Planning
1. Which of the following nursing diagnosis is high priorit y?
a. Spiritual di stress
b. Stress incontinence
c. Anxiet y
d. Ineffective breathing patterns
CORRECT ANSWER: D
Feedback:
High-priorit y nursing diagnoses are those that are potentiall y life -
threatening and require immediate action.
2. A patient is scheduled for surgery for an abdominal hysterectom y. During
the preoperative assessment, the patient states, I am very nervous and
scared to have surgery. What patient outcome is the priorit y?
a. Evaluate the need for antibiotics
b. Resolve the patients anxiet y
c. Provide preoperativ e education
d. Prepare the patient for surgery
CORRECT ANSWER: B
Feedback:
, A priorit y is something that takes precedence in position, deemed the
most important among several items. The patients preparation for
surgery is important, but to have a success ful outcome, the nurse must
address the psychosocial issues related to anxiet y.
3. The Nursing-Sensitive Outcomes Classification system organizes
outcomes by
a. Nursing diagnosis
b. Medical diagnosis
c. Critical pathway
d. Measurement activities
CORRECT ANSWER: D
Feedback:
The outcomes are organized according to categories, classes, labels,
outcome indicators, and measurement activities for outcomes.
4. A computerized information system developed to classify patient
outcomes is the
a. North American Nursing Diagnoses List
b. Nursing-Sensitive Outcomes Classification
c. McCaffery Pain Management Scale
d. Outcome Criteria Listing Source
CORRECT ANSWER: B
Feedback: