CMPA 411 FUNDA questions with
complete solutions
1. Which statement is most appropriate goal for a nursing diagnosis of diarrhea?
A. The patient will experience decreased frequency of bowel evacuation."
B. The patient will provide a stool specimen for culture and sensitivity."
C. "The patient will receive antidiarrheal medication."
D. "The patient will save all stools for inspection by the nurse." - correct answer ✔✔A. The
patient will experience decreased frequency of bowel evacuation."
2. When selecting appropriate nursing interventions for Kim, the nurse must remember that
nursing interventions should be:
A. Achievable with resources available to the nurse and patient.
B. Carried out under the supervision of a doctor
C. Chosen disregarding the patient's values and beliefs
D. D. Oriented primarily toward tasks and mechanical procedures - correct answer ✔✔A.
Achievable with resources available to the nurse and patient.
3. Which of the following is incorrect statement of nursing diagnosis?
A. High risk for injury related to dizziness
B. Constipation related to decreased activity and fluids as manifested by small, hard, formed
stool every three days
C. Anxiety related to insufficient knowledge regarding surgical experience
D. High risk for ineffective airway clearance related to pneumonia - correct answer ✔✔D. High
risk for ineffective airway clearance related to pneumonia
,4.Which of the following would NOT be a basis for establishing priorities in client care?
A. Actual problems take precedence over potential concerns
B. Attend to equipment and contraptions first, such as IV fluids, urinary catheter, drainage
tubes, before the client
C. Airway should always be given highest priority
D. None of the Above - correct answer ✔✔B. Attend to equipment and contraptions first, such
as IV fluids, urinary catheter, drainage tubes, before the client
5. Which of the following would be a short-term goal for the patient?
A. ambulate to the nursing station without assistance within 48 hrs.
B. demonstrate knowledge of medications within one month after discharge
C. maintain adequate oxygenation evidenced by pink mucous membrane
D. perform activities of daily living with no shortness of breath - correct answer ✔✔A. ambulate
to the nursing station without assistance within 48 hrs.
6. A female client is diagnosed with a deep vein thrombosis. Which nursing diagnosis should
receive highest priority at this time?
A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease.
C. Risk for injury related to edema
D. Altered peripheral tissue perfusion related to venous congestion - correct answer ✔✔D.
Altered peripheral tissue perfusion related to venous congestion
7. A nurse is assigned to care for a postoperative male client who has diabetes mellitus, During
the assessment interview, the client reports that he's impotent and says he's concerned about
the effect on his marriage. In planning the client's care, the most appropriate intervention
would be to:
A. the client to ask questions about personal sexuality
B. Suggest referral to a sex counselor or other appropriate professional
, C. Provide time for privacy
D. Provide support for the spouse - correct answer ✔✔B. Suggest referral to a sex counselor or
other appropriate professional
8. A male client is admitted to the hospital with blunt chest trauma after a motor vehicle
accident. The first nursing priority for this client would be to:
A. Assess the client's airway.
B. Encourage deep breathing and coughing
C. Provide pain relief
D. Splint the chest wall with pillow - correct answer ✔✔A. Assess the client's airway.
9. The nurse performs an assessment of a newly admitted patient. The nurse understands that
this admission assessment was conducted primarily to:
A. Diagnose if the patient is at risk for falls.
B. Establish a therapeutic relationship
C. Ensure that the patient's skin is intact
D. Identify important data - correct answer ✔✔D. Identify important data
10. The following statement appears on the NCP for an immunosuppressed client: The client will
remain free from infection throughout hospitalization. This is an example of a/an:
A. Nursing diagnosis.
B Short-term goal
C. Long-term goal
D. Expected Outcome - correct answer ✔✔C. Long-term goal
11. Nurse Catherine is changing a dressing and providing wound care Which activity should she
perform first?
A. Assess the drainage in the dressing
complete solutions
1. Which statement is most appropriate goal for a nursing diagnosis of diarrhea?
A. The patient will experience decreased frequency of bowel evacuation."
B. The patient will provide a stool specimen for culture and sensitivity."
C. "The patient will receive antidiarrheal medication."
D. "The patient will save all stools for inspection by the nurse." - correct answer ✔✔A. The
patient will experience decreased frequency of bowel evacuation."
2. When selecting appropriate nursing interventions for Kim, the nurse must remember that
nursing interventions should be:
A. Achievable with resources available to the nurse and patient.
B. Carried out under the supervision of a doctor
C. Chosen disregarding the patient's values and beliefs
D. D. Oriented primarily toward tasks and mechanical procedures - correct answer ✔✔A.
Achievable with resources available to the nurse and patient.
3. Which of the following is incorrect statement of nursing diagnosis?
A. High risk for injury related to dizziness
B. Constipation related to decreased activity and fluids as manifested by small, hard, formed
stool every three days
C. Anxiety related to insufficient knowledge regarding surgical experience
D. High risk for ineffective airway clearance related to pneumonia - correct answer ✔✔D. High
risk for ineffective airway clearance related to pneumonia
,4.Which of the following would NOT be a basis for establishing priorities in client care?
A. Actual problems take precedence over potential concerns
B. Attend to equipment and contraptions first, such as IV fluids, urinary catheter, drainage
tubes, before the client
C. Airway should always be given highest priority
D. None of the Above - correct answer ✔✔B. Attend to equipment and contraptions first, such
as IV fluids, urinary catheter, drainage tubes, before the client
5. Which of the following would be a short-term goal for the patient?
A. ambulate to the nursing station without assistance within 48 hrs.
B. demonstrate knowledge of medications within one month after discharge
C. maintain adequate oxygenation evidenced by pink mucous membrane
D. perform activities of daily living with no shortness of breath - correct answer ✔✔A. ambulate
to the nursing station without assistance within 48 hrs.
6. A female client is diagnosed with a deep vein thrombosis. Which nursing diagnosis should
receive highest priority at this time?
A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease.
C. Risk for injury related to edema
D. Altered peripheral tissue perfusion related to venous congestion - correct answer ✔✔D.
Altered peripheral tissue perfusion related to venous congestion
7. A nurse is assigned to care for a postoperative male client who has diabetes mellitus, During
the assessment interview, the client reports that he's impotent and says he's concerned about
the effect on his marriage. In planning the client's care, the most appropriate intervention
would be to:
A. the client to ask questions about personal sexuality
B. Suggest referral to a sex counselor or other appropriate professional
, C. Provide time for privacy
D. Provide support for the spouse - correct answer ✔✔B. Suggest referral to a sex counselor or
other appropriate professional
8. A male client is admitted to the hospital with blunt chest trauma after a motor vehicle
accident. The first nursing priority for this client would be to:
A. Assess the client's airway.
B. Encourage deep breathing and coughing
C. Provide pain relief
D. Splint the chest wall with pillow - correct answer ✔✔A. Assess the client's airway.
9. The nurse performs an assessment of a newly admitted patient. The nurse understands that
this admission assessment was conducted primarily to:
A. Diagnose if the patient is at risk for falls.
B. Establish a therapeutic relationship
C. Ensure that the patient's skin is intact
D. Identify important data - correct answer ✔✔D. Identify important data
10. The following statement appears on the NCP for an immunosuppressed client: The client will
remain free from infection throughout hospitalization. This is an example of a/an:
A. Nursing diagnosis.
B Short-term goal
C. Long-term goal
D. Expected Outcome - correct answer ✔✔C. Long-term goal
11. Nurse Catherine is changing a dressing and providing wound care Which activity should she
perform first?
A. Assess the drainage in the dressing
