NU 100 Quiz 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Which step of the nursing process does a nurse use when finding blood pressure of 180/75, a
heart rate of 90, and a patient complaint of chest pain? - CORRECT ANSWER -
Assessment
Which best describes the diagnosis step of the nursing process? - CORRECT ANSWER -
The nurse analyzes, validates, and clusters patient data to identify patient problems. Patient data
clusters are stated in standardized language, which provides clarity and universal understanding
by all health care providers
Which term describes the nurse prioritizing the diagnoses and identifying goals that are realistic,
measurable, and patient-focused with specific outcomes? - CORRECT ANSWER -
Planning
Which actions demonstrate a nurse utilizing critical thinking when her patient complains of
increased pain at the surgical site?
- The nurse verifies that no pain medications were ordered and calls provider on call for pain
medications
- The nurse verifies that no pain medications were ordered and tells patient she has no
medications ordered
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain for patient
- The nurse assesses vital signs and checks to see when patient was last medicated for pain
- The nurse assesses the surgical site to determine the cause of increased pain - CORRECT
ANSWER - - The nurse verifies that no pain medications were ordered and calls provider
on call for pain medications
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain for patient
- The nurse assesses vital signs and checks to see when patient was last medicated for pain
- The nurse assesses the surgical site to determine the cause of increased pain
,A patient reports that his pain level is now a 6 out of 10. The patient's goal for a pain level of 3-4
out of 10 is not met. Which step of the nursing process does this statement reflect? - CORRECT
ANSWER - Evaluation
A nurse educator is reviewing the steps of the nursing process with the class. While reviewing a
case study, the educator asks the students to determine which part of the process a nurse uses
when establishing short- and long-term goals with the patient. How should the students respond?
- CORRECT ANSWER - Planning
A nurse is preparing a presentation to the unit on ANA, the organization that defined the five
steps of the nursing process. What does ANA stand for? - CORRECT ANSWER -
American Nurses Association
What is the primary purpose of the nursing diagnosis? - CORRECT ANSWER -
Communicating patient needs
A patient comes to the emergency department complaining of fever and diarrhea. What should
the nurse ask the patient first? - CORRECT ANSWER - "What is the severity and duration
of your fever and diarrhea?"
Stella Jones, RN, reassesses a patient one hour after giving morphine for the patient's pain. The
patient states that she is still in horrible pain, eliciting a response of 8 out of 10. What would be
the most appropriate intervention? - CORRECT ANSWER - Give additional breakthrough
pain medication
Who first pioneered the term "nursing process"? - CORRECT ANSWER - Lydia Hall
The five steps that make up the nursing process allow it to be: - CORRECT ANSWER -
Dynamic
What does the term "dynamic nature" of the nursing process refer to? - CORRECT
ANSWER - Change over time in response to the patient's needs
, What is a part of the assessment process? - CORRECT ANSWER - Data collection
What analytical questions are asked at each step in the nursing process?
- "Is the data collection thorough and accurate?"
- "Are outcomes general and hopeful?"
- "Have all underlying factors been addressed in the care plan?"
- "Are the interventions available?"
- "Could interventions impact the patient negatively?" - CORRECT ANSWER - - "Is the
data collection thorough and accurate?"
- "Have all underlying factors been addressed in the care plan?"
- "Could interventions impact the patient negatively?"
Which statement illustrates the collaborative characteristic of the nursing practice? - CORRECT
ANSWER - Nurses may incorporate actions by the patient or family to address patient
goals
Which subcategory of planning is recognized by professionals and educators as part of the
traditional five-step nursing process? - CORRECT ANSWER - Outcome identification
Which option exemplifies a short-term goal the nurse may identify during the planning step of
the nursing process? - CORRECT ANSWER - Patient verbalizes a pain level of 4 or 5, out
of 10, within 2 hours of receiving prescribed pain medication
How does the medical record function as a communication tool? - CORRECT ANSWER -
Allows staff to access patient information simultaneously
In which section of the EMR would a nurse find laboratory test values? - CORRECT
ANSWER - Diagnostic results
Questions and CORRECT Answers
Which step of the nursing process does a nurse use when finding blood pressure of 180/75, a
heart rate of 90, and a patient complaint of chest pain? - CORRECT ANSWER -
Assessment
Which best describes the diagnosis step of the nursing process? - CORRECT ANSWER -
The nurse analyzes, validates, and clusters patient data to identify patient problems. Patient data
clusters are stated in standardized language, which provides clarity and universal understanding
by all health care providers
Which term describes the nurse prioritizing the diagnoses and identifying goals that are realistic,
measurable, and patient-focused with specific outcomes? - CORRECT ANSWER -
Planning
Which actions demonstrate a nurse utilizing critical thinking when her patient complains of
increased pain at the surgical site?
- The nurse verifies that no pain medications were ordered and calls provider on call for pain
medications
- The nurse verifies that no pain medications were ordered and tells patient she has no
medications ordered
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain for patient
- The nurse assesses vital signs and checks to see when patient was last medicated for pain
- The nurse assesses the surgical site to determine the cause of increased pain - CORRECT
ANSWER - - The nurse verifies that no pain medications were ordered and calls provider
on call for pain medications
- The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain for patient
- The nurse assesses vital signs and checks to see when patient was last medicated for pain
- The nurse assesses the surgical site to determine the cause of increased pain
,A patient reports that his pain level is now a 6 out of 10. The patient's goal for a pain level of 3-4
out of 10 is not met. Which step of the nursing process does this statement reflect? - CORRECT
ANSWER - Evaluation
A nurse educator is reviewing the steps of the nursing process with the class. While reviewing a
case study, the educator asks the students to determine which part of the process a nurse uses
when establishing short- and long-term goals with the patient. How should the students respond?
- CORRECT ANSWER - Planning
A nurse is preparing a presentation to the unit on ANA, the organization that defined the five
steps of the nursing process. What does ANA stand for? - CORRECT ANSWER -
American Nurses Association
What is the primary purpose of the nursing diagnosis? - CORRECT ANSWER -
Communicating patient needs
A patient comes to the emergency department complaining of fever and diarrhea. What should
the nurse ask the patient first? - CORRECT ANSWER - "What is the severity and duration
of your fever and diarrhea?"
Stella Jones, RN, reassesses a patient one hour after giving morphine for the patient's pain. The
patient states that she is still in horrible pain, eliciting a response of 8 out of 10. What would be
the most appropriate intervention? - CORRECT ANSWER - Give additional breakthrough
pain medication
Who first pioneered the term "nursing process"? - CORRECT ANSWER - Lydia Hall
The five steps that make up the nursing process allow it to be: - CORRECT ANSWER -
Dynamic
What does the term "dynamic nature" of the nursing process refer to? - CORRECT
ANSWER - Change over time in response to the patient's needs
, What is a part of the assessment process? - CORRECT ANSWER - Data collection
What analytical questions are asked at each step in the nursing process?
- "Is the data collection thorough and accurate?"
- "Are outcomes general and hopeful?"
- "Have all underlying factors been addressed in the care plan?"
- "Are the interventions available?"
- "Could interventions impact the patient negatively?" - CORRECT ANSWER - - "Is the
data collection thorough and accurate?"
- "Have all underlying factors been addressed in the care plan?"
- "Could interventions impact the patient negatively?"
Which statement illustrates the collaborative characteristic of the nursing practice? - CORRECT
ANSWER - Nurses may incorporate actions by the patient or family to address patient
goals
Which subcategory of planning is recognized by professionals and educators as part of the
traditional five-step nursing process? - CORRECT ANSWER - Outcome identification
Which option exemplifies a short-term goal the nurse may identify during the planning step of
the nursing process? - CORRECT ANSWER - Patient verbalizes a pain level of 4 or 5, out
of 10, within 2 hours of receiving prescribed pain medication
How does the medical record function as a communication tool? - CORRECT ANSWER -
Allows staff to access patient information simultaneously
In which section of the EMR would a nurse find laboratory test values? - CORRECT
ANSWER - Diagnostic results
