PNR 116 Test #2 (weeks 4-7) Questions and Answers Fully Solved Latest Update 2025-2026
The GI side effects of immobility include - Answers Constipation
CPAP is required for what kind of client? - Answers People with Down Syndrome
Exercise has which effect? - Answers Increased appetite
REM sleep includes - Answers A time in which you dream
A patient measures a Braden score of 12. This is considered... - Answers A high risk for PU
development
Stage 2 pressure ulcer is associated with? - Answers Pain
Which colour is associate with serous sangenous drainage? - Answers Pink
Nursing dx are based on pathology - Answers FALSE
Which factor is not predictive of PU development according to Braden - Answers Obesity
In focus/DAR charting, the nurse documents that he gave the pt Tylenol for temp in which area?
- Answers A
The nurse must document a fall witnessed by a PSW? - Answers FALSE
In what part of nursing process is smart goals written? - Answers Planning
A urine specimen required for R&M requires the nurse to? - Answers Maintain medical asepsis
The nurse needs how many mL of urine when sending it to the lab? - Answers 10mL
What constitutes full fluids? - Answers Pudding & ice cream
The FOBT test is used to test for what? - Answers Blood
You know that conflict is associated with what stage of group development? - Answers
Storming
Signs and symptoms of dysphagia - Answers Pocketing, drooling, aspiration, advantageous lung
noises
A task for a py in Ericksons stage of G&D called generatively vs stagnation would include? -
Answers Productive work
What is missing in this SMART goal? The client will report pain 3/10 - Answers Time frame
What is the nursing process? - Answers Assessment
, Diagnosis
Planning
Implementation
Evaluation
What is assessment? - Answers Establishes database to determine the clients nursing care
needs
What does IPPA stand for? - Answers Inspect, palpitate, percussion, auscultate
Inspect, auscultate, palpitate (for abdomen)
Skills/knowledge for assessment - Answers Cognitive (nursing knowledge, intellectual, problem
solving)
Interpersonal (verbal/non-verbal, must communicate clearly, teaching/counselling)
Psychomotive (hands on, direct care)
What is a nursing diagnosis? (ADPIE) - Answers Actual (problem focused)
Risk
Health promotion
Syndrome
Collaborative problem
What is Planning? (ADPIE) - Answers Setting goals with the patient
What will you do to meet the goals
Components of goal statement - Answers 1. Behaviour (observed)
2. Change expected (manner in which behaviour will change)
3. Time frame
Smart goals - Answers S - Specific
M - Measurable
A - Attainable
R - Realistic
The GI side effects of immobility include - Answers Constipation
CPAP is required for what kind of client? - Answers People with Down Syndrome
Exercise has which effect? - Answers Increased appetite
REM sleep includes - Answers A time in which you dream
A patient measures a Braden score of 12. This is considered... - Answers A high risk for PU
development
Stage 2 pressure ulcer is associated with? - Answers Pain
Which colour is associate with serous sangenous drainage? - Answers Pink
Nursing dx are based on pathology - Answers FALSE
Which factor is not predictive of PU development according to Braden - Answers Obesity
In focus/DAR charting, the nurse documents that he gave the pt Tylenol for temp in which area?
- Answers A
The nurse must document a fall witnessed by a PSW? - Answers FALSE
In what part of nursing process is smart goals written? - Answers Planning
A urine specimen required for R&M requires the nurse to? - Answers Maintain medical asepsis
The nurse needs how many mL of urine when sending it to the lab? - Answers 10mL
What constitutes full fluids? - Answers Pudding & ice cream
The FOBT test is used to test for what? - Answers Blood
You know that conflict is associated with what stage of group development? - Answers
Storming
Signs and symptoms of dysphagia - Answers Pocketing, drooling, aspiration, advantageous lung
noises
A task for a py in Ericksons stage of G&D called generatively vs stagnation would include? -
Answers Productive work
What is missing in this SMART goal? The client will report pain 3/10 - Answers Time frame
What is the nursing process? - Answers Assessment
, Diagnosis
Planning
Implementation
Evaluation
What is assessment? - Answers Establishes database to determine the clients nursing care
needs
What does IPPA stand for? - Answers Inspect, palpitate, percussion, auscultate
Inspect, auscultate, palpitate (for abdomen)
Skills/knowledge for assessment - Answers Cognitive (nursing knowledge, intellectual, problem
solving)
Interpersonal (verbal/non-verbal, must communicate clearly, teaching/counselling)
Psychomotive (hands on, direct care)
What is a nursing diagnosis? (ADPIE) - Answers Actual (problem focused)
Risk
Health promotion
Syndrome
Collaborative problem
What is Planning? (ADPIE) - Answers Setting goals with the patient
What will you do to meet the goals
Components of goal statement - Answers 1. Behaviour (observed)
2. Change expected (manner in which behaviour will change)
3. Time frame
Smart goals - Answers S - Specific
M - Measurable
A - Attainable
R - Realistic
