NUR205 EXAM 2 2025 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
GRADED A+
A nurse is collecting evaluative data for a patient who is finished
receiving chemotherapy for an osteosarcoma. Which nursing
action represents this step of the nursing process?
A. The nurse collects data to identify health problems.
B. The nurse collects data to identify patient strengths.
C. The nurse collects data to justify terminating the care plan.
D. The nurse collects data to measure outcome achievement.
Correct Answer d.
The nurse collects evaluative data to measure outcome
achievement. While this may justify terminating the care
plan, that is not necessarily so. Data to assess health
problems and patient variables are collected during the first
step of the nursing process.
A nurse writes the following outcome for a patient who is trying to
stop smoking: "The patient values a healthy body sufficiently to
stop smoking." This is an example of what type of outcome?
,A. Cognitive
B. Psychomotor
C. Affective
D. Physical changes Correct Answer c.
Affective outcomes pertain to changes in patient values,
beliefs, and attitudes. Cognitive outcomes involve increases
in patient knowledge; psychomotor outcomes describe the
patient's achievement of new skills; physical changes are
actual bodily changes in the patient (e.g., weight loss,
increased muscle tone).
A nurse writes the following outcome for a patient who is trying to
lose weight: "The patient can explain the relationship between
weight loss, increased exercise, and decreased calorie intake."
This is an example of what type of outcome?
A. Cognitive
B. Psychomotor
C. Affective
D. Physical changes Correct Answer a.
Cognitive outcomes involve increases in patient knowledge;
psychomotor outcomes describe the patient's achievement
of new skills; affective outcomes pertain to changes in
patient values, beliefs, and attitudes; and physical changes
are actual bodily changes in the patient (e.g., weight loss,
increased muscle tone).
,A nurse is writing an evaluative statement for a patient who is
trying to lower cholesterol through diet and exercise. Which
evaluative statement is written correctly?
A. "Outcome not met."
B. "1/21/20—Patient reports no change in diet."
C. "Outcome not met. Patient reports no change in diet or activity
level."
D. "1/21/20—Outcome not met. Patient reports no change in diet
or activity level." Correct Answer d.
The evaluative statement must contain a date; the words
"outcome met," "outcome partially met," or "outcome not
met"; and the patient data or behaviors that support this
decision. The other answer choices are incomplete
statements.
A nurse is attempting to improve care on the pediatric ward of a
hospital. Which nursing improvements might the nurse employ
when following the recommendations of the Institute of Medicine's
Committee on Quality of Health Care in America? Select all that
apply.
A. Basing patient care on continuous healing relationships
B. Customizing care to reflect the competencies of the staff
C. Using evidence-based decision making
D. Having a charge nurse as the source of control
E. Using safety as a system priority
, F. Recognizing the need for secrecy to protect patient privacy
Correct Answer a, c, e.
Care should be based on continuous healing relationships
and evidence-based decision making. Customization should
be based on patient needs and values with the patient as the
source of control. Safety should be used as a system priority,
and the need for transparency should be recognized.
A quality-assurance program reveals a higher incidence of falls
and other safety violations on a particular unit. A nurse manager
states, "We'd better find the people responsible for these errors
and see if we can replace them." This is an example of:
A. Quality by inspection
B. Quality by punishment
C. Quality by surveillance
D. Quality by opportunity Correct Answer a.
Quality by inspection focuses on finding deficient workers
and removing them. Quality as opportunity focuses on
finding opportunities for improvement and fosters an
environment that thrives on teamwork, with people sharing
the skills and lessons they have learned. Quality by
punishment and quality by surveillance are not quality-
assurance methods used in the health care field.
After one nursing unit with an excellent safety record meets to
review the findings of the audit, the nurse manager states, "We're
doing well, but we can do better! Who's got an idea to foster
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