AND ANSWERS 2025 WITH COMPLETE SOLUTION
(REAL EXAM)
Before modifying a care plan to meet a patient's changing needs, the nurse's first action should be to:
A. re-do the entire care plan
B. focus only on the nursing diagnoses with moderate priority
C. assess/reassess the patient's responses to interventions
D. add more nursing interventions from a standardized plan of care - Correct Answer ->>C.
assess/reassess the patient's responses to interventions
True or False: Actual or potential health problems that can be prevented or resolved by dependent nursing
intervention are termed nursing diagnoses. - Correct Answer ->>True
Objective data is usually recorded:
A. by body systems.
B. after the assessment and plan.
C. before the health history.
D. in the problem list. - Correct Answer ->>A. by body systems
The examiner's evaluation of a patient's mental status belongs in the:
A. history of present illness.
B. review of systems.
C. physical examination.
D. patient education. - Correct Answer ->>C. physical examination.
Which following component is not related to the format of nursing diagnosis?
A. Problem
B. Etiology
C. Sign and Symptom
D. Pain - Correct Answer ->>D. Pain
Differential diagnoses belong in the:
A. history.
B. assessment.
, C. plan.
D. laboratory data. - Correct Answer ->>Assessment
Which of the following outcome statements contains the best example of performance criteria?
A. The patient will
B. Turn herself in bed frequently while awake Understand how to use crutches by Day 2
C. State that pain is decreased after being medicated
D. Eat 75% of each meal without complaint of nausea - Correct Answer ->>Eat 75% of each meal
without complaint of nausea
True or False: Nursing assessments have the same components as medical assessment, but with less detail. -
Correct Answer ->>False
A patient tells the nurses that he is nervous, he is nauseated and he "feels hot". This type of data would be:
A. Objective
B. Reflective
C. subjective
D. introspective - Correct Answer ->>Subjective
A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is
important to include cultural information in his health assessment to:
A. Identify the cause of his illness
B. Make accurate disease diagnoses
C. Provide cultural health rights for the individual
D. Provide culturally sensitive and appropriate care - Correct Answer ->>Provide culturally sensitive and
appropriate care
When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which
initial response is appropriate?
A. I am glad that you are a responsible drinker
B. Many people who are really alcoholic say they are social drinkers
C. What amount and what kind of alcohol do you drink in a week?
D. If you only drink socially, you won't need a designated driver - Correct Answer ->>What amount and
what kind of alcohol do you drink in a week?
True or False: Carrying out a physician-initiated order is an example of an independent nursing action. -
Correct Answer ->>False