N125 EXAM 1 STUDY GUIDE 2025/26
QUESTIONS WITH COMPLETE SOLUTIONS.
1 of 68
Term
A nurse is assigned to care for a woman who is expecting her first
child. The nurse organizes herself and plans to gather data about the
patient by applying Pender's health promotion model, including the
patient's characteristics and experiences and situational influences.
She plans to observe patient behavior and consider the patient's
psychosocial issues. Such data will offer a clear understanding to
help the nurse identify the patient's needs. This is an example of
which of the following concepts? (Select all that apply.)
1. Diagnostic reasoning
2.Deductive reasoning
,Inductive reasoning
Assessment
Problem solving
Give this one a try later!
1, 3, 4, 5 2, 4
D 1, 4
Don't know?
,2 of 68
Term
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.)
1. Working the same shift each day
2.Spending time during the patient assessment
3. Knowing the early mobility protocol guidelines
4. Caring for the patient on consecutive days.
5. Knowing the pattern of patient behavior about ambulation
Give this one a try later!
2, 4 2, 4, 5
2, 3, 5, 1, 4
Assessment
1, 4
Diagnosis
Planning
Intervention
Implementation
, Don't know?
3 of 68
Term
Which instruction might the nurse give to nursing assistive
personnel (NAP) that is applicable only to temporal artery
temperature assessment?
1. An accurate temperature reading is obtained with moisture on
the forehead.
2.Put on a disposable sensor cover before taking the temporal
artery temperature.
3. Place the sensor flush on the patient's forehead.
4. Obtain the temperature reading on the lower neck.
Give this one a try later!
2
Assessing the patient for a pulse deficit is useful in identifying an alteration in
cardiac output.
Although reassessing the pulse is appropriate, this is not the priority action
because the presence of an irregular rhythm has already been established.
4
This statement identifies a significant change in the patient's apical pulse rate and
the reason for the deviation in the rate.
QUESTIONS WITH COMPLETE SOLUTIONS.
1 of 68
Term
A nurse is assigned to care for a woman who is expecting her first
child. The nurse organizes herself and plans to gather data about the
patient by applying Pender's health promotion model, including the
patient's characteristics and experiences and situational influences.
She plans to observe patient behavior and consider the patient's
psychosocial issues. Such data will offer a clear understanding to
help the nurse identify the patient's needs. This is an example of
which of the following concepts? (Select all that apply.)
1. Diagnostic reasoning
2.Deductive reasoning
,Inductive reasoning
Assessment
Problem solving
Give this one a try later!
1, 3, 4, 5 2, 4
D 1, 4
Don't know?
,2 of 68
Term
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.)
1. Working the same shift each day
2.Spending time during the patient assessment
3. Knowing the early mobility protocol guidelines
4. Caring for the patient on consecutive days.
5. Knowing the pattern of patient behavior about ambulation
Give this one a try later!
2, 4 2, 4, 5
2, 3, 5, 1, 4
Assessment
1, 4
Diagnosis
Planning
Intervention
Implementation
, Don't know?
3 of 68
Term
Which instruction might the nurse give to nursing assistive
personnel (NAP) that is applicable only to temporal artery
temperature assessment?
1. An accurate temperature reading is obtained with moisture on
the forehead.
2.Put on a disposable sensor cover before taking the temporal
artery temperature.
3. Place the sensor flush on the patient's forehead.
4. Obtain the temperature reading on the lower neck.
Give this one a try later!
2
Assessing the patient for a pulse deficit is useful in identifying an alteration in
cardiac output.
Although reassessing the pulse is appropriate, this is not the priority action
because the presence of an irregular rhythm has already been established.
4
This statement identifies a significant change in the patient's apical pulse rate and
the reason for the deviation in the rate.
