EXAM 1- UNIT 2- REVIEW QUESTIONS- NSG
3100 QUESTIONS AND ANSWERS
What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health
care team - correct answer Answer: C
A patient comes to the emergency department complaining of
nausea and vomiting. What should the nurse ask the patient
about first?
a. Family history of diabetes
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b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting - correct answer
Answer: d
In an emergent situation, the nurse initially focuses on the
patient's chief complaint to determine its cause. Before
initiating care, the nurse gathers information on the other
topics.
An alert, oriented patient is admitted to the hospital with chest
pain. From whom should the nurse collect primary data on this
patient?
a. Family member
b. Physician
c. Another nurse
d. Patient - correct answer Answer: d
The nurse collects primary data directly from patients who are
alert and oriented. Family members and other members of the
health care team may provide secondary data on patients.
What is the primary purpose of the nursing diagnosis?
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a. Resolving patient confusion
b. Communicating patient needs
c. Meeting accreditation requirements
d. Articulating the nursing scope of practice - correct answer Answer:
b
Each nursing diagnosis identifies either a patient problem or
need, which is its purpose. Resolving patient confusion, meeting
accreditation requirements, and articulating the nurse's scope
of practice are not related to the primary purpose of the
nursing diagnostic process.
On what premise is a nursing diagnosis identified for a patient?
(Select all that apply.)
a. Recognized cues
b. Nursing intuition
c. Clustered data
d. Medical diagnoses - correct answer Answer: a, c
Nursing diagnoses emerge from groupings of clustered data
collected and cues recognized during the assessment phase of
the nursing process. The nurse documents the patient's medical
diagnosis as one piece of data, which may be clustered with
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others to support a nursing diagnosis. Data collected from a
nurse's intuition may also be listed in the patient's assessment
findings if they are objectively recorded without prejudice and
are not judgmental in nature.
Which statement is an appropriately written short-term goal?
a. Patient will walk to the bathroom independently without
falling within 2 days after surgery.
b. Nurse will watch patient demonstrate proper insulin injection
technique each morning.
c. Patient's spouse will express satisfaction with patient's
progress before discharge.
d. Patient's incision will be well approximated each time it is
assessed by the nurse. - correct answer Answer: a
Goals are to be patient-focused, realistic, and measurable. Only
the first goal meets these three criteria.
What should be the primary focus for nursing interventions?
a. Patient needs
b. Nurse concerns