Nursing Process Final Exam
CoursePoint 2024
A nurse is applying Tanner's clinical judgment model in the care of a postpartum client.
Which action by the nurse will constitute the first step in this process? - Noticing the
significant aspects of the client's condition.
A hospital client who requires assistance with hygiene has expressed a preference for
receiving a bed bath after lunch rather than in the morning. The nurse has consequently
changed the nursing care plan. The nurse's action reflects which QSEN competency? -
Client centered care
A novice nurse is conscientious to integrate QSEN competencies into care. What
area(s) will the nurse emphasize? Select all that apply. - Safety, Evidence based
practice, informatics, Client centered care, quality improvement
A nurse is reading a journal article about the nursing process. Which information is the
nurse likely to find in the article about the nursing process? - A rational reasoning
approach to client care
An experienced nurse has received a new client and will apply the principles of
inductive reasoning in the care-planning process. What action will the nurse perform
first when applying this form of clinical reasoning? - Gather objective and subjective
assessment data
The nurse is applying Tanner's Clinical Judgment Model in the care of a client. Building
off the context and background information, place the components of the model in the
correct sequence. Use all options. - Noticing, interpreting, responding, reflecting
A novice nurse has witnessed the value of critical thinking in planning and responding to
clients. Which principle should inform the nurse's practice? - Critical thinking is a skill
that can be learned and developed
The nurse is preparing to interview a client who demonstrates significant abdominal
pain and rates the pain at 10 on a 0 to 10 pain scale. What action by the nurse can
improve the outcome of the interview? - Administer prescribed pain medication prior to
conducting the interview
A client rates their leg pain at 8/10 on a 10-point pain scale. What type of cue is the
client's description of pain in the right leg? - Subjective
The nurse is performing an admission assessment. Which are considered objective
data? Select all that apply. - 38 year old man
Height 6ft
, weight 195 lb
A client is receiving home care due to complex needs involving orthostatic hypotension.
Which nursing intervention is a priority? - Assess the client's blood pressure
The nurse is gathering subjective data from a client during an interview after a suicide
attempt. Which assessment data gathered by the nurse would be documented as
subjective data? Select all that apply. - Client states " I feel so sad all of the time"
Client states " I am in pain"
Which is the best source of information for the nurse when collecting data for an
assessment? - Client
When the nurse inspects a postoperative incision site for infection, which type of
assessment is the nurse performing? - Focused
Focused assessments - The nurse determines whether the problem still exists; the
status of the problem is also assessed as well as precise details in its improvement or
worsening.
A time-lapse assessment - Allows the nurse to reassess a client and condition that is
already known to reevaluate its status.
The nurse is comparing a client's current status to baseline data obtained upon
admission to long-term care facility 6 months previously. Which tool should the nurse
use to make this form of assessment? - Time-lapsed Assessment
After conducting the initial assessment of a new resident of a long-term care facility, the
nurse is preparing to terminate the interview. Which question is the most appropriate
conclusion to the interview? - Is there anything else we should know in order to care for
you better
The nurse is admitting a new client. What action will the nurse prioritize to identify actual
or potential health problems? - Gather data from sources
The nursing instructor is teaching students about assessment and the importance of
having baseline data when caring for clients. The instructor should inform the students
that the best place to get baseline data is: - The initial comprehensive client assessment
A nurse practitioner in private practice with a health care provider is providing care to a
client with a history of domestic violence. During the last visit, the client stated an intent
to leave the spouse. In the next visit, the nurse practitioner will reassess the client's
commitment to this intended change. What type of assessment is the nurse practitioner
implementing? - Time-lapse
CoursePoint 2024
A nurse is applying Tanner's clinical judgment model in the care of a postpartum client.
Which action by the nurse will constitute the first step in this process? - Noticing the
significant aspects of the client's condition.
A hospital client who requires assistance with hygiene has expressed a preference for
receiving a bed bath after lunch rather than in the morning. The nurse has consequently
changed the nursing care plan. The nurse's action reflects which QSEN competency? -
Client centered care
A novice nurse is conscientious to integrate QSEN competencies into care. What
area(s) will the nurse emphasize? Select all that apply. - Safety, Evidence based
practice, informatics, Client centered care, quality improvement
A nurse is reading a journal article about the nursing process. Which information is the
nurse likely to find in the article about the nursing process? - A rational reasoning
approach to client care
An experienced nurse has received a new client and will apply the principles of
inductive reasoning in the care-planning process. What action will the nurse perform
first when applying this form of clinical reasoning? - Gather objective and subjective
assessment data
The nurse is applying Tanner's Clinical Judgment Model in the care of a client. Building
off the context and background information, place the components of the model in the
correct sequence. Use all options. - Noticing, interpreting, responding, reflecting
A novice nurse has witnessed the value of critical thinking in planning and responding to
clients. Which principle should inform the nurse's practice? - Critical thinking is a skill
that can be learned and developed
The nurse is preparing to interview a client who demonstrates significant abdominal
pain and rates the pain at 10 on a 0 to 10 pain scale. What action by the nurse can
improve the outcome of the interview? - Administer prescribed pain medication prior to
conducting the interview
A client rates their leg pain at 8/10 on a 10-point pain scale. What type of cue is the
client's description of pain in the right leg? - Subjective
The nurse is performing an admission assessment. Which are considered objective
data? Select all that apply. - 38 year old man
Height 6ft
, weight 195 lb
A client is receiving home care due to complex needs involving orthostatic hypotension.
Which nursing intervention is a priority? - Assess the client's blood pressure
The nurse is gathering subjective data from a client during an interview after a suicide
attempt. Which assessment data gathered by the nurse would be documented as
subjective data? Select all that apply. - Client states " I feel so sad all of the time"
Client states " I am in pain"
Which is the best source of information for the nurse when collecting data for an
assessment? - Client
When the nurse inspects a postoperative incision site for infection, which type of
assessment is the nurse performing? - Focused
Focused assessments - The nurse determines whether the problem still exists; the
status of the problem is also assessed as well as precise details in its improvement or
worsening.
A time-lapse assessment - Allows the nurse to reassess a client and condition that is
already known to reevaluate its status.
The nurse is comparing a client's current status to baseline data obtained upon
admission to long-term care facility 6 months previously. Which tool should the nurse
use to make this form of assessment? - Time-lapsed Assessment
After conducting the initial assessment of a new resident of a long-term care facility, the
nurse is preparing to terminate the interview. Which question is the most appropriate
conclusion to the interview? - Is there anything else we should know in order to care for
you better
The nurse is admitting a new client. What action will the nurse prioritize to identify actual
or potential health problems? - Gather data from sources
The nursing instructor is teaching students about assessment and the importance of
having baseline data when caring for clients. The instructor should inform the students
that the best place to get baseline data is: - The initial comprehensive client assessment
A nurse practitioner in private practice with a health care provider is providing care to a
client with a history of domestic violence. During the last visit, the client stated an intent
to leave the spouse. In the next visit, the nurse practitioner will reassess the client's
commitment to this intended change. What type of assessment is the nurse practitioner
implementing? - Time-lapse
