NURX104 ESSENTIALS OF NURSING CARE: HEALTH SAFETY EXAM
NEWEST 2025/2026 COMPLETE ALL QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!
Nursing process, Documentation, Reporting
An RN is instructing a student on the process of developing a care plan for a
patient. Which statement by the student indicates to the RN that further
instruction is needed on writing outcomes based on ANA Standards of Nursing
Practice?
"I need to base outcomes on my patient's acuity level."
"I should consider the patient's ethical, cultural, and spiritual values."
"I should involve the patient, family, and health care providers."
"I need to include a time estimate for attainment of expected outcomes."
*1) The answer is incorrect, since the patient's acuity is not related to goals
developed is a care plan.
2) See 1).
3) See 1).
4) See 1).
Nursing process, Documentation, Reporting
An RN teaches a patient who is diabetic how to assess the skin on the bottom of
the feet for open wounds, using a lighted mirror. Which element of nursing
informatics has the RN used with this intervention?
1|Page
, NURX104 Essentials of Nursing Care: Health Safety Exam
Data
Information
Knowledge
Wisdom
1) The data element would be that the skin is either intact or broken.
2) The information element would be that this patient has diabetes.
3) The knowledge element would be that diabetic patients are at risk for skin
ulcerations of the soles of the feet.
*4) The wisdom element uses knowledge to manage a problem. The patient
needs to learn to assess the underside of the feet for skin ulcerations. The RN
combines this understanding with a solution for how the patient can assess the
soles of the feet for diabetic ulcers.
Nursing process, Documentation, Reporting
The RN should give priority to which nursing diagnosis statement?
Ineffective Breathing Pattern related to upper abdominal pain
Fatigue related to immobility
Altered Nutrition: Less Than Body Requirements related to persistent nausea and
vomiting
Deficient Fluid Volume related to fever and diaphoresis
*1) Ineffective breathing pattern is a life-threatening situation that requires
priority. Maslow's hierarchy of needs indicates that oxygenation is the most basic
and immediate need for survival.
2) It would be important to address fatigue, but it is much lower in Maslow's
hierarchy of needs.
2|Page
, NURX104 Essentials of Nursing Care: Health Safety Exam
3) Nutrition is an important basic need, but it is not as critical as oxygenation.
4) Although deficient fluid volume may be an urgent problem, a breathing
impairment is more life threatening.
Nursing process, Documentation, Reporting
Place the sources of evidence-based practices (EBP) in order from strongest to
weakest evidence.
(Using the alphabetical list within the drop-down boxes beside each step (A
through D), place the steps in correct order, with A being the first step, B being the
next step, C being the next, etc., through D, which would be the last step.)
Outcome research
Findings from clinical trials
Case studies
Expert opinion
Outcome research
Findings from clinical trials
Case studies
Expert opinion
Nursing process, Documentation, Reporting
Which nursing activity is an example of assessment?
Monitoring the temperature of a patient who is febrile
Determining when to administer a patient's as-needed medications
Consulting with the dietitian about the diet of a patient with anorexia
Caring for the equipment of a patient who is on continuous enteral feedings
*1) Assessment is gathering and organizing data in relation to the patient's health
status. Continually updating data, as in checking temperature, is an example of
3|Page
, NURX104 Essentials of Nursing Care: Health Safety Exam
assessment.
2) "Prn" was used to mean "as needed" once upon a time in the nursing
profession. According to The Joint Commission, "prn" is no longer an acceptable
abbreviation to use. Be that as it may, determining when to administer a patient's
as-needed medications may be an appropriate activity in the planning phase of
the nursing process, but is not an assessment activity.
3) This patient's diagnosis is already known, and the RN is bringing in another
member of the health care team to plan and implement care.
4) This activity would occur during the implementation phase of the nursing
process.
Nursing process, Documentation, Reporting
In which phase of the nursing process would the RN refer a patient to a
community support group?
Assessment
Evaluation
Implementation
Planning
1) See 3).
2) See 3).
*3) The RN identifies patient needs and secures the appropriate services to
address those needs across the continuum in the implementation phase of the
nursing process.
4) See 3).
4|Page