202 Exam 2 Nursing Test Bank Stuff Questions with Correct Answers
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Course
NUR 202
Institution
NUR 202
a - Answer-The use of critical thinking skills during the assessment phase of the nursing process ensures that the nurse
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
C .Intervenes based on patient goals and priorities of care.
d. Determines whether o...
202 Exam 2 Nursing Test Bank Stuff
Questions with Correct Answers
a - Answer-The use of critical thinking skills during the assessment phase of the nursing
process ensures that the nurse
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
C .Intervenes based on patient goals and priorities of care.
d. Determines whether outcomes have been achieved.
c - Answer-A nurse using the problem-oriented approach to data collection will first
a. Complete an observational overview.
b. Disregard cues and complete the database questions in chronological order.
c. Focus on the patient's presenting situation.
d. Make accurate interpretations of the data.
c - Answer-After reviewing the database, the nurse discovers that the patient's vital
signs have not been recorded by the nursing assistant. With this in mind, what clinical
decision should the nurse make?
a. Administer scheduled medications assuming she would have been informed if
the vital signs were abnormal.
b. Have the patient transported to the radiology department for a scheduled x-ray, and
review vital signs upon return.
c. Ask the nursing assistant to record the patient's vital signs before administering
medications.
d. Omit the vital signs because the patient is presently in no distress.
a - Answer-Subjective data include
a. A patient's feelings, perceptions, and reported symptoms.
b. A description of the patient's behavior.
,c. Observations of a patient's health status.
d. Measurements of a patient's health status.
c - Answer-A patient expresses fear of going home and being alone. Her vital signs are
stable and her incision is nearly completely healed. The nurse can infer from the
subjective data that
a. The patient can now perform the dressing changes herself.
b. The patient can begin retaking all her previous medications.
c. The patient is apprehensive about discharge.
d. Surgery was not successful.
c - Answer-Which of the following methods of data collection is utilized to establish a
patient's nursing database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Orders for diagnostic and laboratory tests
c. Physical examination
d. Anticipated medications to be ordered
c - Answer-To gather information about a patient's home and work surroundings, the
nurse will need to utilize which method of data collection?
a. Carefully review lab results.
b. Conduct the physical assessment before collecting subjective information.
c. Perform a thorough nursing health history.
D .Prolong the termination phase of the interview.
b - Answer-While interviewing an older female patient of Asian descent, the nurse
notices that the patient looks at the ground when answering questions. This nurse
should
a. Notify the physician to recommend a psychological evaluation.
b. Consider cultural differences during this assessment.
, c. Ask the patient to make eye contact to determine her affect.
d. Continue with the interview and document that the patient is depressed.
b - Answer-After setting the agenda during a patient-centered interview, what will the
nurse do?
a. Begin by introducing himself.
B .Conduct a nursing health history.
c. Explain that the interview will be over in a few more minutes.
d. Tell the patient that he'll be back to administer medications in 1 hour.
b - Answer-The nurse is attempting to prompt the patient to elaborate on her complaints
of daytime fatigue. Which question should the nurse ask?
a. Is there anything that you are stressed about right now?"
b." What reasons do you think are contributing to your fatigue?"
c. "What are your normal work hours?"
d." Are you sleeping 8 hours a night?"
d - Answer-Components of a nursing health history include
a. Current treatment orders.
b. Nurse's concerns.
c. Nurse's goals for the patient.
d. Patient expectations.
d - Answer-While the patient's lower extremity, which is in a cast, is assessed, the
patient tells the nurse about an inability to rest at night. The nurse disregards this
complaint, thinking that no correlation has been noted between having a leg cast and
developing restless sleep. A more theoretically sound approach would be to first
a. Document the sleep patterns and complaint in the patient's chart.
b. Tell the patient you are just focused on the leg right now.
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