NURS 5432 PROGRESS OVERVIEW FOR
PATIENT JASMINE CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the top
of her other clothes. Her hair is dyed pink with black streaks throughout.
She has several pierced holes in her nares and ears and is wearing an earring
through her eyebrow and heavy black makeup. The nurse concludes
that:a.She probably does not have any problems.b.She is only trying to
shock people and that her dress should be ignored.c.She has a manic
syndrome because of her abnormal dress and grooming.d.More information
should be gathered to decide whether her dress is appropriate..
Answer: D
◍ Standards of care are set by: (Select all that apply.).
Answer: the states nurse practice act.professional medical association
standards.the facilitys policies and procedures.
◍ The nurse is aware that one of the time-flexible tasks to be accomplished
would be:.
Answer: taking the patients vital signs once a day.
◍ During a mental status assessment, which question by the nurse would best
assess a person's judgment?a."Do you feel that you are being watched,
followed, or controlled?"b."Tell me what you plan to do once you are
discharged from the hospital."c."What does the statement, 'People in glass
houses shouldn't throw stones,' mean to you?"d."What would you do if you
found a stamped, addressed envelope lying on the sidewalk?".
, Answer: B
◍ The nurse explains that should a patient return to the hospital for treatment
within _______ years, the medical chart can be retrieved from medical
records for review..
Answer: 10
◍ Which of these individuals would the nurse consider at highest risk for a
suicide attempt?a.Man who jokes about deathb.Woman who, during a past
episode of major depression, attempted suicidec.Adolescent who just broke
up with her boyfriend and states that she would like to kill herselfd.Older
adult man who tells the nurse that he is going to "join his wife in heaven"
tomorrow and plans to use a gun.
Answer: D
◍ The activity that is implementation in nursing care is:.
Answer: changing the patients surgical dressing.
◍ The statements that are correctly stated as expected outcomes are: (Select all
that apply.).
Answer: Patient will be able to ambulate using a walker independently
within 3 days.Patient will perform active range of motion (ROM) of her
upper extremities independently every 4 hours.
◍ At the 7:00 AM change-of-shift report, the nurse receives the report that
patient A had a sleepless night related to pain and just fell asleep after an
increased pain medication administration one-half hour ago. Patient B, who
is scheduled for surgery at 8:30 AM, is also sleeping. How would an
organized nurse plan the early morning activities?.
Answer: Prep patient B now; allow patient A to sleep.
◍ In assigning tasks to the nursing assistant, the nurse could appropriately
select:.
Answer: range-of-motion exercises to lower limbs.
◍ The nurse is assessing a patient who is admitted with possible delirium.
Which of these are manifestations of delirium? Select all that
, apply.a.Develops over a short period.b.Person is experiencing
apraxia.c.Person is exhibiting memory impairment or deficits.d.Occurs as a
result of a medical condition, such as systemic infection.e.Person is
experiencing agnosia..
Answer: A, C, D
◍ Descriptions of the activities involved in the nursing diagnosis step of the
nursing process are: (Select all that apply.).
Answer: determination of potential health problems.clustering of related
assessments.
◍ A 20-year-old construction worker has been brought into the emergency
department with heat stroke. He has delirium as a result of a fluid and
electrolyte imbalance. For the mental status examination, the nurse should
first assess the patient's:a.Affect and moodb.Memory and affectc.Language
abilitiesd.Level of consciousness and cognitive abilities.
Answer: D
◍ An emergency room nurse will give first priority to the patient with the most
critical need, which is the patient who:.
Answer: complains of severe chest pain.
◍ When using a case management system of charting a(n) __________, an
unexpected event in the patients condition is documented on the back of the
pathway sheets..
Answer: variance
◍ During morning rounds, the nurse asks a patient, "How are you today?" The
patient responds, "You today, you today, you today!" and mumbles the
words. This speech pattern is an example of:a.Echolaliab.Clangingc.Word
saladd.Perseveration.
Answer: A
◍ In an acute care facility, a nursing care plan is usually reviewed and
updated:.
Answer: every 24 hours.
PATIENT JASMINE CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the top
of her other clothes. Her hair is dyed pink with black streaks throughout.
She has several pierced holes in her nares and ears and is wearing an earring
through her eyebrow and heavy black makeup. The nurse concludes
that:a.She probably does not have any problems.b.She is only trying to
shock people and that her dress should be ignored.c.She has a manic
syndrome because of her abnormal dress and grooming.d.More information
should be gathered to decide whether her dress is appropriate..
Answer: D
◍ Standards of care are set by: (Select all that apply.).
Answer: the states nurse practice act.professional medical association
standards.the facilitys policies and procedures.
◍ The nurse is aware that one of the time-flexible tasks to be accomplished
would be:.
Answer: taking the patients vital signs once a day.
◍ During a mental status assessment, which question by the nurse would best
assess a person's judgment?a."Do you feel that you are being watched,
followed, or controlled?"b."Tell me what you plan to do once you are
discharged from the hospital."c."What does the statement, 'People in glass
houses shouldn't throw stones,' mean to you?"d."What would you do if you
found a stamped, addressed envelope lying on the sidewalk?".
, Answer: B
◍ The nurse explains that should a patient return to the hospital for treatment
within _______ years, the medical chart can be retrieved from medical
records for review..
Answer: 10
◍ Which of these individuals would the nurse consider at highest risk for a
suicide attempt?a.Man who jokes about deathb.Woman who, during a past
episode of major depression, attempted suicidec.Adolescent who just broke
up with her boyfriend and states that she would like to kill herselfd.Older
adult man who tells the nurse that he is going to "join his wife in heaven"
tomorrow and plans to use a gun.
Answer: D
◍ The activity that is implementation in nursing care is:.
Answer: changing the patients surgical dressing.
◍ The statements that are correctly stated as expected outcomes are: (Select all
that apply.).
Answer: Patient will be able to ambulate using a walker independently
within 3 days.Patient will perform active range of motion (ROM) of her
upper extremities independently every 4 hours.
◍ At the 7:00 AM change-of-shift report, the nurse receives the report that
patient A had a sleepless night related to pain and just fell asleep after an
increased pain medication administration one-half hour ago. Patient B, who
is scheduled for surgery at 8:30 AM, is also sleeping. How would an
organized nurse plan the early morning activities?.
Answer: Prep patient B now; allow patient A to sleep.
◍ In assigning tasks to the nursing assistant, the nurse could appropriately
select:.
Answer: range-of-motion exercises to lower limbs.
◍ The nurse is assessing a patient who is admitted with possible delirium.
Which of these are manifestations of delirium? Select all that
, apply.a.Develops over a short period.b.Person is experiencing
apraxia.c.Person is exhibiting memory impairment or deficits.d.Occurs as a
result of a medical condition, such as systemic infection.e.Person is
experiencing agnosia..
Answer: A, C, D
◍ Descriptions of the activities involved in the nursing diagnosis step of the
nursing process are: (Select all that apply.).
Answer: determination of potential health problems.clustering of related
assessments.
◍ A 20-year-old construction worker has been brought into the emergency
department with heat stroke. He has delirium as a result of a fluid and
electrolyte imbalance. For the mental status examination, the nurse should
first assess the patient's:a.Affect and moodb.Memory and affectc.Language
abilitiesd.Level of consciousness and cognitive abilities.
Answer: D
◍ An emergency room nurse will give first priority to the patient with the most
critical need, which is the patient who:.
Answer: complains of severe chest pain.
◍ When using a case management system of charting a(n) __________, an
unexpected event in the patients condition is documented on the back of the
pathway sheets..
Answer: variance
◍ During morning rounds, the nurse asks a patient, "How are you today?" The
patient responds, "You today, you today, you today!" and mumbles the
words. This speech pattern is an example of:a.Echolaliab.Clangingc.Word
saladd.Perseveration.
Answer: A
◍ In an acute care facility, a nursing care plan is usually reviewed and
updated:.
Answer: every 24 hours.
