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Nursing process quiz

Nursing process quiz

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Published by julygen
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Published by: julygen on Jun 24, 2009
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03/12/2013

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 The Nursing Process Quiz
.
.
Choose the best answer from the letter choices succeeding each numbered item
. , .
Ms Cabacungan complains of pain in her chest difficulty of breathing and cough The
 :
nurse would be correct if she documents these data as
 
Objective data
.
c Subjective data
 
Observable data
.
d General information
?
Which of the following assessment findings would be documented as objective data
 
Leg pain and calf tenderness
.
c Dizziness and headache in PM
 
Redness and swelling on arm
.
d Weakness and nausea
,
A nurse is performing a physical assessment which of the following would indicate a
 ?
problem
 
Clear bilateral lung sounds
4. 112
Apical heart rate bpm Jaundice
5.
Afebrile
 
Erythema of lower extremities
6.
Cyanosis on fingers
7. 19 /
Respiratory rate breaths min
1,3,4 5
and
. 3,4,5,2 1
c and
2,3,4 6
and
. 3,2,4,6 1
d and
4.
 The nurse is organizing the assessment data elicited from her patient and groups
 
related
. ?
information together The nurse is doing what phase of the Nursing process
.
a Evaluation
.
c Outcome identification
.
b Assessment
.
d Implementation
5. ?
Which of the following is not an activity of the nurse during evaluation
.
a Measuring goal attainment
.
c Collection of data
.
b Revising the care plan
.
d Performing Nursing orders
6.
Which of the following is Incorrect regarding the establishment of priorities in
 ?
patient
.
a Airway should always be given Highest priority
.
b Clients with unstable condition should be given priority over those who are
 
stable
. ,
c Attend to equipment and apparatus like IV fluids IFCs and drainage tubes first
 
.
d Actual problems take precedence over potential problems
7. . ,
Bella Flores has just undergone surgery on her right lower leg During the night she
.
required an analgesic to help her sleep She doesn t have appetite to eat but is able
 .
to take in liquids without nausea Which of the following nursing diagnosis should be
 ?
given highest priority
. :
a Impaired tissue perfusion peripheral
. :
b Imbalanced nutrition Less than body requirement
.
c Pain
.
d Impaired physical mobility
8.
A patient is being positioned by the nurse because of complaints of difficulty of 
 .
breathing
?
 The action of the nurse indicates what phase of the nursing process
.
a Implementation
.
c Assessment
.
b Evaluation
.
d Outcome Identification
9. :
 The first component of a nursing diagnosis statement consists of 
.
a Etiology
.
c Problem
.
b Signs and symptoms
.
d Related factors
10.
In the Nursing diagnosis “Impaired physical mobility related to joint stiffness as
,
evidenced by limited range of motion and difficulty turning” the etiology of the
 
problem
:
is
.
a Limited range of motion
.
c physical mobility
.
b Joint stiffness
.
d Difficulty turning
11. ?
Which of the following is included in a client s plan of care
. , ,
a Doctor s orders demographic data medication administration and rationales
. , ,
b Client s assessment data medical treatments with rationales diagnostic results
 
andsignificance
.
c Collected documentation of all team members providing care for the client
. , ,
d Client s nursing diagnosis goals expected outcomes and nursing interventions
12. ,
When establishing priorities for a client s plan of care the nurse should rank which
 
of the
?
following as the lowest priority
.
a Client s needs regarding referrals
. -
b Safety related needs
 
.
c Needs of family members involved in the plan of care
. ,
d Client s social love and belongingness needs
13. ?
Which of the following are the essential components for outcome identification
. , ,
a Target date nursing action measurement criteria and desired client behavior
. , ,
b Client behavior measurement criteria conditions under which the behavior
 
occurs
 
and target date
. ,
c Client behavior target date and conditions under which the behavior occurs
. , ,
d Target date nursing action measurement criteria and desired client behavior
14. ,
As an intervention for controlling pain of a postoperative client a nurse administers
. /:
analgesic This activity of the nurse is an example of a an
.
a independent nursing action
.
c collaborative nursing action
.
b dependent nursing action
.
d legal nursing action
15. ,
As a nurse taking the next shift which of the following patient conditions should
 
the you
?
prioritize
. 29 /
a A y o post operative patient complaining of thirst
. 17 /
b A y o patient with left arm fracture secondary to mauling complaining of 
 
severeQApain
. 58 / -
c A y o post stroke victim with left sided paralysis with bluish discoloration of 
 
nails
. 32
d A neonate with respiratory rate of breaths per minute
16. ?
Which of the following nursing diagnoses should be dealt with immediately
.
a High risk for infection
.
c Impaired physical mobility
. /
b Anxiety fear
.
d High risk for fluid volume deficit
17. , : -130/90 ; -
On assessment the nurse obtains the following findings BP mmHg PR
108; -20; - 37.4
bpm RR T
o
; , ,
C with complaints DOB headache diziness and
 
expressed
17 / .
worries about her y o son left at home Which of the possible problems
 
would be of 
?
least priority
. - 130/90
a BP
.
c Difficulty of breathing
.
b Worries on her son
.
d headache and dizziness
18. ------ ,
Using the P E R S O N S format in data clustering where would you include the
- ?
assessment finding “non pitting edema at Right forearm site of previous IV”

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Helpful in seeing possible test questions, however, not able to check answers to see whether mine are correct or not.
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