Nursing Diagnosis Practice Exam – Accurate
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Terms in this set (33)
The nurse uses nursing diagnoses 2
after completion of the client After completing the client assessment, the nurse
assessment, because they: develops nursing diagnoses based on the data
obtained. Nursing diagnoses distinguish the nurse's
1.Are required for accreditation role from that of the physician, and nursing
purposes diagnoses help nurses to focus on the role of nursing
in client care. Although most state nurse practice acts
2.Identify the domain and focus of include nursing diagnosis as part of the domain of
nursing nursing practice, nursing diagnoses are not required
for accreditation purposes. Medical problems are
3.Assist the nurse to distinguish identified with medical diagnostic statements to treat
medical from nursing problems a disease condition. Nursing diagnoses describe the
client's actual or potential response to a health
4.Make all client problems become problem that the nurse is licensed and competent to
more quickly and easily resolved treat. Nursing diagnoses distinguish the nurse's role
from that of the physician. Nursing diagnoses may
facilitate communication among health professionals,
but they do not necessarily allow all client problems
to become more quickly and easily resolved.
,A 53-year-old client is seen at the 3
clinic for a yearly physical The nurse uses scientific knowledge and experience
examination. In evaluating the client's to analyze and interpret data collected about the
weight, the nurse also considers the client. This includes comparing the data with norms.
age and height. This is an example of: The nurse is comparing data to determine if there is a
problem. A problem has not yet been identified. The
1.Defining the client problem nurse is not recognizing gaps in data assessment. An
example of a gap in data assessment would be if the
2.Recognizing gaps in data client's weight had not been measured. The nurse has
assessment not drawn a conclusion about the client's response.
The nurse must first compare the data with normal
3.Comparing data with normal health health problems to be able to arrive at a conclusion.
patterns
4.Drawing conclusions about the
client's response
Of the following statements, which 3
one is an example of an appropriately This nursing diagnosis is written correctly. It defines a
written nursing diagnosis? problem and its etiology. In this case the problem is
the client's response to a diagnostic test. A medical
1.Acute pain related to left diagnosis should not be recorded as the etiology
mastectomy because nursing interventions cannot change the
medical diagnosis. It would be appropriate to state
2.impaired gas exchange related to acute pain related to impaired skin integrity
altered blood gases secondary to mastectomy incision. This nursing
diagnosis is written incorrectly because it uses
3.Deficient knowledge related to supportive data of the problem as the etiology. This
need for cardiac catheterization nursing diagnosis does not identify the problem and
etiology. It identifies the client's goal rather than the
4.Need for high protein diet related to problem. It could be reworded as imbalanced
alteration in client nutrition nutrition: less than body requirements related to
inadequate protein intake.
, Of the following statements, which 3
one is an example of an appropriately Ineffective airway clearance related to increased
written nursing diagnosis? secretions is written appropriately. It identifies a
problem using a NANDA International diagnostic
1.Risk for change in body image statement and connects it to its etiology. Risk for
related to cancer change in body image related to cancer is written
incorrectly. It uses a medical diagnosis for the
2.Cardiac output decreased related to etiology. Cardiac output decreased related to motor
motor vehicle accident vehicle accident is written incorrectly. The etiology is
not treatable. Potential for injury related to improper
3.Ineffective airway clearance related teaching in the use of crutches is written incorrectly.
to increased secretions It identifies the nurse's problem, not the client's
4.Potential for injury related to
improper teaching in the use of
crutches
The nurse has diagnosed the client's 3
problem as altered elimination. From Total hip replacement because the medical diagnosis
the database the nurse identifies all requires medical interventions, it is legally
the following as appropriate inadvisable to use it in the nursing diagnosis. Rather,
etiologies for this diagnosis except: the nurse should identify the client's response, such
as decreased mobility. The nurse should be able to
1.Poor fiber intake provide nursing interventions that will treat the
etiology. Poor fiber intake would be an appropriate
2.Limited fluid intake etiology for the problem of altered elimination.
Limited fluid intake would be an appropriate etiology
3.Total hip replacement for the nursing diagnosis of altered elimination. Lower
abdominal discomfort is an appropriate etiology for
4.Lower abdominal discomfort the nursing diagnosis of altered elimination.
Solutions For Every Question
Save
Terms in this set (33)
The nurse uses nursing diagnoses 2
after completion of the client After completing the client assessment, the nurse
assessment, because they: develops nursing diagnoses based on the data
obtained. Nursing diagnoses distinguish the nurse's
1.Are required for accreditation role from that of the physician, and nursing
purposes diagnoses help nurses to focus on the role of nursing
in client care. Although most state nurse practice acts
2.Identify the domain and focus of include nursing diagnosis as part of the domain of
nursing nursing practice, nursing diagnoses are not required
for accreditation purposes. Medical problems are
3.Assist the nurse to distinguish identified with medical diagnostic statements to treat
medical from nursing problems a disease condition. Nursing diagnoses describe the
client's actual or potential response to a health
4.Make all client problems become problem that the nurse is licensed and competent to
more quickly and easily resolved treat. Nursing diagnoses distinguish the nurse's role
from that of the physician. Nursing diagnoses may
facilitate communication among health professionals,
but they do not necessarily allow all client problems
to become more quickly and easily resolved.
,A 53-year-old client is seen at the 3
clinic for a yearly physical The nurse uses scientific knowledge and experience
examination. In evaluating the client's to analyze and interpret data collected about the
weight, the nurse also considers the client. This includes comparing the data with norms.
age and height. This is an example of: The nurse is comparing data to determine if there is a
problem. A problem has not yet been identified. The
1.Defining the client problem nurse is not recognizing gaps in data assessment. An
example of a gap in data assessment would be if the
2.Recognizing gaps in data client's weight had not been measured. The nurse has
assessment not drawn a conclusion about the client's response.
The nurse must first compare the data with normal
3.Comparing data with normal health health problems to be able to arrive at a conclusion.
patterns
4.Drawing conclusions about the
client's response
Of the following statements, which 3
one is an example of an appropriately This nursing diagnosis is written correctly. It defines a
written nursing diagnosis? problem and its etiology. In this case the problem is
the client's response to a diagnostic test. A medical
1.Acute pain related to left diagnosis should not be recorded as the etiology
mastectomy because nursing interventions cannot change the
medical diagnosis. It would be appropriate to state
2.impaired gas exchange related to acute pain related to impaired skin integrity
altered blood gases secondary to mastectomy incision. This nursing
diagnosis is written incorrectly because it uses
3.Deficient knowledge related to supportive data of the problem as the etiology. This
need for cardiac catheterization nursing diagnosis does not identify the problem and
etiology. It identifies the client's goal rather than the
4.Need for high protein diet related to problem. It could be reworded as imbalanced
alteration in client nutrition nutrition: less than body requirements related to
inadequate protein intake.
, Of the following statements, which 3
one is an example of an appropriately Ineffective airway clearance related to increased
written nursing diagnosis? secretions is written appropriately. It identifies a
problem using a NANDA International diagnostic
1.Risk for change in body image statement and connects it to its etiology. Risk for
related to cancer change in body image related to cancer is written
incorrectly. It uses a medical diagnosis for the
2.Cardiac output decreased related to etiology. Cardiac output decreased related to motor
motor vehicle accident vehicle accident is written incorrectly. The etiology is
not treatable. Potential for injury related to improper
3.Ineffective airway clearance related teaching in the use of crutches is written incorrectly.
to increased secretions It identifies the nurse's problem, not the client's
4.Potential for injury related to
improper teaching in the use of
crutches
The nurse has diagnosed the client's 3
problem as altered elimination. From Total hip replacement because the medical diagnosis
the database the nurse identifies all requires medical interventions, it is legally
the following as appropriate inadvisable to use it in the nursing diagnosis. Rather,
etiologies for this diagnosis except: the nurse should identify the client's response, such
as decreased mobility. The nurse should be able to
1.Poor fiber intake provide nursing interventions that will treat the
etiology. Poor fiber intake would be an appropriate
2.Limited fluid intake etiology for the problem of altered elimination.
Limited fluid intake would be an appropriate etiology
3.Total hip replacement for the nursing diagnosis of altered elimination. Lower
abdominal discomfort is an appropriate etiology for
4.Lower abdominal discomfort the nursing diagnosis of altered elimination.
