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NSG3100 EXAM 1 QUESTIONS WITH VERIFIED
ANSWERS 2025
what is the primary purpose of the nursing diagnosis?
a- resolve patient confusion
b- communicating patient needs
c- meeting accreditation requirements
d- articulating the nursing scope of practice - correct-answer-b
On what premise is a nursing diagnosis identified for a patient?
a. First impressions
b. Nursing intuition
c. Clustered data
d. Medical diagnoses - correct-answer-c
which statement is an appropriately written short term goal?
a- pt will walk to bathroom independently without falling within two days after
surgery
b- nurse will watch patient demonstrate proper insulin injection technique each
morning
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c- patient's spouse will express satisfaction with the patient's progress before
discharge
d- patient's incision will be well approximated each time it is assessed by the
nurse - correct-answer-a
which nursing action is critical before delegating interventions to another member
of the health care team?
a- locate all members of health care team
b- notify the physical of potential complications
c- know the scope of practice and competency of the other team member
d- call a meeting of the healthcare team to determine needs of patient - correct-
answer-c
what should be the primary focus for nursing interventions?
a- patient needs
b- nurse concerns
c- physician priorities
d- patient's family requests - correct-answer-a
a patient reports feeling tired and complains of not sleeping at night. what action
should the nurse perform first?
a- identify the reasons the patient is unable to sleep
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b- request medication to help the patient sleep
c- tell the patient that sleep will come with relaxation
d- notify the physician that the patient is restless and anxious - correct-answer-a
what action should the nurse take regarding a patient's plan of care if the patient
appears to have met the short term goal of urinating one hour after surgery?
a- consult the surgeon to see if the clinical pathway is being followed
b- discontinue the plan of care, because the patient has met the established goal
c- monitor patient urine output to evaluate the need for current plan of care
d- notify the patient that the goal has been attained and no further intervention is
needed - correct-answer-c
what is the most important reason for nurses to use standardized taxonomy such
as the ICNP, CCC, NANDA?
a- insurance documentation
b- professional autonomy
c- EMR data analysis
d- patient safety - correct-answer-d
which nursing diagnosis statements are appropriately written according to the
2018-2020 NANDA format? (select all that apply)
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a- risk for infection related to elevated temperature and WBC
b- readiness for effective family process as evidenced by an expressed desire for
improved communication and mutual respect verbalized by family members
c- impaired health maintenance related to inability to access care as evidenced by
failure to keep appointments, homebound status
d- risk for hemorrhaging as evidenced by prolonged clotting time
e- chronic pain related to osteoarthritis as manifested by verbalized postop
discomfort - correct-answer-b,c,d
which phrase best represents a related factor in a problem-focused nursing
diagnosis?
a- unsteady gait requiring the assistance of two people
b- redness and swelling around incision site
c- ineffective adaptation to recent loss
d- patient complaint of restlessness - correct-answer-c
Which actions does the nurse need to take before determining the types of
nursing diagnoses that are applicable to a patient? (Select all that apply.)
a. Review the patient's past and present medical history.
b. Analyze the nursing assessment data to determine whether information is
complete.
c. Outline an individualized plan of care to address each concern.
d. Consider potential complications to which the patient is susceptible.
NSG3100 EXAM 1 QUESTIONS WITH VERIFIED
ANSWERS 2025
what is the primary purpose of the nursing diagnosis?
a- resolve patient confusion
b- communicating patient needs
c- meeting accreditation requirements
d- articulating the nursing scope of practice - correct-answer-b
On what premise is a nursing diagnosis identified for a patient?
a. First impressions
b. Nursing intuition
c. Clustered data
d. Medical diagnoses - correct-answer-c
which statement is an appropriately written short term goal?
a- pt will walk to bathroom independently without falling within two days after
surgery
b- nurse will watch patient demonstrate proper insulin injection technique each
morning
,2|Page
c- patient's spouse will express satisfaction with the patient's progress before
discharge
d- patient's incision will be well approximated each time it is assessed by the
nurse - correct-answer-a
which nursing action is critical before delegating interventions to another member
of the health care team?
a- locate all members of health care team
b- notify the physical of potential complications
c- know the scope of practice and competency of the other team member
d- call a meeting of the healthcare team to determine needs of patient - correct-
answer-c
what should be the primary focus for nursing interventions?
a- patient needs
b- nurse concerns
c- physician priorities
d- patient's family requests - correct-answer-a
a patient reports feeling tired and complains of not sleeping at night. what action
should the nurse perform first?
a- identify the reasons the patient is unable to sleep
,3|Page
b- request medication to help the patient sleep
c- tell the patient that sleep will come with relaxation
d- notify the physician that the patient is restless and anxious - correct-answer-a
what action should the nurse take regarding a patient's plan of care if the patient
appears to have met the short term goal of urinating one hour after surgery?
a- consult the surgeon to see if the clinical pathway is being followed
b- discontinue the plan of care, because the patient has met the established goal
c- monitor patient urine output to evaluate the need for current plan of care
d- notify the patient that the goal has been attained and no further intervention is
needed - correct-answer-c
what is the most important reason for nurses to use standardized taxonomy such
as the ICNP, CCC, NANDA?
a- insurance documentation
b- professional autonomy
c- EMR data analysis
d- patient safety - correct-answer-d
which nursing diagnosis statements are appropriately written according to the
2018-2020 NANDA format? (select all that apply)
, 4|Page
a- risk for infection related to elevated temperature and WBC
b- readiness for effective family process as evidenced by an expressed desire for
improved communication and mutual respect verbalized by family members
c- impaired health maintenance related to inability to access care as evidenced by
failure to keep appointments, homebound status
d- risk for hemorrhaging as evidenced by prolonged clotting time
e- chronic pain related to osteoarthritis as manifested by verbalized postop
discomfort - correct-answer-b,c,d
which phrase best represents a related factor in a problem-focused nursing
diagnosis?
a- unsteady gait requiring the assistance of two people
b- redness and swelling around incision site
c- ineffective adaptation to recent loss
d- patient complaint of restlessness - correct-answer-c
Which actions does the nurse need to take before determining the types of
nursing diagnoses that are applicable to a patient? (Select all that apply.)
a. Review the patient's past and present medical history.
b. Analyze the nursing assessment data to determine whether information is
complete.
c. Outline an individualized plan of care to address each concern.
d. Consider potential complications to which the patient is susceptible.
