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NUR 300 FINAL EXAM 2025 ACTUAL
QUESTIONS AND ANSWERS GUARANTEED
PASS LATEST
The practitioner, entering the examining room to meet a patient for the first time, states: "Hello, I'm M.M., and I'm here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right with you, she will remain during the examination." Which of the following must be added to cover all aspects of the interview contract?
A. Statement regarding confidentiality, patient costs, and the expectations of each person
B. The purpose of the interview and the role of the interviewer
C. Time and place of the interview and a confidentiality statement
D. An explicit purpose of the interview and a description of the physical examination, including diagnostic studies
A. Statement regarding confidentiality, patient costs, and the expectations of each person
A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond?
a) "It would be most efficient if you visit on an annual basis"
b) "There is no recommendation for the frequency of health care visits"
c) "Your visits may vary, depending on your level of wellness"
d) "Your visits will be based on your preference"
c) "Your visits may vary, depending on your level of wellness"
You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?
a) Planning
b) Assessment
c) Implementation
d) Diagnosis
a) Planning
Which best describes evidence based nursing practice?
a) Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances
b) Appraising and looking at the implications of one or two articles as they relate to the culture and ethnicity of the patient
c) Completing a literature search to find relevant articles that use nursing research to encourage nurses to use good practice
d) Finding value-based resources to justify nursing actions when working with patients of diverse cultural backgrounds
a) Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances
You are reviewing assessment data of a 45 year old male patient and note pain of 8/10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of:
a) Hypothetical Reasoning
b) Diagnostic Reasoning
c) Data Cluster
a) A complete health history and full physical examination
b) A diet and GI history
c) Previously identified problems
d) Start collection of data in conjunction with lifesaving measures
b) A diet and GI history
What can be determined when the nurse clusters data as part of the critical-thinking process?
a) This step identifies problems that may be urgent and require immediate action
b) This step involves making assumptions in the data
c) The nurse recognizes relevant information among the data
d) Risk factors can be determined so the nurse knows how to offer health teaching
c) The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels like she will vomit. This data would be what type of data?
a) Objective
b) Reflective
c) Subjective
d) Introspective
c) Subjective
The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as:
a) Deductive reasoning
b) Intuition
c) The nursing process
d) Focus assessment
b) Intuition
Which would be considered a risk diagnosis?
a) Identifying existing levels of wellness
b) Evaluating previous problems and goals
c) Identifying potential problems the individual may develop
d) Focusing on strengths and reflecting an individual's transition to higher levels of wellness
c) Identifying potential problems the individual may develop
Which would be included in a holistic model of assessment?
a) Nursing goals for the patient
b) Anticipated growth and development patterns
During the evaluation phase of the nursing process, which action would be included?
a) Validating the nursing diagnosis
b) Establishing priorities related to patient care
c) Providing information to the patient and family members
d) Establishing a timeline for planned outcomes
c) Providing information to the patient and family members
Which statement best describes religion?
A. An organized system of beliefs concerning the cause, nature, and purpose of the universe
B. Belief in a divine or superhuman spirit to be obeyed and worshiped
C. Affiliation with one of the 1200 recognized religions in the United States
D. The following of established rituals, especially in conjunction with health-seeking behaviors
A. An organized system of beliefs concerning the cause, nature, and purpose of the universe
The major factor contributing to the need for cultural care nursing is:
A. An increasing birth rate
B. Limited access to health care services
C. Demographic change
D. A decreasing rate of immigration
C. Demographic change
The term culturally competent implies that the nurse:
A. Is prepared in nursing
B. Possesses knowledge of the traditions of diverse peoples
C. Applies underlying knowledge to providing nursing care
D. Understands the cultural context of the patient's situation
D. Understands the cultural context of the patient's situation
You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication?
A. Maintaining a professional respectful demeanor
B. Allowing for additional time to complete the process
C. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask
D. Seeing if there are any family members present who may assist with the interview process
C. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask
Which culture would describe illness as hot and cold imbalance?
A. Asian-American heritage
B. African-American heritage
C. Hispanic-American heritage
D. American Indian heritage
C. Hispanic-American heritage
D. Understand your own heritage and its basis in cultural values
D. Understand your own heritage and its basis in cultural values
Which statement is true in regard to pain?
A. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain
B. The cultural background of a patient is important in a nurse's assessment of that patient's pain
C. A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's nurse
D. A nurse's year of clinical experience and current position are a strong indicator of his or her response to patient pain
B. The cultural background of a patient is important in a nurse's assessment of that patient's pain
Which factor is identified as a priority influence on a patient's health status?
A. Poverty
B. Lifestyle factors
C. Legislative action
D. Occupational status
A. Poverty
Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient?
A. "Are you of the Christian faith?"
B. "Do you want to see a medicine man?"
C. "How often do you seek help from medical providers?"
D. "What cultural or spiritual beliefs are important to you?"
D. "What cultural or spiritual beliefs are important to you?"
Which statement best describes ethnocentrism?
A. The government's description of various cultures
B. A central belief that accepts all cultures as one's own
C. The tendency to view your own way of life as the most desirable
D. The tendency to impose your beliefs, values, and patterns of behaviors on an individual from another culture
C. The tendency to view your own way of life as the most desirable
Which category is appropriate in a cultural assessment?
A. Family history
B. Chief complaint
C. Past medical history
D. Health-related beliefs
D. Health-related beliefs
Which health belief practice is associated with patients who are of American Indian heritage?
A. Wearing bangle bracelets to ward off evil spirits
B. Eating compatible foods in one's diet
C. Using swamp root as a traditional home remedy
D. Believing in a shaman as a traditional healer
A. Arrange to have someone page you so you can sit on the side of the bed
B. Have someone else answer the phone so you can sit facing the patient
C. Use this approach given the circumstances
D. Arrange for a time free of interruptions after the initial physical examination is complete
B. Have someone else answer the phone so you can sit facing the patient
A patient asks the nurse, "May I ask you a question?" This is an example of:
A. An open-ended question
B. A reflective question
C. A closed question
D. A double-barreled question
C. A closed question
Which statement best describes interpretation as a communication technique?
A. Interpretation is the same as clarification
B. Interpretation is a summary of a statement made by a patient
C. Interpretation is used to focus on a particular aspect of what the patient has just said
D. Interpretation is based on the interviewer's inference from the data that have been presented
D. Interpretation is based on the interviewer's inference from the data that have been presented
Which demonstrates a good understanding of the interview process?
A. The nurse stops the patient each time something is said that is not understood
B. The nurse spends more time listening to the patient than talking
C. The nurse is consistently thinking of his or her next response so the patient will know he or she is understood
D. The nurse uses "why" questions to seek clarification of unusual symptoms or behavior
B. The nurse spends more time listening to the patient than talking
During an interview, a patient denies having any anxiety. The patient frequently changes position in the chair, holds his arms folded tight against his chest, and has little eye contact with the interviewer. The interviewer should:
A. Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention
B. Proceed with the interview. Patients usually are truthful with a health care practitioner
C. Make a mental note to discuss the behavior after the physical examination is completed
D. Proceed with the interview and examination as outlined on the agency assessment form. The patient's behavior is appropriate for the circumstances
A. Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention
For what or with whom should touch be used during the interview?
A. Only with individuals from a Western culture
B. As a routine way of establishing contact with the person and communicating empathy
C. Only the patients of the same gender
D. Only id the interviewer knows the person well
D. Only id the interviewer knows the person well
Mr. B tells you, "Everyone here ignores me." You respond, "Ignores you?" This technique is best described as:
A. Clarification
B. Selective listening
C. Reflecting
D. Validation
C. Reflecting
AD
What does active listening NOT include?
A. Taking detailed notes during the interview
B. Watching for clues in body language
C. Repeating statements back to the person to make sure you have understood
D. Asking open-ended questions to explore the person's perspective
A. Taking detailed notes during the interview
When interviewing a patient who does not speak English, the examiner should:
A. Take advantage of family members who are readily available and willing to assist
B. Use a qualified medical interpreter who is culturally literate
C. Seek as much information as possible and then continue with the physical examination
D. Wait until a qualified medical interpreter is available before starting the interview
B. Use a qualified medical interpreter who is culturally literate
With older adults, how should the examiner proceed with the interview?
A. Proceed in a more organized and concise manner
B. Consider the fatigue of the older person and break the interview into shorter segments
C. Ask a family member to complete some of the records while moving ahead with the interview
D. Raise your voice if the patient does not appear to hear you
B. Consider the fatigue of the older person and break the interview into shorter segments
When reading a medical record, you see the following notation: Patient states "I have had a cold for about a week, and now I am having difficulty breathing." This is an example of:
a. A past health history
b. A review of systems
c. A functional assessment
d. A reason for seeking care
d. a reason for seeking care
You have reason to question the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to:
a. Rephrase the questions later in the interview
b. Review the patents' previous medical records.
b. Substernal pain radiating to left axilla, 1 hour duration
c. "grabbing" chest pain for 2 hours
d. Pleurisy, 2 days duration
c. "grabbing" chest pain for 2 hours
A genogram is useful in showing information concisely. It is used specifically for:
a. past history
b. past health history, specifically hospitalizations
c. family history
d. the 8 characteristics of presenting symptoms
c. family history
What is a description of "review of systems" as part of the health history?
a. the evaluation of the past and present health state of each body system
b. a documentation of the problem as described by the patient
c. the recording of the objective findings of the practitioner
d. A statement that describes the overall health state of the patient
a. the evaluation of the past and present health state of each body system
AD
What is an example of a subjective observation?
a. temperature of 101.2 F
b. pulse rate of 96 bmp
c. measured weight loss of 20 lbs since the previous measurement
d. pain lasting 2 hours
d. pain lasting 2 hours
When taking a health history for a child, what information, in addition to that for an adult, is usually obtained?
a. coping and stress management
b. a review of the immunizations received
c. environmental hazards
d. hospitalization history
b. a review of the immunizations received
Functional assessment measures how a person manages day-to-day activities. The impact of adoption on the ADL's in children is referred to as:
a. developmental history
b. instrumental activities of daily living
c. reason for seeking care
d. interpersonal relationship assessment
d. interpersonal relationship assessment
The mnemonic PQRSTU is helpful for organizing the critical characteristics of a symptom. What do the letters mean?
