NSG3100 -Unit 2 Exam Questions With
100% Correct Answers.
The triage nurse in a hospital emergency department is determining the order of care for
several patients. Which patient would the nurse consider as having the highest priority?
a. A 38-year-old patient with a broken right hip and in severe pain.
b. A 14-year-old patient having respiratory distress and increasing anxiety.
c. A 46-year-old patient with multiple cuts and abrasions to the upper extremities d.
A 68-year-old patient suffering from dehydration and disorientation
b. A 14-year-old patient having respiratory distress and increasing anxiety.
The nurse is documenting data collected during a health assessment interview.
Which statement by the nurse indicates subjective data?
a. "My last bowel movement was 4 days ago."
b. Abdomen distended, firm and tender.
c. Color pink. Skin warm and dry. No sign of discomfort.
d. Dark colored; hard pellet-shaped stool.
a. "My last bowel movement was 4 days ago."
A patient is transported to the emergency department from a local skilled nursing facility
and admitted for a bacterial blood infection. The nurse reviews the transferring physician
notes, which indicate that the patient has dementia. The nurse contacts the patient's son for
, additional health history information. Information provided by the son would
be considered which type of data?
a. Secondary, subjective data
b. Primary, subjective data
c. Primary, objective data
d. Secondary, objective data
a. Secondary, subjective data
The nurse identifies which examples listed indicate objective data? (Select all that apply.)
a. Wound size—3 cm × 2 cm
b. Platelet count—350,000 mm3
c. Respirations—24 breaths/min
d. Reports severe abdominal pain.
e. Temperature—98.4 °F (36.8 °C)
a, b, c , e
The nurse completes a health and physical assessment on a patient admitted with
a fractured pelvis. Which task would the nurse do next?
a. Create health promotion diagnoses for the patient.
b. Analyze and cluster the assessment information.
c. Determine the need for risk nursing diagnoses.
d. Formulate a nursing diagnosis addressing a focused problem.
b. Analyze and cluster the assessment information.
A nurse completes a care plan for an assigned patient diagnosed with an inflammation
of the pericardium. Which diagnosis written on the plan indicates a need for further
instruction on using the nursing process?
a. Acute pain
100% Correct Answers.
The triage nurse in a hospital emergency department is determining the order of care for
several patients. Which patient would the nurse consider as having the highest priority?
a. A 38-year-old patient with a broken right hip and in severe pain.
b. A 14-year-old patient having respiratory distress and increasing anxiety.
c. A 46-year-old patient with multiple cuts and abrasions to the upper extremities d.
A 68-year-old patient suffering from dehydration and disorientation
b. A 14-year-old patient having respiratory distress and increasing anxiety.
The nurse is documenting data collected during a health assessment interview.
Which statement by the nurse indicates subjective data?
a. "My last bowel movement was 4 days ago."
b. Abdomen distended, firm and tender.
c. Color pink. Skin warm and dry. No sign of discomfort.
d. Dark colored; hard pellet-shaped stool.
a. "My last bowel movement was 4 days ago."
A patient is transported to the emergency department from a local skilled nursing facility
and admitted for a bacterial blood infection. The nurse reviews the transferring physician
notes, which indicate that the patient has dementia. The nurse contacts the patient's son for
, additional health history information. Information provided by the son would
be considered which type of data?
a. Secondary, subjective data
b. Primary, subjective data
c. Primary, objective data
d. Secondary, objective data
a. Secondary, subjective data
The nurse identifies which examples listed indicate objective data? (Select all that apply.)
a. Wound size—3 cm × 2 cm
b. Platelet count—350,000 mm3
c. Respirations—24 breaths/min
d. Reports severe abdominal pain.
e. Temperature—98.4 °F (36.8 °C)
a, b, c , e
The nurse completes a health and physical assessment on a patient admitted with
a fractured pelvis. Which task would the nurse do next?
a. Create health promotion diagnoses for the patient.
b. Analyze and cluster the assessment information.
c. Determine the need for risk nursing diagnoses.
d. Formulate a nursing diagnosis addressing a focused problem.
b. Analyze and cluster the assessment information.
A nurse completes a care plan for an assigned patient diagnosed with an inflammation
of the pericardium. Which diagnosis written on the plan indicates a need for further
instruction on using the nursing process?
a. Acute pain
