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NSG3023 Fundamentals of Nursing Exam #1 Study Guide
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NSG3023 Fundamentals of Nursing Exam #1 Study GuideCHAPTER 9
1) Be able to define the difference between a Cue, Inference, Diagnosis and Health Pattern. (TB Q#3
AND #4)
A postoperative patient is continuing to have incisional pain. As part of the nurses assessment, the nurse
notes that the patient is grimacing when he or she changes position. The patients grimace can be useful in
the assessment and can be described as which of the following?
a. Cue
b. Inference
c. Diagnosis
d. Health pattern
ANS: A
A postoperative patient has denied the need for pain medication. The nurse has noted that the patient
describes the pain as a 1 on a 0 to 10 scale. The nurse also notes that the patient grimaces when he or she
changes position and guards the incision. The nurse believes that the patient is experiencing pain based on
the information gathered in the assessment. What is this phenomenon known as?
a. Cue
b. Inference
c. Diagnosis
d. Health pattern
ANS: B
2) Know the difference between subjective and objective data. (TBQ#5 and #6)
A nurse is collecting data during the assessment of a patient. During the assessment, the nurse collects
both subjective and objective data. Which information should the nurse consider as subjective data?
a. Heart rate of 96
, b. Incisional erythema
c. Emesis of 150 mL
d. Sharp, burning pain
ANS: D
The nurse has just completed an assessment on a patient with a fractured right femur. Which data will the
nurse categorize as objective?
a. The patients toes of right foot are warm and pink.
b. The patient reports a dull ache in the right hip.
c. The patient says feels tired all the time.
d. The patient is concerned about insurance coverage.
ANS: A
3) Know the phases of the interview process and various techniques the nurse would use to collect data.
(TB Q#10)
A nurse is interviewing a patient being admitted to the hospital for surgery. During the interview, the
nurse introduces self and explains that will be gathering some information. The nurse is in which phase of
the interview?
a. Orientation
b. Working
c. Assessment
d. Termination
ANS: A
,4) Know examples of different nursing diagnosis appropriate to a patient’s problem in the proper format.
(TB Q#23)
A patient has lost 10 pounds in the last 2 months from breast cancer and chemotherapy. The
chemotherapy has caused the patient to not eat. Which nursing diagnosis should the nurse use to develop
the plan of care?
a. Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Food Intake
b. Imbalanced Nutrition: Less Than Body Requirements Related to Cancer
c. Imbalanced Nutrition: Less Than Body Requirements Related to Loss of Weight
d. Imbalanced Nutrition: Less Than Body Requirement Related to Insufficient Prescription of Chemotherapy
ANS: A
5) Know the nursing process, how to identify the actions and write proper outcomes. (TB Q# 24, 25 and
27)
A nurse develops a nursing diagnosis for a patient. What is the rationale for the nurses actions?
a. It allows a nurse to compete with physicians or health care providers.
b. It allows a nurse to develop an individualized plan of care.
c. It allows a nurse to treat nursing problems and medical problems.
d. It allows a nurse to manage patient care for the entire health team.
ANS: B
A patient is suffering from shortness of breath. How should the nurse write the expected outcome for this
patient?
a. The patient will be comfortable by the morning.
b. The patient will breathe unlabored at 14 to 18 breaths per minute by the end of the shift.
, c. The patient will not complain of breathing problems.
d. The patient will appear less short of breath.
ANS: B
A nurse is writing a care plan for a newly admitted patient. Which outcome statement did the nurse
correctly write?
a. The patient will eat 80% of all meals.
b. The nursing assistant will set up the patient for a bath every day.
c. The nursing assistant will ambulate the patient three times a day by May 30.
d. The patient will identify the need to increase dietary intake of fiber by July 4.
ANS: D
Chapter 13
6) Based on an individual nursing goal, be able to identify the best type of organization for a nurses’
employment. (TB Q#9)
A new nurse would like to work where clinical performance is valued and in an environment that uses
evidence-based practice. Given the new nurses goals, which organization would be the best for this nurse?
a. Private hospitals
b. Community hospitals
c. Not-for-profit hospitals
d. Magnet-designated hospitals
ANS: D
7) Know how to prioritize care for a patient based on Maslow’s Hierarchy of Needs. (TBQ#17)
A registered nurse is prioritizing care for four patients. Which patient should the nurse see first?
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