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NRSE 260 EXAM 4 2026 REAL
QUESTIONS WITH EXPERTLY
VERIFIED ANSWERS.
The nurse in charge identifies a patient's responses to actual or
potential health problems during which step of the nursing
process?
A. Assessing
B. Diagnosing
C. Planning
D. Evaluating - correct answer -B- Rationale- The nurse identifies
human responses to actual or potential health problems during
the nursing diagnoses step of the nursing process. During the
assessment step, the nurse collects data. During the planning
step, the nurse develops strategies to resolve or decrease the
patient's problem. During evaluation, the nurse determines the
effectiveness of the plan of care.
A female patient is diagnosed with deep-vein thrombosis. Which
nursing diagnosis should receive the highest priority at this time?
A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease
C. Risk for injury related to edema
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D. Altered peripheral tissue perfusion related to venous
congestion - correct answer -D- Rationale: This answer takes
highest priority because venous inflammation and clot formation
impede blood flow in a patient with deep-vein thrombosis.
A nurse is revising a client's care plan. During which step of the
nursing process does such a revision take place?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - correct answer -D- Rationale: During the
evaluation step of the nursing process the nurse determines
whether the goals established have been achieved, and evaluates
the success of the plan. Answer A involves data collection.
Answer B involves setting priorities, and Answer C is the actual
intervention.
Using Maslow's hierarchy of needs, a nurse assigns the highest
priority to which client need?
A. Elimination
B. Security
C. Safety
D. Belonging - correct answer -A- Rationale - According to
Maslow, elimination is a first-level or physiological need. Security
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and safety are second-level needs, and belonging is a third-level
need.
What does PES stand for? - correct answer -PROBLEM related
to...
ETIOLOGY as evidence by
SIGNS & SYMPTOMS
What does PE stand for? - correct answer -Potential problem
related to etiology
A travel nurse has taken an assignment at a health care facility
where nurses assume responsibility for a caseload of patients
over a period of time. This type of nursing exemplifies:
A. team nursing.
B. primary nursing.
C. functional nursing.
D. decentralized management. - correct answer -B- Rationale:
The primary nursing model of care delivery was developed to
place RNs at the bedside and improve the accountability of
nursing for patient outcomes and the professional relationships
among staff members. Primary nursing supports a philosophy
regarding nurse and patient relationships.
NRSE 260 EXAM 4 2026 REAL
QUESTIONS WITH EXPERTLY
VERIFIED ANSWERS.
The nurse in charge identifies a patient's responses to actual or
potential health problems during which step of the nursing
process?
A. Assessing
B. Diagnosing
C. Planning
D. Evaluating - correct answer -B- Rationale- The nurse identifies
human responses to actual or potential health problems during
the nursing diagnoses step of the nursing process. During the
assessment step, the nurse collects data. During the planning
step, the nurse develops strategies to resolve or decrease the
patient's problem. During evaluation, the nurse determines the
effectiveness of the plan of care.
A female patient is diagnosed with deep-vein thrombosis. Which
nursing diagnosis should receive the highest priority at this time?
A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease
C. Risk for injury related to edema
, Page | 2
D. Altered peripheral tissue perfusion related to venous
congestion - correct answer -D- Rationale: This answer takes
highest priority because venous inflammation and clot formation
impede blood flow in a patient with deep-vein thrombosis.
A nurse is revising a client's care plan. During which step of the
nursing process does such a revision take place?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - correct answer -D- Rationale: During the
evaluation step of the nursing process the nurse determines
whether the goals established have been achieved, and evaluates
the success of the plan. Answer A involves data collection.
Answer B involves setting priorities, and Answer C is the actual
intervention.
Using Maslow's hierarchy of needs, a nurse assigns the highest
priority to which client need?
A. Elimination
B. Security
C. Safety
D. Belonging - correct answer -A- Rationale - According to
Maslow, elimination is a first-level or physiological need. Security
, Page | 3
and safety are second-level needs, and belonging is a third-level
need.
What does PES stand for? - correct answer -PROBLEM related
to...
ETIOLOGY as evidence by
SIGNS & SYMPTOMS
What does PE stand for? - correct answer -Potential problem
related to etiology
A travel nurse has taken an assignment at a health care facility
where nurses assume responsibility for a caseload of patients
over a period of time. This type of nursing exemplifies:
A. team nursing.
B. primary nursing.
C. functional nursing.
D. decentralized management. - correct answer -B- Rationale:
The primary nursing model of care delivery was developed to
place RNs at the bedside and improve the accountability of
nursing for patient outcomes and the professional relationships
among staff members. Primary nursing supports a philosophy
regarding nurse and patient relationships.
