NUR 350 EXAM 2 QUESTIONS & ANSWERS
A patient who is diagnosed with Parkinson's ought to be assessed for safety in the area
of - Answers :risk for Falls
The assessment finding of decreased sensation of pain in the soles of the feet would be
most specific for which nursing diagnosis - Answers :risk for injury
For a patient recovering from stroke. The nurse assigns the diagnosis impaired physical
Mobility. The overarching goal is "patient will have improved Mobility for transfer within 2
weeks". An appropriate specific outcome will be - Answers :patient will demonstrate
safe transfer from bed to commode within 2 weeks
In a patient diagnosed with myasthenia gravis the nurse will need to be aware of the
need to assess for dysphagia especially - Answers :in the evening
The nurse finds an area of non blanchable redness on the coccyx. This is considered -
Answers :a stage 1 pressure injury
Within the goal "patient will remain injury-free throughout the shift" which of the following
specific outcomes is most appropriate - Answers :patient will demonstrate compliance
with fall risk precautions throughout the shift
An evaluation at the patient has been able to achieve the goal "patient will remain injury-
free throughout the shift" would state - Answers :patient did not sustain any injuries this
shift
Aspiration is one of the most important risks associated with the nursing diagnosis of -
Answers :impaired swallowing
A nurse has assigned the nursing diagnosis "risk for impaired skin integrity" for bed
bound patient who is recovering from a stroke that is caused him to be unable to move
the left side of his body. Which of the following interventions will be appropriate in order
to decrease risk for skin breakdown - Answers :nurse will initiate repositioning schedule
for at least every 2 hours
All of the following are assessment specific to neurological conditions - Answers :perrla
Sensation of skin and feet
Hx Dm
But not abdominal palpation
For a patient for him the nursing diagnosis "risk for Falls" has been assigned. The nurse
lists the goal "patient will identify individual risk for Falls" the nurse will know the goal
has been met when the patient states - Answers :maybe the tingling in my feet and the
fact that my shoes feel a little big are a problem
, For a person with hypertension patient education will include encouragement to do all of
the following - Answers :lose weight
Reduce sodium intake
Stop smoking
When a person is taking antihypertensive medications which of the following
assessments is important to continue to monitor to reduce the risk for Falls - Answers
:asking the patient if they feel dizzy or lightheaded
A nurse assigns the diagnosis "ineffective Health Management related to medication
management for hypertension". Which of the following is an appropriate goal - Answers
:patient will identify a specific way to remember to take the anti-hypertensive medication
every morning after discussion
The nurse is caring for a patient with heart failure and a signs the diagnosis "activity
intolerance related to dyspnea on exertion". He writes the goal "patient will report no
dyspnea with ADL's today". Which of the following outcomes will likely be appropriate
for this patient - Answers :patient will identify two ways to conserve energy during
performance of adls after instruction
Which of the following is in normal consequence of Aging that can increase the
likelihood of hypertension in the older adult - Answers :reduced elasticity of the blood
vessels
Upon assessment the nurse finds the patient exhibits 2-3 + pitting edema in bilateral
lower legs, short of breath after transferring from the bed and, has bilateral basilar
crackles in the lungs. The most appropriate nursing diagnosis for this patient is -
Answers :excess fluid volume
Focused cardiac assessment will include all of the following - Answers :auscultation of
heart sounds auscultation of lung sounds inspection of leg color
Palpation for edema
But not percussion of abdomen
When providing patient education for a patient with heart failure the nurse will tell the
patient to call their healthcare provider if - Answers :they gained 3 lbs in 2 days or 5 lb in
a week
Which of the following are interventions that help a patient directly regarding the nursing
diagnosis "excess fluid volume" - Answers :measure and accurately record intake and
output
Collaborate with healthcare provider to reduce IV fluids
For a 42 year old woman which of the following blood pressures would be considered
hypertension if she had no other known illnesses - Answers :141/96
A patient who is diagnosed with Parkinson's ought to be assessed for safety in the area
of - Answers :risk for Falls
The assessment finding of decreased sensation of pain in the soles of the feet would be
most specific for which nursing diagnosis - Answers :risk for injury
For a patient recovering from stroke. The nurse assigns the diagnosis impaired physical
Mobility. The overarching goal is "patient will have improved Mobility for transfer within 2
weeks". An appropriate specific outcome will be - Answers :patient will demonstrate
safe transfer from bed to commode within 2 weeks
In a patient diagnosed with myasthenia gravis the nurse will need to be aware of the
need to assess for dysphagia especially - Answers :in the evening
The nurse finds an area of non blanchable redness on the coccyx. This is considered -
Answers :a stage 1 pressure injury
Within the goal "patient will remain injury-free throughout the shift" which of the following
specific outcomes is most appropriate - Answers :patient will demonstrate compliance
with fall risk precautions throughout the shift
An evaluation at the patient has been able to achieve the goal "patient will remain injury-
free throughout the shift" would state - Answers :patient did not sustain any injuries this
shift
Aspiration is one of the most important risks associated with the nursing diagnosis of -
Answers :impaired swallowing
A nurse has assigned the nursing diagnosis "risk for impaired skin integrity" for bed
bound patient who is recovering from a stroke that is caused him to be unable to move
the left side of his body. Which of the following interventions will be appropriate in order
to decrease risk for skin breakdown - Answers :nurse will initiate repositioning schedule
for at least every 2 hours
All of the following are assessment specific to neurological conditions - Answers :perrla
Sensation of skin and feet
Hx Dm
But not abdominal palpation
For a patient for him the nursing diagnosis "risk for Falls" has been assigned. The nurse
lists the goal "patient will identify individual risk for Falls" the nurse will know the goal
has been met when the patient states - Answers :maybe the tingling in my feet and the
fact that my shoes feel a little big are a problem
, For a person with hypertension patient education will include encouragement to do all of
the following - Answers :lose weight
Reduce sodium intake
Stop smoking
When a person is taking antihypertensive medications which of the following
assessments is important to continue to monitor to reduce the risk for Falls - Answers
:asking the patient if they feel dizzy or lightheaded
A nurse assigns the diagnosis "ineffective Health Management related to medication
management for hypertension". Which of the following is an appropriate goal - Answers
:patient will identify a specific way to remember to take the anti-hypertensive medication
every morning after discussion
The nurse is caring for a patient with heart failure and a signs the diagnosis "activity
intolerance related to dyspnea on exertion". He writes the goal "patient will report no
dyspnea with ADL's today". Which of the following outcomes will likely be appropriate
for this patient - Answers :patient will identify two ways to conserve energy during
performance of adls after instruction
Which of the following is in normal consequence of Aging that can increase the
likelihood of hypertension in the older adult - Answers :reduced elasticity of the blood
vessels
Upon assessment the nurse finds the patient exhibits 2-3 + pitting edema in bilateral
lower legs, short of breath after transferring from the bed and, has bilateral basilar
crackles in the lungs. The most appropriate nursing diagnosis for this patient is -
Answers :excess fluid volume
Focused cardiac assessment will include all of the following - Answers :auscultation of
heart sounds auscultation of lung sounds inspection of leg color
Palpation for edema
But not percussion of abdomen
When providing patient education for a patient with heart failure the nurse will tell the
patient to call their healthcare provider if - Answers :they gained 3 lbs in 2 days or 5 lb in
a week
Which of the following are interventions that help a patient directly regarding the nursing
diagnosis "excess fluid volume" - Answers :measure and accurately record intake and
output
Collaborate with healthcare provider to reduce IV fluids
For a 42 year old woman which of the following blood pressures would be considered
hypertension if she had no other known illnesses - Answers :141/96
