Answers |Correct|Graded A+|Latest Update
2026/2027
1. After-assessing-a-patient,-a-nurse-develops-a-standard-formal-
nursingdiagnosis.-What-is-the-rationale-for-the-nurse's-actions?- A) To-
form-a-language-that-can-be-encoded-only-by-nurses- B) To-distinguish-
the-nurse's-role-from-the-physician's-role-
C) To-develop-clinical-judgment-based-on-other's-intuition- D)
To-help-nurses-focus-on-the-scope-of-medical-practice-correct-
answers>-B-
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2. Which-diagnosis-will-the-nurse-document-in-a-patient's-care-plan-that-is-
NANDA-I-approved?-
A) Sore-throat-
B) Acute-pain-
C) Sleep-apnea-
D) Heart-failure-correct-answers>-B-
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3. A-nurse-develops-a-nursing-diagnostic-statement-for-a-patient-with-
amedical-diagnosis-of-pneumonia-with-chest-x-ray-results-of-lower-
lobeinfiltrates.-Which-nursing-diagnosis-did-the-nurse-write?- A)
Ineffective-breathing-pattern-related-to-pneumonia-
B) Risk-for-infection-related-to-chest-x-ray-procedure- C)
Risk-for-deficient-fluid-volume-related-to-dehydration-
, D) Impaired-gas-exchange-related-to-alveolar-capillary-
membranechanges-correct-answers>-D-
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4. The-nurse-is-reviewing-a-patient's-plan-of-care,-which-includes-
thenursing-diagnostic-statement,-Impaired-physical-mobility-related-
totibial-fracture-as-evidenced-by-patient's-inability-to-ambulate.-
Whichpart-of-the-diagnostic-statement-does-the-nurse-need-to-revise?-
A) Etiology-
B) Nursing-diagnosis- C) Collaborative-problem-
D) Defining-characteristic-correct-answers>-A-
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5. A-nurse-is-using-assessment-data-gathered-about-a-patient-
andcombining-critical-thinking-to-develop-a-nursing-diagnosis.-What-is-
thenurse-doing?-
A) Assigning-clinical-cues-
B) Defining-characteristics-
C) Diagnostic-reasoning-
D) Diagnostic-labeling-correct-answers>-C-
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6. A-patient-presents-to-the-emergency-department-following-a-
motorvehicle-crash-and-suffers-a-right-femur-fracture.-The-leg-is-
stabilized-in-afull-leg-cast.-Otherwise,-the-patient-has-no-other-major-
injuries,-is-ingood-health,-and-reports-only-moderate-discomfort.-
Which-is-the-mostpertinent-nursing-diagnosis-the-nurse-will-include-in-
the-plan-of-care?-
A) Posttrauma-syndrome-
B) Constipation-
C) Acute-pain-
, D)-Anxiety-correct-answers>-C-
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7.-The-nurse-is-reviewing-a-patient's-database-for-significant-changes-
anddiscovers-that-the-patient-has-not-voided-in-over-8-hours.-The-
patient'skidney-function-lab-results-are-abnormal,-and-the-patient's-oral-
intakehas-significantly-decreased-since-previous-shifts.-Which-step-of-
thenursing-process-should-the-nurse-proceed-to-after-this-review?-
A) Diagnosis-
B) Planning- C) Implementation-
D)-Evaluation-correct-answers>-A-
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8. A-patient-with-a-spinal-cord-injury-is-seeking-to-enhance-
urinaryelimination-abilities-by-learning-self-catheterization-versus-
assistedcatheterization-by-home-health-nurses-and-family-members.-
The-nurseadds-Readiness-for-enhanced-urinary-elimination-in-the-care-
plan.-
Which-type-of-diagnosis-did-the-nurse-write?-
A) Risk-
B) Problem-focused- C) Health-promotion-
D) Collaborative-problem-correct-answers>-C-
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9. A-nurse-administers-an-antihypertensive-medication-to-a-patient-at-
thescheduled-time-of-0900.-The-nursing-assistive-personnel-(NAP)-
thenreports-to-the-nurse-that-the-patient's-blood-pressure-was-low-when-
itwas-taken-at-0830.-The-NAP-states-that-was-busy-and-had-not-had-
achance-to-tell-the-nurse-yet.-The-patient-begins-to-complain-of-
feelingdizzy-and-light-headed.-The-blood-pressure-is-rechecked-and-it-
hasdropped-even-lower.-In-which-phase-of-the-nursing-process-did-
thenurse-first-make-an-error?-
, A) Assessment-
B) Diagnosis- C) Implementation-
D)-Evaluation-correct-answers>-A-
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10.A-nurse-adds-the-following-diagnosis-to-a-patient's-care-
plan:Constipation-related-to-decreased-gastrointestinal-motility-
secondaryto-pain-medication-administration-as-evidenced-by-the-
patientreporting-no-bowel-movement-in-seven-days,-abdominal-
distention,and-abdominal-pain.-Which-element-did-the-nurse-write-as-
the-definingcharacteristic?-
A) Decreased-gastrointestinal-motility-
B) Pain-medication- C) Abdominal-distention-
D) Constipation-correct-answers>-C-
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11.The-patient-database-reveals-that-a-patient-has-decreased-oral-
intake,decreased-oxygen-saturation-when-ambulating,-reports-of-
shortness-ofbreath-when-getting-out-of-bed,-and-a-productive-cough.-
Whichelements-will-the-nurse-identify-as-defining-characteristics-for-
thediagnostic-label-of-Activity-intolerance?-
A)Decreased-oral-intake-and-decreased-oxygen-saturation-
whenambulating-
B) Decreased-oxygen-saturation-when-ambulating-and-reports-
ofshortness-of-breath-when-getting-out-of-bed-
C) Reports-of-shortness-of-breath-when-getting-out-of-bed-and-
aproductive-cough-
D) Productive-cough-and-decreased-oral-intake-correct-answers>-B-
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