and Bone Drug Name and Classification Latest
Update 2025-2026 Exam 60 Questions with 100%
Verified Correct Answers Guaranteed A+
A nurse completes a respiratory assessment on a patient who had abdominal surgery 1
day ago. During the assessment, the nurse auscultates crackles in both lower lobes,
and the patient's coughs, producing light yellow sputum. The patient's body temperature
is 37.0 C (98.6 F), pulse is 110 beats/min, respiratory rate is 28 breaths/min, and blood
pressure is 118/82 mm Hg. Pulse oximetry was 99% and is now 93%. The nurse
identifies a nursing diagnosis of Impaired Gas Exchange. Which of the following goals is
appropriate for this patient?
1. Patient's pulse oximetry will be greater than 95%.
2. Instruct patient to deep breathe and cough every 2 hours.
3. Patient's lungs will be clear to auscultation.
4. Patient will be able to sleep through the night. - CORRECT ANSWER: 3
A nurse working on a cardiac unit is assigned an 84-year-old patient who was just
admitted with symptoms of lung infection. When the nurse enters the room, the nurse
notices that the patient is short of breath. The patient continues to cough and has a
respiratory rate of 36 breaths/ min. The patient is anxious and states "I am scared". The
nurse does an initial preliminary assessment and follows up 30 mins later. The nurse's
knowledge about the patient results in which of the following assessment approaches?
(select all that apply)
1. Problem-focused approach
2. Structured comprehensive approach
3. Emotion-focused approach
4. Using multiple visits to gather a complete patient database
5. Focusing on the functional health pattern of role-relationship - CORRECT ANSWER:
1, 4
, A patient has a pressure injury resulting from urinary incontinence and sustained
pressure over the coccyx. The nursing plan of care includes a goal of "Pressure injury
heals in 3 weeks". Which of the following is an evaluation measure for this goal? (select
all that apply)
1. Turn patient every 90 minutes.
2. Measure the diameter of the pressure injury.
3. Measure urine output.
4. Monitor patient's report of discomfort during turning.
5. Measure depth of pressure injury. - CORRECT ANSWER: 2, 5
Assessment - CORRECT ANSWER: gathered patient care data through observation,
interviews, and physical assessment
Component of a nursing diagnosis: Defining Characteristics - CORRECT ANSWER:
cues or clusters of related assessment data that are signs, symptoms, or indications of
an actual or health-promotion nursing diagnosis
Component of a nursing diagnosis: Diagnosis Label - CORRECT ANSWER: a concise
term or phrase that represents a pattern of related, clustered data
Component of a nursing diagnosis: Related Factors and Risk Factors - CORRECT
ANSWER: the underlying cause or etiology of a patient's problem
consultation - CORRECT ANSWER: a process by which you seek the expertise of a
specialist to identify ways to handle problems in patient management or in planning and
implementation of therapies
Data validation - CORRECT ANSWER: consists of comparison of data w/ another
source to determine accuracy of the data