NURS 155/NUR 155 FINAL EXAM
2025/2026 BANK COMPLETE 450
QUESTIONS WITH DETAILED
VERIFIED ANSWERS CURRENTLY
TESTING AND STUDY GUIDE
/ALREADY GRADED A+
A Nurse is caring for elderly patient. The patient states
he's been trying to lose weight over the past 3 months but
he's gained 15 lbs. What is the nurse's next action?
Conduct a patient interview and research the patient's chart
to identify possible reasons for weight gain.
Which step in Tanner's model of clinical judgement
involves processing information understanding the
situation and planning interventions?
Interpreting
The nurse is assigned to a patient with increased memory
loss, confusion and at a high risk of wandering off the unit.
What action will the nurse take at the beginning of the
shift?
,Develop a plan to ensure frequent checks on this patient
with the nursing assistants and other staff for safety.
How do the Spices tool and Epworth sleepiness scale assist
nurses in caring for older adults?
They both collect signs and symptoms to identify potential
risks.
A thinking skill, evaluating data, what is the reason that
assessment data is collected again after actions have been
performed?
To determine the effectiveness of the actions and see if
outcomes were acceptable.
A nurse is caring for a patient with a sudden change in
health status while collecting data, which thinking skill
will the nurse use to determine what information is
meaningful to the patient's condition?
Distinguishing relevant from irrelevant
A driver enters a zone where the speed limit drops from 55
to 35. The driver glances at all the gauges on the
dashboard, then gathers information from the
speedometer to determine what to do next. Which
thinking skill is the driver using in this situation?
Distinguishing relevant from irrelevant
,The LPN is assisting the RN in data collection, how can
the LPN collect complete and accurate data?
Assess the patients eating, sleeping and socialization
patterns.
Which thinking skill does the nurse use when identifying
subjective data and objective data do not match?
Recognizing inconsistencies
Nurse enters patient's room, finds him tearful, holding his
hands in his lap and gazing downward. Using tanner's,
what action will the nurse take?
Ask the patient if something is troubling him.
Which task can a nurse delegate to a nursing assistant?
Assisting the client with a complete bedbath
A 67 yr old, new set of dentures. The nurse notes client is
very excited about the dentures, earlier in the week, but is
not wearing them for meals today. What action will the
nurse take initially?
Ask the patient why they are not wearing dentures today.
Which is a primary source of subjective data?
Patient statements during the interview
Which of the following is considered a secondary source of
data?
, A family member
Patient denies being in pain yet grimaces and moans when
repositioned in the bed. The nurse realizes that what the
patient says does not match what is observed. Which
thinking skill was demonstrated by the nurse?
Recognizing inconsistencies
The nurse is caring for a patient with asthma during the
exam, the nurse first focuses attention on the respiratory
system and then includes all body systems. Which step in
tanner's model of clinical judgement is this nurse
demonstrating?
Assessing systemically and comprehensively.
Millie Larson is an elderly patient who lives at home alone.
She takes multiple medications, has financial concerns,
suffers from stress incontinence, pain in her knees and is at
risk for falls. She has social connections in the community
through her church, cooks her own meals, tends to her
garden and has weekly visits by her family. How will the
nurse appropriately cluster related information?
At risk for falls, pain in the knees, multiple medications
Which thinking skill does the nurse use when deciding
which data relates to the matter at hand?
Distinguishing relevant from irrelevant
2025/2026 BANK COMPLETE 450
QUESTIONS WITH DETAILED
VERIFIED ANSWERS CURRENTLY
TESTING AND STUDY GUIDE
/ALREADY GRADED A+
A Nurse is caring for elderly patient. The patient states
he's been trying to lose weight over the past 3 months but
he's gained 15 lbs. What is the nurse's next action?
Conduct a patient interview and research the patient's chart
to identify possible reasons for weight gain.
Which step in Tanner's model of clinical judgement
involves processing information understanding the
situation and planning interventions?
Interpreting
The nurse is assigned to a patient with increased memory
loss, confusion and at a high risk of wandering off the unit.
What action will the nurse take at the beginning of the
shift?
,Develop a plan to ensure frequent checks on this patient
with the nursing assistants and other staff for safety.
How do the Spices tool and Epworth sleepiness scale assist
nurses in caring for older adults?
They both collect signs and symptoms to identify potential
risks.
A thinking skill, evaluating data, what is the reason that
assessment data is collected again after actions have been
performed?
To determine the effectiveness of the actions and see if
outcomes were acceptable.
A nurse is caring for a patient with a sudden change in
health status while collecting data, which thinking skill
will the nurse use to determine what information is
meaningful to the patient's condition?
Distinguishing relevant from irrelevant
A driver enters a zone where the speed limit drops from 55
to 35. The driver glances at all the gauges on the
dashboard, then gathers information from the
speedometer to determine what to do next. Which
thinking skill is the driver using in this situation?
Distinguishing relevant from irrelevant
,The LPN is assisting the RN in data collection, how can
the LPN collect complete and accurate data?
Assess the patients eating, sleeping and socialization
patterns.
Which thinking skill does the nurse use when identifying
subjective data and objective data do not match?
Recognizing inconsistencies
Nurse enters patient's room, finds him tearful, holding his
hands in his lap and gazing downward. Using tanner's,
what action will the nurse take?
Ask the patient if something is troubling him.
Which task can a nurse delegate to a nursing assistant?
Assisting the client with a complete bedbath
A 67 yr old, new set of dentures. The nurse notes client is
very excited about the dentures, earlier in the week, but is
not wearing them for meals today. What action will the
nurse take initially?
Ask the patient why they are not wearing dentures today.
Which is a primary source of subjective data?
Patient statements during the interview
Which of the following is considered a secondary source of
data?
, A family member
Patient denies being in pain yet grimaces and moans when
repositioned in the bed. The nurse realizes that what the
patient says does not match what is observed. Which
thinking skill was demonstrated by the nurse?
Recognizing inconsistencies
The nurse is caring for a patient with asthma during the
exam, the nurse first focuses attention on the respiratory
system and then includes all body systems. Which step in
tanner's model of clinical judgement is this nurse
demonstrating?
Assessing systemically and comprehensively.
Millie Larson is an elderly patient who lives at home alone.
She takes multiple medications, has financial concerns,
suffers from stress incontinence, pain in her knees and is at
risk for falls. She has social connections in the community
through her church, cooks her own meals, tends to her
garden and has weekly visits by her family. How will the
nurse appropriately cluster related information?
At risk for falls, pain in the knees, multiple medications
Which thinking skill does the nurse use when deciding
which data relates to the matter at hand?
Distinguishing relevant from irrelevant
