Question 1

Which is an example of a medical diagnosis?

Accepted Answer

A) Constipation 
B) Diabetes mellitus 
C) Impaired skin integrity 
D) Altered nutrition: less than body requirements 
A) Constipation 
B) Diabetes mellitus 
C) Impaired skin integrity 
D) Altered nutrition: less than body requirements

Question 2

Who is the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis?

Accepted Answer

A) Physician 
B) LPN/LVN 
C) RN 
D) Technician 
A) Physician 
B) LPN/LVN 
C) RN 
D) Technician

Question 3

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

Accepted Answer

A) The patient is jaundiced. 
B) The patient states, "I am nervous." 
C) The patient complains of palpitations. 
D) The patient denies dizziness when ambulating. 
A) The patient is jaundiced. 
B) The patient states, "I am nervous." 
C) The patient complains of palpitations. 
D) The patient denies dizziness when ambulating.

Question 4

What is classified as information provided by the family when a patient is unable to provide data during assessment?

Accepted Answer

A) Primary 
B) Secondary 
C) Unreliable 
D) Biased 
A) Primary 
B) Secondary 
C) Unreliable 
D) Biased

Question 5

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

Accepted Answer

A) The patient is coughing. 
B) The patient has cyanosis of the lips. 
C) The patient experiences tachypnea. 
D) The patient complains of generalized discomfort. 
A) The patient is coughing. 
B) The patient has cyanosis of the lips. 
C) The patient experiences tachypnea. 
D) The patient complains of generalized discomfort.

Question 6

What is an appropriate outcome statement for a patient with a nursing diagnosis of ineffective airway clearance related to thick secretions?

Accepted Answer

A) The patient will increase intake to 1000 mL daily to liquefy secretions. 
B) The patient will cough more frequently within 3 days. 
C) The patient will breathe better within 3 days. 
D) The patient will perform deep-breathing exercises four times daily. 
A) The patient will increase intake to 1000 mL daily to liquefy secretions. 
B) The patient will cough more frequently within 3 days. 
C) The patient will breathe better within 3 days. 
D) The patient will perform deep-breathing exercises four times daily.

Question 7

What assists the nurse in the identification of nursing diagnoses?

Accepted Answer

A) Objective data 
B) Subjective data 
C) Data clustering 
D) Validated data 
A) Objective data 
B) Subjective data 
C) Data clustering 
D) Validated data

Question 8

Which are acceptable secondary sources for data? (Select all that apply.)

Accepted Answer

A) Patient 
B) Family members 
C) Other health professionals 
D) Diagnostic reports 
E) Textbooks 
A) Patient 
B) Family members 
C) Other health professionals 
D) Diagnostic reports 
E) Textbooks

Question 9

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

Accepted Answer

A) The patient complains of feeling depressed. 
B) The patient states, "I hear voices in my head." 
C) The patient complains of auditory hallucinations. 
D) The patient is pacing back and forth while chanting. 
A) The patient complains of feeling depressed. 
B) The patient states, "I hear voices in my head." 
C) The patient complains of auditory hallucinations. 
D) The patient is pacing back and forth while chanting.

Question 10

The standards that name and measure patient outcomes are referred to as ___________.

Accepted Answer

NOC (Nursing Outcome Classific

Question 11

Which is an example of a nursing diagnosis?

Accepted Answer

A) Pneumonia 
B) Diabetes mellitus 
C) Impaired skin integrity 
D) Congestive heart failure 
A) Pneumonia 
B) Diabetes mellitus 
C) Impaired skin integrity 
D) Congestive heart failure

Question 12

A systematic method by which nurses plan and provide care for patients is known as the _________ ____________.

Accepted Answer

nursing process
The nursing pr

Question 13

From where are the "risk for" nursing diagnoses identified?

Accepted Answer

A) The care plan 
B) The interventions 
C) The assessment 
D) The evaluation 
A) The care plan 
B) The interventions 
C) The assessment 
D) The evaluation

Question 14

What objective data should the nurse include after a patient assessment?

Accepted Answer

A) Headache of 3 days duration 
B) Severe stomach cramps 
C) Flatulence 
D) Anxiety 
A) Headache of 3 days duration 
B) Severe stomach cramps 
C) Flatulence 
D) Anxiety

Question 15

Which are official categories of nursing diagnoses? (Select all that apply.)

Accepted Answer

A) Actual 
B) Risk 
C) Wellness 
D) Syndrome 
E) Potential 
A) Actual 
B) Risk 
C) Wellness 
D) Syndrome 
E) Potential

Question 16

A clinical judgment about individual,family,or community responses to actual or potential health problems/life processes is known as a _____________ ___________.

Accepted Answer

nursing diagnosis
A nursing diagnosis is

Question 17

A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk,high-volume,and high-cost types of cases is known as a ___________ ____________.

Accepted Answer

critical pathway
A critical pa

Question 18

When a nurse selects interventions to assist the patient to meet the needs demonstrated,the nurse is in which phase of the nursing process?

Accepted Answer

A) Assessment 
B) Planning 
C) Implementation 
D) Evaluation 
A) Assessment 
B) Planning 
C) Implementation 
D) Evaluation

Question 19

A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as ___________ ______________.

Accepted Answer

managed care
Managed care is a

Question 20

What best defines the nursing process?

Accepted Answer

A) A method to ensure that the physician's orders are implemented correctly. 
B) A series of assessments that isolate a patient's health problem. 
C) A framework for the organization of individualized nursing care. 
D) A preset formula for the design of nursing care. 
A) A method to ensure that the physician's orders are implemented correctly. 
B) A series of assessments that isolate a patient's health problem. 
C) A framework for the organization of individualized nursing care. 
D) A preset formula for the design of nursing care.

Exam 5: Nursing Process and Critical Thinking

Which is an example of a medical diagnosis?

Who is the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis?

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

What is classified as information provided by the family when a patient is unable to provide data during assessment?

During an admission assessment,the nurse collects objective and subjective data.What is an example of subjective data?

What is an appropriate outcome statement for a patient with a nursing diagnosis of ineffective airway clearance related to thick secretions?

What assists the nurse in the identification of nursing diagnoses?

Which are acceptable secondary sources for data? (Select all that apply.)

During an admission assessment,the nurse collects objective and subjective data.What is an example of objective data?

The standards that name and measure patient outcomes are referred to as ___________.

Which is an example of a nursing diagnosis?

A systematic method by which nurses plan and provide care for patients is known as the _________ ____________.

From where are the "risk for" nursing diagnoses identified?

What objective data should the nurse include after a patient assessment?

Which are official categories of nursing diagnoses? (Select all that apply.)

A clinical judgment about individual,family,or community responses to actual or potential health problems/life processes is known as a _____________ ___________.

A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk,high-volume,and high-cost types of cases is known as a ___________ ____________.

When a nurse selects interventions to assist the patient to meet the needs demonstrated,the nurse is in which phase of the nursing process?

A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as ___________ ______________.

What best defines the nursing process?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

Filters

A systematic method by which nurses plan and provide care for patients is known as the _ ____.

A clinical judgment about individual,family,or community responses to actual or potential health problems/life processes is known as a ___ _.

A multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk,high-volume,and high-cost types of cases is known as a _ __.

A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as _ ____.