NSG 100 QUIZ 1 EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
The nurse is developing a plan of care for a patient with the nursing diagnosis Impaired Physical
Mobility related to inactivity secondary to arthritis. The nurse and patient develop a goal of
ambulating the hall three times a day with a wheeled walker.
Which purpose should this goal help achieve?
A. Identify a time frame for an action to occur.
B. Evaluate the patient's response to the plan of care.
C. Provide direction for nursing interventions.
D. Measure the end result of nursing action. - ANS C. Provide direction for nursing
interventions.
Which statement describes the evaluation phase of the nursing process?
A. Evaluation is performed only after nursing interventions are performed.
B. Evaluation is performed throughout all phases of the nursing process.
C. Evaluation focuses on determining changes and preventing complications.
D. Evaluation is determined based on gathering subjective and objective data. - ANS B.
Evaluation is performed throughout all phases of the nursing process.
The nurse is presenting how to differentiate between patient goals and outcomes.
Which statement by the nurse is accurate?
A. "Goals are established by the nurse and used to evaluate patient outcomes."
B. "Goals evaluate the patient's response to the plan of care developed by the nurse."
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,C. "Goals are patient responses, whereas outcomes are the patient's response to care."
D. "Goals include the subjective and objective data observed by the nurse." - ANS C. "Goals
are patient responses, whereas outcomes are the patient's response to care."
The nurse is caring for a patient who is 8 weeks pregnant, reports never having been pregnant
before, and does not know what to expect. The nurse instructs the patient to keep all scheduled
prenatal clinical visits and states, "These classes will help you and your baby to stay healthy."
Which is the reason for the nurse to make this statement?
A. To provide the patient a list of reasons why attending classes is important.
B. To educate the patient on the importance of attending the classes
C. To motivate the patient by associating a personal meaning with the goal
D. To develop a nursing diagnosis of Knowledge, Deficient for the patient - ANS C. To motivate
the patient by associating a personal meaning with the goal
A patient who is recovering from a motor vehicle crash has been ordered complete bedrest for 3
months. The patient presents with skin breakdown.
Which nursing diagnosis statement is correct?
A. Impaired Skin Integrity related to time in bed
B. Impaired Skin Integrity related to skin breakdown
C. Impaired Skin Integrity related to immobility
D. Impaired Skin Integrity related to motor vehicle crash - ANS C. Impaired Skin Integrity
related to immobility
The nurse is caring for a patient who is diagnosed with diabetes mellitus.
Which evaluation statement should indicate that the plan of care is working?
A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods instead of five
foods high in sugar content.
B. 04/03/2018, 1750: Goal met: Patient voices understanding of treatment therapy.
C. 04/03/2018: Goal unmet: Patient demonstrates use of insulin injection successfully.
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, D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home oxygen machine. -
ANS A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods instead of
five foods high in sugar content.
The nurse is caring for a patient with schizophrenia. The patient is at risk for disturbed thought
process.
Which nursing intervention could the nurse implement without an order from the healthcare
provider?
A. Referring the patient to an outpatient program on discharge
B. Complying with taking all medications as prescribed
C. Placing the client in a seclusion room for a time-out
D. Explaining that the nurse does not hear the voices - ANS D. Explaining that the nurse does
not hear the voices
The nurse is planning interventions for a patient with a nursing diagnosis of Activity Intolerance
related to weakness, as evidenced by inability to walk two steps.
Which part of the nursing diagnosis statement is used as the framework for planning nursing
interventions?
A. Weakness
B. Previous health history
C. Activity Intolerance
D. Inability to walk two steps - ANS A. Weakness
The nurse is examining the following nursing diagnosis statement: Risk for Impaired Skin
Integrity related to decreased peripheral circulation secondary to diabetes.
The use of "secondary to" in this diagnosis reflects which component?
A. Primary identifiable nursing problem
B. Pathophysiological disease process
C. Axis 2 of the nursing diagnosis
D. Subjective data obtained - ANS B. Pathophysiological disease process
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS 100% PASS
The nurse is developing a plan of care for a patient with the nursing diagnosis Impaired Physical
Mobility related to inactivity secondary to arthritis. The nurse and patient develop a goal of
ambulating the hall three times a day with a wheeled walker.
Which purpose should this goal help achieve?
A. Identify a time frame for an action to occur.
B. Evaluate the patient's response to the plan of care.
C. Provide direction for nursing interventions.
D. Measure the end result of nursing action. - ANS C. Provide direction for nursing
interventions.
Which statement describes the evaluation phase of the nursing process?
A. Evaluation is performed only after nursing interventions are performed.
B. Evaluation is performed throughout all phases of the nursing process.
C. Evaluation focuses on determining changes and preventing complications.
D. Evaluation is determined based on gathering subjective and objective data. - ANS B.
Evaluation is performed throughout all phases of the nursing process.
The nurse is presenting how to differentiate between patient goals and outcomes.
Which statement by the nurse is accurate?
A. "Goals are established by the nurse and used to evaluate patient outcomes."
B. "Goals evaluate the patient's response to the plan of care developed by the nurse."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,C. "Goals are patient responses, whereas outcomes are the patient's response to care."
D. "Goals include the subjective and objective data observed by the nurse." - ANS C. "Goals
are patient responses, whereas outcomes are the patient's response to care."
The nurse is caring for a patient who is 8 weeks pregnant, reports never having been pregnant
before, and does not know what to expect. The nurse instructs the patient to keep all scheduled
prenatal clinical visits and states, "These classes will help you and your baby to stay healthy."
Which is the reason for the nurse to make this statement?
A. To provide the patient a list of reasons why attending classes is important.
B. To educate the patient on the importance of attending the classes
C. To motivate the patient by associating a personal meaning with the goal
D. To develop a nursing diagnosis of Knowledge, Deficient for the patient - ANS C. To motivate
the patient by associating a personal meaning with the goal
A patient who is recovering from a motor vehicle crash has been ordered complete bedrest for 3
months. The patient presents with skin breakdown.
Which nursing diagnosis statement is correct?
A. Impaired Skin Integrity related to time in bed
B. Impaired Skin Integrity related to skin breakdown
C. Impaired Skin Integrity related to immobility
D. Impaired Skin Integrity related to motor vehicle crash - ANS C. Impaired Skin Integrity
related to immobility
The nurse is caring for a patient who is diagnosed with diabetes mellitus.
Which evaluation statement should indicate that the plan of care is working?
A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods instead of five
foods high in sugar content.
B. 04/03/2018, 1750: Goal met: Patient voices understanding of treatment therapy.
C. 04/03/2018: Goal unmet: Patient demonstrates use of insulin injection successfully.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home oxygen machine. -
ANS A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods instead of
five foods high in sugar content.
The nurse is caring for a patient with schizophrenia. The patient is at risk for disturbed thought
process.
Which nursing intervention could the nurse implement without an order from the healthcare
provider?
A. Referring the patient to an outpatient program on discharge
B. Complying with taking all medications as prescribed
C. Placing the client in a seclusion room for a time-out
D. Explaining that the nurse does not hear the voices - ANS D. Explaining that the nurse does
not hear the voices
The nurse is planning interventions for a patient with a nursing diagnosis of Activity Intolerance
related to weakness, as evidenced by inability to walk two steps.
Which part of the nursing diagnosis statement is used as the framework for planning nursing
interventions?
A. Weakness
B. Previous health history
C. Activity Intolerance
D. Inability to walk two steps - ANS A. Weakness
The nurse is examining the following nursing diagnosis statement: Risk for Impaired Skin
Integrity related to decreased peripheral circulation secondary to diabetes.
The use of "secondary to" in this diagnosis reflects which component?
A. Primary identifiable nursing problem
B. Pathophysiological disease process
C. Axis 2 of the nursing diagnosis
D. Subjective data obtained - ANS B. Pathophysiological disease process
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