Nursing 200 Questions with answers
You're the nurse caring for a patient in the ED with complaints of abdominal pain. Upon entering the
room, you see the patient hunched and grimacing. Which step of the noticing step of Tanner's is the
nurse using? - ANS✅✅Identifying signs and symptoms.
While performing an assessment of your patient, which piece of data would be subjective? -
ANS✅✅Pain level 5/10.
A patient is in the ED with a possible sprained ankle sustained while jogging. The nurse enters the
room for the first time. Which step of Tanner's is the nurse using? - ANS✅✅Noticing.
Which of the following is one of the problems identified by the SPICES tool? - ANS✅✅Sleep
disorders.
An adult patient is hospitalized with a broken femur who is in traction. During assessment the nurse
finds the patient is short of breath. Which of the following data indicates respiratory issues? -
ANS✅✅Bilateral crackles.
Using the SPICES tool with an older patient after a hip replacement, the nurse discovers the patient
has been taking Benadryl every night to sleep. What will do the nurse do next? - ANS✅✅Ask why
they think they are having trouble falling asleep.
An adolescent is admitted for an asthma exacerbation. Upon interview, the patient and parent insist
all medications are taken correctly and they do not need any refills on their medications. The nurse
checks the patient's chart and notices under the medication history their maintenance medication
has not been filled in one year. What is this an example of? - ANS✅✅Gathering complete and
accurate data.
An adult patient returned to the unit from a recovery room after receiving 8mg of Morphine for
pain. The patient's respirations are now 11, pulse ox 92% on room air. The patient responds but is
slow to speak. This is an example of? - ANS✅✅Identifying signs and symptoms.
Which patient cue would require an intervention by the nurse? - ANS✅✅The patient begins to slur
their words while the nurse is talking to them.
, A nurse on a medsurg unit reads the patient's chart and looks at the EMR and speaks with a
physician. The nurse is using which thinking skill? - ANS✅✅Gathering complete and accurate data.
An adolescent patient is walking hunched over holding their abdomen and states "It hurts on the
right side." Which is the correct next step the nurse will take? - ANS✅✅Have the patient lay flat
and do a focused abdominal assessment.
The nurse enters the room of a post op BKA (below knee amputation) and notices a foul odor from
the wound. Which of these would the nurse use next? - ANS✅✅Cues (senses.)
The nurse is assessing a post op appendectomy incision and pain level and observes bright red blood
running down the patient's abdomen. Which critical thinking skill is the nurse using? -
ANS✅✅Identifying signs and symptoms.
What is the purpose of the Palmer SPICES tool? - ANS✅✅To locate problems not picked up during
a physical assessment.
The nurse has complete their assessment on the patient. The nurse begins to ask questions of family
in the room about the patient's condition. Which thinking skill of Tanner's is the nurse using? -
ANS✅✅Gathering complete and accurate data.
The nurse has entered the patient's room for the first time to do an assessment. What is the first
step in Tanner's? - ANS✅✅Noticing.
A patient comes into the ED with complaints of severe supra pubic pain and not being able to
urinate. What action will the nurse take first? - ANS✅✅Perform a focused assessment based on
the complaint.
The critical thinking five step process that professional nurses use to apply best evidence to
caregiving is? - ANS✅✅Nursing process.
The nurse is preparing to administer Lopressor. According to the nursing process, what has the nurse
done previous to administer the medication? - ANS✅✅Obtain a complete set of vital signs.
You're the nurse caring for a patient in the ED with complaints of abdominal pain. Upon entering the
room, you see the patient hunched and grimacing. Which step of the noticing step of Tanner's is the
nurse using? - ANS✅✅Identifying signs and symptoms.
While performing an assessment of your patient, which piece of data would be subjective? -
ANS✅✅Pain level 5/10.
A patient is in the ED with a possible sprained ankle sustained while jogging. The nurse enters the
room for the first time. Which step of Tanner's is the nurse using? - ANS✅✅Noticing.
Which of the following is one of the problems identified by the SPICES tool? - ANS✅✅Sleep
disorders.
An adult patient is hospitalized with a broken femur who is in traction. During assessment the nurse
finds the patient is short of breath. Which of the following data indicates respiratory issues? -
ANS✅✅Bilateral crackles.
Using the SPICES tool with an older patient after a hip replacement, the nurse discovers the patient
has been taking Benadryl every night to sleep. What will do the nurse do next? - ANS✅✅Ask why
they think they are having trouble falling asleep.
An adolescent is admitted for an asthma exacerbation. Upon interview, the patient and parent insist
all medications are taken correctly and they do not need any refills on their medications. The nurse
checks the patient's chart and notices under the medication history their maintenance medication
has not been filled in one year. What is this an example of? - ANS✅✅Gathering complete and
accurate data.
An adult patient returned to the unit from a recovery room after receiving 8mg of Morphine for
pain. The patient's respirations are now 11, pulse ox 92% on room air. The patient responds but is
slow to speak. This is an example of? - ANS✅✅Identifying signs and symptoms.
Which patient cue would require an intervention by the nurse? - ANS✅✅The patient begins to slur
their words while the nurse is talking to them.
, A nurse on a medsurg unit reads the patient's chart and looks at the EMR and speaks with a
physician. The nurse is using which thinking skill? - ANS✅✅Gathering complete and accurate data.
An adolescent patient is walking hunched over holding their abdomen and states "It hurts on the
right side." Which is the correct next step the nurse will take? - ANS✅✅Have the patient lay flat
and do a focused abdominal assessment.
The nurse enters the room of a post op BKA (below knee amputation) and notices a foul odor from
the wound. Which of these would the nurse use next? - ANS✅✅Cues (senses.)
The nurse is assessing a post op appendectomy incision and pain level and observes bright red blood
running down the patient's abdomen. Which critical thinking skill is the nurse using? -
ANS✅✅Identifying signs and symptoms.
What is the purpose of the Palmer SPICES tool? - ANS✅✅To locate problems not picked up during
a physical assessment.
The nurse has complete their assessment on the patient. The nurse begins to ask questions of family
in the room about the patient's condition. Which thinking skill of Tanner's is the nurse using? -
ANS✅✅Gathering complete and accurate data.
The nurse has entered the patient's room for the first time to do an assessment. What is the first
step in Tanner's? - ANS✅✅Noticing.
A patient comes into the ED with complaints of severe supra pubic pain and not being able to
urinate. What action will the nurse take first? - ANS✅✅Perform a focused assessment based on
the complaint.
The critical thinking five step process that professional nurses use to apply best evidence to
caregiving is? - ANS✅✅Nursing process.
The nurse is preparing to administer Lopressor. According to the nursing process, what has the nurse
done previous to administer the medication? - ANS✅✅Obtain a complete set of vital signs.
