NURS 200 Foundations of nursing practice
Final Exam
Chap 11
Question 1
The student is learning the steps of the nursing process. What is the first thing that the student
should realize about the purpose of this process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to clients.
Correct Answer: 3
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that was
caused from the tape used to secure the dressing. In which phase of the nursing process is the
nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer:
1 Question 3
During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in
the bed, and says leave me alone. Which subjective data should the nurse document?
1. Restlessness
2. Leave me alone
3. Not talkative
4. Pale and diaphoretic
Correct Answer: 2
Question 4
,NURS 200 Foundations of nursing practice
Family of a client demonstrating confusion state that this is not the clients usual behavior. How
should the nurse document this data?
,NURS 200 Foundations of nursing practice
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
Correct Answer: 3
Question 5
The nurse provides a back rub to a client after administering a pain medication with the hope that
these two actions will help decrease the clients pain. Which phase of the nursing process is this
nurse implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer:
3 Question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a
physical assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Correct Answer:
4 Question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present. What
should the nurse use as the best source of data for this client?
1. Medical record from the childbirth
2. Grandmother
3. Parents
4. Admitting
physician Correct
Answer: 3
, NURS 200 Foundations of nursing practice
Question 8
A newly admitted client is angry because nursing staff continue to ask the same questions. What
should the nurse respond to this client?
1. In order to make sure all of your information is complete, I need to ask these questions.
2. Youre right. Let me know if theres anything you need right now.
3. Ill be done shortly, just give me a few more minutes.
4. You shouldnt be upset. Were only doing our
jobs. Correct Answer: 2
Question 9
The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to
direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand
gestures) in conversation with spouse. Which method of data collection does this documentation
demonstrate?
1. Examining
2. Interviewing
3. Listening
4. Observing
Correct Answer:
4 Question 10
A nurse has worked in the trauma critical care area for several years. Which noise may become
indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-orkers discussing their clients conditions
Correct Answer: 3
Question 11
A client has been using the call light routinely throughout the evening. Upon entering the room,
the nurse observes the following details. Organize them according to priority sequencing (1 is
first priority; 5 is least priority).
Standard Text: Click and drag the options below to move them up or down.
Final Exam
Chap 11
Question 1
The student is learning the steps of the nursing process. What is the first thing that the student
should realize about the purpose of this process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to clients.
Correct Answer: 3
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that was
caused from the tape used to secure the dressing. In which phase of the nursing process is the
nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer:
1 Question 3
During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in
the bed, and says leave me alone. Which subjective data should the nurse document?
1. Restlessness
2. Leave me alone
3. Not talkative
4. Pale and diaphoretic
Correct Answer: 2
Question 4
,NURS 200 Foundations of nursing practice
Family of a client demonstrating confusion state that this is not the clients usual behavior. How
should the nurse document this data?
,NURS 200 Foundations of nursing practice
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
Correct Answer: 3
Question 5
The nurse provides a back rub to a client after administering a pain medication with the hope that
these two actions will help decrease the clients pain. Which phase of the nursing process is this
nurse implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer:
3 Question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a
physical assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Correct Answer:
4 Question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present. What
should the nurse use as the best source of data for this client?
1. Medical record from the childbirth
2. Grandmother
3. Parents
4. Admitting
physician Correct
Answer: 3
, NURS 200 Foundations of nursing practice
Question 8
A newly admitted client is angry because nursing staff continue to ask the same questions. What
should the nurse respond to this client?
1. In order to make sure all of your information is complete, I need to ask these questions.
2. Youre right. Let me know if theres anything you need right now.
3. Ill be done shortly, just give me a few more minutes.
4. You shouldnt be upset. Were only doing our
jobs. Correct Answer: 2
Question 9
The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to
direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand
gestures) in conversation with spouse. Which method of data collection does this documentation
demonstrate?
1. Examining
2. Interviewing
3. Listening
4. Observing
Correct Answer:
4 Question 10
A nurse has worked in the trauma critical care area for several years. Which noise may become
indiscriminate for this particular nurse?
1. A client with audible breathing
2. Moaning of a client in pain
3. Whirring of ventilators
4. Co-orkers discussing their clients conditions
Correct Answer: 3
Question 11
A client has been using the call light routinely throughout the evening. Upon entering the room,
the nurse observes the following details. Organize them according to priority sequencing (1 is
first priority; 5 is least priority).
Standard Text: Click and drag the options below to move them up or down.
