RNSG 1327 TRANSITIONS CHAPTER 10 NCLEX STYLE
QUESTIONS
Which step of the nursing process is unique to nursing? - Answers - Nursing Diagnosis
What assessment activity does the RN have to complete to make sound clinical nursing
judgement for the diagnostic and planning phase? - Answers - Determine accuracy of
information.
The nurse collects and validates subjective and objective data. Which is an example of
subjective data? - Answers - "I have pain"
A healthy client wants to attain a higher level of function in a specific area. What type of
nursing diagnosis should the nurse select for the healthy client wanting to achieve a
higher level of function? - Answers - Wellness Diagnosis
The nurses' assessment is that the client has partially met the nursing diagnosis
outcome. What is the next step when this occurs for the nurse? - Answers - Make
necessary modifications to the plan of care.
Implementation is the action phase of the nursing process. What activity occurs during
implementation? - Answers - Setting priorities
The nurse is writing a nursing care plan for risk for ineffective thermoregulation related
to limited metabolic compensatory regulation for an infant. Which are example of
standardized nursing interventions on the nursing care plan? Select all that apply? -
Answers - Eliminate sources of heat loss.
Make referrals to community resources for infant care.
(Other interventions are accurate, but individualized and not standardized)
What is the first step of the nursing process? - Answers - Assessment
When the client has signs or symptoms of an acute illness, the nurse formulates an
actual nursing diagnostic statement. When writing diagnostic statements, what are the
proper components of the PES format? Select all that apply. - Answers - Problem
Statement
Signs/Symptoms
Etiology
There are different types of nursing diagnostic statements. How many parts are there to
an actual nursing diagnostic statement? - Answers - Three parts.
QUESTIONS
Which step of the nursing process is unique to nursing? - Answers - Nursing Diagnosis
What assessment activity does the RN have to complete to make sound clinical nursing
judgement for the diagnostic and planning phase? - Answers - Determine accuracy of
information.
The nurse collects and validates subjective and objective data. Which is an example of
subjective data? - Answers - "I have pain"
A healthy client wants to attain a higher level of function in a specific area. What type of
nursing diagnosis should the nurse select for the healthy client wanting to achieve a
higher level of function? - Answers - Wellness Diagnosis
The nurses' assessment is that the client has partially met the nursing diagnosis
outcome. What is the next step when this occurs for the nurse? - Answers - Make
necessary modifications to the plan of care.
Implementation is the action phase of the nursing process. What activity occurs during
implementation? - Answers - Setting priorities
The nurse is writing a nursing care plan for risk for ineffective thermoregulation related
to limited metabolic compensatory regulation for an infant. Which are example of
standardized nursing interventions on the nursing care plan? Select all that apply? -
Answers - Eliminate sources of heat loss.
Make referrals to community resources for infant care.
(Other interventions are accurate, but individualized and not standardized)
What is the first step of the nursing process? - Answers - Assessment
When the client has signs or symptoms of an acute illness, the nurse formulates an
actual nursing diagnostic statement. When writing diagnostic statements, what are the
proper components of the PES format? Select all that apply. - Answers - Problem
Statement
Signs/Symptoms
Etiology
There are different types of nursing diagnostic statements. How many parts are there to
an actual nursing diagnostic statement? - Answers - Three parts.
