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CSN Nursing 101 Exam 2-The Nursing Process Questions and Answers
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CSN Nursing 101 Exam 2-The Nursing Process Questions and Answers
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CSN Nursing 101 Exam 2-The NursingProcess Questions and Answers
What is a nurse's framework for critical thinking? - Answer-The nursing process
If a patient had a goal of walking 150 steps by end of day, and only ended up walking
10, what would the nurse's next step be? - Answer-Evaluate the goal. Goal not met, so
must re-assess: Was it a good goal? Restart the nursing process.
Which are true of the nursing process? SATA.
A. It is a framework for critical thinking.
B. It helps to guide the nursing practice.
C. It creates problems to solve.
D. It is systematic.
E. It is dynamic.
F. It begins with a NANDA diagnosis. - Answer-A, B, D, E
(C--it does not create problems; it is a problem-solving method. F--it begins with
assessment, not diagnosis.)
A patient's call light goes off. Upon entering, the nurse sees blood oozing out from a
wrapped wound. What should the nurse do first?
A. Call the physician on duty.
B. Call another nurse for backup.
C. Figure out what the situation is by removing the bandage.
D. Get another bandage to soak up the bleeding.
E. Amend the care plan. - Answer-C
The first thing the nurse should do is ASSESS the situation.
Patient Z is admitted to the hospital at 9:00 am for vomiting and diarrhea. What kind of
assessment would the nurse perform? - Answer-Initial assessment
Later than day, the nurse checks on Patient Z. What would you expect the nurse to
check in his focused (priority) assessment of Patient Z? SATA.
A. Vital signs
B. Bowel sounds
C. Pupil dilation
D. Ability to walk - Answer-A, B
The nurse would check vital signs (always) and the specific issue Patient Z came in for
, Patient P is admitted to the hospital at 11:00 pm with a gun shot wound. What kind of
assessment would the nurse perform? - Answer-Emergency assessment, because
although it is Patient P's initial visit, the situation is life-threatening. No time for a lengthy
initial assessment.
What are examples of time-lapsed assessments? SATA.
A. Nurse checks on a patient one hour after pain meds are given to assess if pain has
lessened.
B. Nurse checks the healing progress of a wound after 30 days.
C. Nurse follows up after revisions in the care plan.
D. Nurse checks on a patient one hour after giving acetaminophen to determine if fever
has decreased. - Answer-A, B, C, D
Which assessment provides the baseline for all other assessments? - Answer-Initial
assessment
Which assessment includes a health history and head-to-toe assessment? - Answer-
Initial assessment
Which are primary sources for collecting data? SATA.
A. Facebook profile
B. Best friend
C. Patient him-/herself
D. Parent of an 18-year-old
E. Parent of an 8-year-old - Answer-C, E
What are examples of secondary data sources? SATA.
A. Family members
B. Health history
C. Respiratory therapist report
D. Lab reports
E. Diagnostic tests
F. Parent, if the patient is 20 years old - Answer-A, B, C, D, E, F
Signs and Symptoms: what is the difference? - Answer-Signs--objective data. What can
be measured. BP 130/80, temp 100.5.
Symptoms--subjective data. What the patient tells you. "I feel sick."
When taking a health history, what kind of information is gathered first: subjective or
objective? - Answer-subjective
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