NURS 3632 University Of Texas -
Arlington -Exam 2 N3632
Questions With Complete
Solutions.
Complete Q&A
1. What is the correct order of the nursing process (ADPIE)?
a. Assessment, Planning, Implementation, Diagnosis, Evaluation
b. Assessment, Diagnosis, Planning, Implementation, Evaluation
c. Assessment, Implementation, Diagnosis, Planning, Evaluation
d. Diagnosis, Assessment, Planning, Implementation, Evaluation
Answer: b
, 2. A nurse formulates the following nursing diagnosis: "Ineffective Airway Clearance
related to thick secretions as evidenced by crackles in lung bases and oxygen saturation
of 88%." Which part of the nursing diagnosis is the "etiology" (related factor)?
a. Ineffective Airway Clearance
b. Thick secretions
c. Crackles in lung bases and oxygen saturation of 88%
d. As evidenced by
Answer: b
3. A nurse is prioritizing care for four patients. According to Maslow's hierarchy of
needs, which patient should the nurse assess first?
a. A patient who is upset about missing a family birthday party
b. A patient who reports severe pain (8/10) after surgery
c. A patient with a new colostomy who refuses to look at the stoma
d. A patient with audible wheezing and oxygen saturation of 89%
Answer: d
4. After implementing a new fall prevention protocol, the nurse checks the patient's fall
risk score and notes that it has decreased from high risk to low risk. This action occurs
during which phase of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
Answer: d
, 5. The nurse is using the ABCs (Airway, Breathing, Circulation) framework to prioritize
patient care. Which patient should the nurse see first?
a. A patient requesting pain medication for a headache rated 4/10
b. A patient with stridor and drooling
c. A patient who needs assistance with ambulation to the bathroom
d. A patient who needs discharge teaching
Answer: b
6. Which of the following is the best definition of evidence-based practice (EBP)?
a. Using tradition and routine to guide nursing care
b. Gathering and using information and research (evidence) to perform actions that
assist the client (practice)
c. Following physician orders without question
d. Using intuition alone to make clinical decisions
Answer: b
7. A patient is 2 days post-operative cholecystectomy with stable vital signs and
tolerating a regular diet. Which patient is more appropriate to assign to an LPN under
the supervision of an RN?
a. Newly admitted patient with chest pain and unstable ECG
b. Patient requiring initial post-operative assessment
c. Stable post-operative patient needing routine vital signs and medication
administration
d. Patient refusing treatment and requiring conflict resolution
Answer: c
Arlington -Exam 2 N3632
Questions With Complete
Solutions.
Complete Q&A
1. What is the correct order of the nursing process (ADPIE)?
a. Assessment, Planning, Implementation, Diagnosis, Evaluation
b. Assessment, Diagnosis, Planning, Implementation, Evaluation
c. Assessment, Implementation, Diagnosis, Planning, Evaluation
d. Diagnosis, Assessment, Planning, Implementation, Evaluation
Answer: b
, 2. A nurse formulates the following nursing diagnosis: "Ineffective Airway Clearance
related to thick secretions as evidenced by crackles in lung bases and oxygen saturation
of 88%." Which part of the nursing diagnosis is the "etiology" (related factor)?
a. Ineffective Airway Clearance
b. Thick secretions
c. Crackles in lung bases and oxygen saturation of 88%
d. As evidenced by
Answer: b
3. A nurse is prioritizing care for four patients. According to Maslow's hierarchy of
needs, which patient should the nurse assess first?
a. A patient who is upset about missing a family birthday party
b. A patient who reports severe pain (8/10) after surgery
c. A patient with a new colostomy who refuses to look at the stoma
d. A patient with audible wheezing and oxygen saturation of 89%
Answer: d
4. After implementing a new fall prevention protocol, the nurse checks the patient's fall
risk score and notes that it has decreased from high risk to low risk. This action occurs
during which phase of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
Answer: d
, 5. The nurse is using the ABCs (Airway, Breathing, Circulation) framework to prioritize
patient care. Which patient should the nurse see first?
a. A patient requesting pain medication for a headache rated 4/10
b. A patient with stridor and drooling
c. A patient who needs assistance with ambulation to the bathroom
d. A patient who needs discharge teaching
Answer: b
6. Which of the following is the best definition of evidence-based practice (EBP)?
a. Using tradition and routine to guide nursing care
b. Gathering and using information and research (evidence) to perform actions that
assist the client (practice)
c. Following physician orders without question
d. Using intuition alone to make clinical decisions
Answer: b
7. A patient is 2 days post-operative cholecystectomy with stable vital signs and
tolerating a regular diet. Which patient is more appropriate to assign to an LPN under
the supervision of an RN?
a. Newly admitted patient with chest pain and unstable ECG
b. Patient requiring initial post-operative assessment
c. Stable post-operative patient needing routine vital signs and medication
administration
d. Patient refusing treatment and requiring conflict resolution
Answer: c
