Nurs104 Final 180 questions with correct
answer
A nurse will arrive at a nursing diagnosis through the nursing process step of: - correct
answerassessment.
A student nurse can begin to develop critical thinking skills by means of: - correct
answerlistening attentively and focusing on the speaker's words and meaning.
An emergency room nurse will give first priority to the patient with the most critical need,
which is the patient who: - correct answercomplains of severe chest pain.
Constant nursing assessments and evaluations of the patient will most likely result in: - correct
answerthe nursing care plan changing to reflect appropriate priorities.
Descriptions of the activities involved in the nursing diagnosis step of the nursing process are:
(Select all that apply.) - correct answerdetermination of potential health problems., clustering
of related assessments.
In the collaborative process of delivering care based on the nursing process, the responsibility
of the LPN/LVN is to: - correct answercollect data of health status.
Once the nursing plan has been initiated, the nursing care plan will: - correct answerchange as
the patient's condition changes.
The activity that is implementation in nursing care is: - correct answerchanging the patient's
surgical dressing.
The effect of using a scientific problem-solving approach in nursing care will cause decision
making to be: - correct answerimproved nursing care outcomes.
,Nurs104 Final 180 questions with correct
answer
The nurse who uses the nursing process will: - correct answerapproach the patient's disorder in
a step-by-step method.
The order in which the nursing process is approached is: - correct answerassessment, nursing
diagnosis, planning, implementation, evaluation.
The participants of the planning stage of the nursing process during which the health goals are
defined include the: - correct answerhealth team, the patient, and the patient's family.
When a nurse prioritizes the patient care, consideration is given to: - correct answerconsidering
situations that may result in an alteration of health.
When a patient states, "I can't walk very well," the first problem-solving step would be to: -
correct answerfind out what the problem is, such as weakness or poor balance.
When a resident in the nursing home complains of constipation, the nurse performs a digital
rectal examination and finds a hard fecal mass. This is an example of: - correct
answerassessment.
When the nurse checks to see whether a patient has had relief 45 minutes after administering
pain medication, the nurse is performing a(n): - correct answerevaluation.
A nursing care plan consists of: - correct answernursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answerdiagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
, Nurs104 Final 180 questions with correct
answer
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answerarrange furnishings in room to provide
clear pathways and orient the patient to these.
An elderly patient with a medical diagnosis of chronic lung disease has developed pneumonia.
She is coughing frequently and expectorating thick, sticky secretions. She is very short of
breath, even with oxygen running, and she is exhausted and says she "can't breathe." Based on
this information, an appropriately worded nursing diagnosis for this patient is - correct
answerAirway clearance, ineffective, related to lung secretions as evidenced by cough and
shortness of breath.
During the assessment phase of the nursing process, the nurse - correct answergathers,
organizes, and documents data in a logical database.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answerPatient will be able to ambulate using a walker independently within 3 days.,
Patient will perform active range of motion (ROM) of her upper extremities independently
every 4 hours.
A nurse is caring for a patient with a medical diagnosis of right lower lobe pneumonia. The
patient is expectorating thick green mucus, has an oxygen saturation level of 90%, and has
audible crackles in the base of the right lung. An appropriate nursing diagnosis for this patient
is: - correct answerAirway clearance, ineffective, related to retained secretions as evidenced by
expectoration of thick green mucus, oxygen saturation level of 90%, and audible crackles in the
base of the right lung.
A nursing care plan consists of: - correct answernursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answerdiagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
answer
A nurse will arrive at a nursing diagnosis through the nursing process step of: - correct
answerassessment.
A student nurse can begin to develop critical thinking skills by means of: - correct
answerlistening attentively and focusing on the speaker's words and meaning.
An emergency room nurse will give first priority to the patient with the most critical need,
which is the patient who: - correct answercomplains of severe chest pain.
Constant nursing assessments and evaluations of the patient will most likely result in: - correct
answerthe nursing care plan changing to reflect appropriate priorities.
Descriptions of the activities involved in the nursing diagnosis step of the nursing process are:
(Select all that apply.) - correct answerdetermination of potential health problems., clustering
of related assessments.
In the collaborative process of delivering care based on the nursing process, the responsibility
of the LPN/LVN is to: - correct answercollect data of health status.
Once the nursing plan has been initiated, the nursing care plan will: - correct answerchange as
the patient's condition changes.
The activity that is implementation in nursing care is: - correct answerchanging the patient's
surgical dressing.
The effect of using a scientific problem-solving approach in nursing care will cause decision
making to be: - correct answerimproved nursing care outcomes.
,Nurs104 Final 180 questions with correct
answer
The nurse who uses the nursing process will: - correct answerapproach the patient's disorder in
a step-by-step method.
The order in which the nursing process is approached is: - correct answerassessment, nursing
diagnosis, planning, implementation, evaluation.
The participants of the planning stage of the nursing process during which the health goals are
defined include the: - correct answerhealth team, the patient, and the patient's family.
When a nurse prioritizes the patient care, consideration is given to: - correct answerconsidering
situations that may result in an alteration of health.
When a patient states, "I can't walk very well," the first problem-solving step would be to: -
correct answerfind out what the problem is, such as weakness or poor balance.
When a resident in the nursing home complains of constipation, the nurse performs a digital
rectal examination and finds a hard fecal mass. This is an example of: - correct
answerassessment.
When the nurse checks to see whether a patient has had relief 45 minutes after administering
pain medication, the nurse is performing a(n): - correct answerevaluation.
A nursing care plan consists of: - correct answernursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answerdiagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
, Nurs104 Final 180 questions with correct
answer
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answerarrange furnishings in room to provide
clear pathways and orient the patient to these.
An elderly patient with a medical diagnosis of chronic lung disease has developed pneumonia.
She is coughing frequently and expectorating thick, sticky secretions. She is very short of
breath, even with oxygen running, and she is exhausted and says she "can't breathe." Based on
this information, an appropriately worded nursing diagnosis for this patient is - correct
answerAirway clearance, ineffective, related to lung secretions as evidenced by cough and
shortness of breath.
During the assessment phase of the nursing process, the nurse - correct answergathers,
organizes, and documents data in a logical database.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answerPatient will be able to ambulate using a walker independently within 3 days.,
Patient will perform active range of motion (ROM) of her upper extremities independently
every 4 hours.
A nurse is caring for a patient with a medical diagnosis of right lower lobe pneumonia. The
patient is expectorating thick green mucus, has an oxygen saturation level of 90%, and has
audible crackles in the base of the right lung. An appropriate nursing diagnosis for this patient
is: - correct answerAirway clearance, ineffective, related to retained secretions as evidenced by
expectoration of thick green mucus, oxygen saturation level of 90%, and audible crackles in the
base of the right lung.
A nursing care plan consists of: - correct answernursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answerdiagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
