1. The nurse is collecting data during an initial assessment. What can be
seen, heard, measured, or felt and is objective?
a. Symptom
b. Observation
c. Sign
d. Assessment - ANSWER ANS: C
A sign can be seen, heard, measured, or felt.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 286 OBJ: 1 TOP:
Assessment KEY: Nursing Process Step: Assessment
2. As part of an assessment, the nurse asks the patient for subjective
information related to the present illness. What are the subjective
findings perceived by the patient?
a. Assessments
b. Symptoms
c. Signs
d. Observations - ANSWER ANS: B
Symptoms are subjective indications of illness that are perceived by the
patient.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287 OBJ: 1 TOP:
Assessment KEY: Nursing Process Step: Assessment
3. Any disturbance of a structure or function of the body is a pathologic
condition. What is the term for this condition?
a. Injury
b. Condition
c. Disease
d. Pathology - ANSWER ANS: C
A disease is any disturbance of a structure or function of the body.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287 OBJ: 2 TOP:
Disease KEY: Nursing Process Step: Assessment
4. The nurse is assessing a patient for collection of subjective and
objective data. What will this data provide the basis for making?
a. Care plan
b. Medical diagnosis
c. Nursing assessment
d. Nursing diagnosis - ANSWER ANS: D
Nurses rely on assessment of signs and symptoms to formulate a
nursing diagnosis.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287 OBJ: 11
TOP: Assessment KEY: Nursing Process Step: Assessment
5. The nurse is discussing the origin of diabetes with a diabetic patient.
What will the nurse discuss as the most appropriate explanation for the
cause of this disease?
a. Pituitary
b. Adrenals
c. Pancreas
d. Thyroid - ANSWER ANS: C
Diabetes mellitus results from dysfunction of the pancreas.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287 OBJ: 2
TOP: Disease KEY: Nursing Process Step: Evaluation
6. There are four categories of factors that increase an individual's
vulnerability to develop a disease: genetic, physiological, age, and
lifestyle. What is the term for these factors?
a. Risk factors
b. Causative factors
c. Etiologic factors
d. Hazardous factors - ANSWER ANS: A
Risk factors are placed into four categories.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 3 TOP:
Disease KEY: Nursing Process Step: Evaluation
7. When discussing diabetes with a patient, the nurse describes this
disease as falling into which group in terms of duration?
a. Acute
b. Organic
c. Chronic
d. Functional - ANSWER ANS: C
Diabetes mellitus is an example of a chronic disease.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288 OBJ: 4
TOP: Disease KEY: Nursing Process Step: Assessment
8. What is the term used to describe a disease where there has been a
partial or complete disappearance of clinical and subjective
characteristics of the disease?
a. Acute
b. Functional
c. Chronic
d. Remission - ANSWER ANS: D
Remission means there has been partial or complete disappearance of
the clinical and subjective characteristics.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 4 TOP:
Disease KEY: Nursing Process Step: Assessment
9. What type of disease results in a structural change in an organ that
interferes with its functioning?
a. Functional disease
b. Organic disease
c. Acute disease
d. Chronic disease - ANSWER ANS: B
An organic disease results in a structural change in an organ.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 2 TOP:
Disease KEY: Nursing Process Step: Assessment
, 10. The signs and symptoms of both infection and inflammation include
erythema, edema, and pain. What is considered the major difference
between infection and inflammation?
a. Inflammation is a result of bacteria.
b. Inflammation is a protective response.
c. Inflammation is a disease process.
d. Inflammation produces tissue damage. - ANSWER ANS: B
Inflammation is a protective response.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288 OBJ: 5
TOP: Disease KEY: Nursing Process Step: Assessment
11. A nursing assessment is a process of collecting data to establish a
database. The information contained in the database is a basis for:
a. a complete physical examination.
b. a medical assessment.
c. an individualized plan of care.
d. writing nursing orders. - ANSWER ANS: C
The information contained in the database is the basis for an
individualized plan of care.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 290 OBJ: 13
TOP: Assessment KEY: Nursing Process Step: Assessment
12. The nurse is meeting a patient for the first time. What is the first thing
the nurse will do to initiate a nurse-patient relationship?
a. Appear interested
b. Introduce herself/himself
c. Provide support
d. Communicate trust - ANSWER ANS: B
The first step in a nurse-patient relationship is for the nurse to introduce
herself/himself.
PTS: 1 DIF: Cognitive Level: Application REF: Page 293-294 OBJ: 9
TOP: Nurse-patient relationship
KEY: Nursing Process Step: Implementation
seen, heard, measured, or felt and is objective?
a. Symptom
b. Observation
c. Sign
d. Assessment - ANSWER ANS: C
A sign can be seen, heard, measured, or felt.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 286 OBJ: 1 TOP:
Assessment KEY: Nursing Process Step: Assessment
2. As part of an assessment, the nurse asks the patient for subjective
information related to the present illness. What are the subjective
findings perceived by the patient?
a. Assessments
b. Symptoms
c. Signs
d. Observations - ANSWER ANS: B
Symptoms are subjective indications of illness that are perceived by the
patient.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287 OBJ: 1 TOP:
Assessment KEY: Nursing Process Step: Assessment
3. Any disturbance of a structure or function of the body is a pathologic
condition. What is the term for this condition?
a. Injury
b. Condition
c. Disease
d. Pathology - ANSWER ANS: C
A disease is any disturbance of a structure or function of the body.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 287 OBJ: 2 TOP:
Disease KEY: Nursing Process Step: Assessment
4. The nurse is assessing a patient for collection of subjective and
objective data. What will this data provide the basis for making?
a. Care plan
b. Medical diagnosis
c. Nursing assessment
d. Nursing diagnosis - ANSWER ANS: D
Nurses rely on assessment of signs and symptoms to formulate a
nursing diagnosis.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287 OBJ: 11
TOP: Assessment KEY: Nursing Process Step: Assessment
5. The nurse is discussing the origin of diabetes with a diabetic patient.
What will the nurse discuss as the most appropriate explanation for the
cause of this disease?
a. Pituitary
b. Adrenals
c. Pancreas
d. Thyroid - ANSWER ANS: C
Diabetes mellitus results from dysfunction of the pancreas.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 287 OBJ: 2
TOP: Disease KEY: Nursing Process Step: Evaluation
6. There are four categories of factors that increase an individual's
vulnerability to develop a disease: genetic, physiological, age, and
lifestyle. What is the term for these factors?
a. Risk factors
b. Causative factors
c. Etiologic factors
d. Hazardous factors - ANSWER ANS: A
Risk factors are placed into four categories.
,PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 3 TOP:
Disease KEY: Nursing Process Step: Evaluation
7. When discussing diabetes with a patient, the nurse describes this
disease as falling into which group in terms of duration?
a. Acute
b. Organic
c. Chronic
d. Functional - ANSWER ANS: C
Diabetes mellitus is an example of a chronic disease.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288 OBJ: 4
TOP: Disease KEY: Nursing Process Step: Assessment
8. What is the term used to describe a disease where there has been a
partial or complete disappearance of clinical and subjective
characteristics of the disease?
a. Acute
b. Functional
c. Chronic
d. Remission - ANSWER ANS: D
Remission means there has been partial or complete disappearance of
the clinical and subjective characteristics.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 4 TOP:
Disease KEY: Nursing Process Step: Assessment
9. What type of disease results in a structural change in an organ that
interferes with its functioning?
a. Functional disease
b. Organic disease
c. Acute disease
d. Chronic disease - ANSWER ANS: B
An organic disease results in a structural change in an organ.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 288 OBJ: 2 TOP:
Disease KEY: Nursing Process Step: Assessment
, 10. The signs and symptoms of both infection and inflammation include
erythema, edema, and pain. What is considered the major difference
between infection and inflammation?
a. Inflammation is a result of bacteria.
b. Inflammation is a protective response.
c. Inflammation is a disease process.
d. Inflammation produces tissue damage. - ANSWER ANS: B
Inflammation is a protective response.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 288 OBJ: 5
TOP: Disease KEY: Nursing Process Step: Assessment
11. A nursing assessment is a process of collecting data to establish a
database. The information contained in the database is a basis for:
a. a complete physical examination.
b. a medical assessment.
c. an individualized plan of care.
d. writing nursing orders. - ANSWER ANS: C
The information contained in the database is the basis for an
individualized plan of care.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 290 OBJ: 13
TOP: Assessment KEY: Nursing Process Step: Assessment
12. The nurse is meeting a patient for the first time. What is the first thing
the nurse will do to initiate a nurse-patient relationship?
a. Appear interested
b. Introduce herself/himself
c. Provide support
d. Communicate trust - ANSWER ANS: B
The first step in a nurse-patient relationship is for the nurse to introduce
herself/himself.
PTS: 1 DIF: Cognitive Level: Application REF: Page 293-294 OBJ: 9
TOP: Nurse-patient relationship
KEY: Nursing Process Step: Implementation
