NUR 100 Exam 2 Fundaments: 16, 17, 18, 19, 20, 21, 22, 23
Questions With Complete Solutions
A nurse completes the following steps during her shift of care.
Which are the steps of nursing assessment? (Select all that
apply.) Correct Answer - The review of patient data in the
medical record
- Confirming a patient's self-report of abdominal pain by
inspecting the abdomen.
- Analyzing a set of signs revealing lower leg weakness and
unsteady gait with a pattern of mobility alteration.
- Conducting an interview of a family caregiver.
A nurse conducts an assessment of a 42-year-old woman at a
health clinic. The woman is married and lives in a condo with
her husband. She reports having frequent voiding and pain when
she passes urine. The nurse asks whether she has to go to the
bathroom at night, and the patient responds, "Yes, usually twice
or more." The patient had an episode of diarrhea 1 week ago.
She weighs 300 lb and reports having difficulty cleansing
herself after voiding or passing stool. Which of the following
demonstrate assessment findings that cluster to indicate the
nursing diagnosis Impaired Urination. (Select all that apply.)
Correct Answer - Dysuria
- Nocturia
A nurse enters a patient's room at the beginning of a shift to
conduct an assessment of his condition following a blood
transfusion. The nurse cared for the patient on the previous day
as well. The patient has a number of issues he wishes to share
with the nurse, who takes time to explore each issue. The nurse
, also assesses the patient and finds no signs or symptoms of a
reaction to the blood product. The nurse observed the patient the
prior day and sees a change in his behavior, a reluctance to get
out of bed and ambulate. Which of the following actions
improve the nurse's ability to make clinical decisions about this
patient? (Select all that apply.) Correct Answer - Spending time
during the patient assessment.
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation.
A nurse has been caring for a patient with a chronic wound that
has not been healing. The nurse talks with a nurse specialist in
wound care to find alternative approaches from what the health
care pro-vider ordered for dressing the wound. The two decide
that because of the patient's allergy to tape a nonallergenic
dressing will be used. The nurse obtains an order from the health
care provider for the new dressing. After two days there is
improvement in the wound. This is an example of which critical
thinking standards? (Select all that apply.) Correct Answer -
Relevant
- Risk taking
- Creativity
A nurse has seen many cancer patients struggle with pain
management because they are afraid of becoming addicted to the
medicine. Pain control is a priority for cancer care. By helping
patients focus on their values and beliefs about pain control, a
nurse can best make clinical decisions. This is an example of
Correct Answer Applying ethical criteria.
Questions With Complete Solutions
A nurse completes the following steps during her shift of care.
Which are the steps of nursing assessment? (Select all that
apply.) Correct Answer - The review of patient data in the
medical record
- Confirming a patient's self-report of abdominal pain by
inspecting the abdomen.
- Analyzing a set of signs revealing lower leg weakness and
unsteady gait with a pattern of mobility alteration.
- Conducting an interview of a family caregiver.
A nurse conducts an assessment of a 42-year-old woman at a
health clinic. The woman is married and lives in a condo with
her husband. She reports having frequent voiding and pain when
she passes urine. The nurse asks whether she has to go to the
bathroom at night, and the patient responds, "Yes, usually twice
or more." The patient had an episode of diarrhea 1 week ago.
She weighs 300 lb and reports having difficulty cleansing
herself after voiding or passing stool. Which of the following
demonstrate assessment findings that cluster to indicate the
nursing diagnosis Impaired Urination. (Select all that apply.)
Correct Answer - Dysuria
- Nocturia
A nurse enters a patient's room at the beginning of a shift to
conduct an assessment of his condition following a blood
transfusion. The nurse cared for the patient on the previous day
as well. The patient has a number of issues he wishes to share
with the nurse, who takes time to explore each issue. The nurse
, also assesses the patient and finds no signs or symptoms of a
reaction to the blood product. The nurse observed the patient the
prior day and sees a change in his behavior, a reluctance to get
out of bed and ambulate. Which of the following actions
improve the nurse's ability to make clinical decisions about this
patient? (Select all that apply.) Correct Answer - Spending time
during the patient assessment.
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation.
A nurse has been caring for a patient with a chronic wound that
has not been healing. The nurse talks with a nurse specialist in
wound care to find alternative approaches from what the health
care pro-vider ordered for dressing the wound. The two decide
that because of the patient's allergy to tape a nonallergenic
dressing will be used. The nurse obtains an order from the health
care provider for the new dressing. After two days there is
improvement in the wound. This is an example of which critical
thinking standards? (Select all that apply.) Correct Answer -
Relevant
- Risk taking
- Creativity
A nurse has seen many cancer patients struggle with pain
management because they are afraid of becoming addicted to the
medicine. Pain control is a priority for cancer care. By helping
patients focus on their values and beliefs about pain control, a
nurse can best make clinical decisions. This is an example of
Correct Answer Applying ethical criteria.
