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NUR 201 MEDICAL-SURGICAL NURSING I EXAM 2
NEWEST 2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is teaching a group of nursing students about the use of NANDA-I terminologies in the medical record entry. Which statements made by the student indicate the need for further education? Select all that apply. - ANSWER--"NANDA-I diagnoses do not take into consideration evidence-based diagnoses."
- "NANDA-I diagnoses are refined by the primary health care
provider on a regular basis."
The nurse is teaching a group of students about the application of nursing diagnosis to care planning. Which statements indicate effective learning? Select all that apply. - ANSWER-- "Nursing diagnoses direct the planning process and the selection of nursing interventions."
- "Nursing diagnosis of damaged skin directs a nurse to apply a
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support surface to a patient's bed and initiate a turning schedule."
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The nurse uses various assessments to collect data about a patient. Which statements are true about the types of assessments? Select all that apply. - ANSWER-- Emergency assessment is performed when the patient's situation is life threatening.
- Ongoing assessment is performed and continued throughout
the patient's healthcare experience.
- Focused assessment is done after a patient's general problems
have been identified, when a patient has a complaint, or describes a new problem.
The nurse is designing a plan of care for a patient who is has been diagnosed with pneumonia. The nurse determines that the patient is experiencing impaired gas exchange in the lungs.Which components of the assessment data can be part of the related factors for this patient? Select all that apply . - ANSWER-- Decreased ventilatory effort due to fatigue
- Accumulation of secretions within the alveoli
The nurse is assigned to a 78-year-old patient who just entered the hospital with symptoms of H1N1 flu. The nurse finds the patient to be short of breath with an increased respiratory rate of 30 breaths per minute. He lost his wife just a month ago. The 2 / 4
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nurse's knowledge about this patient would result in which type of assessment approach at this time? Select all that apply. - ANSWER-- A problem-focused approach
- Using multiple visits to gather a complete database
A patient has arrived at the emergency department (ED) complaining of fatigue and memory loss. While performing the health assessment, which back-channeling techniques may the nurse use during the patient interview? Select all that apply. - ANSWER-- "I see."
- "Go on"
- "All right"
- Maintain good eye contact and show interest in what the
patient is saying.
When obtaining data for an assessment, the nurse must substantiate or confirm the accuracy of the information by using another source or another method. This is known as validating.Which statements are the examples of this process? Select all that apply. - ANSWER-- Validate the findings with information from the patient's family.
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- Validate with findings from a physical examination.
- Validate by asking the patient directly.
- Validate by contacting the patient's previous doctor.
The nurse is caring for a patient with a pressure ulcer on his left hip. The nurse asks the patient several questions to determine how he may have gotten the pressure ulcer. Which of Gordon's model of 11 functional health patterns should the nurse address in her assessment? Select all that apply. - ANSWER-- Sleep-rest
- Elimination
- Nutritional-metabolic
The primary healthcare provider prescribes interventions to the nurse to treat the medical diagnosis of the patient. To which category does such an intervention belong? - ANSWER- Dependent nursing interventions
A nursing student is learning how to design a care plan for patients in community-based settings. Which functions should the nursing student include in his or her care plan? Select all that apply. - ANSWER-- Include his or her evaluation of expected outcomes.
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