with Solutions Newest Complete Questions And Correct Detailed Answers 2026
2027
What is the purpose of the nursing process?
a. Providing patient-centered care
b. Identifying members of the health care team
c. Organizing the way nurses think about patient care
d. Facilitating communication among members of the health care team
Answer: C
A patient comes to the emergency department complaining of nausea and
vomiting. What should the nurse ask the patient about first?
a. Family history of diabetes
b. Medications the patient is taking
c. Operations the patient has had in the past
d. Severity and duration of the nausea and vomiting
Answer: d
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,In an emergent situation, the nurse initially focuses on the patient's chief
complaint to determine its cause. Before initiating care, the nurse gathers
information on the other topics.
An alert, oriented patient is admitted to the hospital with chest pain. From whom
should the nurse collect primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient
Answer: d
The nurse collects primary data directly from patients who are alert and oriented.
Family members and other members of the health care team may provide
secondary data on patients.
What is the primary purpose of the nursing diagnosis?
a. Resolving patient confusion
b. Communicating patient needs
c. Meeting accreditation requirements
d. Articulating the nursing scope of practice
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,Answer: b
Each nursing diagnosis identifies either a patient problem or need, which is its
purpose. Resolving patient confusion, meeting accreditation requirements, and
articulating the nurse's scope of practice are not related to the primary purpose
of the nursing diagnostic process.
On what premise is a nursing diagnosis identified for a patient? (Select all that
apply.)
a. Recognized cues
b. Nursing intuition
c. Clustered data
d. Medical diagnoses
Answer: a, c
Nursing diagnoses emerge from groupings of clustered data collected and cues
recognized during the assessment phase of the nursing process. The nurse
documents the patient's medical diagnosis as one piece of data, which may be
clustered with others to support a nursing diagnosis. Data collected from a nurse's
intuition may also be listed in the patient's assessment findings if they are
objectively recorded without prejudice and are not judgmental in nature.
Which statement is an appropriately written short-term goal?
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, a. Patient will walk to the bathroom independently without falling within 2 days
after surgery.
b. Nurse will watch patient demonstrate proper insulin injection technique each
morning.
c. Patient's spouse will express satisfaction with patient's progress before
discharge.
d. Patient's incision will be well approximated each time it is assessed by the
nurse.
Answer: a
Goals are to be patient-focused, realistic, and measurable. Only the first goal
meets these three criteria.
What should be the primary focus for nursing interventions?
a. Patient needs
b. Nurse concerns
c. Physician priorities
d. Patient's family requests
Answer: a
Patient needs are always the primary focus of nursing interventions. Nursing
concerns, physician priorities, and family requests can provide additional
guidance in the development of a patient-centered plan of care.
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