Verified Answers | Galen College of Nursing | Graded A+
1. Which of the following is classified as a second-level priority problem in
nursing assessments?
Low self-esteem
Abnormal laboratory values
Lack of knowledge
Severely abnormal vital signs
2. The RN states, "You mentioned SOB. Tell me about that." This verbal skill is:
Reflection
Direct Question
Open-Ended Question
Facilitation
3. What is the appropriate action for a nurse when uncertain about a patient's
breath sound?
Validate the data by asking a coworker to listen to the breath
sounds
Immediately notify the patient's physician
Document the sound exactly as it was heard
Assess again in 20 minutes to note whether the sound is still present
4. Why is it important to cluster related cues during data analysis in nursing
assessments?
, Clustering related cues helps identify patterns and prioritize patient
care effectively.
Clustering related cues complicates the assessment process.
Clustering related cues is only necessary for documentation
purposes.
Clustering related cues is not relevant to patient care.
5. The nurse has used interpretation regarding a patient statement or actions.
After using this technique, what should the nurse do next?
Allow time for the patient to confirm or correct the inference.
Immediately restate the nurse's conclusion based on the patient's
nonverbal response.
Continue with the interview as though nothing has happened.
Apologize, because using interpretation can be demeaning for the
patient.
6. A second-level priority problem for a patient includes which of the
following?
Knowledge deficit
Low self-esteem
Severely abnormal vital signs.
Abnormal lab values
7. Why is it essential for nurses to consider cultural information during health
assessments?
To simplify the diagnosis process.
, To ensure that care is tailored to the patient's cultural background
and needs.
To comply with legal requirements only.
To enhance communication with all patients regardless of culture.
8. A patient tells the nurse, "I have stomach cramps and feel nauseated." Which
type of data is this?
Subjective
Assessment
Historical
Objective
9. What is one identified barrier to implementing evidence-based practice in
nursing?
There is an abundance of research studies available.
Nurses have too much clinical experience.
Nurses are overqualified for their roles.
Nurses lack of research skills in evaluating the quality of research
studies.
10. If a nurse observes that a pregnant patient is exhibiting signs of anxiety
during a follow-up visit, what would be the most appropriate nursing action?
Engage the patient in a supportive conversation to address her
concerns.
Encourage her to avoid discussing her feelings.
Reassure her that anxiety is uncommon during pregnancy.
, Dismiss her feelings and focus on medical facts.
11. During a routine physical examination, the nurse measures a patient's blood
pressure, heart rate, and respiratory rate. What type of data is the nurse
collecting?
Objective Data
Subjective Data
Affective Data
Psychomotor Data
12. What term describes the combination of a patient's record, laboratory
studies, objective data, and subjective data?
Patient history
Data base
Clinical summary
Health assessment
13. Which data is an example of objective information obtained during the
health assessment of the patient who fell down the steps and hurt their
ankle?
Patient's use of medications at home.
Last menstrual period 1 month ago.
Swelling and bruising of the left ankle.
Patient's history of allergies.
14. The nurse has implemented several planned interventions to address the
nursing diagnosis of acute pain. Which would be the next appropriate