Nursing Process (Review Questions from
Fundamentals of Nursing) ACTUAL EXAM AND
PRACTICE EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+
If a nurse focuses on a patient's presenting situation and
begins with problematic areas such as incisional pain or
limited understanding of postoperative recovery, what
approach to assessment is she/he using? -
✔✔ANSWER✔✔-Problem-oriented approach
Before a patient-centered interview, how should the
nurse prepare? - ✔✔ANSWER✔✔-1. Review the patient's
medical record
2. Review the previous nurse's notes
3. Consider the length of the interview
4. Consider the setting of the interview
,How should you begin a patient-centered interview? -
✔✔ANSWER✔✔-Introduce yourself and your position
and explain the purpose of the interview.
-Your aim is to set an agenda for how you will gather
information about a patient's current chief concerns or
problems
Which of the following examples are steps of nursing
assessment? (Select all that apply.)
1. Collection of information from patient's family
members
2. Recognition that further observations are needed to
clarify information
3. Comparison of data with another source to determine
data accuracy
4. Complete documentation of observational information
5. Determining which medications to administer based
on a patient's assessment data - ✔✔ANSWER✔✔-1. 2. 3.
,Rationale: Assessment includes collection of data from
secondary sources such as the patient's family.
Recognizing that more observation is needed is an
example of validation of data. Comparing data to
determine accuracy is a feature of interpretation.
Although complete documentation is an important step
in communicating assessment data, it is not an
assessment step.
When a nurse conducts an assessment, data about a
patient often comes from which of the following sources?
(Select all that apply.)
1. An observation of how a patient turns and moves in
bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with
similar problems - ✔✔ANSWER✔✔-1. 3. 4.
, Rationale: There are many sources of data for an
assessment, including the patient through interview,
observations, and physical examination; family members
or significant others, health care team members such as a
physical therapist, the medical record (which includes x-
ray film results, and the scientific and medical literature.
The nurse observes a patient walking down the hall with
a shuffling gait. When the patient returns to bed, the
nurse checks the strength in both of the patient's legs.
The nurse applies the information gained to suspect that
the patient has a mobility problem. This conclusion is an
example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing. - ✔✔ANSWER✔✔-3.
Rationale: An inference is your judgment or
interpretation of cues such as the shuffling gait and
reduced leg strength. Any information gathered through
your senses is a cue. Probing is a technique used in
Fundamentals of Nursing) ACTUAL EXAM AND
PRACTICE EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+
If a nurse focuses on a patient's presenting situation and
begins with problematic areas such as incisional pain or
limited understanding of postoperative recovery, what
approach to assessment is she/he using? -
✔✔ANSWER✔✔-Problem-oriented approach
Before a patient-centered interview, how should the
nurse prepare? - ✔✔ANSWER✔✔-1. Review the patient's
medical record
2. Review the previous nurse's notes
3. Consider the length of the interview
4. Consider the setting of the interview
,How should you begin a patient-centered interview? -
✔✔ANSWER✔✔-Introduce yourself and your position
and explain the purpose of the interview.
-Your aim is to set an agenda for how you will gather
information about a patient's current chief concerns or
problems
Which of the following examples are steps of nursing
assessment? (Select all that apply.)
1. Collection of information from patient's family
members
2. Recognition that further observations are needed to
clarify information
3. Comparison of data with another source to determine
data accuracy
4. Complete documentation of observational information
5. Determining which medications to administer based
on a patient's assessment data - ✔✔ANSWER✔✔-1. 2. 3.
,Rationale: Assessment includes collection of data from
secondary sources such as the patient's family.
Recognizing that more observation is needed is an
example of validation of data. Comparing data to
determine accuracy is a feature of interpretation.
Although complete documentation is an important step
in communicating assessment data, it is not an
assessment step.
When a nurse conducts an assessment, data about a
patient often comes from which of the following sources?
(Select all that apply.)
1. An observation of how a patient turns and moves in
bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with
similar problems - ✔✔ANSWER✔✔-1. 3. 4.
, Rationale: There are many sources of data for an
assessment, including the patient through interview,
observations, and physical examination; family members
or significant others, health care team members such as a
physical therapist, the medical record (which includes x-
ray film results, and the scientific and medical literature.
The nurse observes a patient walking down the hall with
a shuffling gait. When the patient returns to bed, the
nurse checks the strength in both of the patient's legs.
The nurse applies the information gained to suspect that
the patient has a mobility problem. This conclusion is an
example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing. - ✔✔ANSWER✔✔-3.
Rationale: An inference is your judgment or
interpretation of cues such as the shuffling gait and
reduced leg strength. Any information gathered through
your senses is a cue. Probing is a technique used in
