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Exam (elaborations)

PN Nursing

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Exam of 34 pages for the course PN Nursing at PN Nursing (PN Nursing)

Institution
PN Nursing
Course
PN Nursing











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Institution
PN Nursing
Course
PN Nursing

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Uploaded on
June 21, 2025
Number of pages
34
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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PN & Nursing Process NCLEX Style full
coverage study questions with approved
solutions #A+ #2025

A nurse is caring for a client with a lung disorder. Which nursing actions achieve the primary
goal of nursing? Select all that apply.



a.) Encouraging the client's healthy habits

b.) Communicating with the client

c.) Providing a non-individualized nursing care plan

d.) Assisting the client in activities of daily living

e.) Delaying the participation of the client's family - Correct Answers-Answer: a, b, d

a.) Encouraging the client's healthy habits

b.) Communicating with the client

d.) Assisting the client in activities of daily living



Place the steps of the nursing process in the correct order:

Implementation

Nursing assessment

Nursing diagnosis

Evaluation

Planning - Correct Answers-1.) Nursing assessment

2.) Nursing diagnosis

,3.) Planning

4.) Implementation

5.) Evaluation



The nurse obtains information regarding health problems from a newly admitted client and
documents them systematically. Which step of the nursing process does the nurses' action
represent?



a.) Implementing care

b.) Identifying the goal or plan

c.) Evaluating the plan

d.) Nursing assessment - Correct Answers-Answer: d

d.) Nursing assessment



A client who has met the short-term goals of treatment will be discharged the next day. The
nurse is preparing a care plan for the client to meet long-term goals. What factor about the
nursing care plan should the nurse keep in mind when preparing it?



a.) Experimental

b.) Task oriented

c.) Generic

d.) Client oriented - Correct Answers-Answer: d

d.) Client oriented



After measuring a client's vital signs, the nurse determines that the outcome of treatment being
provided is not as expected. What nursing intervention should be performed?

,a.) Change to a trail and error method for solving the problem

b.) Adopt a care plan devised for another client with similar challenges

c.) Reassess, re-evaluate, and revise the nursing care plan

d.) Implement existing care plan and manage adverse reactions - Correct Answers-Answer: c

c.) Reassess, re-evaluate, and revise the nursing care plan



The nurse delegates the task of measuring a clients' vital signs to an unlicensed assistive
personnel. After receiving the vital signs, what will the nurse do with this data? Select all that
apply.



a.) Compare how the vital signs were measured.

b.) Analyze the vital signs to determine which ones are of high importance.

c.) Examine where the client was when the vital signs were assessed.

d.) Determine the relationship of the vital signs obtained with the client's condition.

e.) Analyze what equipment was used to measure the vital signs. - Correct Answers-Answer: b &
d

b.) Analyze the vital signs to determine which ones are of high importance.

d.) Determine the relationship of the vital signs obtained with the client's condition.



When caring for a client with neuropathic pain the nurse uses ice, heat, pillows, and position
changes to try to help reduce the client's pain. The method the nurse is using to help this client
is:



a.) Critical thinking

b.) Scientific method

c.) Nursing process

d.) Trail and error - Correct Answers-Answer: d

, d.) Trail and error



Which step of the nursing process is the nurse implementing when identifying the statement of
a client's potential and actual problem?



a.) Nursing diagnosis

b.) Implementation

c.) Planning

d.) Assessment - Correct Answers-Answer: a

a.) Nursing diagnosis



Before providing a client with a prescribe medication the nurse assesses the client's heart rate
and blood pressure. This reassessment is an example of which characteristic of the nursing
process?



a.) Continuous

b.) Nursing diagnosis

c.) Implementation

d.) Goal-oriented - Correct Answers-Answer: a

a.) Continuous



Which observation would indicate that interventions to help reduce a client's intake of sodium
to control blood pressure have been effective?



a.) The client states the importance of reading sodium content on food labels.

b.) The client adds salt to the foods on the hospital tray before tasting.

c.) The client uses a cane to ambulate safely in the room.
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