NURS 142TEST BANK EXAM QUESTIONS WITH VERIFIED
ANSWERS (DETAILED AND ELABORATED) A+ GRADED LATEST
UPDATE 2025-2026 ||ACTUAL EXAM NURS 142
The nurse is assessing a 3- Ineffective Breastfeeding
week-old infant who has not
gained weight since birth.
The infant's bowel sounds
are present in all
quadrants and breath
sounds are clear to
auscultation. The infant's
mother reports
that the child cries much
of the night but sleeps
better in the daytime. The
mother reports that the
child only breastfeeds
about four times in a 24-hour
period and
that the mother doesn't seem
to have much milk. Which
nursing diagnosis would be
of highest priority for this
client?
Ineffective
Breastfeeding
Disturbed Sleep
Pattern
Impaired
Comfort
Risk for Impaired
Parenting Readiness for
Enhanced Parenting
1/31
,9/8/25, 8:51 PM NUR136 EXAM 2
A nurse documents the Gastrointestinal upset from food poisoning
following nursing diagnosis
on a client's plan of care:
"Fluid Volume Deficit
related to gastrointestinal
upset from food poisoning
as evidenced by vomiting
and diarrhea for the past
three
days, slow skin turgor, and
weight loss." The nurse
identifies which part of the
statement as the etiology?
Fluid volume deficit
Gastrointestinal upset from
food poisoning Slow skin
turgor
Vomiting
etiology cause of disease or origin
A nurse, who is caring for a Impaired Comfort
client admitted to the
patient care unit with
acute
abdominal pain,
formulates the care plan
for the client. Which nursing
diagnosis is the priority for
this client?
Impaired Comfort
Disturbed Body
Image
Disturbed Sleep
Pattern Activity
Intolerance
/ 2/31
,9/8/25, 8:51 PM NUR136 EXAM 2
A client who recently A syndrome nursing
became quadriplegic as the diagnosis 373
result of a motor vehicle
accident is experiencing
multiple physical and
emotional problems. To
guide the care planning for
this client, what type of
nursing diagnosis would be
most
appropriate for the
nurse to select? A
problem-focused nursing
diagnosis A possible
nursing diagnosis
A risk nursing diagnosis
A syndrome nursing diagnosis
A nurse is justified in Bowel Incontinence
independently identifying
and documenting which
diagnosis related to impaired
elimination? Bowel
Incontinence
Ulcerative Colitis
Irritable Bowel
Syndrome Small
Bowel
Obstruction
/ 3/31
, 9/8/25, 8:51 PM NUR136 EXAM 2
The nurse has identified a Notify the physician for additional orders.
collaborative problem of
Risk for Complications
of
Electrolyte Imbalance for a
client with diarrhea. The
client begins to exhibit a
decrease in level of
consciousness. What is the
nurse's most appropriate
action?
Notify the physician for
additional orders.
Document the client's
level of consciousness.
Consult with another nurse
to validate the assessment.
Decrease stimulation and
allow the client to rest.
A client was admitted 2 Ongoing
days ago with sepsis. The
nurse updates the client's
care plan based on
improvements in the client's
condition. This is an example
of which type of planning?
Ongoi
ng
Initial
Discharge
Outcome
The nurse recognizes that involvement of the client and family.
identifying outcomes/goals
must include:
involvement of the client
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