AND ANSWERS GRADED A+
When two nursing diagnoses appear closely related, which should the nurse do first
to determine which diagnosis most accurately reflects the needs of the patient?
a. Reassess the patient
b. Examine the related to factors
c. Analyze the secondary to factors
d. Review the defining characteristics
d. Review the defining characteristics
Which is the primary reason why a nurse performs a physical assessment of a
newly admitted patient?
a. Identify if the patient is at risk for falls
b. Ensure that the patient's skin is totally intact
c. Identify important information about the patient
d. Establish a therapeutic relationship with the patient
c. Identify important information about the patient
,A nurse evaluates a patient's response to a nursing intervention. To which aspect of
the nursing process is this evaluation most directly related?
a. Goal
b. Problem
c. Etiology
d. Implementation
a. Goal
A nurse is caring for a patient with a urinary elimination problem. Which are the
accurately stated goals?
SELECT ALL THAT APPLY
a. The patient will be taught how to use a bedpan while on bedrest
b. The patient will experience fewer incontinence episodes at night
c. The patient will transfer independently and safely to a toilet before discharge
d. The patient will be assisted to the commode every 2 hours and whenever
necessary
e. The patient will experience one or less events of urinary incontinence daily
within 6 weeks
c. The patient will transfer independently and safely to a toilet before discharge
,e. The patient will experience one or less events of urinary incontinence daily
within 6 weeks
Which human responses identified by the nurse are examples of objective data?
SELECT ALL THAT APPLY
a. Irregular radial pulse of 50
b. Wheezing on expiration
c. Temp of 99F
d. Shortness of breath
e. Dizziness
a. Irregular radial pulse of 50
b. Wheezing on expiration
c. Temp of 99F
A nurse is interviewing a patient. Which patient statements are examples of
objective data?
SELECT ALL THAT APPLY
a. I am hungry
b. I feel very warm
, c. I ate half my lunch
d. I have a rash on my arm
e. I have the urge to urinate
f. I vomit every time I eat something
c. I ate half my lunch
d. I have a rash on my arm
f. I vomit every time I eat something
During which of the five steps in the nursing process does the nurse determine
whether outcomes of care are achieved?
a. Implementation
b. Evaluation
c. Planning
d. Analysis
b. Evaluation
Which statement is related to the concept that is central to the nursing process?
a. It is dynamic rather than static
b. It focuses on the role of the nurse