Exam (elaborations)
NURSING PROCESS NCLEX QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NURSING PROCESS NCLEX QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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September 22, 2024
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Exam (elaborations)
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NCLEX-RN
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NCLEX-RN
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NURSING PROCESS NCLEX
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheFnurseFwouldFdoFwhichFofFtheFfollowingFactivitiesFduringFtheFdiagnosingFphaseFofFtheFnursingFprocess?F
SelectFallFthatFapply.
A.FCollectFandForganizeFclientFinformation
B.FAnalyzeFdata
C.FIdentifyFproblems,Frisk,FandFclientFstrengths
D.FDevelopFnursingFdiagnoses
E.FDevelopFclientFgoalsF-FANSWERFB.FAnalyzeFdata
C.FIdentifyFproblems,Frisk,FandFclientFstrengths
D.FDevelopFnursingFdiagnoses
Rationale:FTheFdiagnosingFphaseFofFtheFnursingFprocessFinvolvesFdataFanalysis,FwhichFleadsFtoFidentificatio
nFofFproblems,Frisks,FandFstrengthsFandFtheFdevelopmentFofFnursingFdiagnoses.FCollectingFandForganizingFc
lientFdataFisFdoneFinFtheFassessmentFphaseFofFtheFnursingFprocess.FGoalFsettingFoccursFduringFtheFplanningF
phase.
ForFtheFnursingFdiagnosticFstatement,FSelf-
careFdeficit:FfeedingFrelatedFtoFbilateralFfracturedFwristsFinFcasts,FwhatFisFtheFmajorFrelatedFfactorForFriskFfa
ctorFidentifiedFbyFtheFnurse?
A.FDiscomfort
B.FDeficit
C.FFeeding
D.FFracturedFwristsF-FANSWERFD.FFracturedFWrists
Rationale:FTheFetiologyForFrelatedFfactorsFofFaFnursingFdiagnosticFstatementFdefineFoneForFmoreFprobableFc
ausesFofFtheFproblemFandFallowFtheFnurseFtoFindividualizeFtheFclient'sFcare.FInFthisFcase,FtheFfractureFisFtheF
causeFofFtheFclient'sFfeedingFproblem.
, TheFnurseFwouldFmakeFwhichFofFtheFfollowingFinferencesFafterFperformingFtheFappropriateFclientFassessm
ent?
A.FClientFisFhypotensive
B.FRespiratoryFrateFofF20FbreathsFperFminute
C.FOxygenFsaturationFofF95%
D.FClientFrelaysFanxietyFaboutFbloodFworkF-FANSWERFA.FClientFisFhypotensive
Rationale:FAnFinferenceFisFtheFnurse'sFjudgmentForFinterpretationFofFcuesFsuchFasFjudgingFaFbloodFpressure
FtoFbeFlowerFthanFnormal.FAFcueFisFanyFpieceFofFdataFinformationFthatFinfluencesFaFdecision.FOptionsF2,F3,Fa
ndF4FareFcuesFthatFcouldFleadFtoFinferences.
TheFnurseFwouldFwriteFwhichFofFtheFfollowingFoutcomeFstatementsFforFaFclientFstartingFanFexerciseFprogra
m?
A.FClientFwillFwalkFquicklyFthreeFtimesFaFday
B.FClientFwillFbeFableFtoFwalkFaFmile
C.FClientFwillFhaveFnoFalterationFinFbreathingFduringFtheFwalk
D.FClientFwillFprogressFtoFwalkingFaF20-minuteFmileFinFoneFmonthF-
FANSWERFD.FClientFwillFprogressFtoFwalkingFaF20-minuteFmileFinFoneFmonth
Rationale:FOutcomeFstatementsFmustFbeFwrittenFinFbehavioralFtermsFandFidentifyFspecific,FmeasurableFclie
ntFbehaviors.FTheyFareFstatedFinFtermsFofFtheFclientFwithFanFactionFverbFthat,FunderFidentifiedFconditions,F
willFachieveFtheFdesiredFbehavior.FTheyFshouldFalsoFbeFrealisticFandFachievable.
TheFnurseFinformsFtheFphysicalFtherapyFdepartmentFthatFtheFclientFisFtooFweakFtoFuseFaFwalkerFandFneedsFt
oFbeFtransportedFbyFwheelchair.FWhichFstepFofFtheFnursingFprocessFisFtheFnurseFengagedFinFatFthisFtime?
A.FAssessmentF
B.FPlanning
C.FImplementation