Nursing Theory Final Exam Questions With Complete
Solutions
*Chain of infection* Correct Answer The development of an
infection occurs in a cycle
that depends on the presence of all the following elements:
• An infectious agent (pathogen)
• A reservoir (source for pathogen growth)
• A portal of exit from the reservoir
• A mode of transmission
• A portal of entry to a host
• A susceptible host
*practice question*
A number of different types of nursing interventions may be
incorporated into the plan of care. Which of the following
interventions is an example of a specific lifesaving measure
that the nurse may implement?
1. Administering analgesics
2. Restraining a violent client
3. Initiating stress-reduction therapy
4. Teaching the client how to take his or her pulse Correct
Answer 2. Restraining a violent client
Restraining a violent patient is an
example of a life-saving measure to protect the patient.
Administering analgesics is a physical care technique; it is not a
lifesaving measure. Stress-reduction therapy is an example of a
counselling technique. Teaching the patient how to take his or
her pulse is an example of the nursing intervention of teaching.
,*practice question*
A nurse completes a nursing health history with her client.
In order to avoid incorrect inferences and ensure the data are
accurate, the nurse's next step is to
1. Analyze and interpret the data
2. Document the data
3. Validate data with the client
4. Share the data with other health care providers Correct
Answer 3. Validate data with the client.
Analyzing and interpreting data,
documentation, and sharing of data with other health care
providers cannot be done until data is validated and determined
accurate.
*practice question*
A nurse may use a concept map when implementing a plan of
care. What is the purpose and distinction of a concept map?
1. Quality assurance in the health care facility
2. Identification of the relation of client problems and
interventions
3. Multidisciplinary communication
4. Provision of a standardized format for client problems
Correct Answer 2. Identification of the relation of client
problems and interventions.
A concept map is a diagram of patient
,problems and interventions that shows their relations to one
another. This process promotes critical thinking and helps the
nurse to organize complex patient data and achieve a holistic
view of the patient's situation. The purpose is not quality
assurance in the health care facility.
Multidisciplinary communication is enhanced through the use of
critical pathways.
Standardized care plans, not concept maps, provide a
standardized format for patient problems.
*Practice question*
A nurse uses an institution's procedure manual to confirm how
to change a patient's nasogastric tubing. The level of
critical thinking the nurse is using is
1. Commitment
2. Scientific method
3. Basic critical thinking
4. Complex critical thinking Correct Answer 3. Basic critical
thinking: At the basic level of critical thinking, a learner trusts
that experts have the right answers for every problem. Thinking
is concrete and based on a set of rules or principles.
For example, a nurse uses an institution's procedures manual to
confirm how to complete a specific procedure.
*practice question*
A nursing diagnosis is
1. The diagnosis and treatment of human responses to health
, and illness
2. The advancement of the development, testing, and refinement
of a common nursing language
3. A clinical judgement about individual, family, or community
responses to actual and potential health problems or life
processes
4. The identification of a disease condition on the basis of
a specific evaluation of physical signs, symptoms, the
client's medical history, and the results of diagnostic
tests Correct Answer 3. A clinical judgement about
individual, family, or community responses to actual and
potential health problems or life processes.
Diagnosis and treatment of patients'
responses describes the entire nursing process; a common
nursing language refers to the process of developing nursing
diagnoses; identification of a disease refers to evaluation. A
nursing diagnosis for an individual patient is the clinical
judgement about responses to actual and potential health
problems or life processes.
*practice question*
A patient had hip surgery 24 hours ago. The nurse refers to
the written plan of care, noting that the patient has a device
collecting wound drainage. The physician is to be notified
when the accumulation in the device exceeds 100 mL for the
day. When the nurse enters the room, the nurse looks at the
device and carefully notes the amount of drainage currently in
the device. This is an example of
1. Planning
Solutions
*Chain of infection* Correct Answer The development of an
infection occurs in a cycle
that depends on the presence of all the following elements:
• An infectious agent (pathogen)
• A reservoir (source for pathogen growth)
• A portal of exit from the reservoir
• A mode of transmission
• A portal of entry to a host
• A susceptible host
*practice question*
A number of different types of nursing interventions may be
incorporated into the plan of care. Which of the following
interventions is an example of a specific lifesaving measure
that the nurse may implement?
1. Administering analgesics
2. Restraining a violent client
3. Initiating stress-reduction therapy
4. Teaching the client how to take his or her pulse Correct
Answer 2. Restraining a violent client
Restraining a violent patient is an
example of a life-saving measure to protect the patient.
Administering analgesics is a physical care technique; it is not a
lifesaving measure. Stress-reduction therapy is an example of a
counselling technique. Teaching the patient how to take his or
her pulse is an example of the nursing intervention of teaching.
,*practice question*
A nurse completes a nursing health history with her client.
In order to avoid incorrect inferences and ensure the data are
accurate, the nurse's next step is to
1. Analyze and interpret the data
2. Document the data
3. Validate data with the client
4. Share the data with other health care providers Correct
Answer 3. Validate data with the client.
Analyzing and interpreting data,
documentation, and sharing of data with other health care
providers cannot be done until data is validated and determined
accurate.
*practice question*
A nurse may use a concept map when implementing a plan of
care. What is the purpose and distinction of a concept map?
1. Quality assurance in the health care facility
2. Identification of the relation of client problems and
interventions
3. Multidisciplinary communication
4. Provision of a standardized format for client problems
Correct Answer 2. Identification of the relation of client
problems and interventions.
A concept map is a diagram of patient
,problems and interventions that shows their relations to one
another. This process promotes critical thinking and helps the
nurse to organize complex patient data and achieve a holistic
view of the patient's situation. The purpose is not quality
assurance in the health care facility.
Multidisciplinary communication is enhanced through the use of
critical pathways.
Standardized care plans, not concept maps, provide a
standardized format for patient problems.
*Practice question*
A nurse uses an institution's procedure manual to confirm how
to change a patient's nasogastric tubing. The level of
critical thinking the nurse is using is
1. Commitment
2. Scientific method
3. Basic critical thinking
4. Complex critical thinking Correct Answer 3. Basic critical
thinking: At the basic level of critical thinking, a learner trusts
that experts have the right answers for every problem. Thinking
is concrete and based on a set of rules or principles.
For example, a nurse uses an institution's procedures manual to
confirm how to complete a specific procedure.
*practice question*
A nursing diagnosis is
1. The diagnosis and treatment of human responses to health
, and illness
2. The advancement of the development, testing, and refinement
of a common nursing language
3. A clinical judgement about individual, family, or community
responses to actual and potential health problems or life
processes
4. The identification of a disease condition on the basis of
a specific evaluation of physical signs, symptoms, the
client's medical history, and the results of diagnostic
tests Correct Answer 3. A clinical judgement about
individual, family, or community responses to actual and
potential health problems or life processes.
Diagnosis and treatment of patients'
responses describes the entire nursing process; a common
nursing language refers to the process of developing nursing
diagnoses; identification of a disease refers to evaluation. A
nursing diagnosis for an individual patient is the clinical
judgement about responses to actual and potential health
problems or life processes.
*practice question*
A patient had hip surgery 24 hours ago. The nurse refers to
the written plan of care, noting that the patient has a device
collecting wound drainage. The physician is to be notified
when the accumulation in the device exceeds 100 mL for the
day. When the nurse enters the room, the nurse looks at the
device and carefully notes the amount of drainage currently in
the device. This is an example of
1. Planning
