Question 1

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________.

Accepted Answer

clinical pathway
critical path
A clinical pathway is an organized multidisciplinary plan over a specified time frame, which outlines aspects of patient care. They are also called critical paths, action plans, and care maps.

Question 2

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

Accepted Answer

A)  The patient complains of nausea. 
B)  The patient is vomiting. 
C)  The patient experiences tachycardia. 
D)  The patent is pacing the halls. 
A)  The patient complains of nausea. 
B)  The patient is vomiting. 
C)  The patient experiences tachycardia. 
D)  The patent is pacing the halls. A

Question 3

The identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures is known as a _________ _______.

Accepted Answer

medical diagnosis
A medical diagnosis is the identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures.

Question 4

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 5

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.

Question 6

Which are official categories of nursing diagnoses? (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 7

A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not met by a predetermined date, it is determined that what has occurred?

Accepted Answer

A)  Omission 
B)  Variance 
C)  Failure 
D)  Error 
A)  Omission 
B)  Variance 
C)  Failure 
D)  Error

Question 8

NANDA International meets to reorganize diagnosis labels and language every ______ years.

Accepted Answer

2
NANDA meets every

Question 9

What type of assessment is performed continuously throughout nurse-patient contact?

Accepted Answer

A)  Complete 
B)  Body systems 
C)  Focused 
D)  Subjective 
A)  Complete 
B)  Body systems 
C)  Focused 
D)  Subjective

Question 10

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

Accepted Answer

nursing process
The nursing pr

Question 11

What is a nursing diagnosis considered when a problem is suspected but data to support it are lacking?

Accepted Answer

A)  A syndrome nursing diagnosis 
B)  An actual nursing diagnosis 
C)  A "risk for" diagnosis 
D)  A possible nursing diagnosis 
A)  A syndrome nursing diagnosis 
B)  An actual nursing diagnosis 
C)  A "risk for" diagnosis 
D)  A possible nursing diagnosis

Question 12

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 13

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

Accepted Answer

A)  The patient is jaundiced. 
B)  The patient states, "I am nervous." 
C)  The patient complains of palpitations. 
D)  The patient denies dizziness when ambulating. 
A)  The patient is jaundiced. 
B)  The patient states, "I am nervous." 
C)  The patient complains of palpitations. 
D)  The patient denies dizziness when ambulating.

Question 14

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes is known as a _____________ ___________.

Accepted Answer

nursing diagnosis
A nursing diagnosis is

Question 15

What is an important consideration when developing the care plan?

Accepted Answer

A)  Ensure the number of interventions is limited 
B)  Ensure the patient is involved in the process 
C)  Ensure interventions will be easy to implement 
D)  Ensure evaluation of the nursing diagnoses is possible 
A)  Ensure the number of interventions is limited 
B)  Ensure the patient is involved in the process 
C)  Ensure interventions will be easy to implement 
D)  Ensure evaluation of the nursing diagnoses is possible

Question 16

The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition. What is the major difference between these diagnoses?

Accepted Answer

A)  The second diagnosis needs no defined nursing interventions. 
B)  The second diagnosis needs medical intervention. 
C)  The second diagnosis will not need to be evaluated. 
D)  The second diagnosis reflects a problem that does not yet exist. 
A)  The second diagnosis needs no defined nursing interventions. 
B)  The second diagnosis needs medical intervention. 
C)  The second diagnosis will not need to be evaluated. 
D)  The second diagnosis reflects a problem that does not yet exist.

Question 17

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. The nurse should treat this data as the basis of a nursing diagnosis plan. What does this data represent?

Accepted Answer

A)  Symptoms 
B)  Data clustering 
C)  Signs of fluid overload 
D)  Urinary retention 
A)  Symptoms 
B)  Data clustering 
C)  Signs of fluid overload 
D)  Urinary retention

Question 18

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

Accepted Answer

actual nursing diagnosis
An ac

Question 19

What best defines the nursing process?

Accepted Answer

A)  A method to ensure that the physician's orders are implemented correctly. 
B)  A series of assessments that isolate a patient's health problem. 
C)  A framework for the organization of individualized nursing care. 
D)  A preset formula for the design of nursing care. 
A)  A method to ensure that the physician's orders are implemented correctly. 
B)  A series of assessments that isolate a patient's health problem. 
C)  A framework for the organization of individualized nursing care. 
D)  A preset formula for the design of nursing care.

Question 20

Which nursing order is complete and correct?

Accepted Answer

A)  "May 10: Nursing assistants will ambulate patient. A. Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse" 
C)  "Nursing assistants 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: Nursing assistants will ambulate patient. A. Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse" 
C)  "Nursing assistants 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."

Exam 5: Nursing Process and Critical Thinking

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _______ ________.

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

The identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures is known as a _________ _______.

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 subjective data?

Which are official categories of nursing diagnoses? (Select all that apply.)

A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not met by a predetermined date, it is determined that what has occurred?

NANDA International meets to reorganize diagnosis labels and language every ______ years.

What type of assessment is performed continuously throughout nurse-patient contact?

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

What is a nursing diagnosis considered when a problem is suspected but data to support it are lacking?

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

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

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes is known as a _____________ ___________.

What is an important consideration when developing the care plan?

The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition. What is the major difference between these diagnoses?

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. The nurse should treat this data as the basis of a nursing diagnosis plan. What does this data represent?

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

What best defines the nursing process?

Which nursing order is complete and correct?

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 Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span 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

Rehabilitation Nursing

Hospice Care

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 a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters

The document that outlines a multidisciplinary plan for care interventions over a specified time frame is a _ __.

The identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures is known as a ___ _.

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

A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes 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) _ _ _______.