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NR 226 Exam 1 - Review Questions
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
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ANSWERS VERIFIED 100 %
Exam
, Page 2 of 43
NR 226 Exam 1 - Review Questions
A 58-year-old patient with nerve deafness has come to his doctor's office for a
routine examination. The patient wears two hearing aids. The advanced
practice nurse who is conducting the assessment uses which of the following
approaches while conducting the interview with this patient? (Select all that
apply.)
A. Maintain a neutral facial expression
B. Lean forward when interacting with the patient
C. Acknowledge the patient's answers through head nodding
D. Limit direct eye contact
B&C
-Leaning forward shows that the nurse is aware and attending to what the patient is
saying. The use of head nodding regulates the interaction and makes it easier for the
patient to know the nurse's responses to his comments. A neutral expression does
not express warmth or immediacy, which is needed to establish a positive
relationship. Good eye contact communicates the nurse's interest in what the patient
has to say.
Review the following nursing diagnoses and identify the diagnoses that are
stated correctly. (Select all that apply.)
A. Anxiety related to fear of dying
B. Fatigue related to chronic emphysema
C. Need for mouth care related to inflamed mucosa
D. Risk for infection
A&D
-The diagnosis "Anxiety related to fear of dying" is stated correctly, with the related
factor being the patient's response to a health problem. Risk for infection is a risk
factor for an at-risk diagnosis. In all cases the related factor or risk factor is a
condition for which the nurse can implement preventive measures. Fatigue related to
chronic emphysema is incorrect since chronic emphysema is a medical diagnosis.
Need for mouth care related to inflamed mucosa is not a NANDA-I-approved nursing
diagnosis.
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A nurse reviews data gathered regarding a patient's pain symptoms. The nurse
compares the defining characteristics for acute pain with those for chronic
pain and in the end selects acute pain as the correct diagnosis. This is an
example of the nurse avoiding an error in:
A. Data collection.
B. Data clustering.
C. Data interpretation.
D. Making a diagnostic statement.
C. Data interpretation
-In the review of data, the nurse compares defining characteristics for the two
nursing diagnoses and selects one based on the interpretation of data. Making a
diagnostic statement is incorrect because the nurse has not included a related factor.
The nursing diagnosis readiness for enhanced communication is an example
of a(n):
A. Risk nursing diagnosis.
B. Actual nursing diagnosis.
C. Health promotion nursing diagnosis
D. Wellness nursing diagnosis.
C. Health promotion nursing diagnosis
-A patient's readiness for enhanced communication is an example of a health-
promotion diagnosis because it implies the patient's motivation and desire to
strengthen his health.
In the following examples, which nurses are making nursing diagnostic
errors? (Select all that apply.)
A. The nurse who listens to lung sounds after a patient reports "difficulty
breathing"
B. The nurse who considers conflicting cues in deciding which diagnostic
label to choose
C. The nurse assessing the edema in a patient's lower leg who is unsure how
to assess the severity of edema
D. The nurse who identifies a diagnosis on the basis of a single defining
characteristic
C&D
-When the nurse assesses edema without knowing how to assess the severity, the
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nurse fails to validate her assessment findings of edema, either by using a scale to
measure the severity or by asking a colleague to validate her findings. In identifying
a diagnosis on the basis of a single defining characteristic, the nurse prematurely
closes clustering, which can lead to an inaccurate diagnosis. By listening to lung
sounds after the patient reports "difficulty breathing" the nurse validates findings to
make an accurate diagnosis. The nurse interprets cue clusters to make an accurate
diagnosis when considering conflicting cues to make a diagnosis.
A nurse is reviewing a patient's list of nursing diagnoses in the medical
record. The most recent nursing diagnosis is diarrhea related to intestinal
colitis. This is an incorrectly stated diagnostic statement, best described as:
A. Identifying the clinical sign instead of an etiology.
B. Identifying a diagnosis based on prejudicial judgment.
C. Identifying the diagnostic study rather than a problem caused by the
diagnostic study.
D. Identifying the medical diagnosis instead of the patient's response to the
diagnosis.
D. Identifying the medical diagnosis instead of the patient's response to the
diagnosis
-In this example intestinal colitis is a medical diagnosis and thus an incorrect
diagnostic statement.
Review the following list of nursing diagnoses and identify those stated
incorrectly. (Select all that apply.)
A. Acute pain related to lumbar disk repair
B. Sleep deprivation related to difficulty falling asleep
C. Constipation related to inadequate intake of liquids
D. Potential nausea related to nasogastric tube insertion
A, B & D
-Acute pain related to lumbar disk repair uses a medical diagnosis as a related
factor. Sleep deprivation related to difficulty falling asleep uses a clinical sign rather
than a treatable etiology such as "excess noise in environment." Potential nausea
related to nasogastric tube insertion uses a diagnostic study as the etiology. None of
the etiologies can be managed or treated by nursing intervention.
Which of the following are examples of collaborative problems? (Select all that
apply.)
NR 226 Exam 1 - Review Questions
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 43
NR 226 Exam 1 - Review Questions
A 58-year-old patient with nerve deafness has come to his doctor's office for a
routine examination. The patient wears two hearing aids. The advanced
practice nurse who is conducting the assessment uses which of the following
approaches while conducting the interview with this patient? (Select all that
apply.)
A. Maintain a neutral facial expression
B. Lean forward when interacting with the patient
C. Acknowledge the patient's answers through head nodding
D. Limit direct eye contact
B&C
-Leaning forward shows that the nurse is aware and attending to what the patient is
saying. The use of head nodding regulates the interaction and makes it easier for the
patient to know the nurse's responses to his comments. A neutral expression does
not express warmth or immediacy, which is needed to establish a positive
relationship. Good eye contact communicates the nurse's interest in what the patient
has to say.
Review the following nursing diagnoses and identify the diagnoses that are
stated correctly. (Select all that apply.)
A. Anxiety related to fear of dying
B. Fatigue related to chronic emphysema
C. Need for mouth care related to inflamed mucosa
D. Risk for infection
A&D
-The diagnosis "Anxiety related to fear of dying" is stated correctly, with the related
factor being the patient's response to a health problem. Risk for infection is a risk
factor for an at-risk diagnosis. In all cases the related factor or risk factor is a
condition for which the nurse can implement preventive measures. Fatigue related to
chronic emphysema is incorrect since chronic emphysema is a medical diagnosis.
Need for mouth care related to inflamed mucosa is not a NANDA-I-approved nursing
diagnosis.
, Page 3 of 43
A nurse reviews data gathered regarding a patient's pain symptoms. The nurse
compares the defining characteristics for acute pain with those for chronic
pain and in the end selects acute pain as the correct diagnosis. This is an
example of the nurse avoiding an error in:
A. Data collection.
B. Data clustering.
C. Data interpretation.
D. Making a diagnostic statement.
C. Data interpretation
-In the review of data, the nurse compares defining characteristics for the two
nursing diagnoses and selects one based on the interpretation of data. Making a
diagnostic statement is incorrect because the nurse has not included a related factor.
The nursing diagnosis readiness for enhanced communication is an example
of a(n):
A. Risk nursing diagnosis.
B. Actual nursing diagnosis.
C. Health promotion nursing diagnosis
D. Wellness nursing diagnosis.
C. Health promotion nursing diagnosis
-A patient's readiness for enhanced communication is an example of a health-
promotion diagnosis because it implies the patient's motivation and desire to
strengthen his health.
In the following examples, which nurses are making nursing diagnostic
errors? (Select all that apply.)
A. The nurse who listens to lung sounds after a patient reports "difficulty
breathing"
B. The nurse who considers conflicting cues in deciding which diagnostic
label to choose
C. The nurse assessing the edema in a patient's lower leg who is unsure how
to assess the severity of edema
D. The nurse who identifies a diagnosis on the basis of a single defining
characteristic
C&D
-When the nurse assesses edema without knowing how to assess the severity, the
, Page 4 of 43
nurse fails to validate her assessment findings of edema, either by using a scale to
measure the severity or by asking a colleague to validate her findings. In identifying
a diagnosis on the basis of a single defining characteristic, the nurse prematurely
closes clustering, which can lead to an inaccurate diagnosis. By listening to lung
sounds after the patient reports "difficulty breathing" the nurse validates findings to
make an accurate diagnosis. The nurse interprets cue clusters to make an accurate
diagnosis when considering conflicting cues to make a diagnosis.
A nurse is reviewing a patient's list of nursing diagnoses in the medical
record. The most recent nursing diagnosis is diarrhea related to intestinal
colitis. This is an incorrectly stated diagnostic statement, best described as:
A. Identifying the clinical sign instead of an etiology.
B. Identifying a diagnosis based on prejudicial judgment.
C. Identifying the diagnostic study rather than a problem caused by the
diagnostic study.
D. Identifying the medical diagnosis instead of the patient's response to the
diagnosis.
D. Identifying the medical diagnosis instead of the patient's response to the
diagnosis
-In this example intestinal colitis is a medical diagnosis and thus an incorrect
diagnostic statement.
Review the following list of nursing diagnoses and identify those stated
incorrectly. (Select all that apply.)
A. Acute pain related to lumbar disk repair
B. Sleep deprivation related to difficulty falling asleep
C. Constipation related to inadequate intake of liquids
D. Potential nausea related to nasogastric tube insertion
A, B & D
-Acute pain related to lumbar disk repair uses a medical diagnosis as a related
factor. Sleep deprivation related to difficulty falling asleep uses a clinical sign rather
than a treatable etiology such as "excess noise in environment." Potential nausea
related to nasogastric tube insertion uses a diagnostic study as the etiology. None of
the etiologies can be managed or treated by nursing intervention.
Which of the following are examples of collaborative problems? (Select all that
apply.)
