NURS 212 Practice Questions (With complete solution)

A nurse observes a patient lying rigidly in bed taking shallow breaths. The patient reports a 4 out of 5 on the pain scale and says "my leg hurts." The nurse determines that together, the objective and subjective data are: correct answers congruent and support that the patient is in pain A nurse manager tells you, "I am here for you anytime you need me, just stop by" but her door is always closed. Is this congruent or incongruent? correct answers incongruent describe the nursing process. correct answers a process used to identify and solve patient problems The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." The nurse finds the following during her physical assessment: BP is 150/90, temperature is 98.6, pulse is 88, respiration rate is 20, and there are red pigmented pea sized areas on her shoulder. Which of the following is OBJECTIVE data? (SATA) correct answers 1. Twisting handkerchief 2. BP, pulse, temperature, respiration rate, pigmented pea sized areas on her shoulder The nurse is admitting a patient for surgery. The patient is twisting a handkerchief over and over while saying, "I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." The nurse finds the following during her physical assessment: BP is 150/90, temperature is 98.6, pulse is 88, respiration rate is 20, and there are red pigmented pea sized areas on her shoulder. Which of the following is SUBJECTIVE data? correct answers "I'm going to have a little mole removed. I am not worried. I've never been sick, so I'll be fine." If you're taking BP on a patient and it is very high, and the physician calls you and asks about the BP and you say it is high, why is this an issue? correct answers It is an interpretation - you need to give an objective measure. (even though your interpretation is correct) A well cultivated critical thinker is an individual who does which of the following? (SATA) correct answers raises questions recognizes alternative ways to see problems the nurse and patient may experience sadness during the termination phase. how can a nurse help the patient be successful during this phase? correct answers emphasize the achievements the patient has made, including the ability for self-care (no gifts, no visits, no contact info) SATA: Kelly's Characteristics of a Profession (8) correct answers - The services provided are vital to humanity and the welfare of society