NUR 112 EXAM 2 PRACTICE WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027|NUR 112
FUNDAMENTAL CONCEPT OF NURSING
CT / Nursing Process
A patient is admitted to the hospital with a tentative medical diagnosis and multiple
diagnostic tests are preformed. Where in the patient's chart can the nurse find
documentation about the current medical diagnosis after the diagnostic tests results
are reviewed by the practitioner?
-
a. Progress Notes
b. Admission Sheet
c. History and Physical
d. Social Service Record
a. Progress Notes
-
Generally the Progress notes contain documentation by all members of the health-
care team. After a patient is admitted and diagnosed, the patient's medical
diagnosis may change. The ongoing changes and current status of the patient are
documented in the Progress Notes.
A nurse is caring for a febrile patient, Which is a well-designed goal for this patient. "The
patient will:
-
a. have a lower temperature."
b. be taught how to take an accurate temperature."
c. maintain fluid intake sufficient to prevent dehydration."
d. be given aspirin every eight hours whenever necessary."
c. maintain fluid intake sufficient to prevent dehydration."
-
1|Page
,This is a well written goal. Goals must be patient-centered, specific, measurable,
and realistic and have a time frame in which eh expected outcome is to be
achieved. The words sufficient and dehydration are based on generally accepted
criteria against which to measure the patient's actual outcome. The word maintain
connotes continuously, which is a time frame.
What should the nurse do during the Evaluation step of the Nursing Process?
-
a. Establish outcomes
b. Determine priorities
c. Revise a plan of care
d. Set the time frames for goals
c. Revise a plan of care
-
Revising a plan of care takes place in the Evaluation step of the Nursing Process. If
during evaluation it is determined that the goal was not met, the reasons for failure
have to be identified and the plan modified.
Determining what nursing actions will be employed occurs in which step of the Nursing
Process?
-
a. Implementation
b. Assessment
c. Planning
d. Analysis
c. Planning
-
The identification of nursing actions designed to help a patient achieve a goal
occurs during the Planning step of the Nursing Process.
A nurse determines that the appropriateness of a Nursing Diagnosis is supported by its:
-
a. Defining Characteristics
b. Planned Interventions
c. Diagnostic Statement
d. Related risk factors
a. Defining Characteristics
-
The defining characteristics are the major and minor cues that form a cluster that
support or validate the presence of a Nursing Diagnosis. At least one major defining
2|Page
,characteristic must be present for a Nursing Diagnosis to be considered
appropriate for the patient appropriate.
What is the primary goal of the Assessment phase of the Nursing Process?
-
a. Build trust
b. Collect data
c. Establish goals
d. Validate the medical diagnosis
b. Collect data
-
The primary purpose of the Assessment step of the Nursing Process is to collect
data from various sources using a variety of approaches.
Which human response identified by the nurse is an example of objective data?
-
a. Irregular radial pulse of 50 beats per minute.
b. Pain rated as a 5/10 on the 0-10 pain scale.
c. Shortness of Breath
d. Dizziness
a. Irregular radial pulse of 50 BPM.
-
A radial pulse is objective information. Objective data are measurable and
checkable.
What most directly influences the Planning step of the Nursing Process?
-
a. Related factors
b. Diagnostic label
c. Secondary factors
d. Medical diagnosis
a. Related factors
-
Related factors contribute to the problem statement of the Nursing Process.
Nursing interventions are selected to minimize or relieve the effects of the related
factors. If nursing interventions are appropriate and effective, the human response
identified in the problem statement part of the Nursing Diagnosis will resolve.
A nurse collects data about a patient. What should the nurse do next?
-
a. Plan nursing interventions
3|Page
, b. Write patient-centered goals.
c. Formulate nursing diagnoses.
d. Determine the significance of the information.
d. Determine the significance of the information.
-
After data are collected, they are clustered to determine their significance.
When two nursing diagnoses appear closely related, what should the nurse do first to
determine which diagnosis most accurately reflects the needs of the patient?
-
a. Reassess the patient.
b. Examine the related to factors.
c. Analyze the secondary to factors.
d. Review the defining characteristics.
d. Review the defining characteristics.
-
The first thing the nurse should do to differentiate between two closely associated
nursing diagnoses is to compare the data collected to the major and minor defining
characteristics of each of the nursing diagnoses being considered.
What is the primary reason why a nurse performs an admission assessment of a newly
admitted patient?
-
a. Diagnose if the patient is at risk for falls.
b. Ensure that the patient's skin is intact.
c. Establish a therapeutic relationship.
d. Identify important data.
d. Identify important data.
-
This is the primary purpose of a nursing admission assessment. Data must be
collected and then analyzed to determine significance and grouped in meaningful
clusters before a nursing diagnosis or plan of care can be made.
What patient statement provides subjective data?
-
a. "I'm not sure that I am going to be able to manage at home by myself."
b. "I can call a home-care agency if I feel I need help at home."
c. "What should I do if I have uncontrollable pain at home."
d. "Will a home health aide help me with my care at home?"
4|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALE ANSWERS|
CURRENTLY TESTING VERSION | ALREADY
GRADED A+|EXPERT VERIFIED FOR
GUARANTEED PASS 2026-2027|NUR 112
FUNDAMENTAL CONCEPT OF NURSING
CT / Nursing Process
A patient is admitted to the hospital with a tentative medical diagnosis and multiple
diagnostic tests are preformed. Where in the patient's chart can the nurse find
documentation about the current medical diagnosis after the diagnostic tests results
are reviewed by the practitioner?
-
a. Progress Notes
b. Admission Sheet
c. History and Physical
d. Social Service Record
a. Progress Notes
-
Generally the Progress notes contain documentation by all members of the health-
care team. After a patient is admitted and diagnosed, the patient's medical
diagnosis may change. The ongoing changes and current status of the patient are
documented in the Progress Notes.
A nurse is caring for a febrile patient, Which is a well-designed goal for this patient. "The
patient will:
-
a. have a lower temperature."
b. be taught how to take an accurate temperature."
c. maintain fluid intake sufficient to prevent dehydration."
d. be given aspirin every eight hours whenever necessary."
c. maintain fluid intake sufficient to prevent dehydration."
-
1|Page
,This is a well written goal. Goals must be patient-centered, specific, measurable,
and realistic and have a time frame in which eh expected outcome is to be
achieved. The words sufficient and dehydration are based on generally accepted
criteria against which to measure the patient's actual outcome. The word maintain
connotes continuously, which is a time frame.
What should the nurse do during the Evaluation step of the Nursing Process?
-
a. Establish outcomes
b. Determine priorities
c. Revise a plan of care
d. Set the time frames for goals
c. Revise a plan of care
-
Revising a plan of care takes place in the Evaluation step of the Nursing Process. If
during evaluation it is determined that the goal was not met, the reasons for failure
have to be identified and the plan modified.
Determining what nursing actions will be employed occurs in which step of the Nursing
Process?
-
a. Implementation
b. Assessment
c. Planning
d. Analysis
c. Planning
-
The identification of nursing actions designed to help a patient achieve a goal
occurs during the Planning step of the Nursing Process.
A nurse determines that the appropriateness of a Nursing Diagnosis is supported by its:
-
a. Defining Characteristics
b. Planned Interventions
c. Diagnostic Statement
d. Related risk factors
a. Defining Characteristics
-
The defining characteristics are the major and minor cues that form a cluster that
support or validate the presence of a Nursing Diagnosis. At least one major defining
2|Page
,characteristic must be present for a Nursing Diagnosis to be considered
appropriate for the patient appropriate.
What is the primary goal of the Assessment phase of the Nursing Process?
-
a. Build trust
b. Collect data
c. Establish goals
d. Validate the medical diagnosis
b. Collect data
-
The primary purpose of the Assessment step of the Nursing Process is to collect
data from various sources using a variety of approaches.
Which human response identified by the nurse is an example of objective data?
-
a. Irregular radial pulse of 50 beats per minute.
b. Pain rated as a 5/10 on the 0-10 pain scale.
c. Shortness of Breath
d. Dizziness
a. Irregular radial pulse of 50 BPM.
-
A radial pulse is objective information. Objective data are measurable and
checkable.
What most directly influences the Planning step of the Nursing Process?
-
a. Related factors
b. Diagnostic label
c. Secondary factors
d. Medical diagnosis
a. Related factors
-
Related factors contribute to the problem statement of the Nursing Process.
Nursing interventions are selected to minimize or relieve the effects of the related
factors. If nursing interventions are appropriate and effective, the human response
identified in the problem statement part of the Nursing Diagnosis will resolve.
A nurse collects data about a patient. What should the nurse do next?
-
a. Plan nursing interventions
3|Page
, b. Write patient-centered goals.
c. Formulate nursing diagnoses.
d. Determine the significance of the information.
d. Determine the significance of the information.
-
After data are collected, they are clustered to determine their significance.
When two nursing diagnoses appear closely related, what should the nurse do first to
determine which diagnosis most accurately reflects the needs of the patient?
-
a. Reassess the patient.
b. Examine the related to factors.
c. Analyze the secondary to factors.
d. Review the defining characteristics.
d. Review the defining characteristics.
-
The first thing the nurse should do to differentiate between two closely associated
nursing diagnoses is to compare the data collected to the major and minor defining
characteristics of each of the nursing diagnoses being considered.
What is the primary reason why a nurse performs an admission assessment of a newly
admitted patient?
-
a. Diagnose if the patient is at risk for falls.
b. Ensure that the patient's skin is intact.
c. Establish a therapeutic relationship.
d. Identify important data.
d. Identify important data.
-
This is the primary purpose of a nursing admission assessment. Data must be
collected and then analyzed to determine significance and grouped in meaningful
clusters before a nursing diagnosis or plan of care can be made.
What patient statement provides subjective data?
-
a. "I'm not sure that I am going to be able to manage at home by myself."
b. "I can call a home-care agency if I feel I need help at home."
c. "What should I do if I have uncontrollable pain at home."
d. "Will a home health aide help me with my care at home?"
4|Page
