Fundamentals of nursing Exam 2 With
The Best Answers
which objective is included in the implementation phase of the nursing process? -
CORRECT ANSWER-reporting significant changes observed that require intervention
arrange the steps of the problem solving process in the correct order - CORRECT
ANSWER-define the problem
consider all possible alternatives
consider the possible outcomes
predict the likelihood of each outcome
choose the alternative with fewest undesirable outcomes
which phase of the scientific method is similar to the identification of problems in the
nursing process? - CORRECT ANSWER-analyzing the information
which factor is included the steps of the problem-solving process? - CORRECT
ANSWER-identification of the problem
the nurse is reviewing medical reports and determines that the patient has an inflamed
appendix based on symptoms and laboratory reports. Which phase of the nursing
process would this indicate? - CORRECT ANSWER-nursing diagnosis
the nurse has completed the initial data collection from a patient with chronic kidney
disease. How would the nurse arrive at the nursing diagnosis? - CORRECT ANSWER-
considering the assessment database
which action would the nurse take to ensure effective communication while conversing
with a peer or another team member? - CORRECT ANSWER-thinking and assessing
the topic before speaking
which component would be needed for a concept map for a newly diagnosed diabetic?
select all that apply - CORRECT ANSWER-alc of 8.5
glucometer teaching initiated
,follow up after discharge with an endocrinologist
notation that the patient is experiencing polyuria, polydipsia, and polyphagia
metformin 1000 mg PO twice a day and insulin glargine 10 units SQ at bedtime
prescribed
the nurse suggests that a patient avoid eating cabbage because the patient's thyroid
stimulating hormone is 4.12 mlU/L. Which skill would be most effective for the nurse to
correlate the relationship between diet and condition? - CORRECT ANSWER-concept
mapping
which role would the licensed practical nurse have in the nursing process? select all that
apply - CORRECT ANSWER-planning
data collection
implementation
a patient reports having lower abdominal pain described asa dull ache that does not
radiate and express concern that it may be a heart attack. Which action would be
appropriate if the nurse is convinced that the patient is not having a heart attack? select
all that apply - CORRECT ANSWER-looking at this situation objectively
using criteria to educate the patient
supporting the findings and conclusion
which factor is involved in critical thinking? - CORRECT ANSWER-focused, purposeful
mental activity
the nurse knows that prioritizing patient problems is usually based on which factor? -
CORRECT ANSWER-Maslow's hierarchy of needs
which statement is correct regarding the plan of care for a patient? - CORRECT
ANSWER-plans of care should be collaborative process
which main purpose does a concept map have? - CORRECT ANSWER-to promote
critical thinking
the nurse is caring for a patient with hypertension and finds that the patient has
improved blood pressure after modifying diet and performing exercise daily. Which
phase of the nursing process would this describe? - CORRECT ANSWER-evaluation
in which step of the nursing process is the goal to measure outcomes? - CORRECT
ANSWER-evaluation
,which step is involved in the scientific method of problem solving? select all that apply -
CORRECT ANSWER-developing solutions
defining the problem
analyzing the information
which action by the registered nurse would be an example of clinical judgment? -
CORRECT ANSWER-determining a necessary change of treatment based on
laboratory values
a patient with blood pressure of 150/96 mm Hg and a migraine headache has been
advised to avoid foods rich in sodium. Which skill would be required to depict the
relationship between diet and the patient's condition? - CORRECT ANSWER-critical
thinking
which nursing intervention would reduce effective communication? - CORRECT
ANSWER-answering the patient spontaneously without a second thought
which component of the critical thinking process would the nurse carry out by gathering
data to determine if expected outcomes have been achieved? - CORRECT ANSWER-
evaluation
which patient would be considered a low priority in the emergency department? -
CORRECT ANSWER-patient with a sore throat
which order of the nursing process would the nurse follow while caring for a patient with
tuberculosis? - CORRECT ANSWER-data collection
nursing diagnosis
planning
implementation
evaluation
which patient would be the priority when the nurse is caring for several patients? -
CORRECT ANSWER-a patient with coronary heart disease experiencing chest pain
which intervention by the nurse caring for a patient with severe skin burns would be part
of the implementation phase of the nursing care plan? - CORRECT ANSWER-gathering
equipment and supplies to perform a dressing
, a patient with a sprained ankle is prescribed pain medication but refuses to take it and
insists on acupuncture treatment for pain relief. Which action by the nurse would
indicate open mindedness? select all that apply - CORRECT ANSWER-respecting the
patient's view
developing tolerance to differences of opinion
the nurse is caring for a malnourished patient and observes that the patient's
hemoglobin is low. Which nursing action would help promote the patient's health? -
CORRECT ANSWER-including green, leafy vegetables in the diet
the registered nurse delegates to a licensed practical nurse the task of monitoring intake
and output for all patient who were treated for heart failure on a cardiac medical unit.
Which component of the nursing process included delegation? - CORRECT ANSWER-
implementation
which nursing action would be appropriate when a diabetic patient arrives with
symptoms suggestive of hypoglycemia? - CORRECT ANSWER-offering foods in rich in
glucose
a patient who received penicillin develops a rash on the right hand, and the patient asks
why the rash developed. In which way would the nurse respond to the patient's
question? - CORRECT ANSWER-using previous knowledge
the nurse is caring for a patient with diabetes mellitus who is hospitalized. Which priority
intervention would the nurse perform for the patient? - CORRECT ANSWER-assessing
blood glucose regularly
which intervention would be the priority for a debilitated older adult patient who is
bedridden, has reduced libido, is unable to eat, and experiences urinary incontinence? -
CORRECT ANSWER-improving skin integrity
a patient who has a blood pressure of 140/96 mm Hg is unable to afford the costly
medication. Which alternative would the nurse suggest to help the patient control blood
pressure? - CORRECT ANSWER-a diet low in sodium
the nurse is caring for a patient after an appendectomy. When entering the room, the
nurse notices that the patient is stretching to reach the call bell. Which action would be
the priority for the nurse? - CORRECT ANSWER-placing a call bell within reach
which priority action would the nurse take when preparing to provide morning care for a
newly admitted patient who was diagnosed with diabetes type 1? - CORRECT
ANSWER-analyzing the patient's health care record
The Best Answers
which objective is included in the implementation phase of the nursing process? -
CORRECT ANSWER-reporting significant changes observed that require intervention
arrange the steps of the problem solving process in the correct order - CORRECT
ANSWER-define the problem
consider all possible alternatives
consider the possible outcomes
predict the likelihood of each outcome
choose the alternative with fewest undesirable outcomes
which phase of the scientific method is similar to the identification of problems in the
nursing process? - CORRECT ANSWER-analyzing the information
which factor is included the steps of the problem-solving process? - CORRECT
ANSWER-identification of the problem
the nurse is reviewing medical reports and determines that the patient has an inflamed
appendix based on symptoms and laboratory reports. Which phase of the nursing
process would this indicate? - CORRECT ANSWER-nursing diagnosis
the nurse has completed the initial data collection from a patient with chronic kidney
disease. How would the nurse arrive at the nursing diagnosis? - CORRECT ANSWER-
considering the assessment database
which action would the nurse take to ensure effective communication while conversing
with a peer or another team member? - CORRECT ANSWER-thinking and assessing
the topic before speaking
which component would be needed for a concept map for a newly diagnosed diabetic?
select all that apply - CORRECT ANSWER-alc of 8.5
glucometer teaching initiated
,follow up after discharge with an endocrinologist
notation that the patient is experiencing polyuria, polydipsia, and polyphagia
metformin 1000 mg PO twice a day and insulin glargine 10 units SQ at bedtime
prescribed
the nurse suggests that a patient avoid eating cabbage because the patient's thyroid
stimulating hormone is 4.12 mlU/L. Which skill would be most effective for the nurse to
correlate the relationship between diet and condition? - CORRECT ANSWER-concept
mapping
which role would the licensed practical nurse have in the nursing process? select all that
apply - CORRECT ANSWER-planning
data collection
implementation
a patient reports having lower abdominal pain described asa dull ache that does not
radiate and express concern that it may be a heart attack. Which action would be
appropriate if the nurse is convinced that the patient is not having a heart attack? select
all that apply - CORRECT ANSWER-looking at this situation objectively
using criteria to educate the patient
supporting the findings and conclusion
which factor is involved in critical thinking? - CORRECT ANSWER-focused, purposeful
mental activity
the nurse knows that prioritizing patient problems is usually based on which factor? -
CORRECT ANSWER-Maslow's hierarchy of needs
which statement is correct regarding the plan of care for a patient? - CORRECT
ANSWER-plans of care should be collaborative process
which main purpose does a concept map have? - CORRECT ANSWER-to promote
critical thinking
the nurse is caring for a patient with hypertension and finds that the patient has
improved blood pressure after modifying diet and performing exercise daily. Which
phase of the nursing process would this describe? - CORRECT ANSWER-evaluation
in which step of the nursing process is the goal to measure outcomes? - CORRECT
ANSWER-evaluation
,which step is involved in the scientific method of problem solving? select all that apply -
CORRECT ANSWER-developing solutions
defining the problem
analyzing the information
which action by the registered nurse would be an example of clinical judgment? -
CORRECT ANSWER-determining a necessary change of treatment based on
laboratory values
a patient with blood pressure of 150/96 mm Hg and a migraine headache has been
advised to avoid foods rich in sodium. Which skill would be required to depict the
relationship between diet and the patient's condition? - CORRECT ANSWER-critical
thinking
which nursing intervention would reduce effective communication? - CORRECT
ANSWER-answering the patient spontaneously without a second thought
which component of the critical thinking process would the nurse carry out by gathering
data to determine if expected outcomes have been achieved? - CORRECT ANSWER-
evaluation
which patient would be considered a low priority in the emergency department? -
CORRECT ANSWER-patient with a sore throat
which order of the nursing process would the nurse follow while caring for a patient with
tuberculosis? - CORRECT ANSWER-data collection
nursing diagnosis
planning
implementation
evaluation
which patient would be the priority when the nurse is caring for several patients? -
CORRECT ANSWER-a patient with coronary heart disease experiencing chest pain
which intervention by the nurse caring for a patient with severe skin burns would be part
of the implementation phase of the nursing care plan? - CORRECT ANSWER-gathering
equipment and supplies to perform a dressing
, a patient with a sprained ankle is prescribed pain medication but refuses to take it and
insists on acupuncture treatment for pain relief. Which action by the nurse would
indicate open mindedness? select all that apply - CORRECT ANSWER-respecting the
patient's view
developing tolerance to differences of opinion
the nurse is caring for a malnourished patient and observes that the patient's
hemoglobin is low. Which nursing action would help promote the patient's health? -
CORRECT ANSWER-including green, leafy vegetables in the diet
the registered nurse delegates to a licensed practical nurse the task of monitoring intake
and output for all patient who were treated for heart failure on a cardiac medical unit.
Which component of the nursing process included delegation? - CORRECT ANSWER-
implementation
which nursing action would be appropriate when a diabetic patient arrives with
symptoms suggestive of hypoglycemia? - CORRECT ANSWER-offering foods in rich in
glucose
a patient who received penicillin develops a rash on the right hand, and the patient asks
why the rash developed. In which way would the nurse respond to the patient's
question? - CORRECT ANSWER-using previous knowledge
the nurse is caring for a patient with diabetes mellitus who is hospitalized. Which priority
intervention would the nurse perform for the patient? - CORRECT ANSWER-assessing
blood glucose regularly
which intervention would be the priority for a debilitated older adult patient who is
bedridden, has reduced libido, is unable to eat, and experiences urinary incontinence? -
CORRECT ANSWER-improving skin integrity
a patient who has a blood pressure of 140/96 mm Hg is unable to afford the costly
medication. Which alternative would the nurse suggest to help the patient control blood
pressure? - CORRECT ANSWER-a diet low in sodium
the nurse is caring for a patient after an appendectomy. When entering the room, the
nurse notices that the patient is stretching to reach the call bell. Which action would be
the priority for the nurse? - CORRECT ANSWER-placing a call bell within reach
which priority action would the nurse take when preparing to provide morning care for a
newly admitted patient who was diagnosed with diabetes type 1? - CORRECT
ANSWER-analyzing the patient's health care record
