EXAM 1 NSG
Which of the following is an example of objective assessment data?
A. Patient states "I feel like I have a headache."
B. Patient appears lethargic and weak.
C. Patient cries "I just miss my family not being with me."
D. Patient states, "I don't think this pain medication is working. I feel terrible." - answerB.
Patient appears lethargic and weak.
CWhich of the following is true regarding the evaluation stage of the nursing process?
A. Evaluation is ongoing.
B. Evaluation always occurs at the end of the nursing process.
C. The nurse must consult the physician to assist with a formal evaluation of the nursing
care plan.
D. The nurse should always ask the patient if they feel they achieved the goal set forth
in the nursing care plan to ensure complete evaluation. - answerA. Evaluation is
ongoing.
CThe nurse is developing a priority list of problems for her care plan. She is reviewing
the following problems: Based on Maslow's hierarchy of needs, which statement should
the nurse use to develop her top priority nursing diagnosis?
A. Patient states, "I don't know where I am going to go when I leave the hospital, I lost
my apartment because I didn't pay my rent and I don't have any family to live with."
B. Patient states "I feel like such a loser because I was fired for drinking alcohol at
work."
C. Patient states "I feel lonely because my partner left me a few months ago when I lost
my job."
D. Patient states, "I guess if I treated people better I would have more friends and I
wouldn't feel so lonely." - answerA. Patient states, "I don't know where I am going to go
when I leave the hospital, I lost my apartment because I didn't pay my rent and I don't
have any family to live with."
CThe nurse is reading the following nursing diagnosis written by the previous nurse.
NSG DX: DIFFICULTY WALKING R/T: WEAK RIGHT LEG AEB: Patient unable to walk
alone without the use of a Walker.
Which part of the statement indicates the evidence of defining characteristics that
supports the diagnosis?
A. Patient unable to walk along without the use of Walker.
B. Difficulty walking.
C. Weak right leg.
D. The nursing diagnosis is missing subjective data and therefore incomplete and is
unsupported. - answerA. Patient unable to walk along without the use of Walker.
, CWhat is the difference between a medical diagnosis and a nursing diagnosis?
A. Both a medical nursing diagnosis should be chosen as a team effort between the
physician and the nurse.
B. A nursing diagnosis describes a disease, illness, or injury in a medical diagnosis is a
statement of a client health status that can be identified, prevented, or treated at the
bedside.
C. Nurses must always consult a physician before deciding upon a nursing diagnosis for
a patient.
D. A medical diagnosis describes a disease, illness, or injury in a nursing diagnosis as a
statement of patients health status that can be identified, prevented, or treated
independently by the nurse. - answerD. A medical diagnosis describes a disease,
illness, or injury in a nursing diagnosis as a statement of patients health status that can
be identified, prevented, or treated independently by the nurse.
CWhat Greek physician is considered the father of medicine?
A. Hercules
B. Hippocrates
C. Aesclepius
D. Caduceus - answerB. Hippocrates
CWhich of the following is true regarding tattoos, piercings, and professional data?
Dress code for nurses. Select all that apply. - answer
CA nurse is working on a post surgical care unit and is planning care for a client
immediately following a lengthy abdominal surgery. Which nursing diagnosis should the
nurse plan to address first?
A. Acute pain related to surgical procedure.
B. Risk for urinary retention related to surgical procedure.
C. Anxiety related to lack of knowledge related to surgical outcomes.
D. Risk for impaired physical mobility related to incisional discomfort. - answerA. Acute
pain related to surgical procedure.
CWhich of the following is true regarding the purpose of licensure for the nursing
profession?
A. Licensure helps the public identify nurses who graduated from diploma schools from
those that graduated from BSN
B. Licensure allows registered nurses to specialize in certain clinical areas.
C. Licensure is provided by the schools of nursing to ensure the graduates are safe and
competent to practice.
D. The purpose of life insurers to protect the public from harm by setting minimum
qualifications and competencies for safe entry level practitioners. - answerD. The
purpose of life insurers to protect the public from harm by setting minimum qualifications
and competencies for safe entry level practitioners.
Which of the following is an example of objective assessment data?
A. Patient states "I feel like I have a headache."
B. Patient appears lethargic and weak.
C. Patient cries "I just miss my family not being with me."
D. Patient states, "I don't think this pain medication is working. I feel terrible." - answerB.
Patient appears lethargic and weak.
CWhich of the following is true regarding the evaluation stage of the nursing process?
A. Evaluation is ongoing.
B. Evaluation always occurs at the end of the nursing process.
C. The nurse must consult the physician to assist with a formal evaluation of the nursing
care plan.
D. The nurse should always ask the patient if they feel they achieved the goal set forth
in the nursing care plan to ensure complete evaluation. - answerA. Evaluation is
ongoing.
CThe nurse is developing a priority list of problems for her care plan. She is reviewing
the following problems: Based on Maslow's hierarchy of needs, which statement should
the nurse use to develop her top priority nursing diagnosis?
A. Patient states, "I don't know where I am going to go when I leave the hospital, I lost
my apartment because I didn't pay my rent and I don't have any family to live with."
B. Patient states "I feel like such a loser because I was fired for drinking alcohol at
work."
C. Patient states "I feel lonely because my partner left me a few months ago when I lost
my job."
D. Patient states, "I guess if I treated people better I would have more friends and I
wouldn't feel so lonely." - answerA. Patient states, "I don't know where I am going to go
when I leave the hospital, I lost my apartment because I didn't pay my rent and I don't
have any family to live with."
CThe nurse is reading the following nursing diagnosis written by the previous nurse.
NSG DX: DIFFICULTY WALKING R/T: WEAK RIGHT LEG AEB: Patient unable to walk
alone without the use of a Walker.
Which part of the statement indicates the evidence of defining characteristics that
supports the diagnosis?
A. Patient unable to walk along without the use of Walker.
B. Difficulty walking.
C. Weak right leg.
D. The nursing diagnosis is missing subjective data and therefore incomplete and is
unsupported. - answerA. Patient unable to walk along without the use of Walker.
, CWhat is the difference between a medical diagnosis and a nursing diagnosis?
A. Both a medical nursing diagnosis should be chosen as a team effort between the
physician and the nurse.
B. A nursing diagnosis describes a disease, illness, or injury in a medical diagnosis is a
statement of a client health status that can be identified, prevented, or treated at the
bedside.
C. Nurses must always consult a physician before deciding upon a nursing diagnosis for
a patient.
D. A medical diagnosis describes a disease, illness, or injury in a nursing diagnosis as a
statement of patients health status that can be identified, prevented, or treated
independently by the nurse. - answerD. A medical diagnosis describes a disease,
illness, or injury in a nursing diagnosis as a statement of patients health status that can
be identified, prevented, or treated independently by the nurse.
CWhat Greek physician is considered the father of medicine?
A. Hercules
B. Hippocrates
C. Aesclepius
D. Caduceus - answerB. Hippocrates
CWhich of the following is true regarding tattoos, piercings, and professional data?
Dress code for nurses. Select all that apply. - answer
CA nurse is working on a post surgical care unit and is planning care for a client
immediately following a lengthy abdominal surgery. Which nursing diagnosis should the
nurse plan to address first?
A. Acute pain related to surgical procedure.
B. Risk for urinary retention related to surgical procedure.
C. Anxiety related to lack of knowledge related to surgical outcomes.
D. Risk for impaired physical mobility related to incisional discomfort. - answerA. Acute
pain related to surgical procedure.
CWhich of the following is true regarding the purpose of licensure for the nursing
profession?
A. Licensure helps the public identify nurses who graduated from diploma schools from
those that graduated from BSN
B. Licensure allows registered nurses to specialize in certain clinical areas.
C. Licensure is provided by the schools of nursing to ensure the graduates are safe and
competent to practice.
D. The purpose of life insurers to protect the public from harm by setting minimum
qualifications and competencies for safe entry level practitioners. - answerD. The
purpose of life insurers to protect the public from harm by setting minimum qualifications
and competencies for safe entry level practitioners.
