NURS 104 – Final Exam Comprehensive Review with Practice
Questions and Correct answers for Foundations of Nursing
A nurse will arrive at a nursing diagnosis through the nursing process step of: - correct answer
assessment.
A student nurse can begin to develop critical thinking skills by means of: - correct answer
listening 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 answer complains of severe chest pain.
Constant nursing assessments and evaluations of the patient will most likely result in: - correct
answer the 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 answer determination 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 answer collect data of health status.
Once the nursing plan has been initiated, the nursing care plan will: - correct answer change as
the patient's condition changes.
The activity that is implementation in nursing care is: - correct answer changing the patient's
surgical dressing.
The effect of using a scientific problem-solving approach in nursing care will cause decision
making to be: - correct answer improved nursing care outcomes.
The nurse who uses the nursing process will: - correct answer approach the patient's disorder
in a step-by-step method.
The order in which the nursing process is approached is: - correct answer assessment, 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 answer health team, the patient, and the patient's family.
When a nurse prioritizes the patient care, consideration is given to: - correct answer
considering 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 answer find 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 answer
assessment.
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 answer evaluation.
A nursing care plan consists of: - correct answer nursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answer diagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answer arrange 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 answer
Airway 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 answer gathers,
organizes, and documents data in a logical database.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answer Patient 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 answer Airway 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 answer nursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answer diagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
, A patient has a nursing diagnosis of Imbalanced nutrition: less than body requirements, related
to mental impairment and decreased intake, as evidenced by increasing confusion and weight
loss of more than 30-pounds over the last 6 months. An appropriate short-term goal for this
patient is to: - correct answer eat 50% of six small meals each day by the end of 1 week.
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answer arrange furnishings in room to provide
clear pathways and orient the patient to these.
After the admission assessment is completed, on subsequent shifts or days, the nurse: - correct
answer assesses the patient briefly in the first hour of the shift.
Aside from the information obtained from the patient (primary source) in the admission
interview, the nurse will also access: (Select all that apply - correct answer the patient's family.,
the admission note., the physician's history and physical., an observation of the patient for non-
verbal clues.
If a patient has several nursing diagnoses, the nurse will first: - correct answer prioritize the
nursing problems according to Maslow's hierarchy of needs.
In an acute care facility, a nursing care plan is usually reviewed and updated - correct answer
every 24 hours.
The major goal of the admission interview (usually performed by the RN) is to: - correct answer
identify the patient's major complaints.
The nurse clarifies that nursing orders are also called: - correct answer interventions.
The nurse designs the goals for patients in long-term facilities to be: - correct answer long-term.
The nurse performing an admission interview on an elderly person should: - correct answer
allow more time for a response to questions.
The nurse should make a point when closing the initial interview to: (Select all that apply.) -
correct answer summarize the problems discussed., thank the patient for his or her time.
The nursing diagnoses that has the highest priority is: - correct answer Airway clearance,
ineffective, related to neuromuscular disorder as evidenced by choking and coughing while
eating.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answer Patient 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.
When the patient complains of nausea and dizziness, the nurse recognizes these complaints as
_______ data. - correct answer subjective
Questions and Correct answers for Foundations of Nursing
A nurse will arrive at a nursing diagnosis through the nursing process step of: - correct answer
assessment.
A student nurse can begin to develop critical thinking skills by means of: - correct answer
listening 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 answer complains of severe chest pain.
Constant nursing assessments and evaluations of the patient will most likely result in: - correct
answer the 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 answer determination 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 answer collect data of health status.
Once the nursing plan has been initiated, the nursing care plan will: - correct answer change as
the patient's condition changes.
The activity that is implementation in nursing care is: - correct answer changing the patient's
surgical dressing.
The effect of using a scientific problem-solving approach in nursing care will cause decision
making to be: - correct answer improved nursing care outcomes.
The nurse who uses the nursing process will: - correct answer approach the patient's disorder
in a step-by-step method.
The order in which the nursing process is approached is: - correct answer assessment, 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 answer health team, the patient, and the patient's family.
When a nurse prioritizes the patient care, consideration is given to: - correct answer
considering 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 answer find 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 answer
assessment.
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 answer evaluation.
A nursing care plan consists of: - correct answer nursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answer diagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answer arrange 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 answer
Airway 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 answer gathers,
organizes, and documents data in a logical database.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answer Patient 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 answer Airway 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 answer nursing orders for individualized interventions
to assist the patient to meet expected outcomes.
A nursing diagnosis consists of: - correct answer diagnostic labels formulated by the North
American Nursing Diagnosis Association-International (NANDA-I).
, A patient has a nursing diagnosis of Imbalanced nutrition: less than body requirements, related
to mental impairment and decreased intake, as evidenced by increasing confusion and weight
loss of more than 30-pounds over the last 6 months. An appropriate short-term goal for this
patient is to: - correct answer eat 50% of six small meals each day by the end of 1 week.
A patient with visual impairment is identified as at risk for falls related to blindness. An
appropriate intervention would be to: - correct answer arrange furnishings in room to provide
clear pathways and orient the patient to these.
After the admission assessment is completed, on subsequent shifts or days, the nurse: - correct
answer assesses the patient briefly in the first hour of the shift.
Aside from the information obtained from the patient (primary source) in the admission
interview, the nurse will also access: (Select all that apply - correct answer the patient's family.,
the admission note., the physician's history and physical., an observation of the patient for non-
verbal clues.
If a patient has several nursing diagnoses, the nurse will first: - correct answer prioritize the
nursing problems according to Maslow's hierarchy of needs.
In an acute care facility, a nursing care plan is usually reviewed and updated - correct answer
every 24 hours.
The major goal of the admission interview (usually performed by the RN) is to: - correct answer
identify the patient's major complaints.
The nurse clarifies that nursing orders are also called: - correct answer interventions.
The nurse designs the goals for patients in long-term facilities to be: - correct answer long-term.
The nurse performing an admission interview on an elderly person should: - correct answer
allow more time for a response to questions.
The nurse should make a point when closing the initial interview to: (Select all that apply.) -
correct answer summarize the problems discussed., thank the patient for his or her time.
The nursing diagnoses that has the highest priority is: - correct answer Airway clearance,
ineffective, related to neuromuscular disorder as evidenced by choking and coughing while
eating.
The statements that are correctly stated as expected outcomes are: (Select all that apply.) -
correct answer Patient 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.
When the patient complains of nausea and dizziness, the nurse recognizes these complaints as
_______ data. - correct answer subjective
