NUR 316 Exam 1 Question & Answers, Graded 100%-After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) ...
NUR 316 Exam 1 Question & Answers, Graded 100%
After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is
the rationale for the nurse's actions?
A) To form a language that can be encoded only by nurses
B) To distinguish the nurse's role from the physician's role
C) To develop clinical judgment based on other's intuition
D) To help nurses focus on the scope of medical practice - B
Which diagnosis will the nurse document in a patient's care plan that is NANDA-I
approved?
A) Sore throat
B) Acute pain
C) Sleep apnea
D) Heart failure - B
A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of
pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did
the nurse write?
A) Ineffective breathing pattern related to pneumonia
B) Risk for infection related to chest x-ray procedure
C) Risk for deficient fluid volume related to dehydration
D) Impaired gas exchange related to alveolar-capillary membrane changes - D
The nurse is reviewing a patient's plan of care, which includes the nursing diagnostic
statement, Impaired physical mobility related to tibial fracture as evidenced by patient's
inability to ambulate. Which part of the diagnostic statement does the nurse need to
revise?
A) Etiology
B) Nursing diagnosis
C) Collaborative problem
D) Defining characteristic - A
A nurse is using assessment data gathered about a patient and combining critical thinking
to develop a nursing diagnosis. What is the nurse doing?
A) Assigning clinical cues
,B) Defining characteristics
C) Diagnostic reasoning
D) Diagnostic labeling - C
A patient presents to the emergency department following a motor vehicle crash and
suffers a right femur fracture. The leg is stabilized in a full leg cast. Otherwise, the
patient has no other major injuries, is in good health, and reports only moderate
discomfort. Which is the most pertinent nursing diagnosis the nurse will include in the
plan of care?
A) Posttrauma syndrome
B) Constipation
C) Acute pain
D) Anxiety - C
The nurse is reviewing a patient's database for significant changes and discovers that the
patient has not voided in over 8 hours. The patient's kidney function lab results are
abnormal, and the patient's oral intake has significantly decreased since previous shifts.
Which step of the nursing process should the nurse proceed to after this review?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation - A
A patient with a spinal cord injury is seeking to enhance urinary elimination abilities by
learning self-catheterization versus assisted catheterization by home health nurses and
family members. The nurse adds Readiness for enhanced urinary elimination in the care
plan. Which type of diagnosis did the nurse write?
A) Risk
B) Problem focused
C) Health promotion
D) Collaborative problem - C
A nurse administers an antihypertensive medication to a patient at the scheduled time of
0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's
blood pressure was low when it was taken at 0830. The NAP states that was busy and had
not had a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and
, light-headed. The blood pressure is rechecked and it has dropped even lower. In which
phase of the nursing process did the nurse first make an error?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation - A
A nurse adds the following diagnosis to a patient's care plan: Constipation related to
decreased gastrointestinal motility secondary to pain medication administration as
evidenced by the patient reporting no bowel movement in seven days, abdominal
distention, and abdominal pain. Which element did the nurse write as the defining
characteristic?
A) Decreased gastrointestinal motility
B) Pain medication
C) Abdominal distention
D) Constipation - C
The patient database reveals that a patient has decreased oral intake, decreased oxygen
saturation when ambulating, reports of shortness of breath when getting out of bed, and a
productive cough. Which elements will the nurse identify as defining characteristics for
the diagnostic label of Activity intolerance?
A) Decreased oral intake and decreased oxygen saturation when ambulating
B) Decreased oxygen saturation when ambulating and reports of shortness of breath when
getting out of bed
C) Reports of shortness of breath when getting out of bed and a productive cough
D) Productive cough and decreased oral intake - B
A nurse performs an assessment on a patient. Which assessment data will the nurse use as
an etiology for Acute pain?
A) Discomfort while changing position
B) Reports pain as a 7 on a 0 to 10 scale
C) Disruption of tissue integrity
D) Dull headache - C
A new nurse writes the following nursing diagnoses on a patient's care plan. Which
nursing diagnosis will cause the nurse manager to intervene?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfMiaKennedy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.64. You're not tied to anything after your purchase.
