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NURS 200 Midterm Exam- Questions With Solutions
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NURS 200 Midterm Exam- Questions With Solutions
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NURS 200 Midterm Exam- Questions With SolutionsADPIE Right Ans - A=assessment
D=diagnosis
P=planning
I=implementation
E=evaluation
A goal specifies the expected behavior or response that indicates... Right
Ans - Resolution of a nursing diagnosis or maintenance of a health state.
(if the goal is not met, the problem is not solved)
Which of these selections is an etiology for Acute pain versus a defining
characteristic?
A. Complaint of pain as a 7 on a 0 to 10 scale
B. Disruption of tissue integrity
C. Dull headache
D. Discomfort while changing position Right Ans - B. Disruption of tissue
integrity
(think PES sx vs. etiology)
Assessment examples Right Ans - auscultation, vitals, comfort level, obtain
samples
An 18-year-old woman in the emergency department with fever and cough.
The nurse obtains her vital signs, auscultates her lung sounds, listens to her
heart, sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which stand of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation Right Ans - C. assessment
One purpose of using standard formal nursing diagnoses in practice is to
A. Form a language that can be encoded only by nurses
B. Distinguish the nurse's role from the physician's role
C. Allow for the communication of patient needs to assistive personnel
,D. Help nurses focus on the scope of medical practice. Right Ans - B.
Distinguish the nurse's role from the physician's role
(think which is the most important)
Appropriate documentation of a pt who has not heard his test results Right
Ans - "The pt stated that he felt frustrated by the lack of information he
received regarding his tests."
Avoid opinionated
I this the correct way to document?
The patient appears to be upset with his nurse because he wants his test
results immediately. Right Ans - No
evidence-based practice Right Ans - implementing interventions based on
scientific rationale (not standardized care plans, tradition, or court)
Before implementing an intervention, critical think to Right Ans -
determine whether an intervention is appropriate for the given situation (not
to evaluate effectiveness, establish goals, or actively do something)
Evaluative measures regarding weight Right Ans - Weight and food diary
review
Which is the most correct?
A. Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated
well.
C. Patient walked 50 feet and back down hallway with assistance from nurse.
Spouse also accompanied patient during walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse.
HR 88 and regular before exercise, 94 and regular following exercise. Right
Ans - D. Distance (pt walked 50 ft) specific (down hallway) what you did (with
assistance from nurse). Vitals with value and when taken (HR 88 and regular
before exercise).
What are some of the defining characteristics of activity intolerance?
A. Decreased oral intake and decreased oxygen saturation when ambulating
B. Decreased oxygen saturation when ambulating and complaints of
shortness of breath
, C. Complaints of shortness of breath when getting out of bed and a productive
cough.
D. Productive cough and decreased oral intake. Right Ans - B. Decreased o2
sat w/amb and c/o SOB (not productive cough, decreased PO)
1st thing you do if someone asks to go to the bathroom for the first time
Right Ans - review activity orders
T/F you must intervene if a student documented a medication given by
another student Right Ans - T
T/F you must intervene if a student included the date and time of all entries in
the chart Right Ans - F
T/F you must intervene if a student stood with his back against the wall while
documenting on the computer Right Ans - F-this actually helps maintain
privacy
T/F you must intervene if a student signed all documentation electronically
Right Ans - F
Giving a med is which standard of practice Right Ans - Implementation
T/F: Does this follow all 7 guidelines for writing a goal (M MOTOR P-C) and
outcome statement? The patient will feed self at all mealtimes today without
complaints of shortness of breath. Right Ans - True
M=measurable
M=mutual factors
O=one outcome
T=time limited
O=observable
R=realistic
P-C=patient-centered
T/F: Does this follow all 7 guidelines for writing a goal and outcome
statement? The nurse will monitor the patient's heart rhythm continuously
this shift. Right Ans - F
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