NEW EXAM PRACTICE QUESTION AND ANSWERS 2025
Chap 11 f
Question 1 f
The student is learning the steps of the nursing process. What is the first thing that the student
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should realize about the purpose of this process?
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1. Deliver care to a client in an organized way.f f f f f f f f
2. Implement a plan that is close to the medical model. f f f f f f f f f
3. Identify client needs and deliver care to meet those needs.
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4. Make sure that standardized care is available to clients.
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Correct Answer: 3
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Question 2 f
While conducting a dressing change, the nurse notes a new area of skin breakdown that was
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caused from the tape used to secure the dressing. In which phase of the nursing process is the nurse
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working?
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1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer: 1 f f
Question 3 f
During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in
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the bed, and says leave me alone. Which subjective data should the nurse document?
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1. Restlessness
2. Leave me alone f f
3. Not talkativef
4. Pale and diaphoretic
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Correct Answer: 2
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Question 4 f
,Family of a client demonstrating confusion state that this is not the clients usual behavior. How should
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the nurse document this data?
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1. Inference
2. Subjective data f
3. Objective data f
4. Secondary subjective data f f
Correct Answer: 3
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Question 5 f
The nurse provides a back rub to a client after administering a pain medication with the hope that
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these two actions will help decrease the clients pain. Which phase of the nursing process is this
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nurse implementing?
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1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer: 3 f f
Question 6 f
A new client has been admitted to the care area. How soon should the nurse plan to complete a
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physical assessment on this patient?
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1. 1 hour f
2. 12 hours f
3. 48 hours f
4. 24 hours f
Correct Answer: 4 f f
Question 7 f
The nurse is admitting an infant to the care area. The parents and grandmother are present. What should
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the nurse use as the best source of data for this client?
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1. Medical record from the childbirth f f f f
2. Grandmother
3. Parents
,4. Admitting physician f
Correct Answer: 3 f f
Question 8 f
A newly admitted client is angry because nursing staff continue to ask the same questions. What should
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the nurse respond to this client?
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1. In order to make sure all of your information is complete, I need to ask these questions.
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2. Youre right. Let me know if theres anything you need right now.
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3. Ill be done shortly, just give me a few more minutes.
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4. You shouldnt be upset. Were only doing our jobs.
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Correct Answer: 2
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Question 9 f
The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to
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direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand
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gestures) in conversation with spouse. Which method of data collection does this documentation
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demonstrate?
f
1. Examining
2. Interviewing
3. Listening
4. Observing
Correct Answer: 4 f f
Question 10 f
A nurse has worked in the trauma critical care area for several years. Which noise may become
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indiscriminate for this particular nurse?
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1. A client with audible breathing
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2. Moaning of a client in pain f f f f f
3. Whirring of ventilators f f
4. Co-orkers discussing their clients conditions f f f f
Correct Answer: 3
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Question 11 f
, A client has been using the call light routinely throughout the evening. Upon entering the room, the
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nurse observes the following details. Organize them according to priority sequencing (1 is first
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priority; 5 is least priority).
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Standard Text: Click and drag the options below to move them up or down. Choice
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1. The family is at the bedside.
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Choice 2. The IV pump is running on battery.
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Choice 3. The ECG monitor shows tachycardia.
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Choice 4. The client reports being restless.
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Choice 5. O2 tubing is not attached to wall regulator. Correct
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Answer: 3, 4, 5, 2, 1
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Question 12 f
During an initial interview, the client says I dont understand why I have to have surgery; Im really
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not that sick or in pain right now. How should the nurse respond to the client?
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1. Its OK to be worried. Surgery is a big step.
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2. What kind of questions do you have about your surgery?
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3. I think these are things you should be asking your doctor.
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4. Have you had surgery before? f f f f
Correct Answer: 2
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Question 13 f
The nurse is completing a health history with a client who has complications from chronic asthma.
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Which open-ended question should the nurse use?
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1. How would you describe your sleep pattern?
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2. Can you describe your coughing pattern?
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3. Is there anything that makes your breathing worse?
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4. What medications are you on? f f f f
Correct Answer: 1
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Question 14 f
The nurse is assessing a client level of pain. Which open-ended question should the nurse use for
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this situation?
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1. Is your pain worse at night?
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