Nursing 205 - Exam 3 Study Questions with

Nursing 205 - Exam #3 Study Questions with Correct Answers What is the purpose of the nursing process?

• Providing patient-centered care
• Identifying members of the health care team
• Organizing the ways nurses think about patient care
• Facilitating communication among members of the health care team - Correct Answer c.

Organizing the ways nurses think about patient care A patient comes to the emergency department complaining of nausea and vomiting. What should the nurse ask the patient about first?

• Family history of diabetes
• Medications the patient is taking
• Operations the patient has had in the past
• Severity and duration of the nausea and vomiting - Correct Answer d. Severity and duration of the

nausea and vomiting An alert, oriented patient is admitted to the hospital with chest pain. Who is the best source of primary data on this patient?

• Family member
• Physician
• Another nurse
• Patient - Correct Answer d. Patient

What is the primary purpose of the nursing diagnosis?

• Resolving patient confusion
• Communicating patient needs
• Meeting accreditation requirements
• Articulating the nursing scope of practice - Correct Answer b. Communicating patient needs

On what premise is a nursing diagnosis identified for a patient?

• First impressions 1 / 3

• Nursing intuition
• Clustered data
• Medical diagnoses - Correct Answer c. Clustered data

Which statement is an appropriately written short-term goal?

• Patient will walk to the bathroom independently without falling within 2 days after surgery.
• Nurse will watch patient demonstrate proper insulin injection technique each morning.
• Patient's spouse will express satisfaction with patient's progress before discharge.
• Patient's incision will be well approximated each time it is assessed by the nurse. - Correct Answer
• Patient will walk to the bathroom independently without falling within 2 days after surgery.

What should be the primary focus for nursing interventions?

• Patient needs
• Nurse concerns
• Physician priorities
• Patient's family requests - Correct Answer a. Patient needs

Which nursing action is critical before delegating interventions to another member of the health care team?

• Locate all members of the health care team.
• Notify the physician of potential complications.
• Know the scope of practice for the other team member.
• Call a meeting of the health care team to determine the needs of the patient. - Correct Answer c.

Know the scope of practice for the other team member.A patient reports feeling tired and complains of not sleeping at night. What action should the nurse perform first?

• Identify reasons the patient is unable to sleep.
• Request medication to help the patient sleep.
• Tell the patient that sleep will come with relaxation.
• Notify the physician that the patient is restless and anxious. - Correct Answer a. Identify reasons

the patient is unable to sleep. 2 / 3

What action should the nurse take regarding a patient's plan of care if the patient appears to have met the short-term goal of urinating within 1 hour after surgery?

• Consult the surgeon to see if the clinical pathway is being followed.
• Discontinue the plan of care, because the patient has met the established goal.
• Monitor patient urine output to evaluate the need for the current plan of care.
• Notify the patient that the goal has been attained and no further intervention is needed. - Correct

Answer c. Monitor patient urine output to evaluate the need for the current plan of care.Which action by a patient marks the beginning of the physical assessment process?

• Redressing after a physical examination
• Breathing normally during auscultation
• Greeting the nurse in the examination room
• Sharing work environment information - Correct Answer c. Greeting the nurse in the examination

room Which factors should be taken into consideration by the nurse before and during a patient interview?(Select all that apply.)

• Distance between the chairs in which the nurse and patient are sitting
• Traditional treatments typically used by the patient to treat disease
• Gender preference for primary care providers
• Physical condition of the patient
• Music preference of the patient - Correct Answer a. Distance between the chairs in which the

nurse and patient are sitting

• Traditional treatments typically used by the patient to treat disease
• Gender preference for primary care providers
• Physical condition of the patient

Which action by the nurse is most appropriate during the orientation phase of the patient interview?

• Always position patients in a comfortable reclined position to ensure their comfort during

questioning.

• Ask which name a patient prefers to be called during care to show respect and build trust.
• Quickly conduct a review of systems to determine the need for a complete or focused assessment.
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