NURS 354 COMPREHENSIVE
EXAMINATION (QUIZZES 1-5)
QUESTIONS AND ANSWERS
1. According to the DIKW framework, which of the following best describes ‘Knowledge’?
A. Information that is synthesized so that relationships are identified and formalized.
B. Raw facts and figures without context.
C. The appropriate use of data to solve human problems.
D. Data that has been processed and organized to provide meaning.
Answer: A
Conceptual Explanation: In the Data-Information-Knowledge-Wisdom hierarchy,
Knowledge is the synthesis of information to identify relationships. Information is
processed data, and Wisdom is the application of knowledge to solve problems.
2. A patient presents with a serum potassium level of 6.2 mEq/L. Which ECG change is most
characteristic of this finding?
A. Prominent U waves
B. Prolonged QT interval
C. ST-segment depression
,D. Tall, peaked T waves
Answer: D
Conceptual Explanation: Hyperkalemia (K+ > 5.0 mEq/L) typically manifests on an ECG
as tall, peaked T waves. U waves are seen in hypokalemia, and prolonged QT can occur in
hypocalcemia.
3. Which Nursing Terminologies are recognized by the ANA to support the documentation of
the nursing process?
A. NANDA-I, NIC, and NOC
B. SNOMED CT and LOINC
C. ICD-10 and CPT
D. DSM-5 and MeSH
Answer: A
Conceptual Explanation: NANDA-I (Nursing Diagnoses), NIC (Nursing Interventions
Classification), and NOC (Nursing Outcomes Classification) are standardized terminologies
specifically designed to capture nursing practice.
4. During a physical assessment, the nurse performs the Romberg test. A positive Romberg
sign indicates a problem with which system?
A. Upper motor neuron strength
B. Oculomotor nerve integrity
, C. Proprioception or cerebellar function
D. Deep tendon reflexes
Answer: C
Conceptual Explanation: The Romberg test assesses balance. A loss of balance when the
eyes are closed (positive sign) suggests an issue with proprioception, vestibular function,
or cerebellar coordination.
5. Which phase of the HITECH Act focuses on improving clinical outcomes through Meaningful
Use?
A. Stage 3: Improved outcomes
B. Stage 2: Advance clinical processes
C. Stage 1: Data capture and sharing
D. Stage 4: Administrative simplification
Answer: A
Conceptual Explanation: The HITECH Act’s Meaningful Use program was structured in
three stages: Stage 1 for data capture, Stage 2 for advanced processes, and Stage 3 for
improving health outcomes.
6. When assessing a patient’s breath sounds, the nurse hears high-pitched, musical sounds
primarily during expiration. How should this be documented?
A. Crackles
EXAMINATION (QUIZZES 1-5)
QUESTIONS AND ANSWERS
1. According to the DIKW framework, which of the following best describes ‘Knowledge’?
A. Information that is synthesized so that relationships are identified and formalized.
B. Raw facts and figures without context.
C. The appropriate use of data to solve human problems.
D. Data that has been processed and organized to provide meaning.
Answer: A
Conceptual Explanation: In the Data-Information-Knowledge-Wisdom hierarchy,
Knowledge is the synthesis of information to identify relationships. Information is
processed data, and Wisdom is the application of knowledge to solve problems.
2. A patient presents with a serum potassium level of 6.2 mEq/L. Which ECG change is most
characteristic of this finding?
A. Prominent U waves
B. Prolonged QT interval
C. ST-segment depression
,D. Tall, peaked T waves
Answer: D
Conceptual Explanation: Hyperkalemia (K+ > 5.0 mEq/L) typically manifests on an ECG
as tall, peaked T waves. U waves are seen in hypokalemia, and prolonged QT can occur in
hypocalcemia.
3. Which Nursing Terminologies are recognized by the ANA to support the documentation of
the nursing process?
A. NANDA-I, NIC, and NOC
B. SNOMED CT and LOINC
C. ICD-10 and CPT
D. DSM-5 and MeSH
Answer: A
Conceptual Explanation: NANDA-I (Nursing Diagnoses), NIC (Nursing Interventions
Classification), and NOC (Nursing Outcomes Classification) are standardized terminologies
specifically designed to capture nursing practice.
4. During a physical assessment, the nurse performs the Romberg test. A positive Romberg
sign indicates a problem with which system?
A. Upper motor neuron strength
B. Oculomotor nerve integrity
, C. Proprioception or cerebellar function
D. Deep tendon reflexes
Answer: C
Conceptual Explanation: The Romberg test assesses balance. A loss of balance when the
eyes are closed (positive sign) suggests an issue with proprioception, vestibular function,
or cerebellar coordination.
5. Which phase of the HITECH Act focuses on improving clinical outcomes through Meaningful
Use?
A. Stage 3: Improved outcomes
B. Stage 2: Advance clinical processes
C. Stage 1: Data capture and sharing
D. Stage 4: Administrative simplification
Answer: A
Conceptual Explanation: The HITECH Act’s Meaningful Use program was structured in
three stages: Stage 1 for data capture, Stage 2 for advanced processes, and Stage 3 for
improving health outcomes.
6. When assessing a patient’s breath sounds, the nurse hears high-pitched, musical sounds
primarily during expiration. How should this be documented?
A. Crackles
