Nursing: Semester 1 Unit 1 Exam 2025
____________ is being completely truthful with patients; nurses must not withhold the whole truth from clients even when it may lead to patient distress. - ansveractiy
______________ is probably the only role about which there is agreement as to what it mean...
Nursing: Semester 1 Unit 1 Exam 2025
____________ is being completely truthful with patients; nurses must not withhold the whole truth from
clients even when it may lead to patient distress. - ansveractiy
______________ is probably the only role about which there is agreement as to what it means and how we
do it.
A. Caregiving
B. Educating
C. Managing
D. Advocating - ansCaregiving
(The role of the nurse as caregiver has engendered the least amount of controversy. This role has been
thoroughly documented, not only in writing but also through art, since early times. Nurses and nursing
leaders agree that this is their primary role. )
____________________is the central component of effective leadership - anscommunication
______________is concerned with treating people equitably, fairly, and appropriately - ansjustice
"Activity intolerance r/t imbalance between oxygen supply and demand aeb verbal reports of fatigue,
exertional dyspnea, and abnormal heart rate in response to activity"
Is this two step or three step diagnosis and point out the PES - ansThree step
Problem: activity intolerance
,Etiology: r/t imbalance between oxygen supply and demand
Symptoms: aeb verbal reports of fatigue, exertional dyspnea, and abnormal heart rate in response to activity
"Deficient Knowledge r/t unfamiliarity with information about the nursing process and nursing diagnosis aeb
verbalization of lack of understanding"
Name the Problem, Etiology, and Symptom - ansProblem: "Deficient knowledge"
Etiology: unfamiliarity with information about the nursing process
Symptom: verbalization of lack of understanding
** NCLEX QUESTION
The nurse is assessing a 32-year-old female client who delivered a newborn three hours ago, and notes that
the clients; temperature is 100.7 degrees F. What is the nurses' priority action ?
A. notify the physician
B. Document the findings
C. Retake the temperature in half an hour
D. Increase hydration and encourage oral fluids - ansD.
The key words priority action tell you this will be the implemention aspect of the nursing process
,** NCLEX QUESTION:
A 82- year old female has been admitted to the hospital with pneumonia and a UTI. She has been too weak
to get out of bed for the past 3 days. As the nurse is giving her a bed bath, the nurse notices some new
redness over her sacrum. What should the nurse do first?
A. Use a finger to apply pressure to the reddened area
B. Notify the physician
C. Apply a dressing to the area for cushioning
D. Document your observations - ansA.
The key words "do first" tells you this is the assessment part of the nursing process. Answer A " use a finger
to apply pressure to the reddened area will help you asses the issues...it will tell you if this is a pressure ulcer
and what grade.
*** NCLEX question:
You are caring for a high risk pregnant client who is in a life threatening situation. The fetus is also at high
risk for death. Clinical decisions are being made that concern you because some of these treatments and life
saving measures promote the pregnant woman's life at the same time that they significantly jeopardize the
fetus' life and viability and other decisions can preserve the fetus's life at the expense of the pregnant
woman's life. Which role of the nurse is the priority at this time?
Case manager
Collaborator
, Coordinator of care
Advocacy - ansAdvocacy
The priority role of the nurse is advocacy. The nurse must serve as the advocate for both the fetus and the
mother at risk as the result of this ethical dilemma where neither option is desirable. As an advocate, the
nurse would seek out resources and people, such as the facility's ethicist or the ethics committee, to resolve
this ethical dilemma.
****Ideally the etiology (r/t statement), or cause, of the nursing diagnosis is something that can be treated
Collaboratively or Independently by a nurse - ansIndependently by a nurse
***Collective Data - ans-Using a systematic & ongoing process
-Categorizing data
-Recording data (Observation, Interview & Examination)
***NCLEX QUESTION
It's a busy day at the hospital, and the nurse just got her client assignments for the day. Which of the
following clients should the nurse asses first?
A. a clients with a total knee replacement two-day postoperative complaining of a HA
B. a client who requires a complex dressing change
C. An irritated client who is anxious and ready for discharge
D. An asthmatic client with difficulty of breathing - ansD. An asthmatic client with difficulty of breathing
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