NR 509 week 1 Exam 2024-2025
After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be.
A. Objective
B. Reflective
C. Subjective
D. Introspective - ANSWERSA. Objective
A patient tells the nurse that he is very nervous, is nauseated and feels hot. These
types of data would be
A. Objective
B. Reflective
C. Subjective
D. Introspective - ANSWERSC. Subjective
The patients record, laboratory studies, objective data, and subjective data combine to
form the
A. Data base
B. Admitting data
C. Financial Statement
D. Discharge Summary - ANSWERSA. Data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The nurses next action should be to
A. Immediately notify the patients physician
B. Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present -
ANSWERSC. Validate the data by asking a coworker to listen to breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session,
the nurse should keep in mind that novice nurses, without a background of skills and
experience from which to draw, are more likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors - ANSWERSb. A set of rules.
, Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
A. Intuition
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning - ANSWERSA. Intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
A. EBP relies on tradition for support of best practices
B. EBP is simply the use of best practice techniques for the treatment of patients
C. EBP emphasizes the use of best evidence with the clinicians experience
D. The patients own preferences are not important with EBP. - ANSWERSC. EBP
emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress - ANSWERSD. Individual
with shortness of breath and respiratory distress
When considering priority settings of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs - ANSWERSC. Abnormal laboratory values
Which critical thinking skill helps see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant - ANSWERSB. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the ________ diagnosis
A. Nursing
B. Medical
C. Admission
D. Collaborative - ANSWERSA. Nursing
The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment and discharge planning
, C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation - ANSWERSD. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
D. Sleep, pain and breathing - ANSWERSA. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment - ANSWERSC. Diagnostic hypothesis
Barriers to EBP include:
A. Nurses lack research skills in evaluating the quality of research studies
B. Lack of significant research studies
C. Insufficient clinical skills of nurses
D. Inadequate physical assessment skills - ANSWERSA. Nurses lack research skills in
evaluating the quality of research studies
What step of the nursing process includes data collection by health history, physical
examination and interview?
A. Planning
B. Diagnosis
C. Evaluation
D. Assessment - ANSWERSD. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which
suggestion by the nurse manager would best help these problems?
A. Forma committee to conduct research studies
B. Post published research studies on the units bulletin boards
C. Encourage the nurse to visit the library to review studies
D. Teach the nurses how to conduct electronic searchers for research studies -
ANSWERSD. Teach the nurses how to conduct electronic searchers for research
studies
When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
A. Disease originates from the external environment
B. The individual human is a closed system
After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be.
A. Objective
B. Reflective
C. Subjective
D. Introspective - ANSWERSA. Objective
A patient tells the nurse that he is very nervous, is nauseated and feels hot. These
types of data would be
A. Objective
B. Reflective
C. Subjective
D. Introspective - ANSWERSC. Subjective
The patients record, laboratory studies, objective data, and subjective data combine to
form the
A. Data base
B. Admitting data
C. Financial Statement
D. Discharge Summary - ANSWERSA. Data base
When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The nurses next action should be to
A. Immediately notify the patients physician
B. Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present -
ANSWERSC. Validate the data by asking a coworker to listen to breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session,
the nurse should keep in mind that novice nurses, without a background of skills and
experience from which to draw, are more likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors - ANSWERSb. A set of rules.
, Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
A. Intuition
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning - ANSWERSA. Intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
A. EBP relies on tradition for support of best practices
B. EBP is simply the use of best practice techniques for the treatment of patients
C. EBP emphasizes the use of best evidence with the clinicians experience
D. The patients own preferences are not important with EBP. - ANSWERSC. EBP
emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress - ANSWERSD. Individual
with shortness of breath and respiratory distress
When considering priority settings of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs - ANSWERSC. Abnormal laboratory values
Which critical thinking skill helps see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant - ANSWERSB. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies
on the appropriateness of the ________ diagnosis
A. Nursing
B. Medical
C. Admission
D. Collaborative - ANSWERSA. Nursing
The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment and discharge planning
, C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation - ANSWERSD. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
D. Sleep, pain and breathing - ANSWERSA. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment - ANSWERSC. Diagnostic hypothesis
Barriers to EBP include:
A. Nurses lack research skills in evaluating the quality of research studies
B. Lack of significant research studies
C. Insufficient clinical skills of nurses
D. Inadequate physical assessment skills - ANSWERSA. Nurses lack research skills in
evaluating the quality of research studies
What step of the nursing process includes data collection by health history, physical
examination and interview?
A. Planning
B. Diagnosis
C. Evaluation
D. Assessment - ANSWERSD. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which
suggestion by the nurse manager would best help these problems?
A. Forma committee to conduct research studies
B. Post published research studies on the units bulletin boards
C. Encourage the nurse to visit the library to review studies
D. Teach the nurses how to conduct electronic searchers for research studies -
ANSWERSD. Teach the nurses how to conduct electronic searchers for research
studies
When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
A. Disease originates from the external environment
B. The individual human is a closed system
