NURSING 305 EXAM 2 QUESTIONS AND ANSWERS | LATEST NURSING
305 STUDY GUIDE & PRACTICE TEST 2026/2027
7. 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?
a. Diagnosis
b. Planning
c. Implementation
d. Evaluation - ANS ✔✔ANS: A
9. A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The
nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low
when it was taken at 0830. The NAP states that was busy and had not had a chance to tell the nurse yet.
The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it
has dropped even lower. In which phase of the nursing process did the nurse first make an error?
a. Assessment
b. Diagnosis
c. Implementation
d. Evaluation - ANS ✔✔a. Assessment
11. The patient database reveals that a patient has decreased oral intake, decreased oxygen saturation
when ambulating, reports of shortness of breath when getting out of bed, and a productive cough.
Which elements will the nurse identify as defining characteristics for the diagnostic label of Activity
intolerance?
a. Decreased oral intake and decreased oxygen saturation when ambulating
b. Decreased oxygen saturation when ambulating and reports of shortness of breath when getting out of
bed
c. Reports of shortness of breath when getting out of bed and a productive cough
d. Productive cough and decreased oral intake - ANS ✔✔b. Decreased oxygen saturation when
ambulating and reports of shortness of breath when getting out of bed
12. A nurse performs an assessment on a patient. Which assessment data will the nurse use as an
etiology for Acute pain?
a. Discomfort while changing position
b. Reports pain as a 7 on a 0 to 10 scale
c. Disruption of tissue integrity
d. Dull headache - ANS ✔✔Disruption of tissue integrity
13. A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis
will cause the nurse manager to intervene?
a. Wandering
b. Hemorrhage
c. Urinary retention
d. Impaired swallowing - ANS ✔✔ANS: B
, 15. A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse
document?
a. Decreased cardiac output related to altered myocardial contractility.
b. Patient needs a low-fat diet related to inadequate heart perfusion.
c. Offer a low-fat diet because of heart problems.
d. Acute heart pain related to discomfort. - ANS ✔✔ANS: A
16. A charge nurse is evaluating a new nurse's plan of care. Which finding will cause the charge nurse to
follow up?
a. Assigning a documented nursing diagnosis of Risk for infection for a patient on intravenous (IV)
antibiotics
b. Completing an interview and physical examination before adding a nursing diagnosis
c. Developing nursing diagnoses before completing the database
d. Including cultural and religious preferences in the database - ANS ✔✔c. Developing nursing diagnoses
before completing the database
19. A nurse assesses that a patient has not voided in 6 hours. Which question should the nurse ask to
assist in establishing a nursing diagnosis of Urinary retention?
a. "Do you feel like you need to go to the bathroom?"
b. "Are you able to walk to the bathroom by yourself?"
c. "When was the last time you took your medicine?"
d. "Do you have a safety rail in your bathroom at home?" - ANS ✔✔a. "Do you feel like you need to go to
the bathroom?"
20. A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the
steps the nurse will use.
1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma
2. Writes a diagnostic label of impaired gas exchange
3. Organizes data into meaningful clusters
4. Interprets information from patient
5. Writes an etiology
a. 1, 3, 4, 2, 5
b. 1, 3, 4, 5, 2
c. 1, 4, 3, 5, 2
d. 1, 4, 3, 2, 5 - ANS ✔✔a. 1, 3, 4, 2, 5
1. A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the
nurse use? (Select all that apply.)
a. Anxiety related to barium enema
b. Impaired gas exchange related to asthma
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
e. Risk for falls related to nursing assistive personnel leaving bedrail down - ANS ✔✔ANS: C, D
3. Which information indicates a nurse has a good understanding of a goal?
a. It is a statement describing the patient's accomplishments without a time restriction.
b. It is a realistic statement predicting any negative responses to treatments.
305 STUDY GUIDE & PRACTICE TEST 2026/2027
7. 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?
a. Diagnosis
b. Planning
c. Implementation
d. Evaluation - ANS ✔✔ANS: A
9. A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The
nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low
when it was taken at 0830. The NAP states that was busy and had not had a chance to tell the nurse yet.
The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it
has dropped even lower. In which phase of the nursing process did the nurse first make an error?
a. Assessment
b. Diagnosis
c. Implementation
d. Evaluation - ANS ✔✔a. Assessment
11. The patient database reveals that a patient has decreased oral intake, decreased oxygen saturation
when ambulating, reports of shortness of breath when getting out of bed, and a productive cough.
Which elements will the nurse identify as defining characteristics for the diagnostic label of Activity
intolerance?
a. Decreased oral intake and decreased oxygen saturation when ambulating
b. Decreased oxygen saturation when ambulating and reports of shortness of breath when getting out of
bed
c. Reports of shortness of breath when getting out of bed and a productive cough
d. Productive cough and decreased oral intake - ANS ✔✔b. Decreased oxygen saturation when
ambulating and reports of shortness of breath when getting out of bed
12. A nurse performs an assessment on a patient. Which assessment data will the nurse use as an
etiology for Acute pain?
a. Discomfort while changing position
b. Reports pain as a 7 on a 0 to 10 scale
c. Disruption of tissue integrity
d. Dull headache - ANS ✔✔Disruption of tissue integrity
13. A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing diagnosis
will cause the nurse manager to intervene?
a. Wandering
b. Hemorrhage
c. Urinary retention
d. Impaired swallowing - ANS ✔✔ANS: B
, 15. A nurse adds a nursing diagnosis to a patient's care plan. Which information did the nurse
document?
a. Decreased cardiac output related to altered myocardial contractility.
b. Patient needs a low-fat diet related to inadequate heart perfusion.
c. Offer a low-fat diet because of heart problems.
d. Acute heart pain related to discomfort. - ANS ✔✔ANS: A
16. A charge nurse is evaluating a new nurse's plan of care. Which finding will cause the charge nurse to
follow up?
a. Assigning a documented nursing diagnosis of Risk for infection for a patient on intravenous (IV)
antibiotics
b. Completing an interview and physical examination before adding a nursing diagnosis
c. Developing nursing diagnoses before completing the database
d. Including cultural and religious preferences in the database - ANS ✔✔c. Developing nursing diagnoses
before completing the database
19. A nurse assesses that a patient has not voided in 6 hours. Which question should the nurse ask to
assist in establishing a nursing diagnosis of Urinary retention?
a. "Do you feel like you need to go to the bathroom?"
b. "Are you able to walk to the bathroom by yourself?"
c. "When was the last time you took your medicine?"
d. "Do you have a safety rail in your bathroom at home?" - ANS ✔✔a. "Do you feel like you need to go to
the bathroom?"
20. A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the
steps the nurse will use.
1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma
2. Writes a diagnostic label of impaired gas exchange
3. Organizes data into meaningful clusters
4. Interprets information from patient
5. Writes an etiology
a. 1, 3, 4, 2, 5
b. 1, 3, 4, 5, 2
c. 1, 4, 3, 5, 2
d. 1, 4, 3, 2, 5 - ANS ✔✔a. 1, 3, 4, 2, 5
1. A nurse is developing nursing diagnoses for a group of patients. Which nursing diagnoses will the
nurse use? (Select all that apply.)
a. Anxiety related to barium enema
b. Impaired gas exchange related to asthma
c. Impaired physical mobility related to incisional pain
d. Nausea related to adverse effect of cancer medication
e. Risk for falls related to nursing assistive personnel leaving bedrail down - ANS ✔✔ANS: C, D
3. Which information indicates a nurse has a good understanding of a goal?
a. It is a statement describing the patient's accomplishments without a time restriction.
b. It is a realistic statement predicting any negative responses to treatments.
