NURS 200 MIDTERM Career Networks Institute | Questions with 100% Verified Answers | Latest Update

NURS 200 MIDTERM Career Networks Institute | Questions with 100%
Verified Answers | Latest Update
Question: ADPIE
Answer:
A=assessment D=diagnosis P=planning I=implementation E=evaluation

Question: A goal specifies the expected behavior or response that indicates...
Answer:
Resolution of a nursing diagnosis or maintenance of a health state. (if the goal is not met, the problem is
not solved)

Question: Which of these selections is an etiology for Acute pain versus a defining characteristic?
A. Complaint of pain as a 7 on a 0 to 10 scale
B. Disruption of tissue integrity
C. Dull headache
D. Discomfort while changing position
Answer:
B. Disruption of tissue integrity (think PES sx vs. etiology)

Question: Assessment examples
Answer:
auscultation, vitals, comfort level, obtain samples

Question: An 18-year-old woman in the emergency department with fever and cough. The nurse obtains
her vital signs, auscultates her lung sounds, listens to her heart, sounds, determines her level of comfort,
and collects blood and sputum samples for analysis. Which stand of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation
Answer:
C. assessment

Question: One purpose of using standard formal nursing diagnoses in practice is to
A. Form a language that can be encoded only by nurses
B. Distinguish the nurse's role from the physician's role
C. Allow for the communication of patient needs to assistive personnel
D. Help nurses focus on the scope of medical practice.
Answer:

,B. Distinguish the nurse's role from the physician's role (think which is the most important)

Question: Appropriate documentation of a pt who has not heard his test results
Answer:
"The pt stated that he felt frustrated by the lack of information he received regarding his tests." Avoid
opinionated

Question: I this the correct way to document? The patient appears to be upset with his nurse because he
wants his test results immediately.
Answer:
No

Question: evidence-based practice
Answer:
implementing interventions based on scientific rationale (not standardized care plans, tradition, or court)

Question: Before implementing an intervention, critical think to
Answer:
determine whether an intervention is appropriate for the given situation (not to evaluate effectiveness,
establish goals, or actively do something)

Question: Evaluative measures regarding weight
Answer:
Weight and food diary review

Question: Which is the most correct?
A. Patient walked up and down hallway with assistance, tolerated well.
B. Patient up, out of bed, walked down hallway and back to room, tolerated well.
C. Patient walked 50 feet and back down hallway with assistance from nurse. Spouse also accompanied
patient during walk.
D. Patient walked 50 feet and back down hallway with assistance from nurse. HR 88 and regular before
exercise, 94 and regular following exercise.
Answer:
D. Distance (pt walked 50 ft) specific (down hallway) what you did (with assistance from nurse). Vitals
with value and when taken (HR 88 and regular before exercise).

Question: What are some of the defining characteristics of activity intolerance?
A. Decreased oral intake and decreased oxygen saturation when ambulating
B. Decreased oxygen saturation when ambulating and complaints of shortness of breath
C. Complaints of shortness of breath when getting out of bed and a productive cough.

, D. Productive cough and decreased oral intake.
Answer:
B. Decreased o2 sat w/amb and c/o SOB (not productive cough, decreased PO)

Question: 1st thing you do if someone asks to go to the bathroom for first time
Answer:
the review activity orders

Question: T/F you must intervene if a student documented a medication given by another student
Answer:
T

Question: T/F you must intervene if a student included the date and time of all entries in the chart
Answer:
F

Question: T/F you must intervene if a student stood with his back against the wall while documenting on
the computer
Answer:
F-this actually helps maintain privacy

Question: T/F you must intervene if a student signed all documentation electronically
Answer:
F

Question: Giving a med is which standard of practice
Answer:
Implementation

Question: T/F: Does this follow all 7 guidelines for writing a goal (M MOTOR P-C) and outcome
statement? The patient will feed self at all mealtimes today without complaints of shortness of
Answer:
True M=measurable M=mutual factors

Question: breath.
Answer:
O=one outcome T=time limited O=observable R=realistic P-C=patient-centered