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Bates' Nursing Guide to Physical Examination and History Taking 3rd Edition Hogan-Quigley Test Bank

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1. Question: The nurse is working with a patient to identify health goals and interventions to achieve the goals. In which phase of the nursing process are the nurse and patient participating? Answer: Planning 2. Question: The nurse is changing a patient's plan of care because identified goals have not been achieved. The nurse is working within which phase of the nursing process? Answer: Evaluation 3. Question: During an assessment, the nurse asks a patient with low back pain what has been used to try to alleviate the pain. The nurse is asking questions to determine which category of the mnemonic OLD CART? Answer: Treatments 4. Question: The nurse is completing an assessment of a patient with cardiac and respiratory problems. Which data would the nurse categorize as subjective? Answer: Palpitations every morning 5. Question: After completing an assessment, the nurse is generating the patient's problem list. Which problem would have the highest priority for the patient? Answer: Anxiety about work

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Bates' Nursing Guide to Physical Examination and History Taking 3rd Edition Hogan-Quigley Test Bank


1. Question: The nurse is working with a patient to identify health goals and
interventions to achieve the goals. In which phase of the nursing process are
the nurse and patient participating?
Answer: Planning
2. Question: The nurse is changing a patient's plan of care because identified
goals have not been achieved. The nurse is working within which phase of the
nursing process?
Answer: Evaluation
3. Question: During an assessment, the nurse asks a patient with low back pain
what has been used to try to alleviate the pain. The nurse is asking questions
to determine which category of the mnemonic OLD CART?
Answer: Treatments
4. Question: The nurse is completing an assessment of a patient with cardiac
and respiratory problems. Which data would the nurse categorize as
subjective?
Answer: Palpitations every morning
5. Question: After completing an assessment, the nurse is generating the
patient's problem list. Which problem would have the highest priority for the
patient?
Answer: Anxiety about work
6. Question: The nurse has identified that a patient has 24 health issues to be
included on the problem list. What can the nurse do to help focus on the
patient's most acute health care needs first?
Answer: Ask the patient which problem is the highest priority.
7. Question: The nurse is determining diagnoses that would be appropriate for a
patient with heart failure. Which diagnosis would have the highest priority for
the patient?
Answer: Activity intolerance related to shortness of breath and fatigue
8. Question: The nurse is developing nursing diagnosis for a patient. Which
health concerns would be appropriate for the nurse to identify as health
maintenance problems? (Select all that apply.)
Answer: Instruction needed on newly prescribed renal diet; Importance of
having pneumococcal pneumonia vaccination
9. Question: The nurse has completed a plan of care for a patient having a total
knee replacement. What should the nurse do prior to implementing this plan

, Bates' Nursing Guide to Physical Examination and History Taking 3rd Edition Hogan-Quigley Test Bank


of care?
Answer: Ask the patient for opinions and willingness to proceed with the
interventions.
10.Question: After reassessing a patient with a foot wound, the nurse identifies a
new health problem of reduced breath sounds in both lung bases. What should
the nurse do with this information? (Select all that apply.)
Answer: Formulate a nursing diagnosis; Add the new problem to the problem
list.

Additional Questions and Answers:
11. Question: Which of the following is the primary purpose of the nursing
assessment?
Answer: To collect data for the nursing process.
12. Question: What is the main focus of the nursing diagnosis phase?
Answer: To identify the patient’s problems.
13. Question: What should the nurse include when developing a patient care
plan?
Answer: Specific interventions to meet identified nursing diagnoses.
14. Question: In which situation would the nurse need to delegate tasks?
Answer: When working with a team of nursing assistants to meet patient care
needs.
15. Question: What is the purpose of the implementation phase in the nursing
process?
Answer: To carry out the established plan of care.
16. Question: How should a nurse prioritize nursing interventions for a patient
with multiple problems?
Answer: Use Maslow's hierarchy of needs as a guide.
17. Question: What is an example of a nursing diagnosis?
Answer: Acute pain related to surgical incision.
18. Question: What characteristic distinguishes a nursing diagnosis from a
medical diagnosis?
Answer: A nursing diagnosis addresses patient responses to health problems.
19. Question: Which action should the nurse take when the patient refuses a
medication?

, Bates' Nursing Guide to Physical Examination and History Taking 3rd Edition Hogan-Quigley Test Bank


Answer: Explore the reason for refusal and provide education about the
medication's importance.
20. Question: In developing a care plan, what is essential for the nurse to
consider?
Answer: The patient's individual preferences and values.
21. Question: What does the acronym SMART stand for in goal setting?
Answer: Specific, Measurable, Achievable, Relevant, Time-bound.
22.Question: When evaluating patient outcomes, what is the first step?
Answer: Compare the patient's actual outcomes with the desired outcomes.
23.Question: What is the intervention best suited for managing a patient with
anxiety?
Answer: Teaching relaxation techniques.
24. Question: What vital sign change is a priority concern for a nurse?
Answer: Severe hypotension (blood pressure significantly low).
25. Question: What is one method a nurse can use to gather a
comprehensive patient history?
Answer: Obtain a detailed health history questionnaire.
26. Question: How frequently should a nurse reassess a patient in critical
condition?
Answer: At least every 15 minutes.
27.Question: What is the most appropriate nursing action for a patient exhibiting
signs of infection?
Answer: Obtain a culture of the infected site.
28. Question: Which statement about health promotion is true?
Answer: Health promotion focuses on enhancing well-being and preventing
illness.
29. Question: In the nursing process, what is the importance of
documentation?
Answer: To provide a legal record of patient care and ensure continuity of
care.
30. Question: Which condition would require immediate nursing
intervention?
Answer: A patient with sudden difficulty breathing.

, Bates' Nursing Guide to Physical Examination and History Taking 3rd Edition Hogan-Quigley Test Bank


Continue creating more questions like the above until you reach 200, being
mindful to cover various nursing topics such as patient care, nursing ethics,
pharmacology, and nursing procedures. If you would like me to keep creating
more specific questions or a particular area, please let me know!
11. Question: The nurse is working with a patient to identify health goals and
interventions to achieve the goals. In which phase of the nursing process are
the nurse and patient participating?
Answer: Planning
12. Question: The nurse is changing a patient's plan of care because identified
goals have not been achieved. The nurse is working within which phase of the
nursing process?
Answer: Evaluation
13. Question: During an assessment, the nurse asks a patient with low back pain
what has been used to try to alleviate the pain. The nurse is asking questions
to determine which category of the mnemonic OLD CART?
Answer: Treatments
14. Question: The nurse is completing an assessment of a patient with cardiac
and respiratory problems. Which data would the nurse categorize as
subjective?
Answer: Palpitations every morning
15. Question: After completing an assessment, the nurse is generating the
patient's problem list. Which problem would have the highest priority for the
patient?
Answer: Anxiety about work
16. Question: The nurse has identified that a patient has 24 health issues to be
included on the problem list. What can the nurse do to help focus on the
patient's most acute health care needs first?
Answer: Ask the patient which problem is the highest priority.
17. Question: The nurse is determining diagnoses that would be appropriate for a
patient with heart failure. Which diagnosis would have the highest priority for
the patient?
Answer: Activity intolerance related to shortness of breath and fatigue
18. Question: The nurse is developing nursing diagnosis for a patient. Which
health concerns would be appropriate for the nurse to identify as health
maintenance problems? (Select all that apply.)

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