NURS 220 MIDTERM EXAM QUESTIONS
AND ANSWERS GRADED A+ 2026
Which critical thinking skill helps the nurse to see relationships among the data?
A) Validation
B) Clustering related cues
C) Identifying gaps in data
D) Distinguishing relevant from irrelevant - ANS B. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the _____ diagnosis.
A) nursing
B) medical
C) admission
D) collaborative - ANS A. Nursing
The nursing process is a sequential method of problem solving that nurses use, and includes
which steps?
A) Assessment, treatment, planning, evaluation, discharge, follow-up
B) Admission, assessment, diagnosis, treatment, discharge planning
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,C) Admission, diagnosis, treatment, evaluation, discharge planning
D) Assessment, diagnosis, outcome identification, planning, implementation,
evaluation - ANS D. Assessment, diagnosis, outcome identification, planning, implementing,
evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
A) Breathing, pain, sleep
B) Breathing, sleep, pain
C) Sleep, breathing, pain
D) Sleep, pain, breathing - ANS A. Breathing, pain, sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A) Nursing diagnosis
B) Medical diagnosis
C) Diagnostic hypothesis
D) Diagnostic assessment - ANS C. Diagnostic hypothesis
Barriers to incorporating evidence-based practice (EBP) include:
A) nurses' lack of research skills in evaluating quality of research studies.
B) lack of significant research studies.
C) insufficient clinical skills of nurses.
D) inadequate physical assessment skills. - ANS A. Nurses' lack of research skills in evaluating
quality of research studies
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2
,What is the step of the nursing process that includes data collection by health history, physical
examination, and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment - ANS D. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies in order to
incorporate evidence-based clinical decision making into their practice. Which suggestion by the
nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies. - ANS D) Teach
the nurses how to conduct electronic searches for research studies.
When reviewing concepts of health, the nurse recalls that components of holistic health include
which of these?
A) Disease originates from the external environment.
B) The individual human is a closed system.
C) Nurses are responsible for a patient's health state.
D) Holistic health views the mind, body, and spirit as interdependent. - ANS D) Holistic health
views the mind, body, and spirit as interdependent.
The nurse recognizes that the concept of prevention in describing health is essential because:
A) disease can be prevented by treating the external environment.
B) the majority of deaths among Americans under age 65 years are not preventable.
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3
, C) prevention places emphasis on the link between health and personal behavior.
D) the means to prevention is through treatment provided by primary health care practitioners.
- ANS C) prevention places emphasis on the link between health and personal behavior.
The nurse is reviewing the components of the nursing process. Which statement about nursing
diagnoses is true?
A) They evaluate the etiology of disease.
B) They are a process based on the medical diagnosis.
C) They are clinical judgments about a person's response to an actual or potential health state.
D) They focus on the function and malfunction of a specific organ system in response to disease.
- ANS C) They are clinical judgments about a person's response to an actual or potential
health state.
The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
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. - ANS D) 2 x 5 cm scar present on the
right lower forearm.
A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of data base is most appropriate to collect in this setting?
A) A follow-up data base to evaluate changes at appropriate intervals
B) An episodic data base because of the continuing, complex medical problems of this patient
C) A complete health data base because of the nurse's primary responsibility for monitoring the
patient's health
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
AND ANSWERS GRADED A+ 2026
Which critical thinking skill helps the nurse to see relationships among the data?
A) Validation
B) Clustering related cues
C) Identifying gaps in data
D) Distinguishing relevant from irrelevant - ANS B. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the _____ diagnosis.
A) nursing
B) medical
C) admission
D) collaborative - ANS A. Nursing
The nursing process is a sequential method of problem solving that nurses use, and includes
which steps?
A) Assessment, treatment, planning, evaluation, discharge, follow-up
B) Admission, assessment, diagnosis, treatment, discharge planning
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
1
,C) Admission, diagnosis, treatment, evaluation, discharge planning
D) Assessment, diagnosis, outcome identification, planning, implementation,
evaluation - ANS D. Assessment, diagnosis, outcome identification, planning, implementing,
evaluation
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
A) Breathing, pain, sleep
B) Breathing, sleep, pain
C) Sleep, breathing, pain
D) Sleep, pain, breathing - ANS A. Breathing, pain, sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A) Nursing diagnosis
B) Medical diagnosis
C) Diagnostic hypothesis
D) Diagnostic assessment - ANS C. Diagnostic hypothesis
Barriers to incorporating evidence-based practice (EBP) include:
A) nurses' lack of research skills in evaluating quality of research studies.
B) lack of significant research studies.
C) insufficient clinical skills of nurses.
D) inadequate physical assessment skills. - ANS A. Nurses' lack of research skills in evaluating
quality of research studies
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
2
,What is the step of the nursing process that includes data collection by health history, physical
examination, and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment - ANS D. Assessment
During a staff meeting, nurses discuss the problems with accessing research studies in order to
incorporate evidence-based clinical decision making into their practice. Which suggestion by the
nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies. - ANS D) Teach
the nurses how to conduct electronic searches for research studies.
When reviewing concepts of health, the nurse recalls that components of holistic health include
which of these?
A) Disease originates from the external environment.
B) The individual human is a closed system.
C) Nurses are responsible for a patient's health state.
D) Holistic health views the mind, body, and spirit as interdependent. - ANS D) Holistic health
views the mind, body, and spirit as interdependent.
The nurse recognizes that the concept of prevention in describing health is essential because:
A) disease can be prevented by treating the external environment.
B) the majority of deaths among Americans under age 65 years are not preventable.
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
3
, C) prevention places emphasis on the link between health and personal behavior.
D) the means to prevention is through treatment provided by primary health care practitioners.
- ANS C) prevention places emphasis on the link between health and personal behavior.
The nurse is reviewing the components of the nursing process. Which statement about nursing
diagnoses is true?
A) They evaluate the etiology of disease.
B) They are a process based on the medical diagnosis.
C) They are clinical judgments about a person's response to an actual or potential health state.
D) They focus on the function and malfunction of a specific organ system in response to disease.
- ANS C) They are clinical judgments about a person's response to an actual or potential
health state.
The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
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. - ANS D) 2 x 5 cm scar present on the
right lower forearm.
A visiting nurse is making an initial home visit for a patient who has many chronic medical
problems. Which type of data base is most appropriate to collect in this setting?
A) A follow-up data base to evaluate changes at appropriate intervals
B) An episodic data base because of the continuing, complex medical problems of this patient
C) A complete health data base because of the nurse's primary responsibility for monitoring the
patient's health
@COPYRIGHT 2026/2027 ALL RIGHTS RESERVED
4
