NUR 210 EXAM 1 Test Bank Questions &
Answers Latest Updated
After completing an initial assessment of a patient, the nurse has charted that his
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krespirations are eupneic and his pulse is 58 beats per minute. These types of data
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kwould be: k
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS-A k k
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
k k k k k k k k k k k k k k k k
ktypes of data would be:
k k k k
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. - ANS-C k k
3. The patients record, laboratory studies, objective data, and subjective data combine
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to form the:
k k k
a.
Data base. k
b.
Admitting data. k
c.
Financial statement. k
d.
Discharge summary. - ANS-A k k k
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
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kheard. The nurses next action should be to:
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a.
Immediately notify the patients physician. k k k k
b.
,Document the sound exactly as it was heard. k k k k k k k
c.
Validate the data by asking a coworker to listen to the breath sounds.
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d.
Assess again in 20 minutes to note whether the sound is still present. - ANS-C
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5. The nurse is conducting a class for new graduate nurses. During the teaching
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ksession, the nurse should keep in mind that novice nurses, without a background of
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kskills and experience from which to draw, are more likely to make their decisions using:
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a.
Intuition.
b.
A set of rules.
k k k
c.
Articles in journals. k k
d.
Advice from supervisors. - ANS-B
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6. Expert nurses learn to attend to a pattern of assessment data and act without
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kconsciously labeling it. These responses are referred to as:
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a.
Intuition.
b.
The nursing process.
k k
c.
Clinical knowledge. k
d.
Diagnostic reasoning. - ANS-A k k k
7. The nurse is reviewing information about evidence-based practice (EBP). Which
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statement best reflects EBP?
k k k k
a.
EBP relies on tradition for support of best practices.
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b.
EBP is simply the use of best practice techniques for the treatment of patients.
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c.
EBP emphasizes the use of best evidence with the clinicians experience.
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d.
The patients own preferences are not important with EBP. - ANS-C
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8. The nurse is conducting a class on priority setting for a group of new graduate nurses.
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Which is an example of a first-level priority problem?
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a.
Patient with postoperative pain
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b.
Newly diagnosed patient with diabetes who needs diabetic teaching
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,c.
Individual with a small laceration on the sole of the foot
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d.
Individual with shortness of breath and respiratory distress - ANS-D
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9. When considering priority setting of problems, the nurse keeps in mind that second-
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level priority problems include which of these aspects?
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a.
Low self-esteem
k
b.
Lack of knowledge
k k
c.
Abnormal laboratory values k k
d.
Severely abnormal vital signs - ANS-C
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10. Which critical thinking skill helps the nurse see relationships among the data?
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a.
Validation
b.
Clustering related cues k k
c.
Identifying gaps in data k k k
d.
Distinguishing relevant from irrelevant - ANS-B k k k k k
11. The nurse knows that developing appropriate nursing interventions for a patient
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relies on the appropriateness of the __________ diagnosis.
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a.
Nursing
b.
Medical
c.
Admission
d.
Collaborative - ANS-A k k
12. The nursing process is a sequential method of problem solving that nurses use and
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includes which steps?
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a.
Assessment, treatment, planning, evaluation, discharge, and follow-up
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b.
Admission, assessment, diagnosis, treatment, and discharge planning
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c.
Admission, diagnosis, treatment, evaluation, and discharge planning
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d.
, Assessment, diagnosis, outcome identification, planning, implementation, and
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evaluation - ANS-D
k k k
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is
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having difficulty breathing. How should the nurse prioritize these problems?
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a.
Breathing, pain, and sleep k k k
b.
Breathing, sleep, and pain k k k
c.
Sleep, breathing, and pain
k k k
d.
Sleep, pain, and breathing - ANS-A
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14. Which of these would be formulated by a nurse using diagnostic reasoning?
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a.
Nursing diagnosis k
b.
Medical diagnosis k
c.
Diagnostic hypothesis k
d.
Diagnostic assessment - ANS-C k k k
15. Barriers to incorporating EBP include:
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a.
Nurses lack of research skills in evaluating the quality of research studies.
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b.
Lack of significant research studies.
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c.
Insufficient clinical skills of nurses.
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d.
Inadequate physical assessment skills. - ANS-A
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16. What step of the nursing process includes data collection by health history, physical
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examination, and interview?
k k k
a.
Planning
b.
Diagnosis
c.
Evaluation
d.
Assessment - ANS-D k k