NURSE 171 Practice Test Questions and
Correct Answers
Why do patients receive a lab test called a "culture"? ✅To obtain a physical
assessment against a pathogen exposed infection correlated with a virus, bacteria, or
fungi
Are gloves required providing direct patient care? ✅No. Required when in contact with
direct bodily fluids
What are the three types of transmission based isolation precautions? ✅Contact,
Airborne, and Droplet
What are the behaviors that indicate the learner is not ready to learn? ✅Fatigue, Pain,
Anxiety, Condition
When does the nurse document? ✅As soon as possible after care is given.
Throughout the nursing process/shift
What is the main reason restraints are used on a patient? ✅Safety. For the patient to
not harm oneself such as a risk for falling
A possible diagnosis for a Risk for Fall patient related to skeletal muscle weakness
✅The patient will call for assistance when getting out of bed
Stating "The nurse will assess the client's neuromuscular status once every shift" is
what part of the nursing process? ✅Nurse intervention
What are ego defense mechanisms? ✅Coping mechanisms. The bodys attempt to
relieve inner stress
Developmental Stressors ✅-Occur at various stages
-Ex: Kids in school/Older adults such as women going through menopause
Name alternatives to retraints ✅-Bed alarms
-Better anticipation of patient needs
What is a concept? ✅Overall theme. Foundation
What is an exemplar? ✅An example of the concept
, Outcome ✅Patient behavior or attitude that results from the interventions
The Nursing Process ✅1) Assessment
2) Diagnosis
3) Outcome
4) Interventions
5) Implementation
6) Evaluation
Assessment ✅Data gathering
Diagnosis ✅Problem
Interventions ✅Steps to achieve the outcome
Implementation ✅Action
Evaluation ✅If the outcome was achieved
Subjective Data ✅-Information the patient or family reveals to the nurse
-Ex: "My throat hurts"
Objective Data ✅-Information we gather from assessment such as labs, scans, MAR
-Ex: "White patches noted on back of throat"
Morse Scale ✅-Rapid and simple method of assessing patients likelihood of falling
-Does the patient have a history of falling? More than one medical diagnosis? Use
ambulatory aids? IV Line? Mental status?
Braden scale ✅-To predict pressure sore risks
-Base on sensory perception, moisture, activity, mobility, nutrition, friction
What is medical asepsis? ✅-"Clean technique." Produces the potential decrease for
spread of infections
-Clean hands/Non sterile gloves/Clean supplies
What is surgical asepsis? ✅-"Sterile technique." Absence of contamination by disease
causing organisms
-Sterile gloves/Sterile supplies
SBAR ✅Situation, Background, Assessment, Recommendation
PACE ✅Patient/Problem
Assessment/Actions
Correct Answers
Why do patients receive a lab test called a "culture"? ✅To obtain a physical
assessment against a pathogen exposed infection correlated with a virus, bacteria, or
fungi
Are gloves required providing direct patient care? ✅No. Required when in contact with
direct bodily fluids
What are the three types of transmission based isolation precautions? ✅Contact,
Airborne, and Droplet
What are the behaviors that indicate the learner is not ready to learn? ✅Fatigue, Pain,
Anxiety, Condition
When does the nurse document? ✅As soon as possible after care is given.
Throughout the nursing process/shift
What is the main reason restraints are used on a patient? ✅Safety. For the patient to
not harm oneself such as a risk for falling
A possible diagnosis for a Risk for Fall patient related to skeletal muscle weakness
✅The patient will call for assistance when getting out of bed
Stating "The nurse will assess the client's neuromuscular status once every shift" is
what part of the nursing process? ✅Nurse intervention
What are ego defense mechanisms? ✅Coping mechanisms. The bodys attempt to
relieve inner stress
Developmental Stressors ✅-Occur at various stages
-Ex: Kids in school/Older adults such as women going through menopause
Name alternatives to retraints ✅-Bed alarms
-Better anticipation of patient needs
What is a concept? ✅Overall theme. Foundation
What is an exemplar? ✅An example of the concept
, Outcome ✅Patient behavior or attitude that results from the interventions
The Nursing Process ✅1) Assessment
2) Diagnosis
3) Outcome
4) Interventions
5) Implementation
6) Evaluation
Assessment ✅Data gathering
Diagnosis ✅Problem
Interventions ✅Steps to achieve the outcome
Implementation ✅Action
Evaluation ✅If the outcome was achieved
Subjective Data ✅-Information the patient or family reveals to the nurse
-Ex: "My throat hurts"
Objective Data ✅-Information we gather from assessment such as labs, scans, MAR
-Ex: "White patches noted on back of throat"
Morse Scale ✅-Rapid and simple method of assessing patients likelihood of falling
-Does the patient have a history of falling? More than one medical diagnosis? Use
ambulatory aids? IV Line? Mental status?
Braden scale ✅-To predict pressure sore risks
-Base on sensory perception, moisture, activity, mobility, nutrition, friction
What is medical asepsis? ✅-"Clean technique." Produces the potential decrease for
spread of infections
-Clean hands/Non sterile gloves/Clean supplies
What is surgical asepsis? ✅-"Sterile technique." Absence of contamination by disease
causing organisms
-Sterile gloves/Sterile supplies
SBAR ✅Situation, Background, Assessment, Recommendation
PACE ✅Patient/Problem
Assessment/Actions
