NUR 210 EXAM 1 QBank – Questions With Solutions 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. Right Ans - A
2. 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. Right Ans - C
3. The patients record, laboratory studies, objective data, and subjective data
combine to form the:
a.
Data base.
b.
Admitting data.
c.
Financial statement.
d.
Discharge summary. Right Ans - A
,4. When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to:
a.
Immediately notify the patients 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. Right
Ans - C
5. 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. Right Ans - B
6. 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. Right Ans - A
7. The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
a.
,EBP relies on tradition for support of 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 clinicians experience.
d.
The patients own preferences are not important with EBP. Right Ans - C
8. 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 Right Ans - D
9. 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 Right Ans - C
10. 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 Right Ans - B
11. The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the __________ diagnosis.
a.
Nursing
b.
Medical
c.
Admission
d.
Collaborative Right Ans - A
12. The nursing process is a sequential method of problem solving that nurses
use and includes which steps?
a.
Assessment, treatment, planning, evaluation, discharge, and follow-up
b.
Admission, assessment, diagnosis, treatment, and discharge planning
c.
Admission, diagnosis, treatment, evaluation, and discharge planning
d.
Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation Right Ans - D
13. A newly admitted patient is in acute pain, has not been sleeping well lately,
and is having difficulty breathing. How should the nurse prioritize these
problems?
a.
Breathing, pain, and sleep
b.
Breathing, sleep, and pain
c.
Sleep, breathing, and pain
d.
Sleep, pain, and breathing Right Ans - A
14. Which of these would be formulated by a nurse using diagnostic
reasoning?
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