NUR 300 - Exam 1
Which best describes evidence based nursing practice?
a) Combining clinical expertise with the use of nursing research to provide the best care
for patients while considering the patient's values and circumstances
b) Appraising and looking at the implications of one or two articles as they relate to the
culture and ethnicity of the patient
c) Completing a literature search to find relevant articles that use nursing research to
encourage nurses to use good practice
d) Finding value-based resources to justify nursing actions when working with patients
of diverse cultural backgrounds - Correct Answer-a) Combining clinical expertise with
the use of nursing research to provide the best care for patients while considering the
patient's values and circumstances
What can be determined when the nurse clusters data as part of the critical-thinking
process?
a) This step identifies problems that may be urgent and require immediate action
b) This step involves making assumptions in the data
c) The nurse recognizes relevant information among the data
d) Risk factors can be determined so the nurse knows how to offer health teaching -
Correct Answer-c) The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels like she will vomit.
This data would be what type of data?
a) Objective
b) Reflective
c) Subjective
d) Introspective - Correct Answer-c) Subjective
Which would be included in the database for a new patient admission to a surgical unit?
a) All subjective and objective data gathered by a health practitioner from a patient
b) All objective data obtained from a patient through inspection, percussion, palpation,
and auscultation
c) A summary of a patient's record, including laboratory studies
d) All subjective and objective, and data gathered from a patient and the results of any
laboratory or diagnostic studies completed - Correct Answer-d) All subjective and
objective, and data gathered from a patient and the results of any laboratory or
diagnostic studies completed
,A patient is in the emergency department with nausea and vomiting. Which would you
include in the database?
a) A complete health history and full physical examination
b) A diet and GI history
c) Previously identified problems
d) Start collection of data in conjunction with lifesaving measures - Correct Answer-b) A
diet and GI history
You are reviewing assessment data of a 45 year old male patient and note pain of 8/10,
labored breathing, and pale skin color on the electronic health record. This
documentation is an example of:
a) Hypothetical Reasoning
b) Diagnostic Reasoning
c) Data Cluster
D) Signs and Symptoms - Correct Answer-c) Data Cluster
The concept of health and healing has evolved in recent years. Which is the best
description of health?
a) Health is the absence of disease
b) Health is a dynamic process toward optimal functioning
c) Health depends on an interaction of mind, body, and spirit within the environment
d) Health is the prevention of disease - Correct Answer-c) Health depends on an
interaction of mind, body, and spirit within the environment
A patient has recently received health insurance and would like to know how often he
should visit the provider. How do you respond?
a) "It would be most efficient if you visit on an annual basis"
b) "There is no recommendation for the frequency of health care visits"
c) "Your visits may vary, depending on your level of wellness"
d) "Your visits will be based on your preference" - Correct Answer-c) "Your visits may
vary, depending on your level of wellness"
You are reviewing concepts related to steps in the nursing process for determining
prioritization and developing patient outcomes. To what are these actions attributed?
a) Planning
b) Assessment
c) Implementation
d) Diagnosis - Correct Answer-a) Planning
,The expert nurse differs from the novice nurse by acting without consciously thinking
about the actions. This is referred to as:
a) Deductive reasoning
b) Intuition
c) The nursing process
d) Focus assessment - Correct Answer-b) Intuition
Which would be considered a risk diagnosis?
a) Identifying existing levels of wellness
b) Evaluating previous problems and goals
c) Identifying potential problems the individual may develop
d) Focusing on strengths and reflecting an individual's transition to higher levels of
wellness - Correct Answer-c) Identifying potential problems the individual may develop
Which would be included in a holistic model of assessment?
a) Nursing goals for the patient
b) Anticipated growth and development patterns
c) A patient's perception of his or her own health
d) The nurse's perception of disease related to the patient - Correct Answer-c) A
patient's perception of his or her own health
The nurse uses health promotion activities with a new patient. What would this focus
include?
a) The nurse would try to change the patient's perceptions of disease
b) The nurse would search for identification of biomedical model interventions
c) The nurse would help to identify negative health acts of the patient
d) The nurse would empower the patient to choose a healthier lifestyle - Correct
Answer-d) The nurse would empower the patient to choose a healthier lifestyle
Which is an example of objective data?
a) Patient's history of allergies
b) Patient's use of medications at home
c) Last menstrual period 1 month ago
d) 2- x 5-cm scar present on the right lower forearm - Correct Answer-d) 2- x 5-cm scar
present on the right lower forearm
During the evaluation phase of the nursing process, which action would be included?
a) Validating the nursing diagnosis
b) Establishing priorities related to patient care
c) Providing information to the patient and family members
, d) Establishing a timeline for planned outcomes - Correct Answer-c) Providing
information to the patient and family members
Which statement best describes religion?
A. An organized system of beliefs concerning the cause, nature, and purpose of the
universe
B. Belief in a divine or superhuman spirit to be obeyed and worshiped
C. Affiliation with one of the 1200 recognized religions in the United States
D. The following of established rituals, especially in conjunction with health-seeking
behaviors - Correct Answer-A. An organized system of beliefs concerning the cause,
nature, and purpose of the universe
The major factor contributing to the need for cultural care nursing is:
A. An increasing birth rate
B. Limited access to health care services
C. Demographic change
D. A decreasing rate of immigration - Correct Answer-C. Demographic change
The term culturally competent implies that the nurse:
A. Is prepared in nursing
B. Possesses knowledge of the traditions of diverse peoples
C. Applies underlying knowledge to providing nursing care
D. Understands the cultural context of the patient's situation - Correct Answer-D.
Understands the cultural context of the patient's situation
You are the triage nurse in the emergency department and perform the initial intake
assessment on a patient who does not speak English. Based on your understanding of
linguistic competence, which action would present as a barrier to effective
communication?
A. Maintaining a professional respectful demeanor
B. Allowing for additional time to complete the process
C. Providing the patient with a paper and pencil so he or she can write down the
answers to the questions that you are going to ask
D. Seeing if there are any family members present who may assist with the interview
process - Correct Answer-C. Providing the patient with a paper and pencil so he or she
can write down the answers to the questions that you are going to ask
Which culture would describe illness as hot and cold imbalance?
A. Asian-American heritage
B. African-American heritage
C. Hispanic-American heritage
D. American Indian heritage - Correct Answer-C. Hispanic-American heritage
Of what does the patient believe the amulet is protective?
A. The evil eye
B. Being kidnapped
Which best describes evidence based nursing practice?
a) Combining clinical expertise with the use of nursing research to provide the best care
for patients while considering the patient's values and circumstances
b) Appraising and looking at the implications of one or two articles as they relate to the
culture and ethnicity of the patient
c) Completing a literature search to find relevant articles that use nursing research to
encourage nurses to use good practice
d) Finding value-based resources to justify nursing actions when working with patients
of diverse cultural backgrounds - Correct Answer-a) Combining clinical expertise with
the use of nursing research to provide the best care for patients while considering the
patient's values and circumstances
What can be determined when the nurse clusters data as part of the critical-thinking
process?
a) This step identifies problems that may be urgent and require immediate action
b) This step involves making assumptions in the data
c) The nurse recognizes relevant information among the data
d) Risk factors can be determined so the nurse knows how to offer health teaching -
Correct Answer-c) The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels like she will vomit.
This data would be what type of data?
a) Objective
b) Reflective
c) Subjective
d) Introspective - Correct Answer-c) Subjective
Which would be included in the database for a new patient admission to a surgical unit?
a) All subjective and objective data gathered by a health practitioner from a patient
b) All objective data obtained from a patient through inspection, percussion, palpation,
and auscultation
c) A summary of a patient's record, including laboratory studies
d) All subjective and objective, and data gathered from a patient and the results of any
laboratory or diagnostic studies completed - Correct Answer-d) All subjective and
objective, and data gathered from a patient and the results of any laboratory or
diagnostic studies completed
,A patient is in the emergency department with nausea and vomiting. Which would you
include in the database?
a) A complete health history and full physical examination
b) A diet and GI history
c) Previously identified problems
d) Start collection of data in conjunction with lifesaving measures - Correct Answer-b) A
diet and GI history
You are reviewing assessment data of a 45 year old male patient and note pain of 8/10,
labored breathing, and pale skin color on the electronic health record. This
documentation is an example of:
a) Hypothetical Reasoning
b) Diagnostic Reasoning
c) Data Cluster
D) Signs and Symptoms - Correct Answer-c) Data Cluster
The concept of health and healing has evolved in recent years. Which is the best
description of health?
a) Health is the absence of disease
b) Health is a dynamic process toward optimal functioning
c) Health depends on an interaction of mind, body, and spirit within the environment
d) Health is the prevention of disease - Correct Answer-c) Health depends on an
interaction of mind, body, and spirit within the environment
A patient has recently received health insurance and would like to know how often he
should visit the provider. How do you respond?
a) "It would be most efficient if you visit on an annual basis"
b) "There is no recommendation for the frequency of health care visits"
c) "Your visits may vary, depending on your level of wellness"
d) "Your visits will be based on your preference" - Correct Answer-c) "Your visits may
vary, depending on your level of wellness"
You are reviewing concepts related to steps in the nursing process for determining
prioritization and developing patient outcomes. To what are these actions attributed?
a) Planning
b) Assessment
c) Implementation
d) Diagnosis - Correct Answer-a) Planning
,The expert nurse differs from the novice nurse by acting without consciously thinking
about the actions. This is referred to as:
a) Deductive reasoning
b) Intuition
c) The nursing process
d) Focus assessment - Correct Answer-b) Intuition
Which would be considered a risk diagnosis?
a) Identifying existing levels of wellness
b) Evaluating previous problems and goals
c) Identifying potential problems the individual may develop
d) Focusing on strengths and reflecting an individual's transition to higher levels of
wellness - Correct Answer-c) Identifying potential problems the individual may develop
Which would be included in a holistic model of assessment?
a) Nursing goals for the patient
b) Anticipated growth and development patterns
c) A patient's perception of his or her own health
d) The nurse's perception of disease related to the patient - Correct Answer-c) A
patient's perception of his or her own health
The nurse uses health promotion activities with a new patient. What would this focus
include?
a) The nurse would try to change the patient's perceptions of disease
b) The nurse would search for identification of biomedical model interventions
c) The nurse would help to identify negative health acts of the patient
d) The nurse would empower the patient to choose a healthier lifestyle - Correct
Answer-d) The nurse would empower the patient to choose a healthier lifestyle
Which is an example of objective data?
a) Patient's history of allergies
b) Patient's use of medications at home
c) Last menstrual period 1 month ago
d) 2- x 5-cm scar present on the right lower forearm - Correct Answer-d) 2- x 5-cm scar
present on the right lower forearm
During the evaluation phase of the nursing process, which action would be included?
a) Validating the nursing diagnosis
b) Establishing priorities related to patient care
c) Providing information to the patient and family members
, d) Establishing a timeline for planned outcomes - Correct Answer-c) Providing
information to the patient and family members
Which statement best describes religion?
A. An organized system of beliefs concerning the cause, nature, and purpose of the
universe
B. Belief in a divine or superhuman spirit to be obeyed and worshiped
C. Affiliation with one of the 1200 recognized religions in the United States
D. The following of established rituals, especially in conjunction with health-seeking
behaviors - Correct Answer-A. An organized system of beliefs concerning the cause,
nature, and purpose of the universe
The major factor contributing to the need for cultural care nursing is:
A. An increasing birth rate
B. Limited access to health care services
C. Demographic change
D. A decreasing rate of immigration - Correct Answer-C. Demographic change
The term culturally competent implies that the nurse:
A. Is prepared in nursing
B. Possesses knowledge of the traditions of diverse peoples
C. Applies underlying knowledge to providing nursing care
D. Understands the cultural context of the patient's situation - Correct Answer-D.
Understands the cultural context of the patient's situation
You are the triage nurse in the emergency department and perform the initial intake
assessment on a patient who does not speak English. Based on your understanding of
linguistic competence, which action would present as a barrier to effective
communication?
A. Maintaining a professional respectful demeanor
B. Allowing for additional time to complete the process
C. Providing the patient with a paper and pencil so he or she can write down the
answers to the questions that you are going to ask
D. Seeing if there are any family members present who may assist with the interview
process - Correct Answer-C. Providing the patient with a paper and pencil so he or she
can write down the answers to the questions that you are going to ask
Which culture would describe illness as hot and cold imbalance?
A. Asian-American heritage
B. African-American heritage
C. Hispanic-American heritage
D. American Indian heritage - Correct Answer-C. Hispanic-American heritage
Of what does the patient believe the amulet is protective?
A. The evil eye
B. Being kidnapped
