Fundamentals Test 2 ADPIE questions with
correct answers
The client states, "My lips feel numb, and I can't see very well." What is the type and source of this data? Answer ✓✓ subjective data from a primary source
Which step of the nursing process is being used when the nurse says to a newly admitted patient, "You look tired"? Answer ✓✓ Assessment
What information supports the appropriateness of a nursing diagnosis? -Defining characteristics -Planned interventions -Diagnostic statement -Related Risk factors Answer ✓✓ Defining characteristics
A nurse collects information about a patient. Which should the nurse do next? Answer✓✓ Determine significance of the data
When two nursing diagnoses appear closely related, which should the nurse do first
to determine which diagnosis most accurately reflects the needs of the patient? Answer✓✓ Review the defining characteristics A nurse is collecting subjective data associated with a patient's anxiety. Which assessment method should be sued to collect this information? Answer ✓✓ Interviewing
Which component is missing for the goal: Client performs self-monitoring of blood
sugar level? (subject, verb, modifier, desired performance) Answer ✓✓ desired performance (what do you want BS to be)
What is missing from the following desired outcome: "Client will ambulate by 6/1/2017?" (subject, action, criterion/modifier, performance criterion) Answer ✓✓ Conditions or modifiers (how far)
What is missing from the following desired outcome: "Client will be able to climb one flight of stairs without shortness of breath?" (subject, action, condition/modifier, criterion of desired performance) Answer ✓✓ criterion of desired performance (how)
Foundation for Dx is Answer ✓✓ assessment
____ is Putting together pieces of information to make a judgment Answer ✓✓ Inductive reasoning
____ is Breaking down a concept into smaller parts to clarify Answer ✓✓ Deductive reasoning
The Nursing Process purpose #1 Answer ✓✓ Identify the client's health(strengths and weaknesses)
The Nursing Process purpose #2 Answer ✓✓ Establish a plan to meet client needs The Nursing Process purpose #3 Answer ✓✓ Deliver nursing actions to meet client
needs
ADPIE part = analysis of data to determine client strengths and/or problems. Answer✓✓ Diagnosing
ADPIE part= determine how to reinforce strengths or prevent, reduce, or resolve identified problems. Answer ✓✓ Planning
Purpose of assessing: Answer ✓✓ To establish a database about the client's response to a health concern
Steps of assessing in order Answer ✓✓ collecting, organizing, validating, documenting data
This step of assessing requires a framework (i.e. Gordon's Functional Health patterns) Answer ✓✓ Organizing Data
Type of data can be described only by the person affected Answer ✓✓ subjective
Type of data can be detected by an observer. Answer ✓✓ objective
Cues are Answer ✓✓ subjective/objective data
inferences are Answer ✓✓ nurse's interpretations of cues
correct answers
The client states, "My lips feel numb, and I can't see very well." What is the type and source of this data? Answer ✓✓ subjective data from a primary source
Which step of the nursing process is being used when the nurse says to a newly admitted patient, "You look tired"? Answer ✓✓ Assessment
What information supports the appropriateness of a nursing diagnosis? -Defining characteristics -Planned interventions -Diagnostic statement -Related Risk factors Answer ✓✓ Defining characteristics
A nurse collects information about a patient. Which should the nurse do next? Answer✓✓ Determine significance of the data
When two nursing diagnoses appear closely related, which should the nurse do first
to determine which diagnosis most accurately reflects the needs of the patient? Answer✓✓ Review the defining characteristics A nurse is collecting subjective data associated with a patient's anxiety. Which assessment method should be sued to collect this information? Answer ✓✓ Interviewing
Which component is missing for the goal: Client performs self-monitoring of blood
sugar level? (subject, verb, modifier, desired performance) Answer ✓✓ desired performance (what do you want BS to be)
What is missing from the following desired outcome: "Client will ambulate by 6/1/2017?" (subject, action, criterion/modifier, performance criterion) Answer ✓✓ Conditions or modifiers (how far)
What is missing from the following desired outcome: "Client will be able to climb one flight of stairs without shortness of breath?" (subject, action, condition/modifier, criterion of desired performance) Answer ✓✓ criterion of desired performance (how)
Foundation for Dx is Answer ✓✓ assessment
____ is Putting together pieces of information to make a judgment Answer ✓✓ Inductive reasoning
____ is Breaking down a concept into smaller parts to clarify Answer ✓✓ Deductive reasoning
The Nursing Process purpose #1 Answer ✓✓ Identify the client's health(strengths and weaknesses)
The Nursing Process purpose #2 Answer ✓✓ Establish a plan to meet client needs The Nursing Process purpose #3 Answer ✓✓ Deliver nursing actions to meet client
needs
ADPIE part = analysis of data to determine client strengths and/or problems. Answer✓✓ Diagnosing
ADPIE part= determine how to reinforce strengths or prevent, reduce, or resolve identified problems. Answer ✓✓ Planning
Purpose of assessing: Answer ✓✓ To establish a database about the client's response to a health concern
Steps of assessing in order Answer ✓✓ collecting, organizing, validating, documenting data
This step of assessing requires a framework (i.e. Gordon's Functional Health patterns) Answer ✓✓ Organizing Data
Type of data can be described only by the person affected Answer ✓✓ subjective
Type of data can be detected by an observer. Answer ✓✓ objective
Cues are Answer ✓✓ subjective/objective data
inferences are Answer ✓✓ nurse's interpretations of cues
