NUR 245 FINAL
EXAM
High-Yield Qs & Answers with Feedback
This Exam Description:
High-Yield Qs
Answers with Feedback
Multiple Choices
100% Guaranteed Pass
1
,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. - CORRECT ANSWER -ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
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. - CORRECT ANSWER -ANS: C
Subjective data are what the person says about him or herself during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
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. - CORRECT ANSWER -ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patients record, laboratory studies, or data.
2
,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 the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present - CORRECT ANSWER -
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
expert to listen.
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. - CORRECT ANSWER -ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
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. - CORRECT ANSWER -ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
3
, 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. - CORRECT ANSWER -ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in
combination with the clinicians experience, as well as patient preferences and values, when
making decisions about care and treatment. EBP is more than simply using the best practice
techniques to treat patients, and questioning tradition is important when no compelling and
supportive research evidence exists.
he 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 - CORRECT ANSWER -ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal
vital signs)
When considering priority setting 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 - CORRECT ANSWER -ANS: C
Second-level priority problems are those that require prompt intervention to forestall further
deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety
or security
Which critical thinking skill helps the nurse see relationships among the
data? a. Validation
4
EXAM
High-Yield Qs & Answers with Feedback
This Exam Description:
High-Yield Qs
Answers with Feedback
Multiple Choices
100% Guaranteed Pass
1
,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. - CORRECT ANSWER -ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
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. - CORRECT ANSWER -ANS: C
Subjective data are what the person says about him or herself during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
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. - CORRECT ANSWER -ANS: A
Together with the patients record and laboratory studies, the objective and subjective data form
the data base. The other items are not part of the patients record, laboratory studies, or data.
2
,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 the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present - CORRECT ANSWER -
ANS: C
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then he or she asks an
expert to listen.
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. - CORRECT ANSWER -ANS: B
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses
intuitive links.
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. - CORRECT ANSWER -ANS: A
Intuition is characterized by pattern recognitionexpert nurses learn to attend to a pattern of
assessment data and act without consciously labeling it. The other options are not correct.
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
3
, 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. - CORRECT ANSWER -ANS: C
EBP is a systematic approach to practice that emphasizes the use of best evidence in
combination with the clinicians experience, as well as patient preferences and values, when
making decisions about care and treatment. EBP is more than simply using the best practice
techniques to treat patients, and questioning tradition is important when no compelling and
supportive research evidence exists.
he 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 - CORRECT ANSWER -ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal
vital signs)
When considering priority setting 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 - CORRECT ANSWER -ANS: C
Second-level priority problems are those that require prompt intervention to forestall further
deterioration (e.g., mental status change, acute pain, abnormal laboratory values, risks to safety
or security
Which critical thinking skill helps the nurse see relationships among the
data? a. Validation
4
