NURSING 1001 EXAM REVIEW

Which of the following activities would be a part of the planning phase of the nursing process? Selected Answer: prioritizing the needs of the patient and making a decision on what to teach first. Correct Answer: prioritizing the needs of the patient and making a decision on what to teach first. Question 2 Which of the following are true concerning pain? Select all that apply. 2.5 out of 5 points Pain is what the patient says it is. Correct Answers: Peripheral nerve endings which transmit pain are called nociceptors Response Feedback: Pain is what the patient says it is. Pain is what the patient says it is, and nociceptors are the sensory pain transmitters. Note that we will be using multiple response questions in quizzes because the certifying exams in nearly all specialties are using them...and we want you to become familiar with taking them. Question 3 5 out of 5 points Which attitude on the part of the nurse is likely to result in accurate and complete subjective data collection? Selected Answer: The patient and I both want for me to get the most clinically accurate picture of how she perceives her health. Correct Answer: The patient and I both want for me to get the most clinically accurate picture of how she perceives her health. Response Feedback: It is always a balancing act between time and thoroughness, isn't it? As you move forward in your role, keep in mind that the most complete picture possible in a reasonable amount of time is what the patient most needs--you will get better and better at establishing rapport and communicating that you and the patient both want the same thing, which is quality health care. Question 4 2.5 out of 5 points Which action would be the best for the nurse at the beginning of the nurse client encounter for a client visiting a walk in clinic for complaints of a fever? Selected Answer: Vital signs including temperature Correct Answer: Subjective data collection Response Feedback : The best answer is to find out what the patient has to say about why he may have the fever and how long it has lasted, and how he feels. Then get the temp and other vitals. You get 1/2 credit if you answered take the vitals. The most important thing to remember is that history turns out to be the most important part of any assessment. (In real estate, the three most important things contributing to the value of a home are, as they say, location, location and location.) In health assessment, the three most important things to find out are history, history and history...then move on from there. Question 5 5 out of 5 points The nurse takes the respiratory rate and find that the patient is breathing 32 times/minute and seem anxious. After checking the oximeter readings, how should the nurse follow up this assessment finding?