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NUR 120 EXAM 1 NEWEST ACTUAL EXAM
What term best describes the nature of the nursing process?
a. Static
b. Linear
c. Dynamic
d. Predictable - ANSWER-C
While performing a complete bed bath for a patient, the nurse should
A. Raise the room temperature
B. Completely remove the linens
C. Add soap to the water in the basin before beginning the bath
D. Complete the bathing for one side of the body and a time - ANSWER-A
Prior to identifying accurate nursing diagnoses, what action must be taken by the nurse?
a. Reading the patient's history
b. Setting realistic, measurable goals
c. Comparing evidence-based practices
d. Clustering related patient data - ANSWER-D
Mary is a 17 year old, diagnosed with a brain tumor, who has recently begun chemotherapy. The nurse
asked her how being hospitalized is impacting her senior year of high school. What nursing process does
this step represent
A. Diagnosis
B.Planning outcomes
C. Planning interventions
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D. Implementation
E. Evaluation
F. Assessment - ANSWER-F. assessment
A nurse admits a 5-year-old female to the postanesthesia unit following a tonsillectomy. The child is
crying. What should be the nurse's first action?
a. Tell the child that if she stops crying, her parents can be with her.
b. Check to see what pain medication is ordered for the child.
c. Notify the surgeon of the child's postoperative condition.
d. Assess the child to determine why she is crying. - ANSWER-D
Adrian, a nurse, reflects on her clients information, including physical assessment and related family
concerns. She Considers all information to reach conclusions. Which step of the nursing process does
this represent:
Assessment. Planning outcomes. Planning interventions. Implementation. Evaluation. Diagnosis. -
ANSWER-Diagnosis
What phrase best describes the essence of critical thinking?
a. Understanding without conscious reasoning
b. Providing care based on nursing experience
c. Consulting with a primary care provider
d. Seeking solutions to problems - ANSWER-D
The nurse, Linda, identifies some concerns about her patients financial situation and ability to pay the
hospital bill. She approaches the healthcare provider to request that a social worker meet with the client
prior to discharge. Which step of the nursing process does this represent..
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Assessment. Diagnosis. Planning interventions. Implementation. Evaluation. Planning outcomes. -
ANSWER-Planning outcomes
Rosalee, a nurse, considers the most recent evidence-based policy on care of the client with pneumonia
while identifying patients needs. Which of the steps of the nursing process does this represent:
Planning outcomes. Planning interventions. Implementation. Evaluation. Diagnosis. Assessment. -
ANSWER-Planning interventions
Which statement illustrates the most measurable outcome indicator?
a. Demonstrates dressing change
b. Shares innermost thoughts
c. Understands instructions
d. Shows personal remorse - ANSWER-A
Mrs. Clancy is a nursing home patient at risk for falls. The head nurse asked one of the unlicensed
assistive Personnel to assist Mrs. Clancy to the dining hall and help prepare her for dinner. Which of the
following Nursing processes does this represent:
Assessment. Diagnosis. Planning outcomes. Planning interventions. Implementation. Evaluation. -
ANSWER-Implementation
A nurse admits a pt to the cardiac care unit following the placement of a cardiac stent. Which step of the
nursing process does the nurse do 1st?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - ANSWER-B
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When also learning a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly
and regularly. S2 is produced when the:
A. Atria contract vigorously
B. Ventricular walls vibrate
C. Semi lunar valve's close - ANSWER-C
Which action should the nurse take 30 mins. after administering oral pain medication to a pt?
a. Evaluate the effectiveness of the administered pain medication
b. Teach progressive relaxation strategies to relieve muscle tension
c. Assess the pt's coping skills to reduce expressed anxiety
d. Encourage the pt to read or watch TV to provide pain distraction - ANSWER-A
Mr. Patel was recently started on a new hypertension medication. During a home visit, the nurse asked
what Mr. Patel has eaten in the last 24 hours. What is the step of the nursing process this represents:
a. Diagnosis
b. Assessment
c. Planning
d. Implementation
e. Evaluation - ANSWER-Assessment
What are the vital signs? - ANSWER-BP
Temp
HR
RR
O2 Sat
Pain
NUR 120 EXAM 1 NEWEST ACTUAL EXAM
What term best describes the nature of the nursing process?
a. Static
b. Linear
c. Dynamic
d. Predictable - ANSWER-C
While performing a complete bed bath for a patient, the nurse should
A. Raise the room temperature
B. Completely remove the linens
C. Add soap to the water in the basin before beginning the bath
D. Complete the bathing for one side of the body and a time - ANSWER-A
Prior to identifying accurate nursing diagnoses, what action must be taken by the nurse?
a. Reading the patient's history
b. Setting realistic, measurable goals
c. Comparing evidence-based practices
d. Clustering related patient data - ANSWER-D
Mary is a 17 year old, diagnosed with a brain tumor, who has recently begun chemotherapy. The nurse
asked her how being hospitalized is impacting her senior year of high school. What nursing process does
this step represent
A. Diagnosis
B.Planning outcomes
C. Planning interventions
,2|Page
D. Implementation
E. Evaluation
F. Assessment - ANSWER-F. assessment
A nurse admits a 5-year-old female to the postanesthesia unit following a tonsillectomy. The child is
crying. What should be the nurse's first action?
a. Tell the child that if she stops crying, her parents can be with her.
b. Check to see what pain medication is ordered for the child.
c. Notify the surgeon of the child's postoperative condition.
d. Assess the child to determine why she is crying. - ANSWER-D
Adrian, a nurse, reflects on her clients information, including physical assessment and related family
concerns. She Considers all information to reach conclusions. Which step of the nursing process does
this represent:
Assessment. Planning outcomes. Planning interventions. Implementation. Evaluation. Diagnosis. -
ANSWER-Diagnosis
What phrase best describes the essence of critical thinking?
a. Understanding without conscious reasoning
b. Providing care based on nursing experience
c. Consulting with a primary care provider
d. Seeking solutions to problems - ANSWER-D
The nurse, Linda, identifies some concerns about her patients financial situation and ability to pay the
hospital bill. She approaches the healthcare provider to request that a social worker meet with the client
prior to discharge. Which step of the nursing process does this represent..
,3|Page
Assessment. Diagnosis. Planning interventions. Implementation. Evaluation. Planning outcomes. -
ANSWER-Planning outcomes
Rosalee, a nurse, considers the most recent evidence-based policy on care of the client with pneumonia
while identifying patients needs. Which of the steps of the nursing process does this represent:
Planning outcomes. Planning interventions. Implementation. Evaluation. Diagnosis. Assessment. -
ANSWER-Planning interventions
Which statement illustrates the most measurable outcome indicator?
a. Demonstrates dressing change
b. Shares innermost thoughts
c. Understands instructions
d. Shows personal remorse - ANSWER-A
Mrs. Clancy is a nursing home patient at risk for falls. The head nurse asked one of the unlicensed
assistive Personnel to assist Mrs. Clancy to the dining hall and help prepare her for dinner. Which of the
following Nursing processes does this represent:
Assessment. Diagnosis. Planning outcomes. Planning interventions. Implementation. Evaluation. -
ANSWER-Implementation
A nurse admits a pt to the cardiac care unit following the placement of a cardiac stent. Which step of the
nursing process does the nurse do 1st?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - ANSWER-B
, 4|Page
When also learning a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly
and regularly. S2 is produced when the:
A. Atria contract vigorously
B. Ventricular walls vibrate
C. Semi lunar valve's close - ANSWER-C
Which action should the nurse take 30 mins. after administering oral pain medication to a pt?
a. Evaluate the effectiveness of the administered pain medication
b. Teach progressive relaxation strategies to relieve muscle tension
c. Assess the pt's coping skills to reduce expressed anxiety
d. Encourage the pt to read or watch TV to provide pain distraction - ANSWER-A
Mr. Patel was recently started on a new hypertension medication. During a home visit, the nurse asked
what Mr. Patel has eaten in the last 24 hours. What is the step of the nursing process this represents:
a. Diagnosis
b. Assessment
c. Planning
d. Implementation
e. Evaluation - ANSWER-Assessment
What are the vital signs? - ANSWER-BP
Temp
HR
RR
O2 Sat
Pain
