NUR 155 Exam Questions and Answers Latest Update 2023/2024 Graded A+

NUR 155 Exam Questions and Answers Latest Update 2023/2024 Graded A+. Which terms best describe a method a nurse uses to plan systematically and comprehensively? ANSWER: SATA. 1. Body assessment 2. Focused and assessment 3. Head to toe assessment 4. QUESTION: A nurse is caring for a patient diagnosed with CHF (congestive heart failure), which signs and symptoms below would be considered subjective data? ANSWER: SATA. 1. Pain 2. Numbness 5. QUESTION: The LPN is aware of which practices that direct care as legal responsibilities? ANSWER: SATA. 1. The individual states nurse practice ACT 2. The standard of practice for the state you are in. 3. Scope of practice in your state. 6. QUESTION: The nurse recognizes which of the following actions as responding? ANSWER: SATA. 1. Giving the patient medicine. 2. Calling the doctor and requesting orders. 3. Ambulating your patient in the hall. 7. QUESTION: LPN is aware of which factors impacting their ability to provide proper care? ANSWER: SATA. 1. The nurse’s knowledge and skill level. 2. Scope of practice in the state. 3. The nurse’s knowledge of medications and side effects. 8. QUESTION: Which items will the nurse include in collecting assessment data to predict and manage potential complications? ANSWER: SATA. 1. Vital signs 2. Skin assessment 3. Medication review 4. Responses and concerns the patient states. 9. QUESTION: Which of the following incidents must be reported? ANSWER: SATA. (ONLY ONE ANSWER) 1. A patient received Rocephin 1 mg when the order was Ancef 1 g. 10. QUESTION: Nurses caring for a patient after surgery takes their vital signs, there’s a significant drop in BP from the last set of vitals. What is the LPN’s next action? ANSWER: 1. Begin to gather additional data related to the drop in BP. 11. QUESTION: Which question will the nurse use to best identify assumption? ANSWER: 1. What information do I need to collect to prove or disprove the assumption. 12. QUESTION: What is an example of subjective data that a nurse might document? ANSWER: 1. The patient complains of nausea. 13. QUESTION: Nurses caring for patient with bilateral wrist restraints, using the principals of interpreting and responding from Tanner’s, which statement made by the client would require priority intervention? ANSWER: 1. My fingers feel cool and numb. 14. QUESTION: Nurses caring for an elderly patient that states he has been trying to lose weight but has gained 15lbs in the last 6 months. What is the nurse’s best response or action? ANSWER: 1. Conduct a patient interview and research the patient’s chart to identify possible reasons for weight gain. 15. QUESTION: Which question best describes how the nurse uses critical thinking to predict and manage potential complications? ANSWER: 1. What in this specific situation increases the risk of problems? 16. QUESTION: What is the primary purpose for clinical judgement in the healthcare setting? ANSWER: 1. To provide safe, competent patient care. 17. QUESTION: The nurse is caring for a client newly diagnosed with diabetes mellitus. The client tells the nurse, I would rather die than give myself shots all of the time. What would be the most therapeutic response? ANSWER: 1. Can you tell me more about how you feel and why you feel this way? 18. QUESTION: Which thinking skill is a person using when noticing that something doesn’t sound right when hitting the brakes on the car? ANSWER: 1. Identifying signs and symptoms. 19. QUESTION: The nursing process is best described by which statement? ANSWER: 1. A step by step approach or planning and providing patient care. 20. QUESTION: A nurse is preparing to transfer a patient with general weakness from the bed to the chair. Which statement made by the nurse best demonstrates critical thinking when considering client mobility? ANSWER: 1. I need to collect more information about this patient’s mobility before getting them out of bed. 21. QUESTION: Which of the following are secondary sources of data collection? ANSWER: SATA. 1. Family members 2. Physician progress notes 22. QUESTION: The nurse is caring for a patient with asthma. When examining the client, the LPN focuses on the respiratory system, and then progresses through the exam to include other body systems. Which step in Tanner’s is the nurse demonstrating? ANSWER: 1. Assessing systemically and comprehensively. 23. QUESTION: What factor may influence a nurse’s ability to predict in collecting information? ANSWER: 1. Nurses experience an ability to recognize patterns. 24. QUESTION: LPN is assisting RN in data collection, how can the LPN best collect complete and accurate data? ANSWER: 1. Ask the patient about eating, sleeping and socialization patterns. 25. QUESTION: Nurses assign patient with diagnosis chronic back pain during shift change the previous nurse reports the patient is always asking for more pain medication and must be drug seeking, what is the best action by the oncoming nurse? ANSWER: 1. Review the patient’s chart for information regarding pain medication and complete of focused pain assessment. 26. QUESTION: The nurse is evaluating the patients risk for skin breakdown. Using the SPICES tool, what intervention does the nurse suggest to reduce the risk of skin breakdown? ANSWER: 1. Special mattress and floating heels on a pillow. 27. QUESTION: The nurse is assessing the patient and their environment to insure safety, which safety assessment will the LPN include? ANSWER: SATA 1. Proper Footwear 2. Head and position of bed 3. Location and access to the call light 28. QUESTION: You are checking the car and supplies that you will need for a long camping trip. Using a checklist with items required to be sure nothing is missing, which tanner’s step did you follow? ANSWER: Assessing Systematically and Comprehensively 29. QUESTION: Which factors provide the best rationale for using a team approach, to plan care for a patient? ANSWER: Ensuring all staff recognizes the goals and needs of the patient. 30. QUESTION: Mrs. Livingston is evaluated with the Epworth sleepiness scale and receives a score of 12, what will the nurse predict, related to the score? ANSWER: The patient is at an increased risk for negative incidents or injury. 31. QUESTION: In which steps of Tanners model of clinical judgement, does that nurse take as a course of action after determining which interventions are required? ANSWER: Responding 32. QUESTION: How does an experienced nurse think differently than a novice nurse? ANSWER: The experienced nurse recognizes patterns and subtle differences between patients. 33. QUESTION: An older patient has recently acquired a new set of dentures. The nurse notes that the patient was very excited about the dentures last week. But he is not wearing them today. What action will the nurse take initially? ANSWER: Ask the patient why he is not wearing the dentures. 34. QUESTION: The nurse is caring for a patient who previously had no difficulty with speaking to the staff. This morning, their speech is slurred. What Tanner’s skill is being used by the nurse to recognize a potential problem? ANSWER: Identifying signs and symptoms