NURSING 251 COMPLETE LATEST
ACTUAL EXAM 1 BASED SET WITH
QUESTIONS AND ANSWERS
Nursing Process - ANS-✅A critical thinking five-step process that professional nurses use to apply the
best available evidence to caregiving and promoting human functions and responses to health and
illness
Steps of the Nursing Process - ANS-✅1) Assess - gather information about the patient's condition
2) Diagnosis - identify the patient's problem
3) Plan - set goals of care and desired outcomes and identify appropriate nursing actions
4) Implement - perform the nursing actions identifying in planning
5) Evaluate - determine if goals and expected outcomes are achieved
Subjective Data - ANS-✅Your patients' verbal descriptions of their health problems
Cue - ANS-✅Information that you obtain through use of the senses
Inference - ANS-✅Your judgement or interpretation of these cues
Objective Data - ANS-✅Observations or measurements of a patient's health status
Effective communication with patients during an assessment interview requires what communication
skills? - ANS-✅-Courtesy
-Connection
-Confirmation
Interview - ANS-✅An approach for gathering subjective and objective data from a patient through an
organized conversation
Acronym to guide an assessment - ANS-✅P - Provokes
Q - Quality
R - Radiates
S - Severity
T - Time
Review of Systems - ANS-✅A systematic approach for collecting subjective information from patients
about the presence or absence of health-related issues in each body system
Validation - ANS-✅Assessment data is the comparison of data with another source to determine data
accuracy
Which of the following examples are steps of nursing assessment ? (Select all that apply).
1. Collection of information from patient's family members
2. Recognition that further observations are needed to clarify information
3. Comparison of data with another source to determine data accuracy
4. Complete documentation
5. Determining which medications to administer based on a patient's assessment data - ANS-✅1, 2, 3
A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since
you've been here, but your appointment was for every 2 months. Tell me about that. Also I see from
your last visit that the doctor recommended routine exercise. Can you tell me how successful you've
been in following his plan?" The nurse's assessment cover which of Gordon's functional health patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
, 4. Health perception-health management pattern - ANS-✅4
When a nurse conducts an assessment, data about a patient often comes from which of the following
sources? (Select all that apply).
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with similar problems - ANS-✅1, 3, 4
The nurse observes a patient walking down the hall with a stuffing gait. When the patient returns to bed,
the nurse checks the strength in both of the patient's legs. The nurse applies the information gained to
suspect that the patient has a mobility problem. this conclusion is an example of:
1. Cue
2. Reflection
3. Clinical Inference
4. Probing - ANS-✅3
A 72-year-old patient comes to the health clinic for an annual be diaphoretic, holding his chest and
breathing with difficulty. The nurse immediately checks the patient's heart rate and blood pressure and
asks him, "Tell me where you pain is." Which of the following assessment approaches does this scenario
describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach - ANS-✅4
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you
have difficulty falling or staying asleep?" This series of questions would likely occur during which phase
of a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination - ANS-✅2
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works
part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of
the following approaches demonstrates the nurse's cultural competence in assessing the patient's health
care problems?
1. "I can tell that your eating habits have led to your diabetes. Is that right?"
2. "It's been difficult for people to find jobs. Is that why you work part time?"
3. "You have four children; do you have any concerns about going home and care for them?"
4. "I wish patients understood how overeating affects their health." - ANS-✅3
Which type of interview question does the nurse first use when assessing the reason for a patient
seeking health care?
1. Probing
2. Open-ended
ACTUAL EXAM 1 BASED SET WITH
QUESTIONS AND ANSWERS
Nursing Process - ANS-✅A critical thinking five-step process that professional nurses use to apply the
best available evidence to caregiving and promoting human functions and responses to health and
illness
Steps of the Nursing Process - ANS-✅1) Assess - gather information about the patient's condition
2) Diagnosis - identify the patient's problem
3) Plan - set goals of care and desired outcomes and identify appropriate nursing actions
4) Implement - perform the nursing actions identifying in planning
5) Evaluate - determine if goals and expected outcomes are achieved
Subjective Data - ANS-✅Your patients' verbal descriptions of their health problems
Cue - ANS-✅Information that you obtain through use of the senses
Inference - ANS-✅Your judgement or interpretation of these cues
Objective Data - ANS-✅Observations or measurements of a patient's health status
Effective communication with patients during an assessment interview requires what communication
skills? - ANS-✅-Courtesy
-Connection
-Confirmation
Interview - ANS-✅An approach for gathering subjective and objective data from a patient through an
organized conversation
Acronym to guide an assessment - ANS-✅P - Provokes
Q - Quality
R - Radiates
S - Severity
T - Time
Review of Systems - ANS-✅A systematic approach for collecting subjective information from patients
about the presence or absence of health-related issues in each body system
Validation - ANS-✅Assessment data is the comparison of data with another source to determine data
accuracy
Which of the following examples are steps of nursing assessment ? (Select all that apply).
1. Collection of information from patient's family members
2. Recognition that further observations are needed to clarify information
3. Comparison of data with another source to determine data accuracy
4. Complete documentation
5. Determining which medications to administer based on a patient's assessment data - ANS-✅1, 2, 3
A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since
you've been here, but your appointment was for every 2 months. Tell me about that. Also I see from
your last visit that the doctor recommended routine exercise. Can you tell me how successful you've
been in following his plan?" The nurse's assessment cover which of Gordon's functional health patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
, 4. Health perception-health management pattern - ANS-✅4
When a nurse conducts an assessment, data about a patient often comes from which of the following
sources? (Select all that apply).
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with similar problems - ANS-✅1, 3, 4
The nurse observes a patient walking down the hall with a stuffing gait. When the patient returns to bed,
the nurse checks the strength in both of the patient's legs. The nurse applies the information gained to
suspect that the patient has a mobility problem. this conclusion is an example of:
1. Cue
2. Reflection
3. Clinical Inference
4. Probing - ANS-✅3
A 72-year-old patient comes to the health clinic for an annual be diaphoretic, holding his chest and
breathing with difficulty. The nurse immediately checks the patient's heart rate and blood pressure and
asks him, "Tell me where you pain is." Which of the following assessment approaches does this scenario
describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach - ANS-✅4
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you
have difficulty falling or staying asleep?" This series of questions would likely occur during which phase
of a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination - ANS-✅2
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has diabetes, and works
part time in the kitchen of a restaurant. The patient is facing surgery for gallbladder disease. Which of
the following approaches demonstrates the nurse's cultural competence in assessing the patient's health
care problems?
1. "I can tell that your eating habits have led to your diabetes. Is that right?"
2. "It's been difficult for people to find jobs. Is that why you work part time?"
3. "You have four children; do you have any concerns about going home and care for them?"
4. "I wish patients understood how overeating affects their health." - ANS-✅3
Which type of interview question does the nurse first use when assessing the reason for a patient
seeking health care?
1. Probing
2. Open-ended
