NUR 230 FINAL EXAM UPDATED ACTUAL Questions and
CORRECT Answers
A patient asks why a health assessment needs to be done. "It determines your health status, risk factors and educational needs to develop a
What should the nurse respond to this patient? plan of care."
Data collection occurs where in the nursing process? Assessment
What is one-way nurses use critical thinking in regard to Critical thinking helps nurses work through the analysis, develop alternatives, and
the nursing process? implement the best
interventions
The nurse is planning to interview a patient who is being expressing interest in a neutral manner.
treated for depression. When the nurse enters the
examination
room, the patient is sitting on the table with shoulders
slumped. The nurse should plan to approach this patient
by:
What intervention should the nurse implement to regain Politely direct the interview in order to ask about the characteristics of the pain.
control of the interview process when the patient,
reporting
abdominal pain monopolizes the conversation with
unrelated information?
Which type of question is asked first by the nurse in order open-ended questions to encourage the patient to tell his or her story
to attain a full description of the patient's symptoms and
to
generate and test diagnostic hypotheses?
, Safety must be considered at all times to protect the Wash hands before and after every physical patient encounter
examiner and the patient against the spread of infection.
Which
statement describes the nurse's appropriate action when
performing a physical examination?
When preparing to examine a 4-year-old child the nurse Give the child feedback and reassurance during the examination
needs to consider which action as appropriate for this
age
group?
Which statement is accurate regarding the inspection takes time and reveals a surprising amount of information.
phase of the physical assessment? Inspection:
A 20-year-old construction worker is brought to the Level of consciousness and cognitive abilities
emergency department with symptoms of heat stroke
causing signs
of delirium. The nurse completes which of the following
assessments first?
A 22-year-old woman comes to the clinic at the more information should be gathered to decide whether her dress is appropriate.
insistence of her brother. She is wearing black combat
boots and a
black lace nightgown over the top of her other clothes.
Her hair is dyed pink with black streaks throughout. The
nurse
concludes she:
A group of students is reviewing material about assessing Orientation and thought process
mental status. The students demonstrated understanding
of
the material when they identify which of the following as
a cognitive ability to be assessed? Select all that apply.
A 62-year-old patient tells the nurse that they started Palpate the pulse for a full minute and note whether there is a pattern to the
having fainting spells. After palpating the radial pulse, 13 irregularity
pulsations are counted in 15 seconds. The nurse
determines that the patient has a pulse rate of 52, with a
regularly
irregular rhythm. What is the most appropriate action for
the nurse to take at this time?
A patient arrives at the emergency department by The blood pressure is elevated
ambulance after an accident while playing softball. The
patient's left leg is swollen and deformed. The patient
describes the pain as a 9 on a 10-point scale. When the
nurse assesses the patient's blood pressure, what result
would the nurse expect to find?
CORRECT Answers
A patient asks why a health assessment needs to be done. "It determines your health status, risk factors and educational needs to develop a
What should the nurse respond to this patient? plan of care."
Data collection occurs where in the nursing process? Assessment
What is one-way nurses use critical thinking in regard to Critical thinking helps nurses work through the analysis, develop alternatives, and
the nursing process? implement the best
interventions
The nurse is planning to interview a patient who is being expressing interest in a neutral manner.
treated for depression. When the nurse enters the
examination
room, the patient is sitting on the table with shoulders
slumped. The nurse should plan to approach this patient
by:
What intervention should the nurse implement to regain Politely direct the interview in order to ask about the characteristics of the pain.
control of the interview process when the patient,
reporting
abdominal pain monopolizes the conversation with
unrelated information?
Which type of question is asked first by the nurse in order open-ended questions to encourage the patient to tell his or her story
to attain a full description of the patient's symptoms and
to
generate and test diagnostic hypotheses?
, Safety must be considered at all times to protect the Wash hands before and after every physical patient encounter
examiner and the patient against the spread of infection.
Which
statement describes the nurse's appropriate action when
performing a physical examination?
When preparing to examine a 4-year-old child the nurse Give the child feedback and reassurance during the examination
needs to consider which action as appropriate for this
age
group?
Which statement is accurate regarding the inspection takes time and reveals a surprising amount of information.
phase of the physical assessment? Inspection:
A 20-year-old construction worker is brought to the Level of consciousness and cognitive abilities
emergency department with symptoms of heat stroke
causing signs
of delirium. The nurse completes which of the following
assessments first?
A 22-year-old woman comes to the clinic at the more information should be gathered to decide whether her dress is appropriate.
insistence of her brother. She is wearing black combat
boots and a
black lace nightgown over the top of her other clothes.
Her hair is dyed pink with black streaks throughout. The
nurse
concludes she:
A group of students is reviewing material about assessing Orientation and thought process
mental status. The students demonstrated understanding
of
the material when they identify which of the following as
a cognitive ability to be assessed? Select all that apply.
A 62-year-old patient tells the nurse that they started Palpate the pulse for a full minute and note whether there is a pattern to the
having fainting spells. After palpating the radial pulse, 13 irregularity
pulsations are counted in 15 seconds. The nurse
determines that the patient has a pulse rate of 52, with a
regularly
irregular rhythm. What is the most appropriate action for
the nurse to take at this time?
A patient arrives at the emergency department by The blood pressure is elevated
ambulance after an accident while playing softball. The
patient's left leg is swollen and deformed. The patient
describes the pain as a 9 on a 10-point scale. When the
nurse assesses the patient's blood pressure, what result
would the nurse expect to find?
