NR606 MIDTERM EXAM QUESTIONS AND ANSWERS

Before modifying a care plan to meet a patient's changing needs, the nurse's first action should be to: A. re-do the entire care plan B. focus only on the nursing diagnoses with moderate priority C. assess/reassess the patient's responses to interventions D. add more nursing interventions from a standardized plan of care - ANS-C. assess/reassess the patient's responses to interventions True or False: Actual or potential health problems that can be prevented or resolved by dependent nursing intervention are termed nursing diagnoses. - ANS-True Objective data is usually recorded: A. by body systems. B. after the assessment and plan. C. before the health history. D. in the problem list. - ANS-A. by body systems The examiner's evaluation of a patient's mental status belongs in the: A. history of present illness. B. review of systems. C. physical examination. D. patient education. - ANS-C. physical examination. Which following component is not related to the format of nursing diagnosis? A. Problem B. Etiology C. Sign and Symptom D. Pain - ANS-D. Pain Differential diagnoses belong in the: history. assessment. plan. laboratory data. - ANS-Assessment Which of the following outcome statements contains the best example of performance criteria? The patient will Turn herself in bed frequently while awake Understand how to use crutches by Day 2 State that pain is decreased after being medicated Eat 75% of each meal without complaint of nausea - ANS-Eat 75% of each meal without complaint of nausea True or False: Nursing assessments have the same components as medical assessment, but with less detail. - ANS-False A patient tells the nurses that he is nervous, he is nauseated and he "feels hot". This type of data would be: objective reflective subjective introspective - ANS-Subjective A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to: Identify the cause of his illness Make accurate disease diagnoses Provide cultural health rights for the individual Provide culturally sensitive and appropriate care - ANS-Provide culturally sensitive and appropriate care When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate? I am glad that you are a responsible drinker Many people who are really alcoholic say they are social drinkers What amount and what kind of alcohol do you drink in a week? If you only drink socially, you won't need a designated driver - ANS-What amount and what kind of alcohol do you drink in a week? True or False: Carrying out a physician-initiated order is an example of an independent nursing action. - ANS-False Where would you document that a patient had a flu vaccination last month? HPI (History of Present Illness) section of the SOAP note Past Medical History section of the SOAP note Reveiw of systems section of the SOAP note Objective data section of the SOAP note - ANS-Past Medical History section of the SOAP note Which of the following questions may lead to an inaccurate patient response? "Where do you feel the pain?" "How does this situation make you feel?" "What happened after you noticed the injury?" "That was a horrible experience, wasn't it?" - ANS-"That was a horrible experience, wasn't it?" The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the: Patient's history of allergies Patient's use of medications at home Last menstrual period 2x5 cm scar present on the right lower forearm - ANS-2x5 cm scar present on the right lower forearm The review of systems is a component of the: Physical examination. Health history. Past medical/surgical history. Personal/social history. - ANS-Health