NUR 225 exam 1 questions with verified answers ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
which of the following forms of subjective client data would be documented in the medical
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
record by the nurse? ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- client's face is pale
||//\\|| ||//\\|| ||//\\|| ||//\\||
B- cervical lymph nodes are palpable
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- nursing assistant reports client refused lunch
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D- client feels nauseated - ✔✔D
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
this is the only subjective choice
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
priorities are established to help the nurse anticipate and sequence nursing interventions
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
when a client has multiple problems or alterations. Priorities are determined by the client's?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- physician
||//\\||
B- non-emergent, non life threatening needs
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- future well being
||//\\|| ||//\\|| ||//\\||
D- urgency of problems - ✔✔D
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the RN has received her client assignment for the day shift. After making the initial rounds
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
and assessing the clients, which client would the RN need to develop a plan of care for first?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- a client who is ambulatory
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
B- a client who has a fever, is diaphoretic and restless
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- a client scheduled for OT @ 1300
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D- client who just had an appendectomy and has pain medication - ✔✔B
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
restless is NOT good! ||//\\|| ||//\\|| ||//\\||
, a nurse is caring for a pt who had an asthma attack. 10 min after administering an inhaled
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
bronchodilator to the client, the nurse returns to ask if the client's breathing is easier. The ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
nurse is engaging in which phase of the nursing process? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- assessment ||//\\||
B- diagnosis||//\\||
C- planning ||//\\||
D- implementing ||//\\||
E- evaluation - ✔✔E
||//\\|| ||//\\|| ||//\\||
the nurse has asked the pt about his current admission and has examined pt. based on the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
info, recognizing cues and patterns in the data, the nurse has identified and documented
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the primary concern for nursing care. which of the following steps in the nursing process is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
this an example of? ||//\\|| ||//\\|| ||//\\||
A- assessment ||//\\||
B- diagnosis||//\\||
C- planning ||//\\||
D- implementation
||//\\||
E- evaluation - ✔✔B
||//\\|| ||//\\|| ||//\\||
PERRLA - ✔✔Pupils are ||//\\|| ||//\\|| ||//\\|| ||//\\||
Equal
Round
Reactive to ||//\\|| ||//\\||
Light (direct and consensual) and ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Accommodate
which of the following forms of subjective client data would be documented in the medical
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
record by the nurse? ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- client's face is pale
||//\\|| ||//\\|| ||//\\|| ||//\\||
B- cervical lymph nodes are palpable
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- nursing assistant reports client refused lunch
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D- client feels nauseated - ✔✔D
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
this is the only subjective choice
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
priorities are established to help the nurse anticipate and sequence nursing interventions
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
when a client has multiple problems or alterations. Priorities are determined by the client's?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- physician
||//\\||
B- non-emergent, non life threatening needs
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- future well being
||//\\|| ||//\\|| ||//\\||
D- urgency of problems - ✔✔D
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the RN has received her client assignment for the day shift. After making the initial rounds
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
and assessing the clients, which client would the RN need to develop a plan of care for first?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- a client who is ambulatory
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
B- a client who has a fever, is diaphoretic and restless
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
C- a client scheduled for OT @ 1300
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
D- client who just had an appendectomy and has pain medication - ✔✔B
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
restless is NOT good! ||//\\|| ||//\\|| ||//\\||
, a nurse is caring for a pt who had an asthma attack. 10 min after administering an inhaled
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
bronchodilator to the client, the nurse returns to ask if the client's breathing is easier. The ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
nurse is engaging in which phase of the nursing process? ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
A- assessment ||//\\||
B- diagnosis||//\\||
C- planning ||//\\||
D- implementing ||//\\||
E- evaluation - ✔✔E
||//\\|| ||//\\|| ||//\\||
the nurse has asked the pt about his current admission and has examined pt. based on the
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
info, recognizing cues and patterns in the data, the nurse has identified and documented
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
the primary concern for nursing care. which of the following steps in the nursing process is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
this an example of? ||//\\|| ||//\\|| ||//\\||
A- assessment ||//\\||
B- diagnosis||//\\||
C- planning ||//\\||
D- implementation
||//\\||
E- evaluation - ✔✔B
||//\\|| ||//\\|| ||//\\||
PERRLA - ✔✔Pupils are ||//\\|| ||//\\|| ||//\\|| ||//\\||
Equal
Round
Reactive to ||//\\|| ||//\\||
Light (direct and consensual) and ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Accommodate
