Question 1

A nurse is formulating a nursing diagnosis.An example of an appropriately written nursing diagnosis is:

Accepted Answer

A)  risk for impaired skin integrity related to physical immobilization. 
B)  physical immobilization secondary to risk for impaired skin integrity. 
C)  risk for impaired skin integrity related to diagnosis of decubitus ulcers. 
D)  physical immobilization secondary to decreased cognitive ability. 
A)  risk for impaired skin integrity related to physical immobilization. 
B)  physical immobilization secondary to risk for impaired skin integrity. 
C)  risk for impaired skin integrity related to diagnosis of decubitus ulcers. 
D)  physical immobilization secondary to decreased cognitive ability.

Question 2

A patient with a urinary tract infection is assessed using a clinical pathway.When a projected outcome is not met by a predetermined date,it is determined that what has occurred?

Accepted Answer

A)  Omission 
B)  Variance 
C)  Failure 
D)  Error 
A)  Omission 
B)  Variance 
C)  Failure 
D)  Error

Question 3

During an admission assessment the nurse collects objective and subjective data.An example of objective data is that the patient:

Accepted Answer

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

Question 4

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 5

A systemic,dynamic process by which the nurse,through interaction with the patient,significant others,and health care providers,collects and analyzes data about the patient is known as ______________________.

Accepted Answer

assessment
The American Nurses Associati

Question 6

During an admission assessment the nurse collects objective and subjective data.An example of subjective data is that the patient:

Accepted Answer

A)  complains of nausea. 
B)  is vomiting. 
C)  experiences tachycardia. 
D)  is pacing the halls. 
A)  complains of nausea. 
B)  is vomiting. 
C)  experiences tachycardia. 
D)  is pacing the halls.

Question 7

The two primary methods used to collect data are:

Accepted Answer

A)  written report by patient and family. 
B)  review of the chart and the nurse's notes. 
C)  interview and physical examination. 
D)  review of the physician's orders and the Kardex. 
A)  written report by patient and family. 
B)  review of the chart and the nurse's notes. 
C)  interview and physical examination. 
D)  review of the physician's orders and the Kardex.

Question 8

Information provided by the family when a patient is unable to provide data during assessment is classified as:

Accepted Answer

A)  primary. 
B)  secondary. 
C)  unreliable. 
D)  biased. 
A)  primary. 
B)  secondary. 
C)  unreliable. 
D)  biased.

Question 9

Which are considered phases of the nursing process? (Select all that apply.)

Accepted Answer

A)  Diagnosis 
B)  Planning 
C)  Assessment 
D)  Evaluation 
E) Implementation
F)Outcome identification 
A)  Diagnosis 
B)  Planning 
C)  Assessment 
D)  Evaluation 
E) Implementation
F)Outcome identification

Question 10

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 11

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

Accepted Answer

managed care
Managed care is a

Question 12

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 13

The nursing order that is complete and correct is:

Accepted Answer

A)  "May 10: Nursing assistants will ambulate patient.a. Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day.May 10,A.Nurse" 
C)  "Nursing assistants will serve 8 oz glass of juice at each meal,5/10." 
D)  "P.M.nurse will ensure that heel protectors are in place before bedtime." 
A)  "May 10: Nursing assistants will ambulate patient.a. Nurse" 
B)  "Day nurse will cleanse wound and change dressings every day.May 10,A.Nurse" 
C)  "Nursing assistants will serve 8 oz glass of juice at each meal,5/10." 
D)  "P.M.nurse will ensure that heel protectors are in place before bedtime."

Question 14

The subjective data the nurse records following a head-to-toe examination includes:

Accepted Answer

A)  rash on back. 
B)  prolonged nausea. 
C)  blood pressure of 190/100. 
D)  white blood cell count of 19,000. 
A)  rash on back. 
B)  prolonged nausea. 
C)  blood pressure of 190/100. 
D)  white blood cell count of 19,000.

Question 15

The nurse writes two nursing diagnoses: (1)inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss and (2)risk for impaired skin integrity related to inadequate nutrition.The major difference between the two diagnoses is that the second diagnosis:

Accepted Answer

A)  needs no defined nursing interventions. 
B)  needs medical intervention. 
C)  will not need to be evaluated. 
D)  reflects a problem that does not yet exist. 
A)  needs no defined nursing interventions. 
B)  needs medical intervention. 
C)  will not need to be evaluated. 
D)  reflects a problem that does not yet exist.

Question 16

During an admission assessment the nurse collects objective and subjective data.An example of objective data is that the patient:

Accepted Answer

A)  complains of chest pain. 
B)  states,"I feel nauseous." 
C)  complains of feeling faint. 
D)  is short of breath on exertion. 
A)  complains of chest pain. 
B)  states,"I feel nauseous." 
C)  complains of feeling faint. 
D)  is short of breath on exertion.

Question 17

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

Accepted Answer

nursing process
The nursing pr

Question 18

During an admission assessment the nurse collects objective and subjective data.An example of objective data is the patient:

Accepted Answer

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

Question 19

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 20

An example of an appropriate nursing diagnosis is:

Accepted Answer

A)  impaired skin integrity. 
B)  skin breakdown noted. 
C)  turn patient every 2 hours. 
D)  the patient has scabies on his back. 
A)  impaired skin integrity. 
B)  skin breakdown noted. 
C)  turn patient every 2 hours. 
D)  the patient has scabies on his back.

Exam 6: Nursing Process and Critical Thinking

A nurse is formulating a nursing diagnosis.An example of an appropriately written nursing diagnosis is:

A patient with a urinary tract infection is assessed using a clinical pathway.When a projected outcome is not met by a predetermined date,it is determined that what has occurred?

During an admission assessment the nurse collects objective and subjective data.An example of objective data is that the patient:

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

A systemic,dynamic process by which the nurse,through interaction with the patient,significant others,and health care providers,collects and analyzes data about the patient is known as ______________________.

During an admission assessment the nurse collects objective and subjective data.An example of subjective data is that the patient:

The two primary methods used to collect data are:

Information provided by the family when a patient is unable to provide data during assessment is classified as:

Which are considered phases of the nursing process? (Select all that apply.)

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

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

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

The nursing order that is complete and correct is:

The subjective data the nurse records following a head-to-toe examination includes:

The nurse writes two nursing diagnoses: (1)inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss and (2)risk for impaired skin integrity related to inadequate nutrition.The major difference between the two diagnoses is that the second diagnosis:

During an admission assessment the nurse collects objective and subjective data.An example of objective data is that the patient:

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

During an admission assessment the nurse collects objective and subjective data.An example of objective data is the patient:

Which is an example of a medical diagnosis?

An example of an appropriate nursing diagnosis is:

the Evolution of Nursing

Legal and Ethical Aspects of Nursing

Communication

Vital Signs

Physical Assessment

Documentation

Cultural and Ethnic Considerations

Life Span Development

Loss, grief , dying, and Death

Admission, Transfer, and Discharge

Medical-Surgical Asepsis and Infection Prevention and Control

Surgical Wound Care

Safety

Body Mechanics and Patient Mobility

Pain Management, Comfort, Rest, and Sleep

Complementary and Alternative Therapies

Hygiene and Care of the Patient’s Environment

Specimen Collection and Diagnostic Examination

Selected Nursing Skills

Basic Nutrition and Nutrition Therapy

Fluids and Electrolytes

Mathematics Review and Medication Administration

Emergency First Aid Nursing

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 Disorder

Care of the Child with a Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Basic 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 health care system that provides control over heath care services for a specific group of individuals in attempts to control cost is known as _ ____.

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

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