Assessment Chapter 1 Test Questions
After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
- ANSObjective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be: - ANSSubjective
The patients record, laboratory studies, objective data, and subjective data combine to form
the: - ANSData Base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to: - ANSValidate the data by asking a coworker to listen to the
breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
from which to draw, are more likely to make their decisions using: - ANSA set of rules
Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as: - ANSIntuitition
The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP? - ANSEBP emphasizes the use of best evidence with the clinicians
experience
The nurse is conducting a class on priority setting for a group of new graduate nurses.
Which is an example of a first-level priority problem? - ANSIndividual with shortness of
breath and respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects? - ANSAbnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data? -
ANSClustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis. - ANSNursing
The nursing process is a sequential method of problem solving that nurses use and includes
which steps? - ANSAssessment, diagnosis, outcome identification, planning,
implementation, and evaluation