Question 1

The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis.Which nursing diagnosis would the nurse consider the highest priority?

Accepted Answer

A)  Risk for altered nutrition: less than body related to decreased appetite 
B)  Altered breathing pattern related to thickened mucus secretions 
C)  Knowledge deficit related to disease process 
D)  Impaired skin integrity related to decreased mobility 
A)  Risk for altered nutrition: less than body related to decreased appetite 
B)  Altered breathing pattern related to thickened mucus secretions 
C)  Knowledge deficit related to disease process 
D)  Impaired skin integrity related to decreased mobility B

Question 2

An obese patient did not meet the goal of "by the end of the second week,is able to follow a 1500 calorie diet." What will the nurse and the patient reassess?

Accepted Answer

A)  Patient's weight 
B)  Patient's understanding of the 1500 calorie diet 
C)  Nurse's feelings about obese patients 
D)  Health care agency's ability to provide the prescribed diet 
A)  Patient's weight 
B)  Patient's understanding of the 1500 calorie diet 
C)  Nurse's feelings about obese patients 
D)  Health care agency's ability to provide the prescribed diet B

Question 3

What is the priority nursing diagnosis for an older adult with diabetes who is hospitalized for pneumonia?

Accepted Answer

A)  Deficient knowledge related to lack of information about diabetic medication 
B)  Risk for falls related to weakness 
C)  Impaired gas exchange related to decreased pulmonary ventilation 
D)  Imbalanced nutrition: more than body requirements related to obesity 
A)  Deficient knowledge related to lack of information about diabetic medication 
B)  Risk for falls related to weakness 
C)  Impaired gas exchange related to decreased pulmonary ventilation 
D)  Imbalanced nutrition: more than body requirements related to obesity C

Question 4

Rank the patient needs according to Maslow's hierarchy,beginning with the lowest level need to the highest level need.(Enter your answer with a comma and space between each lettered option as follows: A,B,C,D,E.)

Accepted Answer

A)  A patient would like to write a book. 
B)  A patient becomes frightened when no one answers the call light during the night. 
C)  A pediatric patient is worrying that school friends will forget him. 
D)  A patient needs to be repositioned in bed. 
E)  A chronically ill patient states that he feels worthless because he is unable to support his family. 
A)  A patient would like to write a book. 
B)  A patient becomes frightened when no one answers the call light during the night. 
C)  A pediatric patient is worrying that school friends will forget him. 
D)  A patient needs to be repositioned in bed. 
E)  A chronically ill patient states that he feels worthless because he is unable to support his family.

Question 5

Which statement regarding nursing diagnoses is accurate?

Accepted Answer

A)  Nursing diagnoses remain the same for as long as the disease is present. 
B)  Nursing diagnoses are written to identify disease states. 
C)  Nursing diagnoses describe patient problems that nurses treat. 
D)  Nursing diagnoses identify causes related to illness. 
A)  Nursing diagnoses remain the same for as long as the disease is present. 
B)  Nursing diagnoses are written to identify disease states. 
C)  Nursing diagnoses describe patient problems that nurses treat. 
D)  Nursing diagnoses identify causes related to illness.

Question 6

When a nursing diagnosis statement is written,who or what directs the nurse to identify appropriate nursing interventions?

Accepted Answer

A)  Other nurses on staff who have experience with the diagnoses 
B)  The patient and family who have an interest in the outcome 
C)  The etiologies of the problems identified in the nursing diagnoses 
D)  The medical staff who have more expertise than the nurses 
A)  Other nurses on staff who have experience with the diagnoses 
B)  The patient and family who have an interest in the outcome 
C)  The etiologies of the problems identified in the nursing diagnoses 
D)  The medical staff who have more expertise than the nurses

Question 7

Prior to the administration of a nephrotoxic drug,the nurse determines that the kidney lab data are within normal range.Which step of the nursing process is being used?

Accepted Answer

A)  Assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Evaluation 
A)  Assessment 
B)  Nursing diagnosis 
C)  Planning 
D)  Evaluation

Question 8

Which is an example of an interdependent nursing action?

Accepted Answer

A)  Assess lung sounds every 4 hours. 
B)  Educate the patient about the prescribed medication. 
C)  Administer Demerol 50 mg intramuscularly (IM) every 4 hours PRN. 
D)  Encourage the patient to express feelings. 
A)  Assess lung sounds every 4 hours. 
B)  Educate the patient about the prescribed medication. 
C)  Administer Demerol 50 mg intramuscularly (IM) every 4 hours PRN. 
D)  Encourage the patient to express feelings.

Question 9

A patient is experiencing adverse effects of a medication.Which information obtained by the nurse is subjective?

Accepted Answer

A)  Cough 
B)  Edema 
C)  Nausea 
D)  Tachycardia 
A)  Cough 
B)  Edema 
C)  Nausea 
D)  Tachycardia

Question 10

What is the nurse's primary source of information when obtaining a patient history?

Accepted Answer

A)  The physician 
B)  The patient record 
C)  The family 
D)  The patient 
A)  The physician 
B)  The patient record 
C)  The family 
D)  The patient

Question 11

What is a critical care pathway?

Accepted Answer

A)  A nursing care plan for a patient in a critical care unit 
B)  A standardized care plan derived from best practice patterns 
C)  A care plan that has been critiqued by a quality improvement officer 
D)  A care plan based on measurable goals and outcomes 
A)  A nursing care plan for a patient in a critical care unit 
B)  A standardized care plan derived from best practice patterns 
C)  A care plan that has been critiqued by a quality improvement officer 
D)  A care plan based on measurable goals and outcomes

Question 12

The nurse has determined that the pain medication given to a patient an hour ago has been effective.The nurse is using which step of the nursing process?

Accepted Answer

A)  Evaluation 
B)  Intervention 
C)  Nursing diagnosis 
D)  Planning 
A)  Evaluation 
B)  Intervention 
C)  Nursing diagnosis 
D)  Planning

Question 13

Which statement best describes the planning phase of the nursing process?

Accepted Answer

A)  Administer insulin subcutaneously (subcut) in the abdominal area. 
B)  Patient is at high risk for falls related to hypotension. 
C)  The patient will state the expected adverse effects of medication by the end of the teaching session. 
D)  Itching has resolved; medication given is effective. 
A)  Administer insulin subcutaneously (subcut) in the abdominal area. 
B)  Patient is at high risk for falls related to hypotension. 
C)  The patient will state the expected adverse effects of medication by the end of the teaching session. 
D)  Itching has resolved; medication given is effective.

Question 14

Which statement(s)regarding critical pathways is/are true?(Select all that apply.)

Accepted Answer

A)  Efficient for specific diseases or case types 
B)  The same as medical plans 
C)  Standardized and enhanced quality care 
D)  Evaluated less frequently than care plans 
E)  Enhanced communication for a variety of health care providers 
A)  Efficient for specific diseases or case types 
B)  The same as medical plans 
C)  Standardized and enhanced quality care 
D)  Evaluated less frequently than care plans 
E)  Enhanced communication for a variety of health care providers

Question 15

What do the classification systems NIC and NOC provide?

Accepted Answer

A)  Individualized data banks of treatments related to disease processes 
B)  Standardized language for reporting and analyzing nursing care delivery 
C)  A measure for cost containment within medical institutions 
D)  Specialized interventions for rare diseases 
A)  Individualized data banks of treatments related to disease processes 
B)  Standardized language for reporting and analyzing nursing care delivery 
C)  A measure for cost containment within medical institutions 
D)  Specialized interventions for rare diseases

Question 16

Which outcome statement identified by the nurse is written correctly?

Accepted Answer

A)  After surgery, patient will express acceptance of loss of breast. 
B)  Patient will die with dignity. 
C)  At the end of the shift, the nurse will determine whether the patient is more comfortable. 
D)  Within the next 8 hours, urine output will be greater than 30 mL/hr. 
A)  After surgery, patient will express acceptance of loss of breast. 
B)  Patient will die with dignity. 
C)  At the end of the shift, the nurse will determine whether the patient is more comfortable. 
D)  Within the next 8 hours, urine output will be greater than 30 mL/hr.

Question 17

What is the basis of the NANDA-I taxonomy?

Accepted Answer

A)  Functional health patterns 
B)  Human response patterns 
C)  Basic human needs 
D)  Pathophysiologic needs 
A)  Functional health patterns 
B)  Human response patterns 
C)  Basic human needs 
D)  Pathophysiologic needs

Question 18

Which task is included in the assessment step of the nursing process?

Accepted Answer

A)  Establishing patient goals/outcomes 
B)  Implementing the nursing care plan (NCP) 
C)  Measuring goal/outcome achievement 
D)  Collecting and communicating data 
A)  Establishing patient goals/outcomes 
B)  Implementing the nursing care plan (NCP) 
C)  Measuring goal/outcome achievement 
D)  Collecting and communicating data

Question 19

In which way(s)is nursing diagnosis different from a medical diagnosis?(Select all that apply.)

Accepted Answer

A)  Statement of the patient's alterations in structure and functions 
B)  Description of the patient's ability to function in relation to impairment 
C)  Tend to remain the same throughout the course of illness or recovery from injury 
D)  Varies depending on patient's state of recovery 
E)  Based on research done by nurses
F) Conditions can be accurately identified by nursing assessment methods 
A)  Statement of the patient's alterations in structure and functions 
B)  Description of the patient's ability to function in relation to impairment 
C)  Tend to remain the same throughout the course of illness or recovery from injury 
D)  Varies depending on patient's state of recovery 
E)  Based on research done by nurses
F) Conditions can be accurately identified by nursing assessment methods

Question 20

The nurse is participating in the planning phase of the nursing process for a new admission to a long-term care facility.When formulating a plan to meet the patient's needs,the nurse will take which action(s)?(Select all that apply.)

Accepted Answer

A)  Formulate nursing interventions. 
B)  Collect data. 
C)  Make a clinical judgment about the patient. 
D)  Set priorities. 
E)  Develop measurable goals. 
A)  Formulate nursing interventions. 
B)  Collect data. 
C)  Make a clinical judgment about the patient. 
D)  Set priorities. 
E)  Develop measurable goals.

Exam 4: The Nursing Process and Pharmacology

The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis.Which nursing diagnosis would the nurse consider the highest priority?

An obese patient did not meet the goal of "by the end of the second week,is able to follow a 1500 calorie diet." What will the nurse and the patient reassess?

What is the priority nursing diagnosis for an older adult with diabetes who is hospitalized for pneumonia?

Rank the patient needs according to Maslow's hierarchy,beginning with the lowest level need to the highest level need.(Enter your answer with a comma and space between each lettered option as follows: A,B,C,D,E.)

Which statement regarding nursing diagnoses is accurate?

When a nursing diagnosis statement is written,who or what directs the nurse to identify appropriate nursing interventions?

Prior to the administration of a nephrotoxic drug,the nurse determines that the kidney lab data are within normal range.Which step of the nursing process is being used?

Which is an example of an interdependent nursing action?

A patient is experiencing adverse effects of a medication.Which information obtained by the nurse is subjective?

What is the nurse's primary source of information when obtaining a patient history?

What is a critical care pathway?

The nurse has determined that the pain medication given to a patient an hour ago has been effective.The nurse is using which step of the nursing process?

Which statement best describes the planning phase of the nursing process?

Which statement(s)regarding critical pathways is/are true?(Select all that apply.)

What do the classification systems NIC and NOC provide?

Which outcome statement identified by the nurse is written correctly?

What is the basis of the NANDA-I taxonomy?

Which task is included in the assessment step of the nursing process?

In which way(s)is nursing diagnosis different from a medical diagnosis?(Select all that apply.)

The nurse is participating in the planning phase of the nursing process for a new admission to a long-term care facility.When formulating a plan to meet the patient's needs,the nurse will take which action(s)?(Select all that apply.)

Drug Definitions, Standards, and Information Sources

Basic Principles of Drug Action and Drug Interactions

Drug Action Across the Life Span

Patient Education to Promote Health

Principles of Medication Administration and Medication Safety

Percutaneous Administration

Enteral Administration

Parenteral Administration: Safe Preparation of Parenteral Medications

Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes

Parenteral Administration: Intravenous Route

Drugs That Affect the Autonomic Nervous System

Drugs Used for Sleep

Drugs Used for Parkinson’s Disease

Drugs Used for Anxiety Disorders

Drugs Used for Depressive and Bipolar Disorders

Drugs Used for Psychoses

Drugs Used for Seizure Disorders

Drugs Used for Pain Management

Introduction to Cardiovascular Disease and Metabolic Syndrome

Drugs Used to Treat Dyslipidemias

Drugs Used to Treat Hypertension

Drugs Used to Treat Dysrhythmias

Drugs Used to Treat Angina Pectoris

Drugs Used to Treat Peripheral Vascular Disease

Drugs Used to Treat Thromboembolic Disorders

Drugs Used to Treat Heart Failure

Drugs Used for Diuresis

Drugs Used to Treat Upper Respiratory Disease

Drugs Used to Treat Lower Respiratory Disease

Drugs Used to Treat Oral Disorders

Drugs Used to Treat Gastroesophageal Reflux and Peptic Ulcer Disease

Drugs Used to Treat Nausea and Vomiting

Drugs Used to Treat Constipation and Diarrhea

Drugs Used to Treat Diabetes Mellitus

Drugs Used to Treat Thyroid Disease

Corticosteroids

Gonadal Hormones

Drugs Used in Obstetrics

Drugs Used in Men’s and Women’s Health

Drugs Used to Treat Disorders of the Urinary System

Drugs Used to Treat Glaucoma and Other Eye Disorders

Drugs Used to Treat Cancer

Drugs Used to Treat the Musculoskeletal System

Antimicrobial Agents

Nutrition

Herbal and Dietary Supplement Therapy

Substance Abuse

Miscellaneous Agents

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