NUR 210 EXAM 1 TEST BANK
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Q1: Following a baseline physical evaluation, a practitioner documents that
the patient's breathing pattern is completely regular (eupneic) and their heart
rate is measured at 58 beats per minute. This clinical information is
categorized as what form of data?
a. Objective b. Reflective c. Subjective d. Introspective
Answer: ✔✔ a. Objective. (Why? These are measurable, observable signs
gathered through direct observation and clinical instruments.)
Q2: A client reports to the clinical staff that they are experiencing severe
anxiety, waves of nausea, and a feeling of intense physical warmth. How
should this information be classified?
a. Objective b. Reflective c. Subjective d. Introspective
Answer: ✔✔ c. Subjective. (Why? This consists of personal symptoms, feelings,
and perceptions described directly by the patient that cannot be independently
measured.)
Q3: When a patient's historical medical records, diagnostic lab results,
observable clinical findings, and self-reported symptoms are compiled
together, they collectively create the:
a. Data base b. Admitting data c. Financial statement d. Discharge summary
Answer: ✔✔ a. Data base. (Why? This comprehensive collection of all health
inputs forms the foundational database used to build the patient's entire plan of
care.)
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The nurses next action should be to:
a.
,Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the breath sounds.
d.
Assess again in 20 minutes to note whether the sound is still present. -ANSWER
✔✔C
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background of
skills and experience from which to draw, are more likely to make their decisions
using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors. -ANSWER ✔✔B
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a.
Intuition.
b.
,The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning. -ANSWER ✔✔A
7. The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for the treatment of patients.
c.
EBP emphasizes the use of best evidence with the clinicians experience.
d.
The patients own preferences are not important with EBP. -ANSWER ✔✔C
8. The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a.
Patient with postoperative pain
b.
Newly diagnosed patient with diabetes who needs diabetic teaching
c.
Individual with a small laceration on the sole of the foot
d.
, Individual with shortness of breath and respiratory distress -ANSWER ✔✔D
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs -ANSWER ✔✔C
10. Which critical thinking skill helps the nurse see relationships among the data?
a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant -ANSWER ✔✔B
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the __________ diagnosis.
a.
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Q1: Following a baseline physical evaluation, a practitioner documents that
the patient's breathing pattern is completely regular (eupneic) and their heart
rate is measured at 58 beats per minute. This clinical information is
categorized as what form of data?
a. Objective b. Reflective c. Subjective d. Introspective
Answer: ✔✔ a. Objective. (Why? These are measurable, observable signs
gathered through direct observation and clinical instruments.)
Q2: A client reports to the clinical staff that they are experiencing severe
anxiety, waves of nausea, and a feeling of intense physical warmth. How
should this information be classified?
a. Objective b. Reflective c. Subjective d. Introspective
Answer: ✔✔ c. Subjective. (Why? This consists of personal symptoms, feelings,
and perceptions described directly by the patient that cannot be independently
measured.)
Q3: When a patient's historical medical records, diagnostic lab results,
observable clinical findings, and self-reported symptoms are compiled
together, they collectively create the:
a. Data base b. Admitting data c. Financial statement d. Discharge summary
Answer: ✔✔ a. Data base. (Why? This comprehensive collection of all health
inputs forms the foundational database used to build the patient's entire plan of
care.)
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is
heard. The nurses next action should be to:
a.
,Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the breath sounds.
d.
Assess again in 20 minutes to note whether the sound is still present. -ANSWER
✔✔C
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background of
skills and experience from which to draw, are more likely to make their decisions
using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors. -ANSWER ✔✔B
6. Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a.
Intuition.
b.
,The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning. -ANSWER ✔✔A
7. The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for the treatment of patients.
c.
EBP emphasizes the use of best evidence with the clinicians experience.
d.
The patients own preferences are not important with EBP. -ANSWER ✔✔C
8. The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a.
Patient with postoperative pain
b.
Newly diagnosed patient with diabetes who needs diabetic teaching
c.
Individual with a small laceration on the sole of the foot
d.
, Individual with shortness of breath and respiratory distress -ANSWER ✔✔D
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs -ANSWER ✔✔C
10. Which critical thinking skill helps the nurse see relationships among the data?
a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant -ANSWER ✔✔B
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the __________ diagnosis.
a.
