NURS 2200: Exam 2 Practice Questions With Complete Solutions
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Grado
NRSG 2200
Institución
NRSG 2200
A nurse is conducting an admission assessment on a confused patient brought in by his son. Which of the following would be included in primary sources for information? Select all that apply:
a. Physical assessment
b. Health history per the patient's son
c. Clinical notes in the computer system f...
NURS 2200: Exam 2 Practice Questions
With Complete Solutions
A nurse is conducting an admission assessment on a confused patient brought in by his son.
Which of the following would be included in primary sources for information? Select all that
apply:
a. Physical assessment
b. Health history per the patient's son
c. Clinical notes in the computer system from a past admission
d. Patient's report of physical symptoms - ANS A,D
A nurse receives a patient at handoff who is experiencing acute changes in neurologic status.
Which nursing action should be done first?
a. Call the physician.
b. Perform a neurologic assessment.
c. Administer an antihypertensive medication stat.
d. Move the patient back to bed. - ANS B
A nurse is revising a plan of care for a patient with dysphagia (difficulty swallowing) related to an
esophageal mass. The patient's goal was to eat more than 50% of a blenderized diet, but he is
reporting 8/10 pain and shortness of breath when eating. Which phase of the nursing process is
impacted when the nurse develops an intermediate goal of pain less than 4/10 while eating?
a. Assessment
b. Outcomes/planning
c. Implementation
d. Evaluation - ANS D
A patient is scheduled to receive metoprolol for blood pressure control at 09:00. The order
reads: "for SBP greater than 90, 25 mg PO daily." Prior to administration, the nurse rechecks the
blood pressure and finds it to be 90/50 with a heart rate of 68. This is an example of using what
type of nursing skill?
a. The nursing process
b. Critical thinking
c. The Nurse Practice Act
d. Medical simulation - ANS B
A new nurse is caring for four patients for the first time. One patient is admitted with respiratory
distress, reports no shortness of breath, SpO2 is 95% on 2LNC, and RR is 18. The other patient
is admitted for a laparoscopic prostatectomy, complains of 6/10 pain, and has new onset of
,hematuria in the Foley catheter. The third is an IV drug user with abscess and pain 3/10 and
wants to go outside to smoke. The final patient is an elderly confused patient admitted with a
urinary tract infection and is determined to be a fall risk. Which patient should be the nurse's
priority?
a. Patient 1
b. Patient 2
c. Patient 3
d. Patient 4 - ANS B
The Nurse is caring for a patient who had abdominal surgery yesterday. Which nursing action
reflects an initial assessment step of the nursing process?
a. Monitoring the patient's pain level 30 minutes after medication administration
b. Listening to breath sounds at the beginning of the shift
c. Reflecting on the patient's pain response after getting out of bed
d. Checking the patient's blood pressure 30 minutes after the administration of an
antihypertensive medication - ANS B
The nurse is writing a planned outcome on the computer for a patient who is diagnosed with
chronic kidney disease and is on a renal diet. What is the most important aspect in developing
this step of the nursing process?
a. The nurse's understanding of patient care
b. The patient's feelings regarding a renal diet
c. The nurse's ability to manage feeding time during the day's schedule
d. The patient's knowledge in choosing which food items in a renal diet - ANS B
A nurse is conducting a focus assessment of a hospitalized patient who is a fall risk. Which of
the following would be most appropriate?
a. "Do you have many stairs that you need to navigate at home?"
b. "Are you more unsteady on your feet when you are out of bed today?"
c. "Are you feeling any pain in your abdomen?"
d. "What is your usual or baseline diet at home?" - ANS B
A nurse is admitting a patient with congestive heart failure. Which of the following describe
appropriate aspects of assessment?
a. Define patient goals for increasing ability for self-care.
b. Evaluate current therapeutic regimen at home.
c. Identify activities that exacerbate symptoms.
d. Apply oxygen therapy via nasal cannula. - ANS C
In conducting an assessment of a patient with gastrointestinal bleeding, the nurse uses which of
the following pieces of subjective data? Select all that apply:
a. Hematocrit 20%
b. Appearance of stool
c. Spouse's statement of symptoms
, d. Health record description of signs - ANS C
The nurse has admitted a single mother with nausea and vomiting for the last 3 days and upper
left quadrant abdominal pain. Which of the statements below indicate that the nurse is using the
functional health patterns model of assessment? Select all that apply:
a. "Please describe your appetite over the last week."
b. "What kind of help have you had from your family since this started?"
c. "Have you been able to sleep or rest lately as usual?"
d. "Have you had symptoms like this in the past?"
e. "Your blood pressure is 94/48; heart rate is 122." - ANS A,B,C
Which of the following are true about the introductory phase of interviewing? Select all that
apply:
a. The introductory phase is the first phase of the interviewing process.
b. Introduce yourself by name and position.
c. Focus on goals and move to the next topic after data are collected.
d. Observe behavior and patient's self-perceptions. - ANS B,D
The nurse is caring for a team of patients during the shift. Which assessment reflects a
time-lapsed assessment type of collecting data?
a. Auscultating the patient's abdominal sound after administering an anticonstipation medication
b. Checking the patient's blood pressure a month after educating patient on lifestyle changes
c. Scheduling a follow-up appointment with the orthopedic clinic 2 weeks after the patient was
initially seen for an injury sustained during football practice
d. Monitoring the patient's blood sugar level every hour after a day of insulin administration -
ANS B
The nurse is caring for a group of patients on a medical/surgical unit. Which assessment finding
by the nurse reflects objective data?
a. Feelings of exhaustion
b. Pain level from 0 to 10
c. Reports of watery stools
d. A 2-inch head laceration - ANS D
Which of the following are true related to nursing diagnoses? Select all that apply:
a. Describes a disease or pathology of body systems
b. Describes human response to a health problem
c. Actual or potential physiologic complications related to disease or treatment
d. Include descriptors and risk factors
e. Relates contributing factors or relationships to identified health problem
f. There are not associated legal ramifications - ANS B,D,E
The nurse is developing nursing diagnoses for a patient with chronic pain related to bone
cancer. Which of the following would be most correct?
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