NURSING 101 EXAM 2 2026/2027 | NURSING 101 EXAM 2 QUESTIONS,
STUDY GUIDE & REVIEW
A nurse uses an institution's policy & procedure manual to confirm how to apply a surgical
dressing. The level of critical thinking the nurse is using is:
1 commitment
2 complex critical thinking
3 scientific method
4. basic critical thinking - Correct answer ✔✔ Correct answer # 4 - reading the policy and
procedure book demonstrates basic critical thinking.
A nurse enters the room of a patient with diabetes & heart disease. The nurse notes that the
patient's color & facial expression suggest something is not right. An assessment of VS, the
patient's BGM & a review of the patient's diet intake this am help the nurse verify the pt has a
low GBM. The nurse's reaction to the patient's color & expression is best described as:
1 diagnostic reasoning
2. Intuition
3 thinking independently
4 clinical inference - Correct answer ✔✔ Correct answer # 2 - the last sentence states this is the
nurse's reaction - or gut instinct - which would be intuition.
The nurse cares for a pt receiving tube feedings. The nurse tries to irrigate the tube but is not
successful. The nurse checks the medical record to see if other nurses have had difficulty with
the tube. The nurse checks the tube & finds no kinking. The nurse's actions are an example of
what critical thinking competency?
1 responsibility
2 clinical inference
,3. problem solving
4 preciseness - Correct answer ✔✔ Correct answer # 3 - the nurse is using problem solving skills
to determine if others have had problems with the tube, she checks for physical reasons as to
why the tube may not be working - these all involve problem solving skills.
The nurse completes his/her day & discusses the experience with a best friend. The nurse is
concerned about an error made in setting up an IV infusion. He/she recalls being distracted
when the charge nurse asked a question in the medication room. He/she states "You know, so
much was happening at the time, I should have stopped to answer the question & then double
checked my IV infusion tubing." This is an example of:
1 risk taking
2 humility
3. reflection
4 problem solving - Correct answer ✔✔ Correct answer # 3 - p 90 - when the nurse examines
her day - reflects back on what occurred - this is part of critical thinking and involves
deliberately recalling a situation to discovering its purpose or meaning
A pt has a pressure ulcer resulting from urine incontinence & sustained pressure over her
coccyx. The nursing plan of care includes a goal of "pressure ulcer will heal in 3 weeks." Which
of the following is an evaluative measure for this goal?
1 turn the patient every 90 minutes
2. measure the diameter of the ulcer
3 measure the color of the patient's urine
4 determine patient's report of discomfort during turning - Correct answer ✔✔ Correct answer
# 2 - goals need to be realistic and measurable.
,A nurse has been interviewing a newly assigned pt. the cues from the assessment suggest that
the pt has had a problem with breathing. The nurse does not validate the findings by doing a
physical examination. This is an example of what type of error? An error in:
1 data clustering
2 data collection
3 diagnostic statement
4. interpretation & analysis - Correct answer ✔✔ Correct answer # 2 - This is an error in data
collection. In this case the nurse did not completely collect the data. The nurse should have
done a physical examination on the patient's respiratory system to identify objective causes for
the patient's breathing difficulties.
A nursing student is reporting off at the end of the shift to an RN. He/she tells the RN that the pt
has a priority nursing dx of pain. The student also tells the RN that the last time the ordered
analgesic was given was 2 hrs ago. The pt continues to c/o pain at a level of 4. The student also
tried repositioning & distracting to reduce the pt discomfort. The student has observed the pt
grimacing while turning. What expected outcome measure did the student report to the RN?
1. administration of the analgesic as ordered
2. use of distraction as a pain relief measure
3. reported pain level of
4. observation of the pt grimacing during turning - Correct answer ✔✔ Correct answer # 3 -
reported pain level of 4/10
A secondary benefit of thorough documentation is that information gathered from a patient
record can be used to:
1. protect the nurse in legal cases
2. show that the patient was unpleasant to staff
, 3. document the author's assessment of other health care providers
4. document opinions about the patient's family - Correct answer ✔✔ Correct answer # 1
Protect in legal cases- this is a secondary benefit to accurate / thorough documentation.
When giving a change of shift report, you are expected to:
1. include community resources that the patient can contact
2. include a step by step description of how to perform procedures
3. provide an organized and concise description of patient status and anticipated needs
4. review signs and symptoms of complications that should be reported to the health care
provider - Correct answer ✔✔ Correct answer # 3 provide an organized and concise description
of patient status and anticipated needs- the purpose of passing on report is an accurate
description of the patient's current status
When you receive telephone orders from a health care provider you must:
1. make a photocopy of the order to avoid errors
2. read back the order to the prescriber
3. wait until the prescriber signs the order
4. include why the telephone order was needed - Correct answer ✔✔ Correct answer # 2 -
when receiving a telephone order the nurse must read the order back to the healthcare
provider for accuracy.
A patient has been started on a diuretic for hypertension and needs to learn about the
medication's side effects. Understanding this information will require learning in the:
1. cognitive domain
2. affective domain
STUDY GUIDE & REVIEW
A nurse uses an institution's policy & procedure manual to confirm how to apply a surgical
dressing. The level of critical thinking the nurse is using is:
1 commitment
2 complex critical thinking
3 scientific method
4. basic critical thinking - Correct answer ✔✔ Correct answer # 4 - reading the policy and
procedure book demonstrates basic critical thinking.
A nurse enters the room of a patient with diabetes & heart disease. The nurse notes that the
patient's color & facial expression suggest something is not right. An assessment of VS, the
patient's BGM & a review of the patient's diet intake this am help the nurse verify the pt has a
low GBM. The nurse's reaction to the patient's color & expression is best described as:
1 diagnostic reasoning
2. Intuition
3 thinking independently
4 clinical inference - Correct answer ✔✔ Correct answer # 2 - the last sentence states this is the
nurse's reaction - or gut instinct - which would be intuition.
The nurse cares for a pt receiving tube feedings. The nurse tries to irrigate the tube but is not
successful. The nurse checks the medical record to see if other nurses have had difficulty with
the tube. The nurse checks the tube & finds no kinking. The nurse's actions are an example of
what critical thinking competency?
1 responsibility
2 clinical inference
,3. problem solving
4 preciseness - Correct answer ✔✔ Correct answer # 3 - the nurse is using problem solving skills
to determine if others have had problems with the tube, she checks for physical reasons as to
why the tube may not be working - these all involve problem solving skills.
The nurse completes his/her day & discusses the experience with a best friend. The nurse is
concerned about an error made in setting up an IV infusion. He/she recalls being distracted
when the charge nurse asked a question in the medication room. He/she states "You know, so
much was happening at the time, I should have stopped to answer the question & then double
checked my IV infusion tubing." This is an example of:
1 risk taking
2 humility
3. reflection
4 problem solving - Correct answer ✔✔ Correct answer # 3 - p 90 - when the nurse examines
her day - reflects back on what occurred - this is part of critical thinking and involves
deliberately recalling a situation to discovering its purpose or meaning
A pt has a pressure ulcer resulting from urine incontinence & sustained pressure over her
coccyx. The nursing plan of care includes a goal of "pressure ulcer will heal in 3 weeks." Which
of the following is an evaluative measure for this goal?
1 turn the patient every 90 minutes
2. measure the diameter of the ulcer
3 measure the color of the patient's urine
4 determine patient's report of discomfort during turning - Correct answer ✔✔ Correct answer
# 2 - goals need to be realistic and measurable.
,A nurse has been interviewing a newly assigned pt. the cues from the assessment suggest that
the pt has had a problem with breathing. The nurse does not validate the findings by doing a
physical examination. This is an example of what type of error? An error in:
1 data clustering
2 data collection
3 diagnostic statement
4. interpretation & analysis - Correct answer ✔✔ Correct answer # 2 - This is an error in data
collection. In this case the nurse did not completely collect the data. The nurse should have
done a physical examination on the patient's respiratory system to identify objective causes for
the patient's breathing difficulties.
A nursing student is reporting off at the end of the shift to an RN. He/she tells the RN that the pt
has a priority nursing dx of pain. The student also tells the RN that the last time the ordered
analgesic was given was 2 hrs ago. The pt continues to c/o pain at a level of 4. The student also
tried repositioning & distracting to reduce the pt discomfort. The student has observed the pt
grimacing while turning. What expected outcome measure did the student report to the RN?
1. administration of the analgesic as ordered
2. use of distraction as a pain relief measure
3. reported pain level of
4. observation of the pt grimacing during turning - Correct answer ✔✔ Correct answer # 3 -
reported pain level of 4/10
A secondary benefit of thorough documentation is that information gathered from a patient
record can be used to:
1. protect the nurse in legal cases
2. show that the patient was unpleasant to staff
, 3. document the author's assessment of other health care providers
4. document opinions about the patient's family - Correct answer ✔✔ Correct answer # 1
Protect in legal cases- this is a secondary benefit to accurate / thorough documentation.
When giving a change of shift report, you are expected to:
1. include community resources that the patient can contact
2. include a step by step description of how to perform procedures
3. provide an organized and concise description of patient status and anticipated needs
4. review signs and symptoms of complications that should be reported to the health care
provider - Correct answer ✔✔ Correct answer # 3 provide an organized and concise description
of patient status and anticipated needs- the purpose of passing on report is an accurate
description of the patient's current status
When you receive telephone orders from a health care provider you must:
1. make a photocopy of the order to avoid errors
2. read back the order to the prescriber
3. wait until the prescriber signs the order
4. include why the telephone order was needed - Correct answer ✔✔ Correct answer # 2 -
when receiving a telephone order the nurse must read the order back to the healthcare
provider for accuracy.
A patient has been started on a diuretic for hypertension and needs to learn about the
medication's side effects. Understanding this information will require learning in the:
1. cognitive domain
2. affective domain
