NUR 150
Nursing 150 Exam 4 Questions with
Verified Answers 2025
A nurse working on a cardiac unit is assigned an 84-year-old patient who was just
admitted with symptoms of lung infection. When the nurse enters the room, the
nurse notices that the patient is short of breath. The patient continues to cough and
has a respiratory rate of 36 breaths/ min. The patient is anxious and states "I am
scared". The nurse does an initial preliminary assessment and follows up 30 mins
later. The nurse's knowledge about the patient results in which of the following
assessment approaches? (select all that apply)
1. Problem-focused approach
2. Structured comprehensive approach
3. Emotion-focused approach
4. Using multiple visits to gather a complete patient database
5. Focusing on the functional health pattern of role-relationship -Correct Answer
✔1, 4
A patient has a pressure injury resulting from urinary incontinence and sustained
pressure over the coccyx. The nursing plan of care includes a goal of "Pressure
injury heals in 3 weeks". Which of the following is an evaluation measure for this
goal? (select all that apply)
1. Turn patient every 90 minutes.
2. Measure the diameter of the pressure injury.
3. Measure urine output.
4. Monitor patient's report of discomfort during turning.
5. Measure depth of pressure injury. -Correct Answer ✔2, 5
NUR 150
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A nurse completes a respiratory assessment on a patient who had abdominal
surgery 1 day ago. During the assessment, the nurse auscultates crackles in both
lower lobes, and the patient's coughs, producing light yellow sputum. The patient's
body temperature is 37.0 C (98.6 F), pulse is 110 beats/min, respiratory rate is 28
breaths/min, and blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is
now 93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of the following goals is appropriate for this patient?
1. Patient's pulse oximetry will be greater than 95%.
2. Instruct patient to deep breathe and cough every 2 hours.
3. Patient's lungs will be clear to auscultation.
4. Patient will be able to sleep through the night. -Correct Answer ✔3
During the implementation step of the nursing process, a nurse reviews and revises
the nursing care plan. Place the following steps of review and revision in the
correct order.
1. Review the care plan.
2. Decide whether the nursing interventions remain appropriate.
3. Reassess the patient.
4. Compare assessment findings to validate existing nursing diagnosis. -Correct
Answer ✔3, 4, 1, 2
Which of the following statements correctly describes the evaluation process?
(select all that apply)
1. Evaluation is an ongoing process.
2. Evaluation usually reveals obvious changes in a patient.
3. Evaluation involves making clinical decisions.
4. Evaluation requires the use of assessment skills.
NUR 150
Nursing 150 Exam 4 Questions with
Verified Answers 2025
A nurse working on a cardiac unit is assigned an 84-year-old patient who was just
admitted with symptoms of lung infection. When the nurse enters the room, the
nurse notices that the patient is short of breath. The patient continues to cough and
has a respiratory rate of 36 breaths/ min. The patient is anxious and states "I am
scared". The nurse does an initial preliminary assessment and follows up 30 mins
later. The nurse's knowledge about the patient results in which of the following
assessment approaches? (select all that apply)
1. Problem-focused approach
2. Structured comprehensive approach
3. Emotion-focused approach
4. Using multiple visits to gather a complete patient database
5. Focusing on the functional health pattern of role-relationship -Correct Answer
✔1, 4
A patient has a pressure injury resulting from urinary incontinence and sustained
pressure over the coccyx. The nursing plan of care includes a goal of "Pressure
injury heals in 3 weeks". Which of the following is an evaluation measure for this
goal? (select all that apply)
1. Turn patient every 90 minutes.
2. Measure the diameter of the pressure injury.
3. Measure urine output.
4. Monitor patient's report of discomfort during turning.
5. Measure depth of pressure injury. -Correct Answer ✔2, 5
NUR 150
, NUR 150
A nurse completes a respiratory assessment on a patient who had abdominal
surgery 1 day ago. During the assessment, the nurse auscultates crackles in both
lower lobes, and the patient's coughs, producing light yellow sputum. The patient's
body temperature is 37.0 C (98.6 F), pulse is 110 beats/min, respiratory rate is 28
breaths/min, and blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is
now 93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of the following goals is appropriate for this patient?
1. Patient's pulse oximetry will be greater than 95%.
2. Instruct patient to deep breathe and cough every 2 hours.
3. Patient's lungs will be clear to auscultation.
4. Patient will be able to sleep through the night. -Correct Answer ✔3
During the implementation step of the nursing process, a nurse reviews and revises
the nursing care plan. Place the following steps of review and revision in the
correct order.
1. Review the care plan.
2. Decide whether the nursing interventions remain appropriate.
3. Reassess the patient.
4. Compare assessment findings to validate existing nursing diagnosis. -Correct
Answer ✔3, 4, 1, 2
Which of the following statements correctly describes the evaluation process?
(select all that apply)
1. Evaluation is an ongoing process.
2. Evaluation usually reveals obvious changes in a patient.
3. Evaluation involves making clinical decisions.
4. Evaluation requires the use of assessment skills.
NUR 150
