NURS 170 EXAM 2 PRACTICE QUESTIONS WITH
CORRECT ANSWERS
A charge nurse is reviewing outcome statements written by a novice nurse. The
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nurse is using the SMART approach. Which patient outcome statement will the
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charge nurse identify as appropriate to the new nurse?
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The patient will feed self at all mealtimes today without reports of shortness of
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breath.
A nurse develops a nursing diagnostic statement for a patient with a medical
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diagnosis of pneumonia with chest x-ray results lower lobe infiltrates. Which
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nursing diagnosis is written correctly?
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Impaired gas exchange related to alveolar-capillary membrane changes as
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evidenced by oxygen saturation of 88% on room air. | | | | | | | |
A nurse is evaluating an expected outcome for a patient that states heart rate will
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be less than 80 beats/min by 12/3. Which finding will alert the nurse that the
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goal has been met?
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Heart rate 78 beats/min on 12/3
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A nurse makes a nursing diagnosis of acute pain related to the postoperative
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abdominal incision. The nurse writes a nursing order to reposition the client in a
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, comfortable by using pillows to splint or support the painful areas. Which type of
| | | | | | | | | | | | | |
nursing intervention did the nurse write?
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Collaborative
Using Maslow's hierarchy of needs, rank the following nursing diagnosis in order
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of importance, beginning with the highest-priority diagnosis:
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1. Risk for Infection
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2. Diarrhea
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3. Disturbed Body Image
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4. Impaired Gas Exchange
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1. Impaired Gas Exchange
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2. Diarrhea
|
3. Risk for Infection
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4. Disturbed Body Image
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The nurse recognizes which examples of objective data?
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Blood pressure of 120/80 mmHG
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Moderate amount of yellow drainage from right ear.
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A charge nurse is making patient care assignments. Which of the following tasks
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should the nurse delegate to assistive personnel (AP)?
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CORRECT ANSWERS
A charge nurse is reviewing outcome statements written by a novice nurse. The
| | | | | | | | | | | | |
nurse is using the SMART approach. Which patient outcome statement will the
| | | | | | | | | | | |
charge nurse identify as appropriate to the new nurse?
| | | | | | | |
The patient will feed self at all mealtimes today without reports of shortness of
| | | | | | | | | | | | | |
breath.
A nurse develops a nursing diagnostic statement for a patient with a medical
| | | | | | | | | | | | |
diagnosis of pneumonia with chest x-ray results lower lobe infiltrates. Which
| | | | | | | | | | |
nursing diagnosis is written correctly?
| | | |
Impaired gas exchange related to alveolar-capillary membrane changes as
| | | | | | | | |
evidenced by oxygen saturation of 88% on room air. | | | | | | | |
A nurse is evaluating an expected outcome for a patient that states heart rate will
| | | | | | | | | | | | | |
be less than 80 beats/min by 12/3. Which finding will alert the nurse that the
| | | | | | | | | | | | | | | |
goal has been met?
| | |
Heart rate 78 beats/min on 12/3
| | | | |
A nurse makes a nursing diagnosis of acute pain related to the postoperative
| | | | | | | | | | | | |
abdominal incision. The nurse writes a nursing order to reposition the client in a
| | | | | | | | | | | | | |
, comfortable by using pillows to splint or support the painful areas. Which type of
| | | | | | | | | | | | | |
nursing intervention did the nurse write?
| | | | |
Collaborative
Using Maslow's hierarchy of needs, rank the following nursing diagnosis in order
| | | | | | | | | | | |
of importance, beginning with the highest-priority diagnosis:
| | | | | |
1. Risk for Infection
| | |
2. Diarrhea
|
3. Disturbed Body Image
| | |
4. Impaired Gas Exchange
| | |
1. Impaired Gas Exchange
| | |
2. Diarrhea
|
3. Risk for Infection
| | |
4. Disturbed Body Image
| | |
The nurse recognizes which examples of objective data?
| | | | | | |
Blood pressure of 120/80 mmHG
| | | |
Moderate amount of yellow drainage from right ear.
| | | | | | |
A charge nurse is making patient care assignments. Which of the following tasks
| | | | | | | | | | | | |
should the nurse delegate to assistive personnel (AP)?
| | | | | | |