NUR 138 CHAP 1-5, 7 EXAM #1 REVIEW QUESTIONS
WITH VERIFIED ANSWERS
Assessment - Answers - Which phase of the nursing process requires the nurse to
establish a comprehensive baseline of data concerning a particular patient?
Evaluation - Answers - The nurse monitors fulfillment of goals, and may revise them,
during which phase of the nursing process?
Implementation - Answers - The nurse prepares and administers prescribed
medications during which phase of the nursing process?
Involving the patient - Answers - When developing a plan of care, which nursing action
ensures the goal statement is patient centered?
Use of "street" drugs; Use of alcohol; Use of herbal products - Answers - The nurse
includes which information as a part of a complete medication profile?
Planning - Answers - During which phase of the nursing process does the nurse
prioritize the nursing diagnoses?
Ask the patient to verify his date of birth - Answers - The nurse is preparing to
administer morning doses of medications to a patient and has just checked the patient's
name on the identification band. The patient has stated his name. Which is the nurse's
next appropriate action?
0.25 mg - Answers - The nurse is administering a medication and the label order reads,
"Give 250 mcg PO now." The tablets in the medication dispensing cabinet are in
milligram strength. What is the right dose of the medication in milligrams?
125 mcg - Answers - The nurse is administering a medication, and the order reads,
"Give 0.125 mg PO now." The tablets in the medication dispensing cabinet are in
microgram strength. What is the right dose in micrograms?
First Step of Nursing Process - Answers - Assessment
Second Step of Nursing Process - Answers - Formulation of nursing diagnoses
Third Step of Nursing Process - Answers - Planning
Fourth Step of Nursing Process - Answers - Implementation
Fifth Step of Nursing Process - Answers - Evaluation
, Document that patient's refusal in the record - Answers - The nurse is attempting to
administer the morning dose of the patient's medication. The patient refuses the
medication stating, "It makes me sick to my stomach!" What is the nurse's
responsibility?
Subjective data - Answers - Ms. B. tells the nurse that she smokes a pack of cigarettes
a day
Objective data - Answers - Ms. B. is 5 feet 5 inches tall and weighs 135 lb
Objective data - Answers - The nurse finds that Ms. B's pulse rate is 68 bpm, and her bp
is 128/72 Hg
Objective data - Answers - Ms. B's stool was tested for occult blood by a lab tech; the
results were negative
Subjective data - Answers - Ms. B. says that she does not experience nausea, but she
reports pain and heartburn, especially after eating popcorn
Subjective data - Answers - Ms. B. experiences occasional increases in stomach pain, a
"feeling of heat" in her abdomen and chest at night when she lies down, and increased
incidents of heartburn
Nine Rights of Medication Administration - Answers - 1. Right Patient
2. Right Medication
3. Right Dose
4. Right Time
5. Right Route
6. Right Documentation
7. Right Reason
8. Right Response
9. Right to Refuse
assessment - Answers - Data are collected during the ___ phase of the nursing
process.
objective; subjective - Answers - Data can be classified as ___ or ___.
analyze - Answers - To formulate the nursing diagnosis, the nurse must first ___ the
information collected.
outcomes and outcome criteria - Answers - The planning phase includes identification of
___.
WITH VERIFIED ANSWERS
Assessment - Answers - Which phase of the nursing process requires the nurse to
establish a comprehensive baseline of data concerning a particular patient?
Evaluation - Answers - The nurse monitors fulfillment of goals, and may revise them,
during which phase of the nursing process?
Implementation - Answers - The nurse prepares and administers prescribed
medications during which phase of the nursing process?
Involving the patient - Answers - When developing a plan of care, which nursing action
ensures the goal statement is patient centered?
Use of "street" drugs; Use of alcohol; Use of herbal products - Answers - The nurse
includes which information as a part of a complete medication profile?
Planning - Answers - During which phase of the nursing process does the nurse
prioritize the nursing diagnoses?
Ask the patient to verify his date of birth - Answers - The nurse is preparing to
administer morning doses of medications to a patient and has just checked the patient's
name on the identification band. The patient has stated his name. Which is the nurse's
next appropriate action?
0.25 mg - Answers - The nurse is administering a medication and the label order reads,
"Give 250 mcg PO now." The tablets in the medication dispensing cabinet are in
milligram strength. What is the right dose of the medication in milligrams?
125 mcg - Answers - The nurse is administering a medication, and the order reads,
"Give 0.125 mg PO now." The tablets in the medication dispensing cabinet are in
microgram strength. What is the right dose in micrograms?
First Step of Nursing Process - Answers - Assessment
Second Step of Nursing Process - Answers - Formulation of nursing diagnoses
Third Step of Nursing Process - Answers - Planning
Fourth Step of Nursing Process - Answers - Implementation
Fifth Step of Nursing Process - Answers - Evaluation
, Document that patient's refusal in the record - Answers - The nurse is attempting to
administer the morning dose of the patient's medication. The patient refuses the
medication stating, "It makes me sick to my stomach!" What is the nurse's
responsibility?
Subjective data - Answers - Ms. B. tells the nurse that she smokes a pack of cigarettes
a day
Objective data - Answers - Ms. B. is 5 feet 5 inches tall and weighs 135 lb
Objective data - Answers - The nurse finds that Ms. B's pulse rate is 68 bpm, and her bp
is 128/72 Hg
Objective data - Answers - Ms. B's stool was tested for occult blood by a lab tech; the
results were negative
Subjective data - Answers - Ms. B. says that she does not experience nausea, but she
reports pain and heartburn, especially after eating popcorn
Subjective data - Answers - Ms. B. experiences occasional increases in stomach pain, a
"feeling of heat" in her abdomen and chest at night when she lies down, and increased
incidents of heartburn
Nine Rights of Medication Administration - Answers - 1. Right Patient
2. Right Medication
3. Right Dose
4. Right Time
5. Right Route
6. Right Documentation
7. Right Reason
8. Right Response
9. Right to Refuse
assessment - Answers - Data are collected during the ___ phase of the nursing
process.
objective; subjective - Answers - Data can be classified as ___ or ___.
analyze - Answers - To formulate the nursing diagnosis, the nurse must first ___ the
information collected.
outcomes and outcome criteria - Answers - The planning phase includes identification of
___.
