With Rationales | ACTUAL EXAM 2026/2027 |
GALEN COLLEGE OF NURSING
A nurse precepting a student nurse asks, "What's the most important step
in the critical-thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - ✔ANASWER✔-c. Using evidence
based assessment techniques
Rationale: Evidence-based techniques are supported by research
showing effectiveness of the technique that provides the safest and most
current techniques to promote the health of patients. Clustering
subjective and objective data is a step in the critical thinking process, but
is not the most important step. Analyzing health data is a step in the
critical-thinking process, but is not the most important step. Prioritizing
health concerns is a step in the critical-thinking process, but is not the
most important step.
What type of database is most appropriate for an individual who is
admitted to a long-term care facility?
a. Focused
,b. Complete
c. Emergency
d. Follow-up - ✔ANASWER✔-b. Complete
Rationale: A complete database includes a complete health history and a
full physical examination; it describes the current and past health state
and forms a baseline against which all future changes can be measured.
A focused database is for a limited or short-term problem; this database
concerns mainly one problem, one cue complex, or one body system. A
follow-up database is used to follow up on short-term or chronic health
problems; the statuses of identified problems are evaluated at regular
and appropriate intervals. An emergency database includes a rapid
collection of data often obtained concurrently with lifesaving measures.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with
lifesaving measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one
problem, one cue complex, or one body system.
d. used to perform a thorough or comprehensive health history and
physical examination. - ✔ANASWER✔-d. used to perform a
thorough or comprehensive health history and physical examination.
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Rationale: A complete database includes a complete health history and a
full physical examination; it describes the current and past health state
and forms a baseline against which all future changes can be measured.
An emergency database is a
, rapid collection of data often obtained concurrently with lifesaving
measures. A focused database is for a limited or short-term problem; this
database concerns mainly one problem, one cue complex, or one body
system. Medical diagnoses are used to evaluate the cause or etiology of
the disease.
A patient admitted to the hospital with asthma has the following
problems identified based on an admission health history and physical
assessment. Which problem is a first-level priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - ✔ANASWER✔-b. Impaired gas exchange
Rationale: First-level priority problems are problems that are
emergent, life-threatening, and immediate. Impaired gas exchange is
an emergent and immediate problem. Third-level priority problems
are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed.
Ineffective self-health management is an example of a third-level
priority. Second-level priority problems are problems that are next in
urgency; these problems require prompt intervention to forestall
further deterioration. Risk for infection is an example of a second-
level priority. Third-level priority problems are problems that are
important to the patient's health but can be addressed after more
urgent health problems are addressed. Wellness diagnoses are third-
level priority problems.
Which of the following is an example of subjective data?