CORRECT ANSWERS FOR REVISION USE
1.The nurse is reviewing a patient's list of nursing diagnoses in the medical record. The
most recent nursing diagnosis is diarrhea related to intestinal colitis. Why is this an
incorrectly stated diagnosis statement?: It identifies the medical diagnosis
instead of the patient's response to the diagnosis
2. Nurses in the presurgical unit are preparing patients with different medic
conditions for surgical procedures. The nurse knows to expect which type of medic
condition to cause an increased risk of infection and delayed wound healing aft
surgery?: Bone marrow depression
-Immunological disorder, the nurse will expect an increased risk of
infection and delayed wound healing after surgery.
3. The nurse is given a form with preset standard findings for recording a progress
note. The nurse reports the findings in the following way: "Physical Exam: All system
within normal except left lower extremity, casted d/t to heel fracture. Review of
, Systems: All normal except pain in the left foot." What kind of documentation and
informatics is this?: Charting by exception
-uses forms that have predefined normal findings, the nurse only
documents findings that are not standard. Unless documented, all other
findings are assumed to be normal
4.The nurse is interviewing a patient with cognitive impairment. Which strat- egy
should the nurse avoid while communicating with this patient?: Using detailed
explanations while asking questions to help the patient understand
5.The caregiver of a patient with terminal illness is receiving respite care. Which type
of primary and preventive care services offers this kind of care?-
: Block and parish nursing
-a preventative and primary care service that provides services in respit
care, homemaker aides, spiritual health, help with errands, and
transportation
-respite care provides short term relief or time off for people providing
home care to an ill, disables, or frail older adult
, 6.A patient is diagnosed with metabolic acidosis. Which physiological con- ditions can
be identified as causes for the patient's condition?: Ketoacidosis
-may have increased metabolic acid
Oliguric renal disease - may not be able to excrete al the acid from the
body
7.A patient visited the primary health care provider complaining of pain and
tenderness in the joints of fingers of the left hand. The primary health
care provider observed rheumatoid nodules. Which nursing interventions are beneficial
Administering ordered analgesics
-arthritic joint pain is caused by inflammation (chronic)
-analgesics relieve pain
8.A surgeon obtains patient consent for an appendectomy. While operating, the
surgeon also removes the patient's gallbladder. This mistake could be classified as
which type of tort?: Battery
Torts are intentional or unintentional mistakes that are infringements of
civil law surgeon did not get consent to remove bladder