Fundamentals of Nursing Exams

Funda(PreBoard3) Part XVI

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SITUATION: A Nurse utilizes the nursing process in managing patient care. Knowledge of this process is essential to deliver high quality care and to focus on the client’s response to their illness.

1. During the planning phase of the nursing process, which of the following is the product developed?

A. Nursing care plan

B. Nursing diagnosis

C. Nursing history

D. Nursing notes

2. Objective data are also known as?

A. Covert data

B. Inferences

C. Overt data

D. Symptoms

3. Data or information obtained from the assessment of a patient is primarily used by nurse to:

A. Ascertain the patient’s response to health problems

B. Assist in constructing the taxonomy of nursing intervention

C. Determine the effectiveness of the doctor’s order

D. Identify the patient’s disease process

4. What is an example of a subjective data?

A. Color of wound drainage

B. Odor of breath

C. Respiration of 14 breaths/minute

D. The patient’s statement of “I feel sick to my stomach”

SITUATION : Correct application of the Nursing Process is vital in providing quality care. The nurse must use her skills and knowledge in proper assessment, planning and evaluating to meet the patient’s need and address the priority response of the client to his or her illness.

5. Which statement is a difference between comprehensive and focused assessment?

A. Comprehensive assessments can’t include any focus assessments

B. Focused assessments are more important than comprehensive assessments

C. Focused assessments are usually ongoing and concerning specific problems

D. Objective data are included only in comprehensive assessments

6. Two-year-old Ben’s mother states “Ben vomited 8 ounces of his formula this morning.” This statement is an example of:

A. Objective data from a primary source

B. Objective data from a secondary source

C. Subjective data from a primary source

D. Subjective data from a secondary source

7. Which expected outcome is correctly written?

A. The patient will be less edematous in 24 hours

B. The patient will drink an adequate amount of fluid daily

C. The patient will identify 5 high-salt foods from prepared list by discharge

D. The patient will soon sleep well through the night

8. An expected outcome on a patient’s care plan reads: “Patient will state seven warning signs of cancer by discharge.” When the nurse evaluates the patient progress, the patient is able to state that a change in wart or mole, a sore that doesn’t heal and a change in bowel or bladder habits are warning signals of cancer. Which of the following would be an appropriate evaluative statement for the nurse to place on the patient’s nursing care plan?