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Exam (elaborations)

Nursing Process Final Review Exam Questions and Answers UPDATED 2025

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While bathing the client, the nurse observes the client grimacing. The nurse asks if the client is experiencing pain. The client nods yes and refuses to continue the bath. The nurse removes the wash basin, makes the client comfortable, and documents the event in the client's chart. Which of the following actions clearly demonstrates assessing? A) The nurse bathing the client B) The nurse documenting the incident C) The nurse asking if the client is having pain D) The nurse removing the wash basin -Correct Answer C- the nurse asking if the client is having pain A nurse is examining a child 2 years of age. Based on the findings, the nurse initiates a care plan for a potential problem with normal growth and development. Which step of the nursing process identifies actual and potential problems? -Correct Answer Diagnosing Nursing is a profession in a rapidly changing health care environment. What is the most important reason for the nurse to develop critical thinking and clinical reasoning? a. clients deserve experts who know how to care for them b. to be able to employ the nursing process in client care c. to provide quality care with nursing ability and knowledge d. the licensing exam requires nurses to be adept at critical thinking -Correct Answer c-to provide quality care with nursing ability and knowledge A client is experiencing shortness of breath, lethargy, and cyanosis. These three cues provide organization or- a. clustering b. categorizing c. diagnosing d. grouping -Correct Answer a-clustering The nurse is providing care for a client who experienced an ischemic stroke 5 days ago. The client now has difficulty swallowing liquids, weakness on the right side of the body, and incontinence. Which priority nursing diagnosis would the nurse identify and document in the care of this client? Select all (4) a. Bowel incontinence b. impaired swallowing c. risk for hemiparesis d. dysphagia e. impaired physical mobility -Correct Answer b, c, d, e After assessment of a client in an ambulatory clinic, the nurse records the data on the computer. The nurse recognizes which client information as objective data? a. reporting nausea b. sensation of burning in her epigastric area c. belief that demons are in her stomach d. auscultation of the lungs -Correct Answer d

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Uploaded on
May 14, 2025
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Written in
2024/2025
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Nursing Process



Nursing Process Final Review Exam Questions
and Answers UPDATED 2025
While bathing the client, the nurse observes the client grimacing. The nurse asks if the
client is experiencing pain. The
client nods yes and refuses to continue the bath. The nurse removes the wash basin,
makes the client comfortable, and
documents the event in the client's chart. Which of the following actions clearly
demonstrates assessing?
A) The nurse bathing the client
B) The nurse documenting the incident
C) The nurse asking if the client is having pain

D) The nurse removing the wash basin -Correct Answer ✔C- the nurse asking if the client
is having pain


A nurse is examining a child 2 years of age. Based on the findings, the nurse initiates a
care plan for a potential problem with normal growth and development. Which step of
the nursing process identifies actual and potential problems? -Correct Answer
✔Diagnosing


Nursing is a profession in a rapidly changing health care environment. What is the most
important reason for the nurse to develop critical thinking and clinical reasoning?
a. clients deserve experts who know how to care for them
b. to be able to employ the nursing process in client care
c. to provide quality care with nursing ability and knowledge

d. the licensing exam requires nurses to be adept at critical thinking -Correct Answer ✔c-
to provide quality care with nursing ability and knowledge




Nursing Process

, Nursing Process


A client is experiencing shortness of breath, lethargy, and cyanosis. These three cues
provide organization or-
a. clustering
b. categorizing
c. diagnosing

d. grouping -Correct Answer ✔a-clustering


The nurse is providing care for a client who experienced an ischemic stroke 5 days ago.
The client now has difficulty swallowing liquids, weakness on the right side of the body,
and incontinence. Which priority nursing diagnosis would the nurse identify and
document in the care of this client? Select all (4)
a. Bowel incontinence
b. impaired swallowing
c. risk for hemiparesis
d. dysphagia

e. impaired physical mobility -Correct Answer ✔b, c, d, e


After assessment of a client in an ambulatory clinic, the nurse records the data on the
computer. The nurse recognizes which client information as objective data?
a. reporting nausea
b. sensation of burning in her epigastric area
c. belief that demons are in her stomach

d. auscultation of the lungs -Correct Answer ✔d


which nursing diagnosis is an example of a wellness diagnosis
a. possible chronic low self esteem
b. acute pain


Nursing Process

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