Next Assessment and Evaluation 2

Question 1

A nurse notes that a patient's wound edges are red, warm, and have purulent drainage 3 days post-op. Which type of assessment data is this?

Accepted Answer

Objective data observed by the nurse

Answer

Objective data is information the nurse observes, measures, or detects through physical examination, such as wound appearance and drainage.

Question 2

When evaluating the effectiveness of a pain management intervention, which outcome best indicates goal achievement?

Accepted Answer

Patient's pain rating decreases from 8/10 to 3/10 after medication

Answer

A measurable decrease in the patient's self-reported pain score directly demonstrates the effectiveness of the pain management intervention.

Question 3

A nurse is performing a focused assessment on a patient with chest pain. Which action should the nurse prioritize FIRST?

Accepted Answer

Assess airway, breathing, and circulation

Answer

Assessing airway, breathing, and circulation (ABCs) is always the first priority to identify life-threatening conditions.

Question 4

Which finding during a neurological assessment would require the nurse to notify the provider immediately?

Accepted Answer

Unilateral pupil dilation and sluggish response

Answer

Unilateral pupil dilation with sluggish response is a sign of increased intracranial pressure and requires immediate provider notification.

Question 5

A nurse is evaluating a patient's plan of care. Which step in the nursing process does this represent?

Accepted Answer

Evaluation

Answer

Evaluation is the step in the nursing process where the nurse determines whether patient outcomes and goals have been met.

(Next) National Exit Test Practice Test