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NUR 200 Exam 2 at Hondros College focuses on foundational nursing
concepts including clinical judgment, the nursing process, ethical principles,
legal documentation, and patient safety. The exam covers Tanner's Clinical
Judgment Model, Benner's stages of skill acquisition, and critical thinking
skills essential for novice nurses. Additional content includes infection control
precautions, wound care, medication administration, fluid and electrolyte
imbalances, and post-operative nursing management. Students must
understand delegation principles, therapeutic communication techniques, and
patient advocacy. The exam emphasizes applying theoretical knowledge to
clinical scenarios, prioritizing patient needs, recognizing complications, and
implementing evidence-based interventions. Success requires mastering
assessment, diagnosis, planning, implementation, and evaluation within the
nursing process framework.
1. A nurse is reviewing a patient's white blood cell count, diagnostic studies, and
assessment findings to determine if the patient has an infection. This action is an
example of which step in the information-gathering process?
A. Identifying assumptions
B. Recognizing inconsistencies
C. Gathering complete and accurate data
D. Determining the importance of data
Answer: C. Gathering complete and accurate data
Rationale: This action involves collecting data from various sources, such as labs
and assessments, to form a complete clinical picture. This is the foundational step
of data collection, ensuring all relevant information is obtained before moving to
interpretation and action.
2. A nurse completes a comprehensive head-to-toe assessment and then performs a
more focused assessment a few hours later on a patient with a head injury. Which
thinking skill is the nurse demonstrating?
A. Checking accuracy and reliability
,B. Assessing systematically and comprehensively
C. Recognizing inconsistencies
D. Predicting and managing potential complications
Answer: B. Assessing systematically and comprehensively
Rationale: Performing a comprehensive assessment followed by a focused
reassessment ensures that no data is missed and that changes in the patient's
condition are identified. This systematic approach is a key component of thorough
clinical evaluation.
3. A nurse has been working on the same medical-surgical unit for two to three
years and is able to anticipate patient needs and plan care more effectively.
According to Benner's model, this nurse is at which stage of skill acquisition?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C. Competent
Rationale: Benner's model describes the competent stage as occurring after two to
three years of experience in the same role. At this level, the nurse can see their
actions in terms of long-range goals and plan care more deliberately.
4. A nurse who practices with intuition and is highly skilled, able to focus on the
most critical aspects of a complex situation, is at which stage of Benner's model?
A. Advanced Beginner
B. Competent
C. Proficient
D. Expert
Answer: D. Expert
Rationale: The expert stage is characterized by an intuitive grasp of the situation
and the ability to zero in on the accurate region of the problem without wasting
time on irrelevant alternatives. This level of performance comes from extensive
experience.
5. A new nursing student who has little understanding of caring for patients and
follows learned rules is best described as which of the following?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: A. Novice
,Rationale: The novice is a beginner with no experience in the situations in which
they are expected to perform. They are taught objective attributes such as weight,
temperature, and pulse, which they can recognize without situational experience.
6. A graduate nurse who has coped with enough real situations to understand the
meaning of a situation and uses a step-by-step approach is considered which of the
following?
A. Novice
B. Advanced Beginner
C. Competent
D. Expert
Answer: B. Advanced Beginner
Rationale: The advanced beginner has had enough experience to recognize
recurring meaningful components of a situation. They use a step-by-step approach
and can perform satisfactorily with the help of guidelines and rules.
7. A nurse perceives a clinical situation as a whole, not in parts, and is able to
address issues without going through a step-by-step process. This describes which
level of nursing proficiency?
A. Novice
B. Competent
C. Proficient
D. Expert
Answer: C. Proficient
Rationale: The proficient nurse perceives situations as a whole and learns from
experience what typically happens. This holistic understanding allows them to see
the big picture and adjust plans accordingly, rather than relying solely on step-by-
step rules.
8. A nurse is unsure about how to administer an IV push medication. What are the
most appropriate resources for the nurse to consult? (Select all that apply)
A. The unit's charge nurse
B. Hospital policy and procedures
C. The Nurse Practice Act
D. A nursing drug handbook
Answer: B. Hospital policy and procedures, C. The Nurse Practice Act
Rationale: When unsure about a procedure, the nurse should first consult their
facility's policies to ensure institutional standards are met. The Nurse Practice Act
defines the legal scope of practice for nurses in that state and is a primary source
for understanding what a nurse is permitted to do.
, 9. A nurse observes a patient's oxygen saturation is 86% on room air. The nurse
administers 2L of oxygen, which improves the saturation to 89%. In Tanner's
Clinical Judgment Model, this represents which component?
A. Noticing
B. Interpreting
C. Responding
D. Reflecting
Answer: C. Responding
Rationale: Responding is the third step in Tanner's model and involves taking
action based on the interpretation of the data. The nurse identified the problem
(low O2 sat) and initiated an intervention (supplemental oxygen).
10. A student nurse is taught objective skills such as taking weights, temperatures,
and pulses. This teaching method is appropriate for a nurse at which level of
proficiency?
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: A. Novice
Rationale: Novices are taught context-free rules and objective attributes that are
easily measurable. This provides them with a foundation of basic skills before they
can apply them in complex clinical situations.
11. A post-operative patient reports pain at a level of 8 out of 10, but the nurse
observes the patient laughing and talking on the phone. Which step of Tanner's
model is the nurse using?
A. Identifying assumptions
B. Recognizing inconsistencies
C. Checking accuracy and reliability
D. Gathering complete and accurate data
Answer: B. Recognizing inconsistencies
Rationale: Recognizing inconsistencies involves noticing when data do not fit
together. The nurse is noting a discrepancy between the patient's subjective report
of severe pain and the objective behavior of laughing, which may indicate the pain
is being exaggerated or the patient is using coping mechanisms.
12. A graduate nurse states, "All old people wet the bed." Which step of Tanner's
model is this statement an example of?