NR 606 Week 4 Midterm Exam
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 Answer✔✔- 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. Answer✔✔- 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. Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- D. Pain
Differential diagnoses belong in the:
history.
assessment.
plan.
laboratory data. Answer✔✔- 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 Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- 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 Answer✔✔- 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 Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- 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?" Answer✔✔- "That was a horrible experience, wasn't it?"
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 Answer✔✔- 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. Answer✔✔- 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. Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- D. Pain
Differential diagnoses belong in the:
history.
assessment.
plan.
laboratory data. Answer✔✔- 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 Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- 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 Answer✔✔- 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 Answer✔✔- 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. Answer✔✔- 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 Answer✔✔- 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?" Answer✔✔- "That was a horrible experience, wasn't it?"
