FINAL EXAM STUDY GUIDE 2025/2026
COMPLETE QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. What's The Primary Goals of Nursing? - ANSWER ✓ Determine
client/family responses to human problems, level of wellness, and need for
assistance• Provide physical care, emotional care,teaching, guidance, and
counseling• Implement interventions aimed atprevention, client needs, and
health goals
2. The Nursing Process? - ANSWER ✓ Assessment
Diagnosis
Planning
Implementation
Evaluation
3. Assessment - ANSWER ✓ Data Collection
4. Diagnosis - ANSWER ✓ Analysis / Problem Identification
5. Planning - ANSWER ✓ Goals (Outcomes)
6. Implementation - ANSWER ✓ Carrying out nursing interventions that was
needed (Take Action)
7. Evaluation - ANSWER ✓ Evaluate the patient outcomes / Readjust if
needed
, Note: It is continuous and can be revised
8. What are the components of the nursing process? - ANSWER ✓ ADPIE:
Assessment, Diagnosis, Planning, Implementing, Evaluation
9. Can the nursing process be revised? - ANSWER ✓ Yes
10.How can the nursing process be advised and to what change? - ANSWER ✓
depending on the patient and patient conditions
11.Where you collect the data from? - ANSWER ✓ The physical assessment,
questions from the patient/family members also the patient physician
12.Who does the nursing diagnosis? - ANSWER ✓ The RN
13.How should the goals be stated? - ANSWER ✓ Time sensitive, with specific
outcomes
14.Critical thinking - ANSWER ✓ directed purposeful, mental activity by
which you create and evaluate ideas, analyze data, and anticipate problems
15.Clinical reasoning - ANSWER ✓ reliable observations regarding health
status and draw conclusions from data
16.Nursing diagnosis - ANSWER ✓ indicates client actual health status or that's
in risk of a problem developing
Causative factors, specific findings ( signs and symptoms)
17.Nursing 3 part Diagnosis Format - ANSWER ✓ Problem
Etiology
Defining Characteristics
18.if it is a " RISK for " are there any signs and symptoms? - ANSWER ✓ no
because it isn't a problem
19.Acute Nursing Care - ANSWER ✓ health system components, or care
delivery platforms,
,20.terminal nursing - ANSWER ✓ Causing or forming an end
21.primary nursing - ANSWER ✓ a method of care in which the registered
nurse gives much of the daily care to residents
22.congenital nursing - ANSWER ✓ existing at or dating from birth.
23.The nurse is reviewing medical prescription for the newly admitted clients.
It would be a PRIORITY for the nurse to flow up with the physician if a
client with - ANSWER ✓ a K level of 4.0 and has kayexalate prescribed
24.The nurse should intervene if the nurse suspects a staff member - ANSWER
✓ Obtain a client consent prior to receiving Ativan
25.The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client
who is - ANSWER ✓ 17 years old, has DM type 1, unemployed, and recent
A1C is 13%
26.The Nurse from the postpartum unit has been temporarily assigned to a med
surg floor. It would be most appropriate to assign the nurse to the client who
- ANSWER ✓ had surgery two hours ago, appendectomy
27.The nurse has become aware of the following client situations. It would be a
priority for the nurse to intervene if a client - ANSWER ✓ Is being
transported to have a MRI test and has an attach pulse oximeter
28.The nurse is reviewing lab data of the following clients. It would be a
priority for the nurse follow up with the primary health care provider if a
client with - ANSWER ✓ DM 1 and A1C level of 12%
29.The nurse working on a maternity unit has become aware of the following
client situation. It would be priority for the nurse to intervene if a client
states - ANSWER ✓ "I cannot breast feed because my nipples are cracked
and sore."
, 30.The charge nurse of a med-surg floor notice a nurse walking with an
unsteady gait, slurred speech and a faint smell of alcohol on the breath
immediately following a lunch break, The charge nurse priority action would
be to - ANSWER ✓ relieve the nurse of assigned clients
31.The staff member of an out patient clinic have successfully assisted the
clients to safety during a fire in the waiting area. What would be the next
plan of action - ANSWER ✓ Call for additional help
32.While performing an assessment of a 3 year old client, the nurse notes
bruises in various stages of healing on the concealed surfaces of the body.
What action should the nurse take next - ANSWER ✓ Contact the local
reporting agency for suspected child abuse
33.The nurse in the ED is admitting a client who is hallucinating and reports
"insects crawling on skin." The client pulse is 124, RR is 10, the nurse notes
muscle twitching in the lower extremities. It would be a priority to determine
if the client has - ANSWER ✓ recently ingested cocaine
34.The nurse is developing a care plan for a client who is the manic phase of
bipolar disorder. Which intervention should the nurse include in the plan of
care - ANSWER ✓ Provide the client with finger foods
35.The PCP has prescribed Elavil - Amitriptyline 150 mg daily for a client with
major depression. Name some nursing considerations - ANSWER ✓ admin
meds with meals
instruct the client that medication may cause dry mouth
medications may cause photosensitivity
36.A 45 year old client who was recently DX with terminal cancer says to the
nurse "If God could only let me live long enough to put my daughter through
college, I wouldn't mind dealing with the illness." The nurse caring for this
client recognizes this statement as reflecting of what stage of grieving -
ANSWER ✓ Bargaining
37.The nurse on a psychiatric unit is caring for a client with a paranoid
schizophrenia who has lost 15 pounds within the past three weeks. The client
accuses the staff of trying to poison all of the clients on the unit. Which of
the following nursing interventions would be a priority for the nurse to