NSG 100 QUIZ 1_86 QUESTIONS WITH VERIFIED
ANSWERS 2026
C. Provide direction for nursing interventions. - CORRECT ANSWER The nurse is
developing a plan of care for a patient with the nursing diagnosis Impaired
Physical Mobility related to inactivity secondary to arthritis. The nurse and patient
develop a goal of ambulating the hall three times a day with a wheeled walker.
Which purpose should this goal help achieve?
A. Identify a time frame for an action to occur.
B. Evaluate the patient's response to the plan of care.
C. Provide direction for nursing interventions.
D. Measure the end result of nursing action.
B. Evaluation is performed throughout all phases of the nursing process. -
CORRECT ANSWER Which statement describes the evaluation phase of the nursing
process?
A. Evaluation is performed only after nursing interventions are performed.
B. Evaluation is performed throughout all phases of the nursing process.
C. Evaluation focuses on determining changes and preventing complications.
D. Evaluation is determined based on gathering subjective and objective data.
C. "Goals are patient responses, whereas outcomes are the patient's response to
care." - CORRECT ANSWER The nurse is presenting how to differentiate between
patient goals and outcomes.
Which statement by the nurse is accurate?
A. "Goals are established by the nurse and used to evaluate patient outcomes."
,B. "Goals evaluate the patient's response to the plan of care developed by the
nurse."
C. "Goals are patient responses, whereas outcomes are the patient's response to
care."
D. "Goals include the subjective and objective data observed by the nurse."
C. To motivate the patient by associating a personal meaning with the goal -
CORRECT ANSWER The nurse is caring for a patient who is 8 weeks pregnant,
reports never having been pregnant before, and does not know what to expect.
The nurse instructs the patient to keep all scheduled prenatal clinical visits and
states, "These classes will help you and your baby to stay healthy."
Which is the reason for the nurse to make this statement?
A. To provide the patient a list of reasons why attending classes is important.
B. To educate the patient on the importance of attending the classes
C. To motivate the patient by associating a personal meaning with the goal
D. To develop a nursing diagnosis of Knowledge, Deficient for the patient
C. Impaired Skin Integrity related to immobility - CORRECT ANSWER A patient who
is recovering from a motor vehicle crash has been ordered complete bedrest for 3
months. The patient presents with skin breakdown.
Which nursing diagnosis statement is correct?
A. Impaired Skin Integrity related to time in bed
B. Impaired Skin Integrity related to skin breakdown
C. Impaired Skin Integrity related to immobility
D. Impaired Skin Integrity related to motor vehicle crash
,A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods
instead of five foods high in sugar content. - CORRECT ANSWER The nurse is caring
for a patient who is diagnosed with diabetes mellitus.
Which evaluation statement should indicate that the plan of care is working?
A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods
instead of five foods high in sugar content.
B. 04/03/2018, 1750: Goal met: Patient voices understanding of treatment
therapy.
C. 04/03/2018: Goal unmet: Patient demonstrates use of insulin injection
successfully.
D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home
oxygen machine.
D. Explaining that the nurse does not hear the voices - CORRECT ANSWER The
nurse is caring for a patient with schizophrenia. The patient is at risk for disturbed
thought process.
Which nursing intervention could the nurse implement without an order from the
healthcare provider?
A. Referring the patient to an outpatient program on discharge
B. Complying with taking all medications as prescribed
C. Placing the client in a seclusion room for a time-out
D. Explaining that the nurse does not hear the voices
A. Weakness - CORRECT ANSWER The nurse is planning interventions for a patient
with a nursing diagnosis of Activity Intolerance related to weakness, as evidenced
by inability to walk two steps.
, Which part of the nursing diagnosis statement is used as the framework for
planning nursing interventions?
A. Weakness
B. Previous health history
C. Activity Intolerance
D. Inability to walk two steps
B. Pathophysiological disease process - CORRECT ANSWER The nurse is examining
the following nursing diagnosis statement: Risk for Impaired Skin Integrity related
to decreased peripheral circulation secondary to diabetes.
The use of "secondary to" in this diagnosis reflects which component?
A. Primary identifiable nursing problem
B. Pathophysiological disease process
C. Axis 2 of the nursing diagnosis
D. Subjective data obtained
C. The patient will verbalize understanding of how insulin affects blood sugar by
the end of the day. - CORRECT ANSWER Which short-term goal should the nurse
view as appropriate for a patient with the nursing diagnosis Deficient Knowledge
related to disease process secondary to diabetes?
A. The patient will follow a diabetic diet with 90% compliance within 3 months.
B. The patient will maintain blood sugars between 80 and 120 mg/dL within 1
month.
C. The patient will verbalize understanding of how insulin affects blood sugar by
the end of the day.
ANSWERS 2026
C. Provide direction for nursing interventions. - CORRECT ANSWER The nurse is
developing a plan of care for a patient with the nursing diagnosis Impaired
Physical Mobility related to inactivity secondary to arthritis. The nurse and patient
develop a goal of ambulating the hall three times a day with a wheeled walker.
Which purpose should this goal help achieve?
A. Identify a time frame for an action to occur.
B. Evaluate the patient's response to the plan of care.
C. Provide direction for nursing interventions.
D. Measure the end result of nursing action.
B. Evaluation is performed throughout all phases of the nursing process. -
CORRECT ANSWER Which statement describes the evaluation phase of the nursing
process?
A. Evaluation is performed only after nursing interventions are performed.
B. Evaluation is performed throughout all phases of the nursing process.
C. Evaluation focuses on determining changes and preventing complications.
D. Evaluation is determined based on gathering subjective and objective data.
C. "Goals are patient responses, whereas outcomes are the patient's response to
care." - CORRECT ANSWER The nurse is presenting how to differentiate between
patient goals and outcomes.
Which statement by the nurse is accurate?
A. "Goals are established by the nurse and used to evaluate patient outcomes."
,B. "Goals evaluate the patient's response to the plan of care developed by the
nurse."
C. "Goals are patient responses, whereas outcomes are the patient's response to
care."
D. "Goals include the subjective and objective data observed by the nurse."
C. To motivate the patient by associating a personal meaning with the goal -
CORRECT ANSWER The nurse is caring for a patient who is 8 weeks pregnant,
reports never having been pregnant before, and does not know what to expect.
The nurse instructs the patient to keep all scheduled prenatal clinical visits and
states, "These classes will help you and your baby to stay healthy."
Which is the reason for the nurse to make this statement?
A. To provide the patient a list of reasons why attending classes is important.
B. To educate the patient on the importance of attending the classes
C. To motivate the patient by associating a personal meaning with the goal
D. To develop a nursing diagnosis of Knowledge, Deficient for the patient
C. Impaired Skin Integrity related to immobility - CORRECT ANSWER A patient who
is recovering from a motor vehicle crash has been ordered complete bedrest for 3
months. The patient presents with skin breakdown.
Which nursing diagnosis statement is correct?
A. Impaired Skin Integrity related to time in bed
B. Impaired Skin Integrity related to skin breakdown
C. Impaired Skin Integrity related to immobility
D. Impaired Skin Integrity related to motor vehicle crash
,A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods
instead of five foods high in sugar content. - CORRECT ANSWER The nurse is caring
for a patient who is diagnosed with diabetes mellitus.
Which evaluation statement should indicate that the plan of care is working?
A. 04/03/2018, 1800: Goal partially met: Patient is able to identify three foods
instead of five foods high in sugar content.
B. 04/03/2018, 1750: Goal met: Patient voices understanding of treatment
therapy.
C. 04/03/2018: Goal unmet: Patient demonstrates use of insulin injection
successfully.
D. 04/03/2018, 1830: Goal partially met: Patient demonstrates use of home
oxygen machine.
D. Explaining that the nurse does not hear the voices - CORRECT ANSWER The
nurse is caring for a patient with schizophrenia. The patient is at risk for disturbed
thought process.
Which nursing intervention could the nurse implement without an order from the
healthcare provider?
A. Referring the patient to an outpatient program on discharge
B. Complying with taking all medications as prescribed
C. Placing the client in a seclusion room for a time-out
D. Explaining that the nurse does not hear the voices
A. Weakness - CORRECT ANSWER The nurse is planning interventions for a patient
with a nursing diagnosis of Activity Intolerance related to weakness, as evidenced
by inability to walk two steps.
, Which part of the nursing diagnosis statement is used as the framework for
planning nursing interventions?
A. Weakness
B. Previous health history
C. Activity Intolerance
D. Inability to walk two steps
B. Pathophysiological disease process - CORRECT ANSWER The nurse is examining
the following nursing diagnosis statement: Risk for Impaired Skin Integrity related
to decreased peripheral circulation secondary to diabetes.
The use of "secondary to" in this diagnosis reflects which component?
A. Primary identifiable nursing problem
B. Pathophysiological disease process
C. Axis 2 of the nursing diagnosis
D. Subjective data obtained
C. The patient will verbalize understanding of how insulin affects blood sugar by
the end of the day. - CORRECT ANSWER Which short-term goal should the nurse
view as appropriate for a patient with the nursing diagnosis Deficient Knowledge
related to disease process secondary to diabetes?
A. The patient will follow a diabetic diet with 90% compliance within 3 months.
B. The patient will maintain blood sugars between 80 and 120 mg/dL within 1
month.
C. The patient will verbalize understanding of how insulin affects blood sugar by
the end of the day.
