N308 Test 1 Questions with correct answers
The nurse is gathering assessment data from a client. The nurse
recognizes all of the following as objective assessment data (cues)
EXCEPT:
a)lab values
b)reported symptoms
c)vitals
d)observed behaviors Correct Answer-B
The community nurse is caring for a patient who has been struggling
with nausea as a result of her new medication. During the visit you and
the patient determine nausea is her primary concern. Which of the
following is the correct problem-focused nursing diagnosis (hypothesis)
for this patient?
a)nausea r/t chemotherapy treatment regimen AEB aversion to food and
upset stomach
b)risk for nausea r/t chemotherapy treatment regimen
c)nausea AEB aversion to food and upset stomach
d)nausea r/t chemotherapy treatment regimen Correct Answer-A
After the nurse completes the interview, he/she identifies the problem.
Which phase of the nursing process is the nurse displaying when he/she
makes a clinical judgement about the problem?
a)goal identification (planning)
b)assessment
c)nursing diagnosis (hypothesis)
,d)evaluation Correct Answer-C
All of the following are true for the nursing process, EXCEPT:
a)The nursing process is a care plan created by the nurse to guide the
nurse's care of the patient, therefore the nursing process is nurse-
centered.
b)The nurse uses clinical reasoning throughout the nursing process, and
this clinical reasoning is critical to making an appropriate nursing
diagnosis.
c)Assessment data from other Interdisciplinary Team (IDT) members
can be used to build a more comprehensive care plan.
d)Assessment data reported to the nurse from social work could
contribute to evidence (related factors, "related to") for a problem-
focused nursing diagnosis. Correct Answer-A
During the assessment phase of the nursing processes, the nurse
conducts an interview for a client in their home. The client has a new
diagnosis of high blood pressure and has poor knowledge about their
high blood pressure. Which of the following statements by the nurse
would be the MOST therapeutic?
a) why did you eat mcdonald's?
b) it will be ok. your blood pressure won't kill you too quickly
c)if I were you, I would ask your wife to sit in on our conversation
d) you look anxious, tell me what you know about high blood pressure
Correct Answer-D
, All of the following influence professional nursing practice and patient
care, EXCEPT:
a) evidence based practice
b) quality and safety
c) critical thinking the nursing process
d)patient care techniques passed down by your grandmother who was a
nurse Correct Answer-D
You are the nurse caring for client C.B. This client was recently
discharged from the hospital after being treated for pneumonia. You are
performing a house visit when you notice the oxygen saturation was
85%, and you applied 2L oxygen. The patient appears to be very
anxious. What is the PRIORITY nursing diagnosis (hypothesis) for this
patient?
a)ineffective gas exchange r/t needing 2L oxygen AEB oxygen
saturation of 85%
b)Pneumonia r/t recent diagnosis and needing 2L oxygen AEB oxygen
saturation of 85%
c)Knowledge deficit r/t new need for 2L oxygen AEB anxiety about new
diagnosis
d)Anxiety r/t new need for 2L oxygen AEB appearing anxious and
verbalization of anxiety Correct Answer-A
Patient Z. A. is seeing you in the community clinic. Z.A. has been
experiencing some mild nausea for the last 7-days and has not been
eating the recommended 2,000 calories per day. Which of the following
The nurse is gathering assessment data from a client. The nurse
recognizes all of the following as objective assessment data (cues)
EXCEPT:
a)lab values
b)reported symptoms
c)vitals
d)observed behaviors Correct Answer-B
The community nurse is caring for a patient who has been struggling
with nausea as a result of her new medication. During the visit you and
the patient determine nausea is her primary concern. Which of the
following is the correct problem-focused nursing diagnosis (hypothesis)
for this patient?
a)nausea r/t chemotherapy treatment regimen AEB aversion to food and
upset stomach
b)risk for nausea r/t chemotherapy treatment regimen
c)nausea AEB aversion to food and upset stomach
d)nausea r/t chemotherapy treatment regimen Correct Answer-A
After the nurse completes the interview, he/she identifies the problem.
Which phase of the nursing process is the nurse displaying when he/she
makes a clinical judgement about the problem?
a)goal identification (planning)
b)assessment
c)nursing diagnosis (hypothesis)
,d)evaluation Correct Answer-C
All of the following are true for the nursing process, EXCEPT:
a)The nursing process is a care plan created by the nurse to guide the
nurse's care of the patient, therefore the nursing process is nurse-
centered.
b)The nurse uses clinical reasoning throughout the nursing process, and
this clinical reasoning is critical to making an appropriate nursing
diagnosis.
c)Assessment data from other Interdisciplinary Team (IDT) members
can be used to build a more comprehensive care plan.
d)Assessment data reported to the nurse from social work could
contribute to evidence (related factors, "related to") for a problem-
focused nursing diagnosis. Correct Answer-A
During the assessment phase of the nursing processes, the nurse
conducts an interview for a client in their home. The client has a new
diagnosis of high blood pressure and has poor knowledge about their
high blood pressure. Which of the following statements by the nurse
would be the MOST therapeutic?
a) why did you eat mcdonald's?
b) it will be ok. your blood pressure won't kill you too quickly
c)if I were you, I would ask your wife to sit in on our conversation
d) you look anxious, tell me what you know about high blood pressure
Correct Answer-D
, All of the following influence professional nursing practice and patient
care, EXCEPT:
a) evidence based practice
b) quality and safety
c) critical thinking the nursing process
d)patient care techniques passed down by your grandmother who was a
nurse Correct Answer-D
You are the nurse caring for client C.B. This client was recently
discharged from the hospital after being treated for pneumonia. You are
performing a house visit when you notice the oxygen saturation was
85%, and you applied 2L oxygen. The patient appears to be very
anxious. What is the PRIORITY nursing diagnosis (hypothesis) for this
patient?
a)ineffective gas exchange r/t needing 2L oxygen AEB oxygen
saturation of 85%
b)Pneumonia r/t recent diagnosis and needing 2L oxygen AEB oxygen
saturation of 85%
c)Knowledge deficit r/t new need for 2L oxygen AEB anxiety about new
diagnosis
d)Anxiety r/t new need for 2L oxygen AEB appearing anxious and
verbalization of anxiety Correct Answer-A
Patient Z. A. is seeing you in the community clinic. Z.A. has been
experiencing some mild nausea for the last 7-days and has not been
eating the recommended 2,000 calories per day. Which of the following
