NSG 100 QUIZ 1 EXAM QUESTIONS AND ANSWERS
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. - CORRECT ANSWER✅✅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. - CORRECT
ANSWER✅✅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."
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." - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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.
D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home oxygen machine. - CORRECT
ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅B. Pathophysiological disease process
Which short-term goal should the nurse view as appropriate for a patient with the nursing diagnosis
Deficient Knowledge related to disease process secondary to diabetes?
A. The patient will follow a diabetic diet with 90% compliance within 3 months.
B. The patient will maintain blood sugars between 80 and 120 mg/dL within 1 month.
C. The patient will verbalize understanding of how insulin affects blood sugar by the end of the day.
D. The patient will identify ways to prevent complications from diabetes within 2 months. - CORRECT
ANSWER✅✅C. The patient will verbalize understanding of how insulin affects blood sugar by the end of
the day.
The nurse is caring for a patient who has difficulty breathing.
Which nursing action would be considered independent?
A. Sitting the patient up in bed
B. Administering medication to relax breathing
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. - CORRECT ANSWER✅✅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. - CORRECT
ANSWER✅✅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."
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." - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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.
D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home oxygen machine. - CORRECT
ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅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 - CORRECT ANSWER✅✅B. Pathophysiological disease process
Which short-term goal should the nurse view as appropriate for a patient with the nursing diagnosis
Deficient Knowledge related to disease process secondary to diabetes?
A. The patient will follow a diabetic diet with 90% compliance within 3 months.
B. The patient will maintain blood sugars between 80 and 120 mg/dL within 1 month.
C. The patient will verbalize understanding of how insulin affects blood sugar by the end of the day.
D. The patient will identify ways to prevent complications from diabetes within 2 months. - CORRECT
ANSWER✅✅C. The patient will verbalize understanding of how insulin affects blood sugar by the end of
the day.
The nurse is caring for a patient who has difficulty breathing.
Which nursing action would be considered independent?
A. Sitting the patient up in bed
B. Administering medication to relax breathing
