Question 1

The nurse identifies which statement to be a correctly written Nursing diagnosis appropriate for a patient's plan of care?

Accepted Answer

A)  Ineffective airway clearance related to excessive secretions as evidenced by diminished breath sounds. 
B)  Imbalanced nutrition: less than body requirements. 
C)  Impaired physical mobility related to contractures. 
D)  Risk for suffocation related to smoking in bed as evidenced by absent breath sounds. 
A)  Ineffective airway clearance related to excessive secretions as evidenced by diminished breath sounds. 
B)  Imbalanced nutrition: less than body requirements. 
C)  Impaired physical mobility related to contractures. 
D)  Risk for suffocation related to smoking in bed as evidenced by absent breath sounds.

Question 2

The nurse is caring for a patient who will be discharged home following surgical repair of a broken shoulder. The patient tells the nurse, "I don't have anyone at home who can help me cook my meals. Is there something you can do?" When demonstrating the adaptability of the nursing process, the nurse should carry out which task?

Accepted Answer

A)  Adjust the patient's care plan so that nursing goals can be met. 
B)  Consult the care provider about extending the patient's hospitalization. 
C)  Abandon the plan of care as not able to be done. 
D)  Contact the social worker about community services. 
A)  Adjust the patient's care plan so that nursing goals can be met. 
B)  Consult the care provider about extending the patient's hospitalization. 
C)  Abandon the plan of care as not able to be done. 
D)  Contact the social worker about community services.

Question 3

The nurse is attempting to develop Nursing diagnoses for a patient. The nurse understands that Nursing diagnoses have which characteristics?

Accepted Answer

A)  Nursing diagnoses identify actual or potential problems as well as responses to a problem. 
B)  Nursing diagnoses require naming patient problems using Nursing diagnostic labels. 
C)  Nursing diagnoses utilize objective data since subjective data are often inaccurate. 
D)  Nursing diagnoses include unvalidated data to determine an accurate and thorough diagnosis. 
E)  Nursing diagnoses are similar to medical diagnoses since they both are labels for diseases. 
A)  Nursing diagnoses identify actual or potential problems as well as responses to a problem. 
B)  Nursing diagnoses require naming patient problems using Nursing diagnostic labels. 
C)  Nursing diagnoses utilize objective data since subjective data are often inaccurate. 
D)  Nursing diagnoses include unvalidated data to determine an accurate and thorough diagnosis. 
E)  Nursing diagnoses are similar to medical diagnoses since they both are labels for diseases.

Question 4

The nurse is admitting a patient experiencing chest discomfort and shortness of breath, who has a history of stroke. When the nurse documents the Nursing diagnosis "Risk for impaired mobility related to history of stroke," the nurse knows which condition to be the risk factor?

Accepted Answer

A)  Stroke 
B)  History of stroke 
C)  Chest discomfort 
D)  Shortness of breath 
A)  Stroke 
B)  History of stroke 
C)  Chest discomfort 
D)  Shortness of breath

Question 5

The nurse writes a short-term goal for a patient scheduled for surgery in the morning and identifies which goal that contains all the necessary elements?

Accepted Answer

A)  The patient will walk to the bathroom within 48 hours after surgery. 
B)  The patient will walk to the bathroom without experiencing shortness of breath within 48 hours after surgery. 
C)  The patient will walk to the bathroom without experiencing shortness of breath. 
D)  The patient will walk to the bathroom without experiencing shortness of breath after surgery. 
A)  The patient will walk to the bathroom within 48 hours after surgery. 
B)  The patient will walk to the bathroom without experiencing shortness of breath within 48 hours after surgery. 
C)  The patient will walk to the bathroom without experiencing shortness of breath. 
D)  The patient will walk to the bathroom without experiencing shortness of breath after surgery.

Exam 5: Introduction to the Nursing Process

The nurse identifies which statement to be a correctly written Nursing diagnosis appropriate for a patient's plan of care?

The nurse is attempting to develop Nursing diagnoses for a patient. The nurse understands that Nursing diagnoses have which characteristics?

The nurse is admitting a patient experiencing chest discomfort and shortness of breath, who has a history of stroke. When the nurse documents the Nursing diagnosis "Risk for impaired mobility related to history of stroke," the nurse knows which condition to be the risk factor?

The nurse writes a short-term goal for a patient scheduled for surgery in the morning and identifies which goal that contains all the necessary elements?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Assessment

Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception Through Adolescence

Human Development: Young Adult Through Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community-Based, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

Filters