Nursing 200 Exam 1 questions with correct answers
You're the nurse caring for a patient in the ED with complaints of
abdominal pain. Upon entering the room, you see the patient hunched
and grimacing. Which step of the noticing step of Tanner's is the nurse
using? Correct Answer-Identifying signs and symptoms.
While performing an assessment of your patient, which piece of data
would be subjective? Correct Answer-Pain level 5/10.
A patient is in the ED with a possible sprained ankle sustained while
jogging. The nurse enters the room for the first time. Which step of
Tanner's is the nurse using? Correct Answer-Noticing.
Which of the following is one of the problems identified by the SPICES
tool? Correct Answer-Sleep disorders.
An adult patient is hospitalized with a broken femur who is in traction.
During assessment the nurse finds the patient is short of breath. Which
of the following data indicates respiratory issues? Correct Answer-
Bilateral crackles.
Using the SPICES tool with an older patient after a hip replacement, the
nurse discovers the patient has been taking Benadryl every night to
sleep. What will do the nurse do next? Correct Answer-Ask why they
think they are having trouble falling asleep.
, An adolescent is admitted for an asthma exacerbation. Upon interview,
the patient and parent insist all medications are taken correctly and they
do not need any refills on their medications. The nurse checks the
patient's chart and notices under the medication history their
maintenance medication has not been filled in one year. What is this an
example of? Correct Answer-Gathering complete and accurate data.
An adult patient returned to the unit from a recovery room after
receiving 8mg of Morphine for pain. The patient's respirations are now
11, pulse ox 92% on room air. The patient responds but is slow to speak.
This is an example of? Correct Answer-Identifying signs and symptoms.
Which patient cue would require an intervention by the nurse? Correct
Answer-The patient begins to slur their words while the nurse is talking
to them.
A nurse on a medsurg unit reads the patient's chart and looks at the EMR
and speaks with a physician. The nurse is using which thinking skill?
Correct Answer-Gathering complete and accurate data.
An adolescent patient is walking hunched over holding their abdomen
and states "It hurts on the right side." Which is the correct next step the
nurse will take? Correct Answer-Have the patient lay flat and do a
focused abdominal assessment.
The nurse enters the room of a post op BKA (below knee amputation)
and notices a foul odor from the wound. Which of these would the nurse
use next? Correct Answer-Cues (senses.)
You're the nurse caring for a patient in the ED with complaints of
abdominal pain. Upon entering the room, you see the patient hunched
and grimacing. Which step of the noticing step of Tanner's is the nurse
using? Correct Answer-Identifying signs and symptoms.
While performing an assessment of your patient, which piece of data
would be subjective? Correct Answer-Pain level 5/10.
A patient is in the ED with a possible sprained ankle sustained while
jogging. The nurse enters the room for the first time. Which step of
Tanner's is the nurse using? Correct Answer-Noticing.
Which of the following is one of the problems identified by the SPICES
tool? Correct Answer-Sleep disorders.
An adult patient is hospitalized with a broken femur who is in traction.
During assessment the nurse finds the patient is short of breath. Which
of the following data indicates respiratory issues? Correct Answer-
Bilateral crackles.
Using the SPICES tool with an older patient after a hip replacement, the
nurse discovers the patient has been taking Benadryl every night to
sleep. What will do the nurse do next? Correct Answer-Ask why they
think they are having trouble falling asleep.
, An adolescent is admitted for an asthma exacerbation. Upon interview,
the patient and parent insist all medications are taken correctly and they
do not need any refills on their medications. The nurse checks the
patient's chart and notices under the medication history their
maintenance medication has not been filled in one year. What is this an
example of? Correct Answer-Gathering complete and accurate data.
An adult patient returned to the unit from a recovery room after
receiving 8mg of Morphine for pain. The patient's respirations are now
11, pulse ox 92% on room air. The patient responds but is slow to speak.
This is an example of? Correct Answer-Identifying signs and symptoms.
Which patient cue would require an intervention by the nurse? Correct
Answer-The patient begins to slur their words while the nurse is talking
to them.
A nurse on a medsurg unit reads the patient's chart and looks at the EMR
and speaks with a physician. The nurse is using which thinking skill?
Correct Answer-Gathering complete and accurate data.
An adolescent patient is walking hunched over holding their abdomen
and states "It hurts on the right side." Which is the correct next step the
nurse will take? Correct Answer-Have the patient lay flat and do a
focused abdominal assessment.
The nurse enters the room of a post op BKA (below knee amputation)
and notices a foul odor from the wound. Which of these would the nurse
use next? Correct Answer-Cues (senses.)
