Nursing 142 final exam Quizes and
Answers
Read the following patient scenario and identify the step of the nursing process
represented by each numbered and boldfaced nursing activity.
Annie seeks the help of the nurse in the student health clinic because she suspects that
her roommate, Angela, suffered date rape. She is concerned because Angela chose not
to report the rape and does not seem to be coping well. (1) After talking with Annie, the
nurse learns that although Angela blurted out that she had been raped when she first
came home, since then she has refused verbalization about the rape ("I don't want to
think or talk about it"), has stopped attending all college social activities (a marked
change in behavior), and seems to be having nightmares. After analyzing the data, the
nurse believes that Angela might be experiencing (2) rape-trauma syndrome: silent
reaction. Fortunately, Angela trusts Annie and is willing to come to the student health
center for - ANSWER-(1) ASSESSMENT
(2) DIAGNOSIS
(3) PLAN
(4) IMPLEMENTATION
(5) EVALUATION
The nursing process ensures that nurses are person centered rather than task
centered. Rather than simply approaching a patient to take vital signs, the nurse thinks,
"How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals?
How can we better help her?" This demonstrates which characteristic of the nursing
process?
a Systematic
b Interpersonal
c Dynamic
d Universally applicable in nursing situations - ANSWER-B
An experienced nurse tells a beginning nurse not to bother studying too hard, since
most clinical reasoning becomes "second nature" and "intuitive" once you start
practicing. What thinking below should underlie the beginning nurse's response?
a Intuitive problem solving comes with years of practice and observation, and novice
nurses should base their care on scientific problem solving.
b For nursing to remain a science, nurses must continue to be vigilant about stamping
out intuitive reasoning.
c The emphasis on logical, scientific, evidence-based reasoning has held nursing back
for years; it's time to champion intuitive, creative thinking!
d It's simply a matter of preference; some nurses are logical, scientific thinkers, and
some are intuitive, creative thinkers. - ANSWER-A
,The nurse uses blended competencies when caring for patients in a rehabilitation
facility. Which examples of interventions involve cognitive skills? Select all that apply.
a The nurse uses critical thinking skills to plan care for a patient.
b The nurse correctly administers IV saline to a patient who is dehydrated.
c The nurse assists a patient to fill out an informed consent form.
d The nurse learns the correct dosages for patient pain medications.
e The nurse comforts a mother whose baby was born with Down syndrome.
f The nurse uses the proper procedure to catheterize a female patient. - ANSWER-A, D
A nurse uses critical thinking skills to focus on the care plan of an elderly patient who
has dementia and needs placement in a long-term care facility. Which statements
describe characteristics of this type of critical thinking applied to clinical reasoning?
Select all that apply.
a It functions independently of nursing standards, ethics, and state practice acts.
b It is based on the principles of the nursing process, problem solving, and the scientific
method.
c It is driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care.
d It is not designed to compensate for problems created by human nature, such as
medication errors.
e It is constantly re-evaluating, self-correcting, and striving for improvement.
f It focuses on the big picture rather than identifying the key problems, issues, and risks
involved with patient care. - ANSWER-B, C, E
A nurse is caring for a patient who has complications related to type 2 diabetes mellitus.
The nurse researches new procedures to care for foot ulcers when developing a plan of
care for this patient. Which QSEN competency does this action represent?
a Patient-centered care
b Evidence-based practice
c Quality improvement
d Informatics - ANSWER-C
A nurse is assessing a 15-year-old female patient who is diagnosed with anorexia.
Following the assessment, the nurse recommends that the patient meet with a
nutritionist. This action best exemplifies the use of:
a Clinical judgment
b Clinical reasoning
c Critical thinking
d Blended competencies - ANSWER-A
A nurse working in a long-term care facility bases patient care on five caring processes:
knowing, being with, doing for, enabling, and maintaining belief. This approach to
patient care best describes the theory of which theorist?
a Travelbee
b Watson
c Benner
, d Swanson - ANSWER-D
The nurse practices using critical thinking indicators (CTIs) when caring for patients in
the hospital setting. The best description of CTIs is:
a Evidence-based descriptions of behaviors that demonstrate the knowledge that
promotes critical thinking in clinical practice
b Evidence-based descriptions of behaviors that demonstrate the knowledge and skills
that promote critical thinking in clinical practice
c Evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, and skills that promote critical thinking in clinical practice
d Evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, standards, and skills that promote critical thinking in clinical practice -
ANSWER-C
Read the following scenario and identify the term for the characteristics of patient data
that are numbered below. Place your answers on the lines provided.
The nurse is conducting an initial assessment of a 79-year old female patient admitted
to the hospital with a diagnosis of dehydration. The nurse: (1) uses clinical reasoning to
identify the need to perform a comprehensive assessment and gather the appropriate
patient data, (2) first asks the patient about the most important details leading up to her
diagnosis, (3) collects as much information as possible to understand the patient's
health problems, (4) collects the patient data in an organized manner, (5) verifies that
the data obtained is pertinent to the patient care plan, and (6) records the data
according to agency policy. - ANSWER-1 PURPOSEFUL
2 PRIOTIZED
3 COMPLETE
4 SYSTEMATIC
5 FACTUAL AND ACCURATE
6 RECORDED IN A STANDARD MATTER
The nurse practitioner is performing a short assessment of a newborn who is displaying
signs of jaundice. The nurse observes the infant's skin color and orders a test for
bilirubin levels to report to the primary care provider. What type of assessment has this
nurse performed?
a Comprehensive
b Initial
c Time-lapsed
d Quick priority - ANSWER-D
The nurse is admitting a 35-year-old pregnant woman to the hospital for treatment of
preeclampsia. The patient asks the nurse: "Why are you doing a history and physical
exam when the doctor just did one?" Which statements best explain the primary
reasons a nursing assessment is performed? Select all that apply.
a "The nursing assessment will allow us to plan and deliver individualized, holistic
nursing care that draws on your strengths."
b "It's hospital policy. I know it must be tiresome, but I will try to make this quick!"
Answers
Read the following patient scenario and identify the step of the nursing process
represented by each numbered and boldfaced nursing activity.
Annie seeks the help of the nurse in the student health clinic because she suspects that
her roommate, Angela, suffered date rape. She is concerned because Angela chose not
to report the rape and does not seem to be coping well. (1) After talking with Annie, the
nurse learns that although Angela blurted out that she had been raped when she first
came home, since then she has refused verbalization about the rape ("I don't want to
think or talk about it"), has stopped attending all college social activities (a marked
change in behavior), and seems to be having nightmares. After analyzing the data, the
nurse believes that Angela might be experiencing (2) rape-trauma syndrome: silent
reaction. Fortunately, Angela trusts Annie and is willing to come to the student health
center for - ANSWER-(1) ASSESSMENT
(2) DIAGNOSIS
(3) PLAN
(4) IMPLEMENTATION
(5) EVALUATION
The nursing process ensures that nurses are person centered rather than task
centered. Rather than simply approaching a patient to take vital signs, the nurse thinks,
"How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals?
How can we better help her?" This demonstrates which characteristic of the nursing
process?
a Systematic
b Interpersonal
c Dynamic
d Universally applicable in nursing situations - ANSWER-B
An experienced nurse tells a beginning nurse not to bother studying too hard, since
most clinical reasoning becomes "second nature" and "intuitive" once you start
practicing. What thinking below should underlie the beginning nurse's response?
a Intuitive problem solving comes with years of practice and observation, and novice
nurses should base their care on scientific problem solving.
b For nursing to remain a science, nurses must continue to be vigilant about stamping
out intuitive reasoning.
c The emphasis on logical, scientific, evidence-based reasoning has held nursing back
for years; it's time to champion intuitive, creative thinking!
d It's simply a matter of preference; some nurses are logical, scientific thinkers, and
some are intuitive, creative thinkers. - ANSWER-A
,The nurse uses blended competencies when caring for patients in a rehabilitation
facility. Which examples of interventions involve cognitive skills? Select all that apply.
a The nurse uses critical thinking skills to plan care for a patient.
b The nurse correctly administers IV saline to a patient who is dehydrated.
c The nurse assists a patient to fill out an informed consent form.
d The nurse learns the correct dosages for patient pain medications.
e The nurse comforts a mother whose baby was born with Down syndrome.
f The nurse uses the proper procedure to catheterize a female patient. - ANSWER-A, D
A nurse uses critical thinking skills to focus on the care plan of an elderly patient who
has dementia and needs placement in a long-term care facility. Which statements
describe characteristics of this type of critical thinking applied to clinical reasoning?
Select all that apply.
a It functions independently of nursing standards, ethics, and state practice acts.
b It is based on the principles of the nursing process, problem solving, and the scientific
method.
c It is driven by patient, family, and community needs as well as nurses' needs to give
competent, efficient care.
d It is not designed to compensate for problems created by human nature, such as
medication errors.
e It is constantly re-evaluating, self-correcting, and striving for improvement.
f It focuses on the big picture rather than identifying the key problems, issues, and risks
involved with patient care. - ANSWER-B, C, E
A nurse is caring for a patient who has complications related to type 2 diabetes mellitus.
The nurse researches new procedures to care for foot ulcers when developing a plan of
care for this patient. Which QSEN competency does this action represent?
a Patient-centered care
b Evidence-based practice
c Quality improvement
d Informatics - ANSWER-C
A nurse is assessing a 15-year-old female patient who is diagnosed with anorexia.
Following the assessment, the nurse recommends that the patient meet with a
nutritionist. This action best exemplifies the use of:
a Clinical judgment
b Clinical reasoning
c Critical thinking
d Blended competencies - ANSWER-A
A nurse working in a long-term care facility bases patient care on five caring processes:
knowing, being with, doing for, enabling, and maintaining belief. This approach to
patient care best describes the theory of which theorist?
a Travelbee
b Watson
c Benner
, d Swanson - ANSWER-D
The nurse practices using critical thinking indicators (CTIs) when caring for patients in
the hospital setting. The best description of CTIs is:
a Evidence-based descriptions of behaviors that demonstrate the knowledge that
promotes critical thinking in clinical practice
b Evidence-based descriptions of behaviors that demonstrate the knowledge and skills
that promote critical thinking in clinical practice
c Evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, and skills that promote critical thinking in clinical practice
d Evidence-based descriptions of behaviors that demonstrate the knowledge,
characteristics, standards, and skills that promote critical thinking in clinical practice -
ANSWER-C
Read the following scenario and identify the term for the characteristics of patient data
that are numbered below. Place your answers on the lines provided.
The nurse is conducting an initial assessment of a 79-year old female patient admitted
to the hospital with a diagnosis of dehydration. The nurse: (1) uses clinical reasoning to
identify the need to perform a comprehensive assessment and gather the appropriate
patient data, (2) first asks the patient about the most important details leading up to her
diagnosis, (3) collects as much information as possible to understand the patient's
health problems, (4) collects the patient data in an organized manner, (5) verifies that
the data obtained is pertinent to the patient care plan, and (6) records the data
according to agency policy. - ANSWER-1 PURPOSEFUL
2 PRIOTIZED
3 COMPLETE
4 SYSTEMATIC
5 FACTUAL AND ACCURATE
6 RECORDED IN A STANDARD MATTER
The nurse practitioner is performing a short assessment of a newborn who is displaying
signs of jaundice. The nurse observes the infant's skin color and orders a test for
bilirubin levels to report to the primary care provider. What type of assessment has this
nurse performed?
a Comprehensive
b Initial
c Time-lapsed
d Quick priority - ANSWER-D
The nurse is admitting a 35-year-old pregnant woman to the hospital for treatment of
preeclampsia. The patient asks the nurse: "Why are you doing a history and physical
exam when the doctor just did one?" Which statements best explain the primary
reasons a nursing assessment is performed? Select all that apply.
a "The nursing assessment will allow us to plan and deliver individualized, holistic
nursing care that draws on your strengths."
b "It's hospital policy. I know it must be tiresome, but I will try to make this quick!"
