NR 302 Assessment Exam 1

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 ´ 5 cm scar present on the right lower forearm. - Feedback: Objective data are the patient's record, laboratory studies, and information that the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The other responses reflect subjective data. Points Earned: 2.0/2.0 Correct Answer(s): D 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 D) An emergency data base because of the need to rapidly collect information and make accurate diagnoses - Feedback: The complete data base is collected in a primary care setting, such as a pediatric or family practice clinic, independent or group private practice, college health service, women's health care agency, visiting nurse agency, or community health agency. Inthese settings the nurse is the first health professional to see the patient and has primary responsibility for monitoring the person's health care. Points Earned: 2.0/2.0 Correct Answer(s): C 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. - Feedback: Facilitating support for evidence-based practice would include teaching the nurses how to conduct electronic searches because time to go to the library may not exist for many nurses. Actually conducting research studies may be helpful in the longrun, but is not an immediate solution to reviewing existing research. Points Earned: 0.0/2.0 Correct Answer(s): D 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 - Feedback: Data collection, including performing the health history, physical examination, and interview, is the assessment step of the nursing process. See Figure 1-2.Points Earned: 2.0/2.0 Correct Answer(s): D The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects evidence-based practice? A) EBP relies on tradition for support of best practices. B) EBP is simply the use of best practice techniques for treatment of patients. C) EBP emphasizes the use of best evidence with the clinician's experience. D) The patient's own preferences are not important with EBP. - Feedback: Evidence-based practice (EBP) is a systematic approach to practice that emphasizes the use of best evidence in combination with the clinician's experience, as well as patient preferences and values, to make decisions about care and treatment. It is more than simply the use of best practice techniques to treat patients, and it is important to question tradition when no compelling research evidence exists to support it. Points Earned: 2.0/2.0 Correct Answer(s): C