QUESTIONS AND CORRECT ANSWERS
A nurse is focusing on acute and chronic care of individuals and families within a community
while enhancing patient autonomy. Which type of nursing care is the nurse providing? -
CORRECT ANSWER Community- based
The nurse is reviewing a patient's database for significant changes and discovers that the
patient has not voided in over 8 hours. The patient's kidney function lab results are abnormal,
and the patient's oral intake has significantly decreased since previous shifts. Which step of
the nursing process should the nurse proceed to after this review? - CORRECT
ANSWER diagnosis.
After a thorough assessment, the nurse should proceed to analyzing the data and formulating
a nursing diagnosis before proceeding with developing the plan of care and determining
appropriate interventions. The evaluation phase involves determining whether the
interventions were effective.
A nurse is conducting a nursing health history. Which component will the nurse address? -
CORRECT ANSWER PT expectations
Two nurses are having a discussion at the nurses' station. One nurse is a new graduate who
added, "Patient needs improved bowel function related to constipation" to a patient's care
plan. The nurse's colleague, the charge nurse says, "I think your diagnosis is possibly worded
incorrectly. Let's go over it together." A correctly worded diagnostic statement is: -
CORRECT ANSWER Constipation related to inadequate fluid intake
A patient has a diagnosis of pneumonia. Which entry should the nurse chart to help with
financial reimbursement? - CORRECT ANSWER Used incentive spirometer to
encourage coughing and deep breathing. Lung congested upon auscultation in lower lobes
bilaterally. Pulse ox 86%. Oxygen per nasal cannula applied at 2 L/min per standing order.
A nurse adds the following diagnosis to a patient's care plan: Constipation related to
decreased gastrointestinal motility secondary to pain medication administration as evidenced
by the patient reporting no bowel movement in seven days, abdominal distention, and