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fundamentals of nursing: assessment, data types and evidence based practices

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Types of Data: Questions 1 and 2 differentiate between objective data (measurable and observable) and subjective data (reported by the patient). Data Combination: Question 3 asks about the combination of different types of data to form a comprehensive patient data base. Evidence-Based Practice (EBP): Question 4 focuses on the principles of EBP, emphasizing the integration of best evidence with clinical expertise. Priority Setting: Question 5 tests the ability to identify first-level priority problems, which are immediate life-threatening issues. Open-Ended Questions: Question 6 identifies an example of an open-ended question, which allows for more detailed patient responses. Nursing Process: Question 7 outlines the steps in the nursing process, a systematic method used by nurses to provide patient care. Key Concepts Covered: Objective and Subjective Data: Understanding the difference between measurable data and patient-reported data. Data Base: Combining various data sources to form a comprehensive patient profile. Evidence-Based Practice (EBP): Using the best available evidence in conjunction with clinical expertise. Priority Setting: Identifying and addressing immediate life-threatening issues. Open-Ended Questions: Encouraging detailed patient responses. Nursing Process: The sequential steps used in nursing to ensure effective patient care.

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NURS 315 TEST 1 REVISED 2024/2025
QUESTIONS AND ANSWERS
1. After completing an initial assessment of a patient, the nurse has charted that the respirations
are 20 respirations per minute and the pulse is 58 beats per minute. These types of data would
be:
a) Objective.
b) Reflective.
c) Subjective.
d) Introspective.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels hot.” These types of
data would be:
a) Objective.
b) Reflective.
c) Subjective.
d) Introspective.
3. The patient’s record, laboratory studies, objective data, and subjective data combine to form
the:
a) Data base.
b) Admitting data.
c) Financial statement.
d) Discharge summary.
4. The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a) EBP relies on tradition for support of best practices.
b) EBP is simply the utilization of the techniques passed down through word of mouth.
c) EBP emphasizes the use of best evidence with the clinician’s experience.
d) The patient’s own preferences are not important with EBP.
5. 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?
a) Patient with postoperative pain
b) Newly diagnosed patient with diabetes who needs diabetic teaching
c) Individual with a small laceration on the sole of the foot
d) Individual with shortness of breath and respiratory distress
6. Which of the following is an example of an open-ended question?
a) Why did you come in today?
b) Where does it hurt
c) Have you been checking your blood pressure.
d) When was the last time you were seen by a physician?

, 7. The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
a) Assessment, treatment, planning, evaluation, discharge, and follow-up
b) Admission, assessment, diagnosis, treatment, and discharge planning c.
c) Admission, diagnosis, treatment, evaluation, and discharge planning
d) Assessment, analysis, planning, implementation, and evaluation
8. What step of the nursing process includes data collection by health history, physical
examination, and interview?
a) Planning
b) Diagnosis
c) Evaluation
d) Assessment
9. When reviewing the concepts of health, the nurse recalls that the components of holistic health
include which of these?
a) Disease originates from the external environment.
b) The individual human is a closed system.
c) Nurses are responsible for a patient’s health state.
d) Holistic health views the mind, body, and spirit as interdependent.
10. The technique of tapping on the body to elicit a sound is known as:
a) Inspection
b) Inspection
c) Percussion
d) Auscultation
11. A patient tells the nurse that she has had abdominal pain for the past week. What would be the
nurse’s best response?
a) “Can you point to where it hurts?”
b) “We’ll talk more about that later in the interview.”
c) “What have you had to eat in the last 24 hours?”
d) “Have you ever had any surgeries on your abdomen?”
12. A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response
to this information?
a) “Are you allergic to any other drugs?”
b) “I’ll write your allergy on your chart, so you won’t receive any penicillin.”
c) “Describe what happens to you when you take penicillin.”
d) “How often have you received penicillin?”
13. Which of these statements represents subjective data the nurse obtained from the patient
regarding the patient’s skin?
a) Skin appears dry.
b) No lesions are obvious.
c) Patient denies any color change.
d) Lesion is noted on the lateral aspect of the right arm.

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September 19, 2024
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