Question 1

Which is an example of a medical diagnosis?

Accepted Answer

A)  Constipation 
B)  Diabetes mellitus 
C)  Impaired skin integrity 
D)  Altered nutrition: less than body requirements 
A)  Constipation 
B)  Diabetes mellitus 
C)  Impaired skin integrity 
D)  Altered nutrition: less than body requirements

Question 2

All of the following patients have been admitted to the acute care setting.On admission,which patient should receive a focused assessment?

Accepted Answer

A)  53-year-old admitted with a perforated ulcer 
B)  5-year-old admitted for the implant of grommets in the middle ear 
C)  76-year-old admitted for a knee replacement 
D)  40-year-old admitted for possible bowel obstruction 
A)  53-year-old admitted with a perforated ulcer 
B)  5-year-old admitted for the implant of grommets in the middle ear 
C)  76-year-old admitted for a knee replacement 
D)  40-year-old admitted for possible bowel obstruction

Question 3

Who is the person responsible for analyzing and interpreting data to arrive at a patient problem?

Accepted Answer

A)  Health care provider 
B)  LPN/LVN 
C)  RN 
D)  Technician 
A)  Health care provider 
B)  LPN/LVN 
C)  RN 
D)  Technician

Question 4

The document that outlines a _________________ plan for care interventions over a specified time frame is called a clinical pathway,critical path,action plan,or care map.

Accepted Answer

The answer of The document that outlines a _________________ plan...

Question 5

What organized approach might the nurse use when performing a complete physical examination?

Accepted Answer

A)  Maslow's hierarchy of needs 
B)  A head-to-toe assessment 
C)  Subjective data collection 
D)  Objective data collection 
A)  Maslow's hierarchy of needs 
B)  A head-to-toe assessment 
C)  Subjective data collection 
D)  Objective data collection

Question 6

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

Accepted Answer

A)  The patient complains of feeling depressed. 
B)  The patient states,"I hear voices in my head." 
C)  The patient complains of auditory hallucinations. 
D)  The patient is pacing back and forth while chanting. 
A)  The patient complains of feeling depressed. 
B)  The patient states,"I hear voices in my head." 
C)  The patient complains of auditory hallucinations. 
D)  The patient is pacing back and forth while chanting.

Question 7

A systematic method by which nurses plan and provide care for patients is known as the nursing ____________.

Accepted Answer

The answer of A systematic method by which nurses plan...

Question 8

A clinical judgment concerning a human response to health conditions/life processes,or a vulnerability for that response,by an individual,family,group or community is known as a nursing ___________.

Accepted Answer

The answer of A clinical judgment concerning a human response...

Question 9

Which are official categories of patient problems? (Select all that apply. )

Accepted Answer

A)  Actual 
B)  Risk 
C)  Wellness 
D)  Syndrome 
E)  Potential 
A)  Actual 
B)  Risk 
C)  Wellness 
D)  Syndrome 
E)  Potential

Question 10

What is the primary purpose of nursing interventions?

Accepted Answer

A)  To support health care provider's orders 
B)  To provide direction for all caregivers 
C)  To provide broad,general statements 
D)  To clarify nursing principles 
A)  To support health care provider's orders 
B)  To provide direction for all caregivers 
C)  To provide broad,general statements 
D)  To clarify nursing principles

Question 11

Which nursing intervention is complete and correct?

Accepted Answer

A)  "May 10: Unlicensed assistive personnel will ambulate patient.A.Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day.May 10,A.Nurse" 
C)  "Unlicensed assistive personnel will serve 8 oz glass of juice at each meal,5/10." 
D)  "P.M.nurse will ensure that heel protectors are in place before bedtime." 
A)  "May 10: Unlicensed assistive personnel will ambulate patient.A.Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day.May 10,A.Nurse" 
C)  "Unlicensed assistive personnel will serve 8 oz glass of juice at each meal,5/10." 
D)  "P.M.nurse will ensure that heel protectors are in place before bedtime."

Question 12

What assists the nurse in the identification of patient problems?

Accepted Answer

A)  Objective data 
B)  Subjective data 
C)  Data clustering 
D)  Validated data 
A)  Objective data 
B)  Subjective data 
C)  Data clustering 
D)  Validated data

Question 13

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

Accepted Answer

A)  The patient complains of chest pain. 
B)  The patient states,"I feel nauseous." 
C)  The patient complains of feeling faint. 
D)  The patient is short of breath on exertion. 
A)  The patient complains of chest pain. 
B)  The patient states,"I feel nauseous." 
C)  The patient complains of feeling faint. 
D)  The patient is short of breath on exertion.

Question 14

What is classified as information provided by the family when a patient is unable to provide data during assessment?

Accepted Answer

A)  Primary 
B)  Secondary 
C)  Unreliable 
D)  Biased 
A)  Primary 
B)  Secondary 
C)  Unreliable 
D)  Biased

Question 15

What documentation reflects implementation?

Accepted Answer

A)  "Patient selected low-sugar snacks independently." 
B)  "Patient was medicated with Tylenol 500 mg PO for pain." 
C)  "Patient was ambulated for 15 minutes after lunch." 
D)  "Patient participated in group therapy session without reminder." 
A)  "Patient selected low-sugar snacks independently." 
B)  "Patient was medicated with Tylenol 500 mg PO for pain." 
C)  "Patient was ambulated for 15 minutes after lunch." 
D)  "Patient participated in group therapy session without reminder."

Question 16

The standards that name and measure patient ________ are referred to as NOC (Nursing Outcome Classification).

Accepted Answer

The answer of The standards that name and measure patient...

Question 17

Which are acceptable secondary sources for data? (Select all that apply. )

Accepted Answer

A)  Patient 
B)  Family members 
C)  Other health professionals 
D)  Diagnostic reports 
E)  Textbooks 
A)  Patient 
B)  Family members 
C)  Other health professionals 
D)  Diagnostic reports 
E)  Textbooks

Question 18

Any health care condition that requires diagnostic,therapeutic,or educational actions is known as a ______________.

Accepted Answer

The answer of Any health care condition that requires diagnostic,therapeutic,or...

Question 19

The human responses to health conditions/life processes that exist in an individual,family,or community are known as a(n)_________ patient problem.

Accepted Answer

The answer of The human responses to health conditions/life processes...

Question 20

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

Accepted Answer

A)  The patient is coughing. 
B)  The patient has cyanosis of the lips. 
C)  The patient experiences tachypnea. 
D)  The patient complains of generalized discomfort. 
A)  The patient is coughing. 
B)  The patient has cyanosis of the lips. 
C)  The patient experiences tachypnea. 
D)  The patient complains of generalized discomfort.

Exam 5: Nursing Process and Critical Thinking

Which is an example of a medical diagnosis?

All of the following patients have been admitted to the acute care setting.On admission,which patient should receive a focused assessment?

Who is the person responsible for analyzing and interpreting data to arrive at a patient problem?

The document that outlines a _________________ plan for care interventions over a specified time frame is called a clinical pathway,critical path,action plan,or care map.

What organized approach might the nurse use when performing a complete physical examination?

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

A systematic method by which nurses plan and provide care for patients is known as the nursing ____________.

A clinical judgment concerning a human response to health conditions/life processes,or a vulnerability for that response,by an individual,family,group or community is known as a nursing ___________.

Which are official categories of patient problems? (Select all that apply. )

What is the primary purpose of nursing interventions?

Which nursing intervention is complete and correct?

What assists the nurse in the identification of patient problems?

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

What is classified as information provided by the family when a patient is unable to provide data during assessment?

What documentation reflects implementation?

The standards that name and measure patient ________ are referred to as NOC (Nursing Outcome Classification).

Which are acceptable secondary sources for data? (Select all that apply. )

Any health care condition that requires diagnostic,therapeutic,or educational actions is known as a ______________.

The human responses to health conditions/life processes that exist in an individual,family,or community are known as a(n)_________ patient problem.

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

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Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

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