Ackley & Ladwig’s Nursing Diagnosis Handbook
13th Edition – Evidence-Based Guide Practice
Questions & Verified Answers
Ackley & Ladwig Nursing Diagnosis Practice Exam
(ORIGINAL)
(NANDA/NIC/NOC + NCLEX style)
1. Nursing diagnosis is primarily based on:
A. Medical diagnosis
B. Patient response to health condition
C. Lab results only
D. Physician orders
Answer: B
2. Which is a NANDA nursing diagnosis?
A. Pneumonia
B. Diabetes mellitus
C. Ineffective airway clearance
D. Appendicitis
Answer: C
3. A risk nursing diagnosis means:
A. Condition is confirmed
B. Patient has symptoms
,C. No symptoms but risk factors exist
D. Medical emergency present
Answer: C
4. Actual nursing diagnosis requires:
A. Risk factors only
B. Signs and symptoms
C. Lab results only
D. Doctor approval
Answer: B
5. The “related to” (R/T) part of diagnosis identifies:
A. Symptoms
B. Cause or contributing factors
C. Medical diagnosis
D. Lab values
Answer: B
6. “As evidenced by” (AEB) refers to:
A. Risk factors
B. Signs and symptoms
C. Treatment plan
D. Nursing interventions
Answer: B
7. Priority framework used in nursing is:
A. ABC (Airway, Breathing, Circulation)
B. SOAP notes
C. Maslow hierarchy only
D. Nursing process only
,Answer: A
8. The first step in nursing process is:
A. Diagnosis
B. Planning
C. Assessment
D. Implementation
Answer: C
9. Nursing diagnosis belongs to which phase?
A. Assessment
B. Diagnosis
C. Evaluation
D. Planning
Answer: B
10. Which is NOT a nursing diagnosis?
A. Acute pain
B. Risk for infection
C. Hypertension
D. Impaired mobility
Answer: C
🫁 Respiratory & Oxygenation (21–40)
11. Priority diagnosis for asthma attack:
A. Anxiety
B. Ineffective airway clearance
C. Fatigue
D. Disturbed sleep
, Answer: B
12. Best intervention for airway clearance:
A. Supine position
B. High Fowler’s position
C. Restrict fluids
D. Reduce oxygen
Answer: B
13. Ineffective breathing pattern is characterized by:
A. Normal breathing
B. Dyspnea and irregular respirations
C. Normal oxygen saturation
D. No symptoms
Answer: B
14. Impaired gas exchange affects:
A. Skin only
B. Oxygen and CO₂ exchange
C. Bones
D. Digestion
Answer: B
15. Cyanosis indicates:
A. High oxygen
B. Low oxygen
C. High glucose
D. Infection
Answer: B