NSG2113 FINAL EXAM THE NURSING
PROCESS UPDATED ACTUAL Exam
Questions and CORRECT Answers
What is the nursing process? - CORRECT ANSWER - a five-step clinical decision-making
approach that consists of assessment, diagnosis, planning, implementation, and evaluation. The
purpose of the nursing process is to assist nurses in identifying and treating patients' health-
related concerns and help patients attain agreed-upon health outcomes
•Fundamental to how nurses practice
•
•An iterative process
Cognitive framework through which one I am so identify, diagnose, and treat actual and potential
health issues and challenges of clients from a holistic perspective.
what are the 5 stages to the nursing process? - CORRECT ANSWER - Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing assessment - CORRECT ANSWER - is the deliberate and systematic collection of
data to determine a client's current and past health status and functional status and to determine
the client's present and past coping patterns
The nursing process begins with the first step, assessment, which is the collection of pertinent
data to the clients health status or situation.
,what are the steps to nursing assessment? - CORRECT ANSWER - •Collection &
verification of data
•Analysis of data
Nurses begin their assistant by documenting a comprehensive nursing health history, a detailed
database that allows them to Plant and curio nursing care to meet clients needs. The goal of the
health history is to focus on the client strengths and available supports will also highlighting
pricing or potential health challenges.
what is the purpose of Nursing assessment? - CORRECT ANSWER - •To establish a
database about the client's health status including their perceived needs and health problems that
will inform the nurse's clinical decision-making.
•
•Uncovers experiences, health practices, goals, values, and expectations
what are the two types of data? - CORRECT ANSWER - objective data and subjective
data
Nurses learn to differentiate important data from the total data collected. What is a cue? what is
an inference? - CORRECT ANSWER - A cue is information the nurse obtains free use of
the senses. An inference is one's judgement or interpretation of those cues. For example, a clients
crying is a cue that can imply fear or sadness
objective data - CORRECT ANSWER - -Observations, clinical measurements or
assessments
-Example:
•Afebrile
•Heart rate: 98 beats per minute
•Respirations: 20/min (O2 3L/min by nasal prongs)
Blood pressure:180/98 mm Hg
, subjective data - CORRECT ANSWER - -Client's verbal descriptions of condition
-Example:
"It hurts when I move."
sources of data: explain and differentiate primary, secondary, and tertiary - CORRECT
ANSWER - primary source = client
secondary source = •Family and significant others
•Health care team
•Medical records
tertiary source = •Literature
•Nurse's experience
a change in shift report would be an example of which source of data? - CORRECT
ANSWER - secondary. In the acute care setting, the change of shift report is away for
nurses from one shift to communicate information to nurses on the next shift. When nurses,
physicians, or other staff consult about a clients condition, it typically have information about the
client.
Nursing assessment: Methods of data collection
what is the first step in establishing a database?
what must be taken into consideration? - CORRECT ANSWER - -Introduce yourself,
explain your role & role of other HCP
-Establish a therapeutic relationship
-Obtain insight about the client's concerns and worries
-Determine the clients' goals and expectations
-Obtain cues about what may require further assessment
PROCESS UPDATED ACTUAL Exam
Questions and CORRECT Answers
What is the nursing process? - CORRECT ANSWER - a five-step clinical decision-making
approach that consists of assessment, diagnosis, planning, implementation, and evaluation. The
purpose of the nursing process is to assist nurses in identifying and treating patients' health-
related concerns and help patients attain agreed-upon health outcomes
•Fundamental to how nurses practice
•
•An iterative process
Cognitive framework through which one I am so identify, diagnose, and treat actual and potential
health issues and challenges of clients from a holistic perspective.
what are the 5 stages to the nursing process? - CORRECT ANSWER - Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing assessment - CORRECT ANSWER - is the deliberate and systematic collection of
data to determine a client's current and past health status and functional status and to determine
the client's present and past coping patterns
The nursing process begins with the first step, assessment, which is the collection of pertinent
data to the clients health status or situation.
,what are the steps to nursing assessment? - CORRECT ANSWER - •Collection &
verification of data
•Analysis of data
Nurses begin their assistant by documenting a comprehensive nursing health history, a detailed
database that allows them to Plant and curio nursing care to meet clients needs. The goal of the
health history is to focus on the client strengths and available supports will also highlighting
pricing or potential health challenges.
what is the purpose of Nursing assessment? - CORRECT ANSWER - •To establish a
database about the client's health status including their perceived needs and health problems that
will inform the nurse's clinical decision-making.
•
•Uncovers experiences, health practices, goals, values, and expectations
what are the two types of data? - CORRECT ANSWER - objective data and subjective
data
Nurses learn to differentiate important data from the total data collected. What is a cue? what is
an inference? - CORRECT ANSWER - A cue is information the nurse obtains free use of
the senses. An inference is one's judgement or interpretation of those cues. For example, a clients
crying is a cue that can imply fear or sadness
objective data - CORRECT ANSWER - -Observations, clinical measurements or
assessments
-Example:
•Afebrile
•Heart rate: 98 beats per minute
•Respirations: 20/min (O2 3L/min by nasal prongs)
Blood pressure:180/98 mm Hg
, subjective data - CORRECT ANSWER - -Client's verbal descriptions of condition
-Example:
"It hurts when I move."
sources of data: explain and differentiate primary, secondary, and tertiary - CORRECT
ANSWER - primary source = client
secondary source = •Family and significant others
•Health care team
•Medical records
tertiary source = •Literature
•Nurse's experience
a change in shift report would be an example of which source of data? - CORRECT
ANSWER - secondary. In the acute care setting, the change of shift report is away for
nurses from one shift to communicate information to nurses on the next shift. When nurses,
physicians, or other staff consult about a clients condition, it typically have information about the
client.
Nursing assessment: Methods of data collection
what is the first step in establishing a database?
what must be taken into consideration? - CORRECT ANSWER - -Introduce yourself,
explain your role & role of other HCP
-Establish a therapeutic relationship
-Obtain insight about the client's concerns and worries
-Determine the clients' goals and expectations
-Obtain cues about what may require further assessment
