Chamberlain College. NR 224 Exam 1.
QUESTIONS QND ANSWERS
\.After data collection and analysis to identify patient problems, what is the next phase
of the nursing process? - Answer-Diagnosis
(data collection AND analysis occur during the Assessment phase)
\.Assessing whether pt goals have been met takes place during which phase of the
nursing process? - Answer-Evaluation
\.Besides during surgery, when is sterile technique used? - Answer-Urinary catheter
insertion, most dressing changes, NT/Trach suctioning..
\.Completing a comprehensive database is done during which phase of the nursing
process? - Answer-assessment
\.During which phase of the nursing process are nursing interventions carried out? -
Answer-Implementation
\.Give an appropriate goal for this nursing diagnosis:
Acute pain r/t surgical site infection aeb pt rates pain 9/10 continuously - Answer-(could
be a number of responses but goals should be written/stated in a format such as):
Pt will _______________ by ________________
For example, pt will rate pain less than 4/10 on pain scale by 1200.
\.How should temperature be assessed in a confused adult? - Answer-Tympanic or
Axillary
\.If a patient's goal is not met, what should the nurse do? - Answer-Re-evaluate pt;
identify issues that prevented pt from achieving goal
\.If a patient's goal was not met, what needs to be done first? - Answer-Reassess the
patient
\.Name at least two signs/symptoms of a localized inflammatory response - Answer-
Redness, edema, pain/tenderness, loss of function
\.Nurses need to adhere to the hospital policies when providing patient care. What is the
term for these policies? - Answer-Institutional practice guidelines
QUESTIONS QND ANSWERS
\.After data collection and analysis to identify patient problems, what is the next phase
of the nursing process? - Answer-Diagnosis
(data collection AND analysis occur during the Assessment phase)
\.Assessing whether pt goals have been met takes place during which phase of the
nursing process? - Answer-Evaluation
\.Besides during surgery, when is sterile technique used? - Answer-Urinary catheter
insertion, most dressing changes, NT/Trach suctioning..
\.Completing a comprehensive database is done during which phase of the nursing
process? - Answer-assessment
\.During which phase of the nursing process are nursing interventions carried out? -
Answer-Implementation
\.Give an appropriate goal for this nursing diagnosis:
Acute pain r/t surgical site infection aeb pt rates pain 9/10 continuously - Answer-(could
be a number of responses but goals should be written/stated in a format such as):
Pt will _______________ by ________________
For example, pt will rate pain less than 4/10 on pain scale by 1200.
\.How should temperature be assessed in a confused adult? - Answer-Tympanic or
Axillary
\.If a patient's goal is not met, what should the nurse do? - Answer-Re-evaluate pt;
identify issues that prevented pt from achieving goal
\.If a patient's goal was not met, what needs to be done first? - Answer-Reassess the
patient
\.Name at least two signs/symptoms of a localized inflammatory response - Answer-
Redness, edema, pain/tenderness, loss of function
\.Nurses need to adhere to the hospital policies when providing patient care. What is the
term for these policies? - Answer-Institutional practice guidelines
