NSG 3100 EXAM 1 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
a patient reports feeling tired and complains of not sleeping at
night. what action should the nurse perform first?
a- identify the reasons the patient is unable to sleep
b- request medication to help the patient sleep
c- tell the patient that sleep will come with relaxation
d- notify the physician that the patient is restless and anxious -
ANSWER-a
what action should the nurse take regarding a patient's plan of
care if the patient appears to have met the short term goal of
urinating one hour after surgery?
a- consult the surgeon to see if the clinical pathway is being
followed
b- discontinue the plan of care, because the patient has met the
established goal
c- monitor patient urine output to evaluate the need for current
plan of care
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d- notify the patient that the goal has been attained and no further
intervention is needed - ANSWER-c
what is the most important reason for nurses to use standardized
taxonomy such as the ICNP, CCC, NANDA?
a- insurance documentation
b- professional autonomy
c- EMR data analysis
d- patient safety - ANSWER-d
which nursing diagnosis statements are appropriately written
according to the 2018-2020 NANDA format? (select all that apply)
a- risk for infection related to elevated temperature and WBC
b- readiness for effective family process as evidenced by an
expressed desire for improved communication and mutual respect
verbalized by family members
c- impaired health maintenance related to inability to access care
as evidenced by failure to keep appointments, homebound status
d- risk for hemorrhaging as evidenced by prolonged clotting time
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e- chronic pain related to osteoarthritis as manifested by
verbalized postop discomfort - ANSWER-b,c,d
which phrase best represents a related factor in a problem-
focused nursing diagnosis?
a- unsteady gait requiring the assistance of two people
b- redness and swelling around incision site
c- ineffective adaptation to recent loss
d- patient complaint of restlessness - ANSWER-c
Which actions does the nurse need to take before determining the
types of nursing diagnoses that are applicable to a patient?
(Select all that apply.)
a. Review the patient's past and present medical history.
b. Analyze the nursing assessment data to determine whether
information is complete.
c. Outline an individualized plan of care to address each concern.
d. Consider potential complications to which the patient is
susceptible.
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e. Evaluate how the patient has responded to treatment. -
ANSWER-a,b,d
what is the primary difference between the NANDA risk nursing
diagnosis and a problem-focused nursing diagnosis
a- related factors are not part of a risk diagnosis
b- there is no cause and effect relationship established
c- defining characteristics are subjective in a risk diagnosis
d- there are no nursing interventions prescribed with a risk
diagnosis - ANSWER-a
what is the most important action for a nurse to take to have a
new nursing diagnosis considered for inclusion in the ICNP and
NANDA taxonomies?
a- share concerns with the nurse manager on the nursing unit
b- offer alternative care for a patient and family members
c- discuss how to address patient needs with physician
d- provide evidence based research to support nursing care -
ANSWER-d