Nursing Process Exam 3 with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
(Just Released)
A nurse is collecting data on a patient who is being admitted into hospice care. The nurse
collects data from both the patient and the family so that a clear picture of the patient status is
obtained. The nurse is currently involved in which step of the nursing process?
a.
Assessment
b.
Implementation
c.
Evaluation
d.
Diagnosing ✔Correct Answer-a. Assessment
The nurse is admitting a patient to the unit and asks the patient about the health history. The
nurse is engaged in which component of the nursing process?
a.
Evaluation
b.
Diagnosis
c.
Assessment
d.
Planning ✔Correct Answer-c. Assessment
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 ✔Correct Answer-a. Cue
,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 ✔Correct Answer-b. Inference
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 ✔Correct Answer-d. Sharp, burning pain
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. ✔Correct Answer-a. The patients toes of
right foot are warm and pink
,A student nurse is responsible for assessing a patient, who is abrupt and requests that the
assessment be done later by a nurse. As the student nurse charts the interaction, which
statement is the best way to document what happened?
a.
Appears to be in pain as evidenced by grouchy behavior
b.
Behavior is inappropriate, requests registered nurse do the assessment
c.
States, I want a registered nurse to do my assessment
d.
Is grumpy, registered nurse notified ✔Correct Answer-c. States, I want a registered nurse to
do my assessment
A mother of five children is admitted to the hospital for abdominal pain. The nurse asks a series
of questions before performing a physical assessment. The patient answers the questions.
When asking the patient some other questions, the patients spouse starts to answer. As the
admission process progresses and the nurse gathers subjective data, the nurse requests that the
patient answer the next questions. What is the rationale for the nurses behavior?
a.
The patient is exhibiting confusion.
b.
The spouse is being obnoxious.
c.
The patient is the best source of information.
d.
The spouse is too controlling. ✔Correct Answer-c. The patient is the best source of
information.
A 2-year-old patient is being admitted to the outpatient surgery for a tonsillectomy. Which will
provide the best primary source of information for what comforts the patient when stressed?
a.
Patient chart
b.
Patient
c.
Parents
d.
Surgeon ✔Correct Answer-c. Parents
, 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 ✔Correct Answer-a. Orientation
A nurse is teaching the staff about the phases of the interview process. Which information
should the nurse include in the teaching session?
a.
Orientation, working, termination
b.
Orientation, assessment, evaluation
c.
Planning, assessment, termination
d.
Planning, assessment, evaluation ✔Correct Answer-a. Orientation, working, termination
Which question or comment should the nurse initially use that would best gather the most
information during a health history assessment?
a.
Let us help you.
b.
Did you seek help when it first started?
c.
Tell me about the problems you are having.
d.
Do you have a family history of this problem? ✔Correct Answer-c. Tell me about the problems
you are having.
As a nurse is obtaining a health history from a patient, the nurse uses comments such as go on.
Which technique is the nurse using?
a.
Cues
b.
Inferences
c.
Answers |Actual Complete Exam |Already Graded A+
(Just Released)
A nurse is collecting data on a patient who is being admitted into hospice care. The nurse
collects data from both the patient and the family so that a clear picture of the patient status is
obtained. The nurse is currently involved in which step of the nursing process?
a.
Assessment
b.
Implementation
c.
Evaluation
d.
Diagnosing ✔Correct Answer-a. Assessment
The nurse is admitting a patient to the unit and asks the patient about the health history. The
nurse is engaged in which component of the nursing process?
a.
Evaluation
b.
Diagnosis
c.
Assessment
d.
Planning ✔Correct Answer-c. Assessment
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 ✔Correct Answer-a. Cue
,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 ✔Correct Answer-b. Inference
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 ✔Correct Answer-d. Sharp, burning pain
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. ✔Correct Answer-a. The patients toes of
right foot are warm and pink
,A student nurse is responsible for assessing a patient, who is abrupt and requests that the
assessment be done later by a nurse. As the student nurse charts the interaction, which
statement is the best way to document what happened?
a.
Appears to be in pain as evidenced by grouchy behavior
b.
Behavior is inappropriate, requests registered nurse do the assessment
c.
States, I want a registered nurse to do my assessment
d.
Is grumpy, registered nurse notified ✔Correct Answer-c. States, I want a registered nurse to
do my assessment
A mother of five children is admitted to the hospital for abdominal pain. The nurse asks a series
of questions before performing a physical assessment. The patient answers the questions.
When asking the patient some other questions, the patients spouse starts to answer. As the
admission process progresses and the nurse gathers subjective data, the nurse requests that the
patient answer the next questions. What is the rationale for the nurses behavior?
a.
The patient is exhibiting confusion.
b.
The spouse is being obnoxious.
c.
The patient is the best source of information.
d.
The spouse is too controlling. ✔Correct Answer-c. The patient is the best source of
information.
A 2-year-old patient is being admitted to the outpatient surgery for a tonsillectomy. Which will
provide the best primary source of information for what comforts the patient when stressed?
a.
Patient chart
b.
Patient
c.
Parents
d.
Surgeon ✔Correct Answer-c. Parents
, 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 ✔Correct Answer-a. Orientation
A nurse is teaching the staff about the phases of the interview process. Which information
should the nurse include in the teaching session?
a.
Orientation, working, termination
b.
Orientation, assessment, evaluation
c.
Planning, assessment, termination
d.
Planning, assessment, evaluation ✔Correct Answer-a. Orientation, working, termination
Which question or comment should the nurse initially use that would best gather the most
information during a health history assessment?
a.
Let us help you.
b.
Did you seek help when it first started?
c.
Tell me about the problems you are having.
d.
Do you have a family history of this problem? ✔Correct Answer-c. Tell me about the problems
you are having.
As a nurse is obtaining a health history from a patient, the nurse uses comments such as go on.
Which technique is the nurse using?
a.
Cues
b.
Inferences
c.
