NURS 305 Final Exam Questions And
Answers
What is evidence based practice? -
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integration of research evidence, clinical expertise, clinical knowledge, and patient
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values and preferences
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-clinical decision fl
What are the 5 steps of evidence based practice? -
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1. Ask the Clinical questions
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2. Collect the best evidence
fl fl fl fl
3. Appraise & synthesize the evidence
fl fl fl fl fl
4. Apply the relevant evidence
fl fl fl fl
5. Evaluate the outcomes
fl fl fl
What is included in the first level priority? -
fl fl fl fl fl fl fl fl fl
Airway
fl fl fl fl fl fl fl fl fl fl fl fl
Breathing
Circulation
What is included in the second level priority? -
fl fl fl fl fl fl fl fl fl
Mental status change
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Acute pain fl
Infection risk fl
Abnormal values fl
Climate
What is included in the third level priority? -
fl fl fl fl fl fl fl fl fl
Lack of knowledge
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Mobility problems fl
Family coping fl
After completing an initial assessment of a patient, the nurse has charted that his respirations
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
are eupneic and
fl fl fl
his pulse is 58 beats per minute. These types of data would be:
fl fl fl fl fl fl fl fl fl fl fl fl
a. Objective
fl
b. Reflective
fl
c. Subjective
fl
d. Introspective -
fl fl fl
a. Objective
fl fl fl fl fl fl fl fl fl fl fl fl fl
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
would be:
fl fl
a. Objective
fl
b. Reflective
fl
c. Subjective
fl
d. Introspective -
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1|Pa g e
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,fl fl fl fl fl fl fl fl fl fl fl fl c. Subjective fl
The patients record, laboratory studies, objective data, and subjective data combine to form
fl fl fl fl fl fl fl fl fl fl fl fl
the:
fl
a. Data base
fl fl
b. Admitting data
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c. Financial statement
fl fl
d. Discharge summary -
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a. Data base
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
nurses next
fl fl
action should be to: fl fl fl
a. Immediately notify the patients physician
fl fl fl fl fl
b. Document the sound exactly as it was heard
fl fl fl fl fl fl fl fl
c. Validate the data by asking a coworker to listen to the breath sounds
fl fl fl fl fl fl fl fl fl fl fl fl fl
d. Assess again in 20 minutes to note whether the sound is still present -
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
c. Validate the data by asking a coworker to listen to the breath sounds
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
should keep
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in mind that novice nurses, without a background of skills and experience from which to draw,
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
are more likely
fl fl fl
to make their decisions using:
fl fl fl fl
a. Intuition
fl
b. A set of rules
fl fl fl fl
c. Articles in journals
fl fl fl
d. Advice from supervisors -
fl fl fl fl fl
b. A set of rules
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Expert nurses learn to attend to a pattern of assessment data and act without consciously
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
labeling it. These
fl fl fl
responses are referred to as: fl fl fl fl
a. Intuition
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b. The nursing process
fl fl fl
c. Clinical knowledge
fl fl
d. Diagnostic reasoning -
fl fl fl fl
a. Intuition
fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is reviewing information about evidence-based practice (EBP). Which statement
fl fl fl fl fl fl fl fl fl fl
best reflects
fl fl
EBP?
a. EBP relies on tradition for support of best practices
fl fl fl fl fl fl fl fl fl
b. EBP is simply the use of best practice techniques for the treatment of patients
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
c. EBP emphasizes the use of best evidence with the clinicians experience
fl fl fl fl fl fl fl fl fl fl fl
d. The patients own preferences are not important with EBP -
fl fl fl fl fl fl fl fl fl fl fl
c. EBP emphasizes the use of best evidence with the clinicians experience
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
an example
fl fl
2|Pa g e fl fl
,of a first-level priority problem?
fl fl fl fl
a. Patient with postoperative pain
fl fl fl fl
b. Newly diagnosed patient with diabetes who needs diabetic teaching
fl fl fl fl fl fl fl fl fl
c. Individual with a small laceration on the sole of the foot
fl fl fl fl fl fl fl fl fl fl fl
d. Individual with shortness of breath and respiratory distress -
fl fl fl fl fl fl fl fl fl fl
d. Individual with shortness of breath and respiratory distress
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
When considering priority setting of problems, the nurse keeps in mind that second-level
fl fl fl fl fl fl fl fl fl fl fl fl
priority problems
fl fl
include which of these aspects? fl fl fl fl
a. Low self-esteem
fl fl
b. Lack of knowledge
fl fl fl
c. Abnormal laboratory values
fl fl fl
d. Severely abnormal vital signs -
fl fl fl fl fl fl
c. Abnormal laboratory values
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Which critical thinking skill helps the nurse see relationships among the data?
fl fl fl fl fl fl fl fl fl fl fl
a. Validation
fl
b. Clustering related cues
fl fl fl
c. Identifying gaps in data
fl fl fl fl
d. Distinguishing relevant from irrelevant -
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b. Clustering related cues
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
difficulty
fl
breathing. How should the nurse prioritize these problems? fl fl fl fl fl fl fl
a. Breathing, pain, and sleep
fl fl fl fl
b. Breathing, sleep, and pain
fl fl fl fl
c. Sleep, breathing, and pain
fl fl fl fl
d. Sleep, pain, and breathing -
fl fl fl fl fl fl
a. Breathing, pain, and sleep
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Barriers to incorporating EBP include: fl fl fl fl
a. Nurses lack of research skills in evaluating the quality of research studies
fl fl fl fl fl fl fl fl fl fl fl fl
b. Lack of significant research studies
fl fl fl fl fl
c. Insufficient clinical skills of nurses
fl fl fl fl fl
d. Inadequate physical assessment skills -
fl fl fl fl fl fl
a. Nurses lack of research skills in evaluating the quality of research studies
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
During a staff meeting, nurses discuss the problems with accessing research studies to
fl fl fl fl fl fl fl fl fl fl fl fl
incorporate evidence-based clinical decision making into their practice. Which suggestion by
fl fl fl fl fl fl fl fl fl fl fl
the nurse manager would best help these problems?
fl fl fl fl fl fl fl fl
a. Form a committee to conduct research studies
fl fl fl fl fl fl fl
b. Post published research studies on the units bulletin boards
fl fl fl fl fl fl fl fl fl
c. Encourage the nurses to visit the library to review studies
fl fl fl fl fl fl fl fl fl fl
d. Teach the nurses how to conduct electronic searches for research studies -
fl fl fl fl fl fl fl fl fl fl fl fl fl
d. Teach the nurses how to conduct electronic searches for research studies
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is performing a physical assessment on a newly admitted patient. An example of
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
objective
fl
3|Pa g e
fl fl
, information obtained during the physical assessment includes the: fl fl fl fl fl fl fl
a. Patients history of allergies
fl fl fl fl
b. Patients use of medications at home
fl fl fl fl fl fl
c. Last menstrual period 1 month ago
fl fl fl fl fl fl
d. 2.5 cm scar on the right lower forearm -
fl fl fl fl fl fl fl fl fl fl
d. 2.5 cm scar on the right lower forearm
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
What are the steps of the nursing process? -
fl fl fl fl fl fl fl fl fl
Assessment
fl fl fl fl fl fl fl fl fl fl fl fl
Diagnosis
Planning
Implementation
Evaluation
What does assessment include? -
fl fl fl fl fl
-interview
fl fl fl fl fl fl fl fl fl fl fl fl
-health history fl
-physical exam fl
-functional assessment fl
-cultural and spiritual assessment fl fl fl
-consultation
-review of literature fl fl
What does diagnosis include? -fl fl fl fl fl
-interpret data
fl fl fl fl fl fl fl fl fl fl fl fl fl
-identify clusters of cues fl fl fl
-make inferences-validate inferences
fl fl
-compare clusters of cues with definitions and defining characteristics
fl fl fl fl fl fl fl fl
-identifying related factors fl fl
-documenting diagnosis fl
-nursing diagnosis not medical diagnosis fl fl fl fl
What does planning include? - fl fl fl fl fl
-establish priorities
fl fl fl fl fl fl fl fl fl fl fl fl fl
-develop outcomes fl
-set timelines for outcomes
fl fl fl
-identify interventions fl
-integrate evidence-based trends and research fl fl fl fl
-document plan of care fl fl fl
What does implementation include? -
fl fl fl fl fl
-determine patient readiness
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
-review planned interventions and carry them out
fl fl fl fl fl fl
-collab w other team members fl fl fl fl
-delegate appropriate responsibilities fl fl
-counsel the patient and their family fl fl fl fl fl
-involve patient in plan of care fl fl fl fl fl
What does evaluation include? -
fl fl fl fl fl
-evaluate the patient's condition & compare actual outcomes to expected
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
4|Pa g e
fl fl
Answers
What is evidence based practice? -
fl fl fl fl fl fl
integration of research evidence, clinical expertise, clinical knowledge, and patient
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
values and preferences
fl fl fl
-clinical decision fl
What are the 5 steps of evidence based practice? -
fl fl fl fl fl fl fl fl fl fl
1. Ask the Clinical questions
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
2. Collect the best evidence
fl fl fl fl
3. Appraise & synthesize the evidence
fl fl fl fl fl
4. Apply the relevant evidence
fl fl fl fl
5. Evaluate the outcomes
fl fl fl
What is included in the first level priority? -
fl fl fl fl fl fl fl fl fl
Airway
fl fl fl fl fl fl fl fl fl fl fl fl
Breathing
Circulation
What is included in the second level priority? -
fl fl fl fl fl fl fl fl fl
Mental status change
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Acute pain fl
Infection risk fl
Abnormal values fl
Climate
What is included in the third level priority? -
fl fl fl fl fl fl fl fl fl
Lack of knowledge
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Mobility problems fl
Family coping fl
After completing an initial assessment of a patient, the nurse has charted that his respirations
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
are eupneic and
fl fl fl
his pulse is 58 beats per minute. These types of data would be:
fl fl fl fl fl fl fl fl fl fl fl fl
a. Objective
fl
b. Reflective
fl
c. Subjective
fl
d. Introspective -
fl fl fl
a. Objective
fl fl fl fl fl fl fl fl fl fl fl fl fl
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
would be:
fl fl
a. Objective
fl
b. Reflective
fl
c. Subjective
fl
d. Introspective -
fl fl fl
1|Pa g e
fl fl
,fl fl fl fl fl fl fl fl fl fl fl fl c. Subjective fl
The patients record, laboratory studies, objective data, and subjective data combine to form
fl fl fl fl fl fl fl fl fl fl fl fl
the:
fl
a. Data base
fl fl
b. Admitting data
fl fl
c. Financial statement
fl fl
d. Discharge summary -
fl fl fl fl
a. Data base
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
nurses next
fl fl
action should be to: fl fl fl
a. Immediately notify the patients physician
fl fl fl fl fl
b. Document the sound exactly as it was heard
fl fl fl fl fl fl fl fl
c. Validate the data by asking a coworker to listen to the breath sounds
fl fl fl fl fl fl fl fl fl fl fl fl fl
d. Assess again in 20 minutes to note whether the sound is still present -
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
c. Validate the data by asking a coworker to listen to the breath sounds
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
should keep
fl fl
in mind that novice nurses, without a background of skills and experience from which to draw,
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
are more likely
fl fl fl
to make their decisions using:
fl fl fl fl
a. Intuition
fl
b. A set of rules
fl fl fl fl
c. Articles in journals
fl fl fl
d. Advice from supervisors -
fl fl fl fl fl
b. A set of rules
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Expert nurses learn to attend to a pattern of assessment data and act without consciously
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
labeling it. These
fl fl fl
responses are referred to as: fl fl fl fl
a. Intuition
fl
b. The nursing process
fl fl fl
c. Clinical knowledge
fl fl
d. Diagnostic reasoning -
fl fl fl fl
a. Intuition
fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is reviewing information about evidence-based practice (EBP). Which statement
fl fl fl fl fl fl fl fl fl fl
best reflects
fl fl
EBP?
a. EBP relies on tradition for support of best practices
fl fl fl fl fl fl fl fl fl
b. EBP is simply the use of best practice techniques for the treatment of patients
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
c. EBP emphasizes the use of best evidence with the clinicians experience
fl fl fl fl fl fl fl fl fl fl fl
d. The patients own preferences are not important with EBP -
fl fl fl fl fl fl fl fl fl fl fl
c. EBP emphasizes the use of best evidence with the clinicians experience
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
an example
fl fl
2|Pa g e fl fl
,of a first-level priority problem?
fl fl fl fl
a. Patient with postoperative pain
fl fl fl fl
b. Newly diagnosed patient with diabetes who needs diabetic teaching
fl fl fl fl fl fl fl fl fl
c. Individual with a small laceration on the sole of the foot
fl fl fl fl fl fl fl fl fl fl fl
d. Individual with shortness of breath and respiratory distress -
fl fl fl fl fl fl fl fl fl fl
d. Individual with shortness of breath and respiratory distress
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
When considering priority setting of problems, the nurse keeps in mind that second-level
fl fl fl fl fl fl fl fl fl fl fl fl
priority problems
fl fl
include which of these aspects? fl fl fl fl
a. Low self-esteem
fl fl
b. Lack of knowledge
fl fl fl
c. Abnormal laboratory values
fl fl fl
d. Severely abnormal vital signs -
fl fl fl fl fl fl
c. Abnormal laboratory values
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Which critical thinking skill helps the nurse see relationships among the data?
fl fl fl fl fl fl fl fl fl fl fl
a. Validation
fl
b. Clustering related cues
fl fl fl
c. Identifying gaps in data
fl fl fl fl
d. Distinguishing relevant from irrelevant -
fl fl fl fl fl fl
b. Clustering related cues
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
difficulty
fl
breathing. How should the nurse prioritize these problems? fl fl fl fl fl fl fl
a. Breathing, pain, and sleep
fl fl fl fl
b. Breathing, sleep, and pain
fl fl fl fl
c. Sleep, breathing, and pain
fl fl fl fl
d. Sleep, pain, and breathing -
fl fl fl fl fl fl
a. Breathing, pain, and sleep
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
Barriers to incorporating EBP include: fl fl fl fl
a. Nurses lack of research skills in evaluating the quality of research studies
fl fl fl fl fl fl fl fl fl fl fl fl
b. Lack of significant research studies
fl fl fl fl fl
c. Insufficient clinical skills of nurses
fl fl fl fl fl
d. Inadequate physical assessment skills -
fl fl fl fl fl fl
a. Nurses lack of research skills in evaluating the quality of research studies
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
During a staff meeting, nurses discuss the problems with accessing research studies to
fl fl fl fl fl fl fl fl fl fl fl fl
incorporate evidence-based clinical decision making into their practice. Which suggestion by
fl fl fl fl fl fl fl fl fl fl fl
the nurse manager would best help these problems?
fl fl fl fl fl fl fl fl
a. Form a committee to conduct research studies
fl fl fl fl fl fl fl
b. Post published research studies on the units bulletin boards
fl fl fl fl fl fl fl fl fl
c. Encourage the nurses to visit the library to review studies
fl fl fl fl fl fl fl fl fl fl
d. Teach the nurses how to conduct electronic searches for research studies -
fl fl fl fl fl fl fl fl fl fl fl fl fl
d. Teach the nurses how to conduct electronic searches for research studies
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
The nurse is performing a physical assessment on a newly admitted patient. An example of
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
objective
fl
3|Pa g e
fl fl
, information obtained during the physical assessment includes the: fl fl fl fl fl fl fl
a. Patients history of allergies
fl fl fl fl
b. Patients use of medications at home
fl fl fl fl fl fl
c. Last menstrual period 1 month ago
fl fl fl fl fl fl
d. 2.5 cm scar on the right lower forearm -
fl fl fl fl fl fl fl fl fl fl
d. 2.5 cm scar on the right lower forearm
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
What are the steps of the nursing process? -
fl fl fl fl fl fl fl fl fl
Assessment
fl fl fl fl fl fl fl fl fl fl fl fl
Diagnosis
Planning
Implementation
Evaluation
What does assessment include? -
fl fl fl fl fl
-interview
fl fl fl fl fl fl fl fl fl fl fl fl
-health history fl
-physical exam fl
-functional assessment fl
-cultural and spiritual assessment fl fl fl
-consultation
-review of literature fl fl
What does diagnosis include? -fl fl fl fl fl
-interpret data
fl fl fl fl fl fl fl fl fl fl fl fl fl
-identify clusters of cues fl fl fl
-make inferences-validate inferences
fl fl
-compare clusters of cues with definitions and defining characteristics
fl fl fl fl fl fl fl fl
-identifying related factors fl fl
-documenting diagnosis fl
-nursing diagnosis not medical diagnosis fl fl fl fl
What does planning include? - fl fl fl fl fl
-establish priorities
fl fl fl fl fl fl fl fl fl fl fl fl fl
-develop outcomes fl
-set timelines for outcomes
fl fl fl
-identify interventions fl
-integrate evidence-based trends and research fl fl fl fl
-document plan of care fl fl fl
What does implementation include? -
fl fl fl fl fl
-determine patient readiness
fl fl fl fl fl fl fl fl fl fl fl fl fl fl
-review planned interventions and carry them out
fl fl fl fl fl fl
-collab w other team members fl fl fl fl
-delegate appropriate responsibilities fl fl
-counsel the patient and their family fl fl fl fl fl
-involve patient in plan of care fl fl fl fl fl
What does evaluation include? -
fl fl fl fl fl
-evaluate the patient's condition & compare actual outcomes to expected
fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl fl
4|Pa g e
fl fl
