Nursing Process Exam Questions with Complete Solutions Sheet Merged. Verified
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Course
Nursing assessment
Institution
Nursing Assessment
1.The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the
intervention, demonstrates evaluation?
a) Checking the client's respiratory status
c) Arranging the pillows behind the client's back
b) Instructing the client the importance of ...
Nursing Process Exam Questions with Class
Complete Solutions Sheet Merged.
Verified Date
Total questions: 102
Worksheet time: 1hrs 23mins
1.The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the
intervention, demonstrates evaluation?
a) Checking the client's respiratory status b) Instructing the client the importance of mobility
c) Arranging the pillows behind the client's back d) Changing the rate of flow for the oxygen
delivery system
2.Which statement is correctly stated as an expected client outcome?
a) Nurse will assist the client with ambulation three b) Client will be able to safely walk down the
times daily. hallway.
c) Client will ambulate with assistance to nurse's d) Client will ambulate safely.
station on second postoperative day.
1/22
,3. The nurse is caring for a one day postoperative client with a new colostomy. What nursing diagnosis
would be the primary concern for the nurse?
a) Ineffective coping b) Activity intolerance
c) Impaired bowel elimination d) Ineffective Health Maintenance
4.
One hour after receiving pain medication, a postoperative client reports intense pain. What is the
nurse's most appropriate first action?
a) Consult with the healthcare provider for b) Assist the client to reposition and splint the
additional pain orders incision site
c) Discuss the frequency of pain medication d) Assess the client to determine the cause of the
orders with the client. pain
5. assessments can be done with an initial assessment. They identify new or overlooked
problems. They are important because they can "flag" existing problems.
a) Emergency b) Focused
c) On-going d) Initial
6. Time lapsed assessments compare current status to the data
a) Projected b) Subjective
c) Objective d) Baseline
7. data is observable and measurable data that can be seen, heard, felt or measured by
someone other than the person experiencing them
a) Objective b) Subjective
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, 8. is the conscious and deliberate use of the five senses to gather data
a) Observation b) Assessment
c) Interview
9. The step of the nursing process interprets and analyzes data gathered
a) Implementation b) Evaluation
c) Assessment d) Diagnosis
10. Caring for a patient who presents with labored respirations, productive cough, and fever. What would
be an appropriate nursing diagnosis for this patient? (select all that apply)
a) Ineffective airway clearance b) Risk for septic shock
c) Impaired gas exchange d) Bronchial pneumonia
e) Potential complications: sepsis
11. Which is not a method for observation
a) Sight b) Verbal
c) Hearing d) Smell
12. T or F: When reporting, its okay to report opinions.
a) False b) True
13. Which type of Observation is observed using the senses?
a) Subjective b) Objective
14. Who prepares patient care plans?
a) Doctor b) Facility administrator
c) Nurse d) CNA
15. T or F: Abbreviations are used primarily in verbal communication
a) True b) False
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