NURS 210 - Exam 2 Review

Question 1

Which of the following is a critical component of an effective nursing care plan?

Accepted Answer

Use the same interventions for all patients with similar conditions

Question 2

A nurse determines patients condition has improved and met expected outcomes. Which step of the process is the nurse in?

Accepted Answer

Evaluation

Question 3

While completing an admission database, the pt states they are allergic to latex. What action will the nurse take next?

Accepted Answer

Ask the patient to describe the type of reaction

Question 4

Which of the following is an appropriate action for the nurse to take when implementing a nursing care plan?

Accepted Answer

Review the patient's progress and adjust the care plan as necessary

Question 5

A nurse is preparing to carry out interventions. Which resources will the nurse make sure are available?

Accepted Answer

Equipment, Safe environment, Assistive personnel

Question 6

A nurse uses the accepted rights of delegation when providing care. Which "rights" did the nurse use?

Accepted Answer

Person, Direction, Circumstances, Supervision, Task

Question 7

A nurse is caring for a patient who is in severe pain. Which of the following interventions should be prioritized?

Accepted Answer

Administer prescribed pain medications

Question 8

A nurse is providing nursing care to patients after completing a care plan from nursing diagnoses. What step is she in?

Accepted Answer

Implementation

Question 9

A nurse is performing an otoscopic ear exam. The nurse should pull the ear in which direction when assessing a child?

Accepted Answer

Downward and backward

Question 10

A nurse is assessing the respiratory system. Which of the following is normal finding during a lung assessment?

Accepted Answer

Clear, resonant lung sounds upon auscultation

Question 11

A tech reports seeing a reddened area on the patient's hip while bathing them. Which action should the nurse take?

Accepted Answer

Go to the patients room to assess the patients skin

Question 12

The nurse notes a pt respiratory rate of 24bpm, with shallow, rapid breaths. Which term best describes this pattern?

Accepted Answer

Tachypnea

Question 13

Nurse begins shift assessment by examining a saturated dressing. Which type of assessment approach is the nurse using?

Accepted Answer

Problem-specific assessment

Question 14

The nurse is assessing a patient’s hearing using the Rinne test. Which of the following indicates normal hearing?

Accepted Answer

Air conduction greater than bone conduction

Question 15

Which of the following findings would suggest that a patient is in respiratory distress?

Accepted Answer

Use of accessory muscles during breathing

Question 16

What findings should the nurse expect when listening to a patients lung, who has been diagnosed with pneumonia?

Accepted Answer

Crackles on auscultation

Question 17

A nurse observes a patient who is breathing rapidly and shallowly. The nurse suspects the patient may be experiencing:

Accepted Answer

Hyperventilation

Question 18

Which approach will be most appropriate when tasked with performing too many tasks in one shift?

Accepted Answer

Complete one task before starting another

Question 19

Which of the following is the most appropriate action when writing a nursing care plan?

Accepted Answer

Develop patient-centered goals and outcomes

Question 20

A nurse hears high-pitched musical sounds during expiration when listening to lungs. This should be documented as:

Accepted Answer

Wheezes

Question 21

When performing an abdominal assessment, the nurse should begin by:

Accepted Answer

Inspecting the abdomen for distension or abnormalities

Question 22

The nurse notes the patient has yellowish discoloration of the sclera. This finding is indicative of which condition?

Accepted Answer

Jaundice

Question 23

The nurse is using assessment data & critical thinking to develop a diagnosis. What term is used to identify this step?

Accepted Answer

Diagnostic reasoning

Question 24

The nurse is using the problem-specific approach to data collection. Which action will the nurse take first?

Accepted Answer

Focusing on the patient's presenting situation

Question 25

The RN is using critical thinking in the first phase of the nursing process. What action occurs in first phase?

Accepted Answer

Completes a comprehensive database

Question 26

A patient flinches when the nurse palpates the RLQ. What should the nurse suspect?

Accepted Answer

Appendicitis

Question 27

What might the nurse ask to determine P in PQRST?

Accepted Answer

What causes the pain?

Question 28

When evaluating a pt's progress toward a goal, which of the following is the nurse’s next step if it is not achieved?

Accepted Answer

Modify the plan and adjust interventions

Question 29

During assessment, the nurse notes the presence of “barrel chest." This is most commonly associated with:

Accepted Answer

COPD

Question 30

When assessing visual acuity with the Snellen chart, which of the following should the nurse instruct the patient to do?

Accepted Answer

Cover one eye and read the smallest line of letters possible

Question 31

A nurse is preparing a care plan for a patient with chronic pain. Which of the following outcomes is most appropriate?

Accepted Answer

The patient will demonstrate an understanding of pain management techniques

Question 32

Which action should the nurse take first during the initial phase of implementation?

Accepted Answer

Reassess the patient

Question 33

A nurse performs an assessment on a patient. Which data will the nurse use as an etiology for Acute Pain?

Accepted Answer

Disruption of tissue integrity

Question 34

A nurse is prioritizing care for four patients. Which patient should the nurse see first?

Accepted Answer

A patient with difficulty breathing

NURS 210 - Exam 2 Review

Questions 34

NURS 210 - Exam 2 Review

Questions 34