NSG 100 EXAM 2 2025/2026 QUESTIONS AND
ANSWERS GRADED A+ (VCCS)
What is the primary purpose of the nursing diagnosis?
a. Resolving patient confusion
b. Communicating patient needs
c. Meeting accreditation requirements
d. Articulating the nursing scope of practice
b. Communicating patient needs
On what premise is a nursing diagnosis identified for a patient?
a. First impressions
b. Nursing intuition
c. Clustered data
d. Medical diagnoses
c. Clustered data
Which statement is an appropriately written short-term goal?
,a. Patient will walk to the bathroom independently without falling within 2 days
after surgery.
b. Nurse will watch patient demonstrate proper insulin injection technique each
morning.
c. Patient's spouse will express satisfaction with patient's progress before
discharge.
d. Patient's incision will be well approximated each time it is assessed by the nurse.
Patient will walk to the bathroom independently without falling within 2 days after
surgery.
What should be the primary focus for nursing interventions?
a. Patient needs
b. Nurse concerns
c. Physician priorities
d. Patient's family requests
a. Patient needs
What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health care team
,c. Organizing the way nurses think about patient care
A patient comes to the emergency department complaining of nausea and
vomiting. What should the nurse ask the patient about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting
d. Severity and duration of the nausea and vomiting
An alert, oriented patient is admitted to the hospital with chest pain. From whom
should the nurse collect primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient
d. Patient
Which nursing action is critical before delegating interventions to another member
of the health care team?
, a. Locate all members of the health care team.
b. Notify the physician of potential complications.
c. Know the scope of practice and competency of the other team member.
d. Call a meeting of the health care team to determine the needs of the patient.
c. Know the scope of practice and competency of the other team member.
A patient reports feeling tired and complains of not sleeping at night. What action
should the nurse perform first?
a. Identify reasons the patient is unable to sleep.
b. Request medication to help the patient sleep.
c. Tell the patient that sleep will come with relaxation.
d. Notify the physician that the patient is restless and anxious.
a. Identify reasons the patient is unable to sleep.
What action should the nurse take regarding a patient's plan of care if the patient
appears to have met the short-term goal of urinating within 1 hour after surgery?
a. Consult the surgeon to see if the clinical pathway is being followed.
b. Discontinue the plan of care, because the patient has met the established goal.
c. Monitor patient urine output to evaluate the need for the current plan of care.
d. Notify the patient that the goal has been attained and no further intervention is
needed.
c. Monitor patient urine output to evaluate the need for the current plan of care.
ANSWERS GRADED A+ (VCCS)
What is the primary purpose of the nursing diagnosis?
a. Resolving patient confusion
b. Communicating patient needs
c. Meeting accreditation requirements
d. Articulating the nursing scope of practice
b. Communicating patient needs
On what premise is a nursing diagnosis identified for a patient?
a. First impressions
b. Nursing intuition
c. Clustered data
d. Medical diagnoses
c. Clustered data
Which statement is an appropriately written short-term goal?
,a. Patient will walk to the bathroom independently without falling within 2 days
after surgery.
b. Nurse will watch patient demonstrate proper insulin injection technique each
morning.
c. Patient's spouse will express satisfaction with patient's progress before
discharge.
d. Patient's incision will be well approximated each time it is assessed by the nurse.
Patient will walk to the bathroom independently without falling within 2 days after
surgery.
What should be the primary focus for nursing interventions?
a. Patient needs
b. Nurse concerns
c. Physician priorities
d. Patient's family requests
a. Patient needs
What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health care team
,c. Organizing the way nurses think about patient care
A patient comes to the emergency department complaining of nausea and
vomiting. What should the nurse ask the patient about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting
d. Severity and duration of the nausea and vomiting
An alert, oriented patient is admitted to the hospital with chest pain. From whom
should the nurse collect primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient
d. Patient
Which nursing action is critical before delegating interventions to another member
of the health care team?
, a. Locate all members of the health care team.
b. Notify the physician of potential complications.
c. Know the scope of practice and competency of the other team member.
d. Call a meeting of the health care team to determine the needs of the patient.
c. Know the scope of practice and competency of the other team member.
A patient reports feeling tired and complains of not sleeping at night. What action
should the nurse perform first?
a. Identify reasons the patient is unable to sleep.
b. Request medication to help the patient sleep.
c. Tell the patient that sleep will come with relaxation.
d. Notify the physician that the patient is restless and anxious.
a. Identify reasons the patient is unable to sleep.
What action should the nurse take regarding a patient's plan of care if the patient
appears to have met the short-term goal of urinating within 1 hour after surgery?
a. Consult the surgeon to see if the clinical pathway is being followed.
b. Discontinue the plan of care, because the patient has met the established goal.
c. Monitor patient urine output to evaluate the need for the current plan of care.
d. Notify the patient that the goal has been attained and no further intervention is
needed.
c. Monitor patient urine output to evaluate the need for the current plan of care.
