LPN TO RN CLAYWELL FINAL EXAM REVIEW
QUESTIONS WITH 100% CORRECT ANSWERS
1. Which statement by the nurse illustrates how a nursing patient assessment differs from a medical
patient assessment?
a.
The patient is able to stand for 30 seconds before walking 10 feet toward the bathroom without an
assistive device.
b.
The patient is fearful that he will not be discharged home after his hospitalization.
c.
The patient stated he felt pain in his lower back after slipping on his icy driveway.
d.
The patient experienced a persistent cough, and azithromycin was prescribed 6 weeks ago. Today, she
presents with a recurrent cough, green sputum, and worsening shortness of breath. - ANS-ANS: A
The patients being able to stand and walk is the correct answer. The nurse focuses on functional abilities
and deficits in order to focus the plan of care and help identify the outcome priorities. These areas are
not generally assessed by the physician. The patients feeling fearful of his disposition at discharge is
incorrect because the nursing patient assessment does not focus on feelings and behavior. In addition to
subjective data illustrated here by the patients stating the location of his pain, the nurse also uses
objective data for the nursing patient assessment. The statement describing the patients medical history
is not the focus of a nursing patient assessment.
2. The nurse is using Gordons 11 categories for data collection in performing a health assessment. Which
of the following represents assessment of cognition?
a.
How educated is the patient?
b.
, How does the patient describe his or her health?
c.
Is the patient well nourished?
d.
Has the patient had treatment for emotional problems? - ANS-ANS: A
Asking the patients educational level is an assessment of cognition. How the patient describes his or her
health is an assessment of health perception and health management. Asking whether the patient is
well nourished will assess metabolic pattern, and asking the patient about treatment for emotional
problems will assess the patients pattern of coping and stress tolerance.
3. The nurse is charting on the patient who is status post surgery for an abdominal abscess and notes:
Pts temperature has not exceeded 37C this shift. This is an example of a(n):
a.
intervention.
b.
outcome.
c.
plan.
d.
diagnosis or analysis. - ANS-ANS: B
An outcome measures the effectiveness of the plan of care. An intervention, a plan, and a diagnosis or
analysis are incorrect.
4. Which outcome statement is a properly written goal?
a.
The patient will be free of pain.
b.
The patient will verbalize the importance of lifestyle changes.
QUESTIONS WITH 100% CORRECT ANSWERS
1. Which statement by the nurse illustrates how a nursing patient assessment differs from a medical
patient assessment?
a.
The patient is able to stand for 30 seconds before walking 10 feet toward the bathroom without an
assistive device.
b.
The patient is fearful that he will not be discharged home after his hospitalization.
c.
The patient stated he felt pain in his lower back after slipping on his icy driveway.
d.
The patient experienced a persistent cough, and azithromycin was prescribed 6 weeks ago. Today, she
presents with a recurrent cough, green sputum, and worsening shortness of breath. - ANS-ANS: A
The patients being able to stand and walk is the correct answer. The nurse focuses on functional abilities
and deficits in order to focus the plan of care and help identify the outcome priorities. These areas are
not generally assessed by the physician. The patients feeling fearful of his disposition at discharge is
incorrect because the nursing patient assessment does not focus on feelings and behavior. In addition to
subjective data illustrated here by the patients stating the location of his pain, the nurse also uses
objective data for the nursing patient assessment. The statement describing the patients medical history
is not the focus of a nursing patient assessment.
2. The nurse is using Gordons 11 categories for data collection in performing a health assessment. Which
of the following represents assessment of cognition?
a.
How educated is the patient?
b.
, How does the patient describe his or her health?
c.
Is the patient well nourished?
d.
Has the patient had treatment for emotional problems? - ANS-ANS: A
Asking the patients educational level is an assessment of cognition. How the patient describes his or her
health is an assessment of health perception and health management. Asking whether the patient is
well nourished will assess metabolic pattern, and asking the patient about treatment for emotional
problems will assess the patients pattern of coping and stress tolerance.
3. The nurse is charting on the patient who is status post surgery for an abdominal abscess and notes:
Pts temperature has not exceeded 37C this shift. This is an example of a(n):
a.
intervention.
b.
outcome.
c.
plan.
d.
diagnosis or analysis. - ANS-ANS: B
An outcome measures the effectiveness of the plan of care. An intervention, a plan, and a diagnosis or
analysis are incorrect.
4. Which outcome statement is a properly written goal?
a.
The patient will be free of pain.
b.
The patient will verbalize the importance of lifestyle changes.
