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CSN Nursing 101 Exam 2-The Nursing Process Questions With All Correct Answers Updated

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 7 pages. Originally published on StudyMerit.

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7
Academic year
2025/2026
Language
English

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CSN Nursing 101 Exam 2--The Nursing Process Students also studied Science Medicine Nursing Save Unit 2 PN 116 terms sjenkinson1 Preview PN Learning System Fundamentals ... 40 terms FairyTogepi Preview ATI - Fundamentals Practice Quiz 1 40 terms soniamadayp Preview Ch. 20 40 terms chii What is a nurse's framework for critical thinking? The nursing process If a patient had a goal of walking 150 steps by end of day, and only ended up walking 10, what would the nurse's next step be? Evaluate the goal. Goal not met, so must re-assess: Was it a good goal? Restart the nursing process. Which are true of the nursing process? SATA. A. It is a framework for critical thinking. B. It helps to guide the nursing practice. C. It creates problems to solve. D. It is systematic. E. It is dynamic. F. It begins with a NANDA diagnosis. A, B, D, E (C--it does not create problems; it is a problem-solving method. F--it begins with assessment, not diagnosis.) A patient's call light goes off. Upon entering, the nurse sees blood oozing out from a wrapped wound. What should the nurse do first? A. Call the physician on duty. B. Call another nurse for backup. C. Figure out what the situation is by removing the bandage. D. Get another bandage to soak up the bleeding. E. Amend the care plan. C The first thing the nurse should do is ASSESS the situation.

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Patient Z is admitted to the hospital at 9:00 am for vomiting and diarrhea. What kind of assessment would the nurse perform? Initial assessment Later than day, the nurse checks on Patient Z. What would you expect the nurse to check in his focused (priority) assessment of Patient Z? SATA. A. Vital signs B. Bowel sounds C. Pupil dilation D. Ability to walk A, B The nurse would check vital signs (always) and the specific issue Patient Z came in for Patient P is admitted to the hospital at 11:00 pm with a gun shot wound. What kind of assessment would the nurse perform? Emergency assessment, because although it is Patient P's initial visit, the situation is life-threatening. No time for a lengthy initial assessment. What are examples of time-lapsed assessments? SATA. A. Nurse checks on a patient one hour after pain meds are given to assess if pain has lessened. B. Nurse checks the healing progress of a wound after 30 days. C. Nurse follows up after revisions in the care plan. D. Nurse checks on a patient one hour after giving acetaminophen to determine if fever has decreased. A, B, C, D Which assessment provides the baseline for all other assessments? Initial assessment Which assessment includes a health history and head-to- toe assessment? Initial assessment Which are primary sources for collecting data? SATA. A. Facebook profile B. Best friend C. Patient him-/herself D. Parent of an 18-year-old E. Parent of an 8-year-old C, E What are examples of secondary data sources? SATA. A. Family members B. Health history C. Respiratory therapist report D. Lab reports E. Diagnostic tests F. Parent, if the patient is 20 years old A, B, C, D, E, F

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Signs and Symptoms: what is the difference? Signs--objective data. What can be measured. BP 130/80, temp 100.5. Symptoms--subjective data. What the patient tells you. "I feel sick." When taking a health history, what kind of information is gathered first: subjective or objective? subjective Which is NOT a part of gathering a health history? A. Medications B. Socioeconomic status C. Health habits D. Identifying patient concerns B A nurse asks her patient about smoking. How should the nurse write that her patient doesn't smoke? A. Smoking: N/A B. "The patient does not smoke." C. "Patient denies smoking." D. "When I asked the patient is she smokes, she told me no." C Must write "Patient reports . . . " or "Patient denies . . . " What does IPPA stand for? Inspection Palpation Percussion Auscultation When is the IPPA method used? Physical assessments Which body system uses a modified version of IPPA? Abdominal What is the order for physically assessing the abdominal region? Why is it different from all other systems? IAPP, with PALPATION being last Palpation must be last because pressing the area may create false bowel sounds; also, if there is abdominal pain, the patient will guard himself and not allow further examination. Therefore, palpation is last so that inspection, auscultation, and percussion can be assessed accurately. To save time when taking a health history of a Muslim woman, the nurse just writes, "Patient denies history of drinking alcohol" because Muslims don't drink. Is this assumption valid? No The nurse must never make assumptions

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