NUR155 EXAM 2 COMPREHENSIVE FINAL
PAPER 2026 SOLVED QUESTIONS WITH
VERIFIED ANSWERS
◉ Differentiating Nursing Diagnosis from Medical Diagnosis
Answer: -Nursing Diagnosis
Nursing judgment
Describes human response
Changes as client responds
-Medical Diagnosis
Made by physician
Disease process
Stays the same
◉ Steps in Diagnostic Process Answer: 1. Analyzing Data
-Compare data against standards
-Cluster cues
-Identify gaps and inconsistencies
2.Identifying health problems, risks, and strengths
,3.Formulating diagnostic statements
◉ Writing Nursing Diagnoses Answer: -Basic Two-Part Statement
(at risk)
Problem (P)
Etiology (E)
-Basic Three-Part Statement (actual)
Problem (P)
Etiology (E)
Signs and symptoms (S)
◉ PRACTICE: nursing diagnoses:
A client who experienced a stroke last week is unable to swallow.
You witness him choke during a feeding session. Answer: -impaired
swallowing
-R/T facial paralysis
-AEB observed choking (Observed evidente of difficulty in
swallowing
◉ PRACTICE: nursing diagnoses:
A newborn has a temp of 97.1 Ax. Answer: -Hypothermia
,-R/T immature body system
-AEB Ax temp of 97.1
◉ PRACTICE: nursing diagnoses:
A client comes to the clinic and states he can't handle the stress
anymore. Answer: -Ineffective coping
-R/T inadequate coping
-AEB verbalization of the inability to cope
◉ PRACTICE: nursing diagnoses:
An assessment on a post-operative client reveals rhonchi. The client
refuses to cough due to pain. Answer: -ineffective airway clearance
-R/T ineffective cough
-AEB abnormal breath sounds
◉ PRACTICE: nursing diagnoses:The nurse is caring for a post-
operative surgical client. The nurse identifies the client is at risk for
developing infection. The client does not have symptoms of an
infection at this time. Answer: -Risk for infection
-R/T surgical incision
◉ The nursing process: Planning Answer: Nurse and the client in
collaboration
, Set priorities
Determine goals to eliminate, diminish, or control identified
problems
Choose specific interventions to enable the client to meet the
specific outcomes listed in the plan of care
◉ Types of Planning Answer: 1. Initial: Planning should be initiated
as soon as possible after the initial assessment.
2. Ongoing: Is done by all nurses who work with the client. As nurses
obtain new information and evaluate the client's responses to care,
they can individualize the initial care plan further.
3. Discharge: The process of anticipating and planning for needs
after discharge. Discharge planning starts at the moment the client is
admitted into the unit.
◉ Four types of care plans Answer: 1) Informal Nursing Care Plan
2) Formal Nursing Care Plan
3) Standardized Care Plan
4) Individualized Care Plan
PAPER 2026 SOLVED QUESTIONS WITH
VERIFIED ANSWERS
◉ Differentiating Nursing Diagnosis from Medical Diagnosis
Answer: -Nursing Diagnosis
Nursing judgment
Describes human response
Changes as client responds
-Medical Diagnosis
Made by physician
Disease process
Stays the same
◉ Steps in Diagnostic Process Answer: 1. Analyzing Data
-Compare data against standards
-Cluster cues
-Identify gaps and inconsistencies
2.Identifying health problems, risks, and strengths
,3.Formulating diagnostic statements
◉ Writing Nursing Diagnoses Answer: -Basic Two-Part Statement
(at risk)
Problem (P)
Etiology (E)
-Basic Three-Part Statement (actual)
Problem (P)
Etiology (E)
Signs and symptoms (S)
◉ PRACTICE: nursing diagnoses:
A client who experienced a stroke last week is unable to swallow.
You witness him choke during a feeding session. Answer: -impaired
swallowing
-R/T facial paralysis
-AEB observed choking (Observed evidente of difficulty in
swallowing
◉ PRACTICE: nursing diagnoses:
A newborn has a temp of 97.1 Ax. Answer: -Hypothermia
,-R/T immature body system
-AEB Ax temp of 97.1
◉ PRACTICE: nursing diagnoses:
A client comes to the clinic and states he can't handle the stress
anymore. Answer: -Ineffective coping
-R/T inadequate coping
-AEB verbalization of the inability to cope
◉ PRACTICE: nursing diagnoses:
An assessment on a post-operative client reveals rhonchi. The client
refuses to cough due to pain. Answer: -ineffective airway clearance
-R/T ineffective cough
-AEB abnormal breath sounds
◉ PRACTICE: nursing diagnoses:The nurse is caring for a post-
operative surgical client. The nurse identifies the client is at risk for
developing infection. The client does not have symptoms of an
infection at this time. Answer: -Risk for infection
-R/T surgical incision
◉ The nursing process: Planning Answer: Nurse and the client in
collaboration
, Set priorities
Determine goals to eliminate, diminish, or control identified
problems
Choose specific interventions to enable the client to meet the
specific outcomes listed in the plan of care
◉ Types of Planning Answer: 1. Initial: Planning should be initiated
as soon as possible after the initial assessment.
2. Ongoing: Is done by all nurses who work with the client. As nurses
obtain new information and evaluate the client's responses to care,
they can individualize the initial care plan further.
3. Discharge: The process of anticipating and planning for needs
after discharge. Discharge planning starts at the moment the client is
admitted into the unit.
◉ Four types of care plans Answer: 1) Informal Nursing Care Plan
2) Formal Nursing Care Plan
3) Standardized Care Plan
4) Individualized Care Plan
