CENTERED NURSING FOR THE PRACTICAL NURSING NEWEST 2025/2026 ACTUAL EXAM
COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+
A patient with a diagnosis of Impaired Skin Integrity shows signs of wound
healing, including decreased drainage and granulation tissue formation. What
should the nurse do regarding the care plan?
A. Remove the nursing diagnosis immediately
B. Continue current interventions and monitor progress
C. Increase the frequency of dressing changes
D. Request a surgical consult
C. Reassess the patient and revise the care plan with stronger fall-
prevention strategies
A patient admitted with Risk for Falls experiences an actual fall in the hallway.
What is the best nursing action?
A. Remove the fall risk diagnosis and document the fall
B. Leave the plan unchanged since a fall was expected
C. Reassess the patient and revise the care plan with stronger fall-prevention
strategies
D. Wait for the provider to give new orders
C. Reevaluate and consider updating or discontinuing the nursing
diagnosis
A patient with Ineffective Airway Clearance is now able to cough and clear
secretions effectively. What should the nurse do next?
A. Remove all respiratory interventions
B. Immediately discharge the patient
,C. Reevaluate and consider updating or discontinuing the nursing diagnosis
D. Increase the frequency of pulmonary assessments
B. Update the nursing diagnosis to include Risk for Infection and
implement new interventions
A patient who was stable post-operatively is now febrile and complaining of
incisional pain. What action should the nurse take in regard to the plan of care?
A. Assume this is normal and reassess in 6 hours
B. Update the nursing diagnosis to include Risk for Infection and implement
new interventions
C. Administer prescribed analgesics only
D. Document and wait for routine rounding
C. The patient will verbalize three signs of hypoglycemia by the end of the
teaching session today.
Which of the following is the best example of a complete and correctly written
patient- centered outcome/goal?
A. The patient will understand diabetes management.
B. The patient will eat better to control blood glucose.
C. The patient will verbalize three signs of hypoglycemia by the end of the
teaching session today.
D. The nurse will provide patient education about insulin administration.
D. All of the above
A nurse writes the following goal for a patient with impaired physical mobility:
"The patient will improve mobility." Which part of the SMART criteria is
missing?
A. Specific
B. Time-bound
C. Measurable
D. All of the above
B. The patient will verbalize three lifestyle changes to reduce blood
pressure by discharge.
,A patient is newly diagnosed with hypertension. Which of the following
outcome statements is best written?
A. The patient will understand how to manage hypertension.
B. The patient will verbalize three lifestyle changes to reduce blood pressure by
discharge.
C. The patient will start eating a low-sodium diet eventually.
D. The nurse will instruct the patient on hypertension medications.
C. The patient will be repositioned every 2 hours.
Which of the following is an incomplete goal statement?
A. The patient will walk 100 feet with assistance twice a day by postoperative
day 3.
B. The patient will verbalize pain level <4 on a 0-10 scale within 30 minutes of
receiving analgesia.
C. The patient will be repositioned every 2 hours.
D. The patient will state the purpose of all prescribed medications by the end of
the shift.
C. The patient will report anxiety as less than 3 on a 0-10 scale within 24
hours.
Which revision of the following outcome statement makes it SMART-
compliant? Original Statement: "The patient will feel less anxious."
A. The patient will have no signs of anxiety.
B. The patient will verbalize reduced anxiety before bedtime.
C. The patient will report anxiety as less than 3 on a 0-10 scale within 24 hours.
D. The nurse will provide support to decrease patient anxiety.
B. Specific, Measurable, Achievable, Relevant, Time-bound
Which of the following best defines the components of a SMART goal?
A. Specific, Medically-based, Accurate, Realistic, Timely
, B. Specific, Measurable, Achievable, Relevant, Time-bound
C. Safe, Measurable, Appropriate, Responsive, Thorough
D. Simple, Motivating, Achievable, Responsible, Time-sensitive
C. The patient will call for assistance before getting out of bed within the
next 24 hours.
Which of the following goal statements for a patient with risk for falls is written
as a SMART goal?
A. The patient will avoid falling while hospitalized.
B. The nurse will assist the patient to ambulate.
C. The patient will call for assistance before getting out of bed within the next
24 hours.
D. The patient will feel safe when walking with a walker.
B. Measurable
"The patient will understand how to use an inhaler." Which SMART component
is missing from this goal?
A. Specific
B. Measurable
C. Relevant
D. Time-bound
B. The patient will gain 2 pounds in one week by eating high-calorie snacks
and meals.
A patient has the nursing diagnosis Imbalanced Nutrition: Less Than Body
Requirements. Which goal is best written using the SMART format?
A. The patient will consume more food.
B. The patient will gain 2 pounds in one week by eating high-calorie snacks and
meals.
C. The nurse will offer snacks between meals.