NURA 1050 Exam #2 - NCLEX practice questions with answers
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Course
Nursing pharmacology
Institution
Nursing Pharmacology
NURA 1050 Exam #2 - NCLEX practice questions with
answers
The nurse is conducting an assessment of a 79 year old female patient admitted to the hospital with a
diagnosis of dehydration. The nurse: - CORRECT ANSWER-1. purposeful: the nurse identifies the purpose
of the nursing assessment (co...
NURA 1050 Exam #2 - NCLEX practice questions with
answers
The nurse is conducting an assessment of a 79 year old female patient admitted to the hospital with a
diagnosis of dehydration. The nurse: - CORRECT ANSWER-1. purposeful: the nurse identifies the purpose
of the nursing assessment (comprehensive) and gathers the appropriate data
2. prioritized: the nurse gets the most important information first
3.complete: the nurse gathers as much data as possible to understand the patient health problem and
develop a plan of care
4. systematic: the nurse gathers the information in an organized manner
5. factual and accurate: the nurse verifies that the information is reliable
6. recorded in a standard manner: the nurse records the data according to agency policy so that all
caregivers can easily access what is learned
The nurse practitioner is performing a short assessment of a newborn who is displaying signs of
jaundice. The nurse observes the infatn's skin color and orders a test for bilirubin levels to report to the
primary care provider. What type of assessment has this nurse performed? - CORRECT ANSWER-quick
priority
The nurse is admitting a 35 year old pregnant woman to the hospital for treatment of preeclampsia. The
patient asks the nurse: "Why are you doing a history and physical exam when the doctor just did one?"
Which statements best explain the primary reasons a nursing assessment is performed? - CORRECT
ANSWER-"The nursing assessment will allow us to plan and deliver individualized, holistic nursing care
that draws on your strengths"
"We need to check your health status and see what kind of nursing care you may need"
"We need to see if you require a referral to a physician or other health care professional."
When you receive the shift report, you learn that your patient has no special skin care needs. You are
surprised during the bath to observe reddened areas over bony prominences. What action is
appropriate? - CORRECT ANSWER-perform and document a focused assessment of skin integrity
A student nurse attempts to perform a nursing history for the first time. The student nurse asks the
instructor how anyone ever learns all of the questions the nurse must ask to get good baseline data.
What would be the instructor's best reply? - CORRECT ANSWER-"You make the basic question a part of
, you and then learn to modify them for each unique situation, asking yourself how much you need to
know to plan good care."
The nurse collects objective and subjective data when conducting patient assessments. Which patient
conditions are examples of subjective data? - CORRECT ANSWER-A patient tells the nurse that she is
feeling nauseous, a patient tells the nurse that she is nervous about her test results, a patient complains
of having a rash on her arm that is itchy, a patient rates his pain as a 7 on a scale of 1 to 10
When a nurse enter the patient's room to being a nursing history, the patient's wife is there. What
should the nurse do? - CORRECT ANSWER-Introduce oneself and ask the patient if he would like the wife
to stay
A nurse is performing an initial comprehensive assessment of an 84 year old male patient admitted to a
long term care facility from home. The nurse beings the assessment by asking the patient, "How would
you describe your health status and well being?" The nurse also asks he patient, "What do you do to
keep yourself healthy?" Which model for organizing data is this nurse following? - CORRECT ANSWER-
Gordon's functional health patterns
The nurse is surprised to detect an elevated temperature (102F) in a patient scheduled for surgery. The
patient has been afebrile and shows no other signs of being febrile. What is the first thing the nurse
should do? - CORRECT ANSWER-validate the finding
A student nurse tells the instructor that a patient is fine and has "No complaints" What would be the
instructors best response? - CORRECT ANSWER-"You made an inference that she is fine because she has
no complaints. How did you validate this?"
A registered nurse is writing a diagnosis for a 28 year old male patient who is in traction due to multiple
fractures from a motor vehicle accident. Which nursing actions are related to this step in the nursing
process? - CORRECT ANSWER-The nurse analyzes data collected in the nursing assessment, the nurse
points out the patient's strengths, the nurse identifies community resources to help his family cope
A nurse is caring for an older adult patient who presents with labored respiration, productive cough, and
fever. What would be the appropriate nursing diagnoses for this patient? - CORRECT ANSWER-impaired
gas exchange, ineffective airway clearance, risk for septic shock
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