Nurse 251 Exam 1 Practice Questions and Correct Answers
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Course
Nurs 251
Institution
Nurs 251
What's the difference between subjective and objective data subjective- what the person says about himself/herself during history taking; also referred to as symptoms
Objective- what you as the health professional observe by inspecting, percussing, palpating, auscultating, during the physical exam...
Nurse 251 Exam 1 Practice Questions
and Correct Answers
What's the difference between subjective and objective data ✅subjective- what the
person says about himself/herself during history taking; also referred to as symptoms
Objective- what you as the health professional observe by inspecting, percussing,
palpating, auscultating, during the physical exam; also referred to as signs
Inspection ✅•Looking and examining physical aspects of the body, posture,
appearance, and behavior
•Seeing, hearing, smelling
Palpation ✅•Using your hands to touch and feel surface characteristics
•Light and deep (light- surface, deep- organs, masses, tenderness)
•*WEAR GLOVES* with open wounds, areas, or internal structures of the body
Auscultation ✅•Listening for sounds produced by the body
•Stethoscope
Percussion ✅•Tapping different areas of the body to assess underlying structures
•Different tones elicited depending on tissue type
•Direct or indirect
Signs ✅objectively observed indicators of a disorder
Symptoms ✅subjective characteristics of disease felt only by the patient
Priority nursing ✅•First-level priority
•Emergent, life threatening, and immediate (airway)
•Second-level priority
•Next in urgency, requiring attention so as to avoid further deterioration
•Third-level priority
•Important to patient's health but can be addressed after more urgent problems are
addressed.
•Collaborative problems
•Approach to treatment involves multiple disciplines.
Your patient complains of a severe headache, dizziness, and lightheadedness as soon
as you meet them at the beginning of your shift. What is this information an example of?
A. Objective Data
B. Subjective Data ✅Correct Answer: B- Subjective Data
Why? - Headache, dizziness, and lightheadedness are all things
That the patient says they are experiencing. This is not
Something that we can observe or measure.
When you enter your patient's room, you observe a 4 inch laceration across your
patient's forehead that's bleeding. What is this information an example of?
A. Objective Data
B. Subjective Data ✅Correct Answer: A- Objective Data
Why?- This is objective data because you are seeing the
Laceration and collecting data yourself through inspection.
You can learn alot about your patient through inspection in
The first 30 seconds of being with them.
A nurse takes their patient's blood pressure and the reading is 145/95. What should the
nurse do NEXT?
A. Document the blood pressure of 145/95 and finish the
Other vital signs.
, B. Contact the physician.
C. Recheck the blood pressure 1-2 more times in the next
Few minutes.
D. Recognize this blood pressure as normal. ✅Correct Answer: C- Recheck the blood
pressure 1-2 more
Times in the next few minutes.
Why?- In class we discussed that accurate information is
ESSENTIAL. Before you do anything else, you need to make
Sure the numbers you obtained are reliable before moving
Forward.
The nurse is starting her shift and just finished getting bedside shift report. Which
patient is the nurse's priority to assess first?
A. A 56 y/o male with a pain rating of 8/10 requesting medication
B. A 42 y/o female with a pulse ox of 79 who is short of breath
C. A 23 y/o male newly diagnosed diabetic who needs education
D. A 84 y/o female who needs help ordering her breakfast tray ✅Correct Answer: B- A
42 y/o female with a pulse ox of 79 who is short of breath
Why?- When deciding on priority problems, the first to be
Assessed is the emergent/ immediate/ life threatening
Situation. The priority is always abcs or airway, breathing,
Circulation. The others also need addressed but are not the
Priority over the abcs.
When using the nursing process, the nurse knows that the first step to care is:
A. Evaluation
B. Diagnosis
C. Planning
D. Assessment ✅Correct Answer: D- Assessment
Why?- The steps of the nursing process are : Assessment →
Diagnosis → Outcome Identification → Planning →
Implementation → Evaluation →
You must assess and obtain a history in order to move forward
With the plan of care. Assessment is needed for every step.
When using the nursing process, the nurse is at the evaluation phase and decided that
she has reached the last step in the patient's care.
A. True
B. False ✅Correct Answer: B- False
Why?- Because the nursing process is continuous. Each step is performed and the plan
of care is constantly revised to meet the patient's needs.
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