
should keep in mind that novice nurses, without a background

of skills and experience from which to draw, are more likely to make their decisions

using:



A. Intuition

B. A set of rules

C. Articles in journals

D. Advice from supervisors - ANSWERB



Novice nurses operate from a set of defined, structured rules. The expert practitioner uses

intuitive links.

,Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
These responses are referred to as:



A. Intuition

B. The nursing process

C. Clinical knowledge

D. Diagnostic reasoning - ANSWERA



Intuition is characterized by pattern recognition—expert nurses learn to attend to a

pattern of assessment data and act without consciously labeling it. The other options are

not correct.



The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?



A. EBP relies on tradition for support of the best practices

B. EBP is simply the use of best practice techniques for the treatment of patients

C. EBP emphasizes the use of best evidence with the clinician's experience

D. The patient's own preferences are not important with EBP - ANSWERC



EBP is a systematic approach to practice that emphasizes the use of best evidence in

combination with the clinician's experience, as well as patient preferences and values, when making
decisions about care and treatment. EBP is more than simply using the best practice techniques to
treat patients, and questioning tradition is important when no compelling and supportive research
evidence exists.



The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?



A. Patient with postoperative pain

B. Newly diagnosed patient with diabetes who needs diabetic teaching

C. Individual with a small laceration on the sole of the foot

, D. Individual with shortness of breath and respiratory distress - ANSWERD



First-level priority problems are those that are emergent, life threatening, and immediate

(e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs)



When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?



A. Low self esteem

B. Lack of knowledge

C. Abnormal laboratory values

D. Severely abnormal vital signs - ANSWERC



Second-level priority problems are those that require prompt intervention to forestall further
deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety or
security)



Which critical thinking skill helps the nurse see relationships among the data?



A. Validation

B. Clustering related cues

C. Identifying gaps in data

D. Distinguishing relevant from irrelevant - ANSWERB



Clustering related cues helps the nurse see relationships among the data.



The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.



A. Nursing

B. Medical

C. Admission

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