NSG 6435 Exam test quiz and
answers graded A+
While bathing the client, the nurse observes the client grimacing. The nurse asks if the client is
experiencing pain. The
client nods yes and refuses to continue the bath. The nurse removes the wash basin, makes the
client comfortable, and
documents the event in the client's chart. Which of the following actions clearly demonstrates
assessing?
A) The nurse bathing the client
B) The nurse documenting the incident
C) The nurse asking if the client is having pain
D) The nurse removing the wash basin - ANS✅✅C- the nurse asking if the client is having pain
A nurse is examining a child 2 years of age. Based on the findings, the nurse initiates a care plan for a
potential problem with normal growth and development. Which step of the nursing process
identifies actual and potential problems? - ANS✅✅Diagnosing
Nursing is a profession in a rapidly changing health care environment. What is the most important
reason for the nurse to develop critical thinking and clinical reasoning?
a. clients deserve experts who know how to care for them
b. to be able to employ the nursing process in client care
c. to provide quality care with nursing ability and knowledge
d. the licensing exam requires nurses to be adept at critical thinking - ANS✅✅c-to provide quality
care with nursing ability and knowledge
A client is experiencing shortness of breath, lethargy, and cyanosis. These three cues provide
organization or-
a. clustering
b. categorizing
c. diagnosing
d. grouping - ANS✅✅a-clustering
, The nurse is providing care for a client who experienced an ischemic stroke 5 days ago. The client
now has difficulty swallowing liquids, weakness on the right side of the body, and incontinence.
Which priority nursing diagnosis would the nurse identify and document in the care of this client?
Select all (4)
a. Bowel incontinence
b. impaired swallowing
c. risk for hemiparesis
d. dysphagia
e. impaired physical mobility - ANS✅✅b, c, d, e
After assessment of a client in an ambulatory clinic, the nurse records the data on the computer. The
nurse recognizes which client information as objective data?
a. reporting nausea
b. sensation of burning in her epigastric area
c. belief that demons are in her stomach
d. auscultation of the lungs - ANS✅✅d
which nursing diagnosis is an example of a wellness diagnosis
a. possible chronic low self esteem
b. acute pain
c. risk for infection
d. readiness for enhanced parenting - ANS✅✅d
The nurse has drafted a nursing diagnosis of Imbalanced Nutrition: More Than Body Requirements in
the care of moderately obese client. How should the nurse proceed after writing this diagnosis?
A) Validate the nursing diagnosis
B) Identify potential complications
C) Cross-reference the nursing diagnosis with medical diagnoses
D) Modify interventions based on the diagnosis - ANS✅✅A-validate nursing diagnosis
Which nursing diagnosis is validated by the presence of major defining characteristics?
a. actual nursing diagnosis
b. wellness diagnosis
answers graded A+
While bathing the client, the nurse observes the client grimacing. The nurse asks if the client is
experiencing pain. The
client nods yes and refuses to continue the bath. The nurse removes the wash basin, makes the
client comfortable, and
documents the event in the client's chart. Which of the following actions clearly demonstrates
assessing?
A) The nurse bathing the client
B) The nurse documenting the incident
C) The nurse asking if the client is having pain
D) The nurse removing the wash basin - ANS✅✅C- the nurse asking if the client is having pain
A nurse is examining a child 2 years of age. Based on the findings, the nurse initiates a care plan for a
potential problem with normal growth and development. Which step of the nursing process
identifies actual and potential problems? - ANS✅✅Diagnosing
Nursing is a profession in a rapidly changing health care environment. What is the most important
reason for the nurse to develop critical thinking and clinical reasoning?
a. clients deserve experts who know how to care for them
b. to be able to employ the nursing process in client care
c. to provide quality care with nursing ability and knowledge
d. the licensing exam requires nurses to be adept at critical thinking - ANS✅✅c-to provide quality
care with nursing ability and knowledge
A client is experiencing shortness of breath, lethargy, and cyanosis. These three cues provide
organization or-
a. clustering
b. categorizing
c. diagnosing
d. grouping - ANS✅✅a-clustering
, The nurse is providing care for a client who experienced an ischemic stroke 5 days ago. The client
now has difficulty swallowing liquids, weakness on the right side of the body, and incontinence.
Which priority nursing diagnosis would the nurse identify and document in the care of this client?
Select all (4)
a. Bowel incontinence
b. impaired swallowing
c. risk for hemiparesis
d. dysphagia
e. impaired physical mobility - ANS✅✅b, c, d, e
After assessment of a client in an ambulatory clinic, the nurse records the data on the computer. The
nurse recognizes which client information as objective data?
a. reporting nausea
b. sensation of burning in her epigastric area
c. belief that demons are in her stomach
d. auscultation of the lungs - ANS✅✅d
which nursing diagnosis is an example of a wellness diagnosis
a. possible chronic low self esteem
b. acute pain
c. risk for infection
d. readiness for enhanced parenting - ANS✅✅d
The nurse has drafted a nursing diagnosis of Imbalanced Nutrition: More Than Body Requirements in
the care of moderately obese client. How should the nurse proceed after writing this diagnosis?
A) Validate the nursing diagnosis
B) Identify potential complications
C) Cross-reference the nursing diagnosis with medical diagnoses
D) Modify interventions based on the diagnosis - ANS✅✅A-validate nursing diagnosis
Which nursing diagnosis is validated by the presence of major defining characteristics?
a. actual nursing diagnosis
b. wellness diagnosis
