NMNC 1110 UPDATED FINAL EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is using critical thinking skills during the first phase of the nursing
process. Which action indicates the nurse is in the first phase?
-Completes a comprehensive database
-Identifies pertinent nursing diagnoses
-Intervenes based on priorities of patient care
-Determines whether outcomes have been achieved - ✔✔Completes a comprehensive
database
✔✔The nurse is gathering data on a patient. Which data will the nurse report as
objective data?
-States "doesn't feel good"
-Reports a headache 5 out of 10
-Respirations 16
-Nauseated - ✔✔-Respirations 16
✔✔After assessing a patient, a nurse develops a standard formal nursing diagnosis.
What is the rationale for the nurse's actions?
-To form a language that can be encoded only by nurses
-To distinguish the nurse's role from the physician's role
-To develop clinical judgment based on other's intuition
,-To help nurses focus on the scope of medical practice - ✔✔To distinguish the nurse's
role from the physician's role
✔✔The nurse completes a thorough assessment of a patient and analyzes the data to
identify nursing diagnoses. Which step will the nurse take next in the nursing process?
-Assessment
-Diagnosis
-Planning
-Implementation - ✔✔Planning
✔✔Which information indicates a nurse has a good understanding of a goal?
-It is a statement describing the patient's accomplishments without a time restriction.
-It is a realistic statement predicting any negative responses to treatments.
-It is a measurable change in a patient's physical state.
-It is a broad statement describing a desired change in a patient's behavior. - ✔✔It is a
broad statement describing a desired change in a patient's behavior.
✔✔Which action indicates a nurse is using critical thinking for implementation of nursing
care to patients?
-Determines whether an intervention is correct and appropriate for the given situation
-Reads over the steps and performs a procedure despite lack of clinical competency
-Establishes goals for a particular patient without assessment
-Evaluates the effectiveness of interventions - ✔✔Determines whether an intervention is
correct and appropriate for the given situation
✔✔A nurse completes a thorough database and carries out nursing interventions based
on priority diagnoses. Which action will the nurse take next?
-Assessment
-Planning
-Implementation
-Evaluation - ✔✔Evaluation
✔✔A new nurse is confused about using evaluative measures when caring for patients
and asks the charge nurse for an explanation. Which response by the charge nurse is
most accurate?
-"Evaluative measures are multiple-page documents used to evaluate nurse
performance."
-"Evaluative measures include assessment data used to determine whether patients
have met their expected outcomes and goals."
-"Evaluative measures are used by quality assurance nurses to determine the progress
a nurse is making from novice to expert nurse."
-"Evaluative measures are objective views for completion of nursing interventions." -
✔✔"Evaluative measures include assessment data used to determine whether patients
have met their expected outcomes and goals."
, ✔✔A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills?
-administer an influenza vaccine after asking a client about allergies
-check a client's armband before dispensing daily thyroid medication to a client
-give a client who has type 1 DM her monitor dose of insulin after checking her blood
glucose
-Intervene after reviewing arterial blood gas results for a client who is on mechanical
ventilation. - ✔✔Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation.
✔✔A nurse is following the steps of the nursing process when caring for a group of
clients. Which of the following actions by the nurse demonstrates the evaluation step of
the nursing process?
-draw a conclusion after noting a client has 4+ pitting edema of the lower extremities
and decreased urine output
-check and document a client's pain level 30 min after administering pain medication
-review the results of blood glucose drawn before a client ate breakfast
-administer an antibiotic to a client who has an infected wound - ✔✔Check and
document a client's pain level 30 min after administering pain medication.
✔✔A nurse is preparing a plan of care for a client who is experiencing pain after
surgery. Which of the following components should the nurse identify as part of the
planning step of the nursing process?
-organize client information
-compare client data with outcomes to draw a conclusion
-formula client goals for prioritized problem
-supervise delegated client care to the assistive personnel - ✔✔Formulate client goals
for prioritized problem.
✔✔A nurse is implementing priority-based interventions for a group of clients. Which of
the following clients should the nurse see first?
-a client who is saturating dressings with serous drainage every 2 hr
-a client who has a cast on a compound fracture and has SaO2 of 88%
-a client who has emphysema and is coughing up thick, yellow secretions
- a client who has a kidney stone and reports a pain of 8 on the numerical pain scale -
✔✔-a client who has a cast on a compound fracture and has SaO2 of 88%
✔✔A nurse is admitting a client who reports increased thirst and fatigue. Which of the
following actions should the nurse include in the assessment step of the nursing
process?
-take action to restore the client's health
-ask the client when the condition started
-reach a conclusion about the client's health status
-set goals for the client's recovery - ✔✔-ask the client when the condition started
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is using critical thinking skills during the first phase of the nursing
process. Which action indicates the nurse is in the first phase?
-Completes a comprehensive database
-Identifies pertinent nursing diagnoses
-Intervenes based on priorities of patient care
-Determines whether outcomes have been achieved - ✔✔Completes a comprehensive
database
✔✔The nurse is gathering data on a patient. Which data will the nurse report as
objective data?
-States "doesn't feel good"
-Reports a headache 5 out of 10
-Respirations 16
-Nauseated - ✔✔-Respirations 16
✔✔After assessing a patient, a nurse develops a standard formal nursing diagnosis.
What is the rationale for the nurse's actions?
-To form a language that can be encoded only by nurses
-To distinguish the nurse's role from the physician's role
-To develop clinical judgment based on other's intuition
,-To help nurses focus on the scope of medical practice - ✔✔To distinguish the nurse's
role from the physician's role
✔✔The nurse completes a thorough assessment of a patient and analyzes the data to
identify nursing diagnoses. Which step will the nurse take next in the nursing process?
-Assessment
-Diagnosis
-Planning
-Implementation - ✔✔Planning
✔✔Which information indicates a nurse has a good understanding of a goal?
-It is a statement describing the patient's accomplishments without a time restriction.
-It is a realistic statement predicting any negative responses to treatments.
-It is a measurable change in a patient's physical state.
-It is a broad statement describing a desired change in a patient's behavior. - ✔✔It is a
broad statement describing a desired change in a patient's behavior.
✔✔Which action indicates a nurse is using critical thinking for implementation of nursing
care to patients?
-Determines whether an intervention is correct and appropriate for the given situation
-Reads over the steps and performs a procedure despite lack of clinical competency
-Establishes goals for a particular patient without assessment
-Evaluates the effectiveness of interventions - ✔✔Determines whether an intervention is
correct and appropriate for the given situation
✔✔A nurse completes a thorough database and carries out nursing interventions based
on priority diagnoses. Which action will the nurse take next?
-Assessment
-Planning
-Implementation
-Evaluation - ✔✔Evaluation
✔✔A new nurse is confused about using evaluative measures when caring for patients
and asks the charge nurse for an explanation. Which response by the charge nurse is
most accurate?
-"Evaluative measures are multiple-page documents used to evaluate nurse
performance."
-"Evaluative measures include assessment data used to determine whether patients
have met their expected outcomes and goals."
-"Evaluative measures are used by quality assurance nurses to determine the progress
a nurse is making from novice to expert nurse."
-"Evaluative measures are objective views for completion of nursing interventions." -
✔✔"Evaluative measures include assessment data used to determine whether patients
have met their expected outcomes and goals."
, ✔✔A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills?
-administer an influenza vaccine after asking a client about allergies
-check a client's armband before dispensing daily thyroid medication to a client
-give a client who has type 1 DM her monitor dose of insulin after checking her blood
glucose
-Intervene after reviewing arterial blood gas results for a client who is on mechanical
ventilation. - ✔✔Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation.
✔✔A nurse is following the steps of the nursing process when caring for a group of
clients. Which of the following actions by the nurse demonstrates the evaluation step of
the nursing process?
-draw a conclusion after noting a client has 4+ pitting edema of the lower extremities
and decreased urine output
-check and document a client's pain level 30 min after administering pain medication
-review the results of blood glucose drawn before a client ate breakfast
-administer an antibiotic to a client who has an infected wound - ✔✔Check and
document a client's pain level 30 min after administering pain medication.
✔✔A nurse is preparing a plan of care for a client who is experiencing pain after
surgery. Which of the following components should the nurse identify as part of the
planning step of the nursing process?
-organize client information
-compare client data with outcomes to draw a conclusion
-formula client goals for prioritized problem
-supervise delegated client care to the assistive personnel - ✔✔Formulate client goals
for prioritized problem.
✔✔A nurse is implementing priority-based interventions for a group of clients. Which of
the following clients should the nurse see first?
-a client who is saturating dressings with serous drainage every 2 hr
-a client who has a cast on a compound fracture and has SaO2 of 88%
-a client who has emphysema and is coughing up thick, yellow secretions
- a client who has a kidney stone and reports a pain of 8 on the numerical pain scale -
✔✔-a client who has a cast on a compound fracture and has SaO2 of 88%
✔✔A nurse is admitting a client who reports increased thirst and fatigue. Which of the
following actions should the nurse include in the assessment step of the nursing
process?
-take action to restore the client's health
-ask the client when the condition started
-reach a conclusion about the client's health status
-set goals for the client's recovery - ✔✔-ask the client when the condition started
