NSG 100 Post Assessment Actual final Exam Questions with all Questions Accurately Answered 2024/2025
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NSG 100 Post Assessment Actual final Exam Questions with all Questions Accurately Answered 2024/2025
Which of the statements best describes the purpose of the nursing process?
A. Deliver care to a client in an organized way.
B. Implement a plan that is close to the medical model.
C. Identif...
NSG 100 Post Assessment Actual final Exam
Questions with all Questions Accurately
Answered 2024/2025
Which of the statements best describes the purpose of the nursing process?
A. Deliver care to a client in an organized way.
B. Implement a plan that is close to the medical model.
C. Identify client needs and deliver care to meet those needs.
D. Make sure that standardized care is available to clients. - correct answer
ANS: C
The purpose of the nursing process is to diagnose and treat human responses
to actual or potential health problems. Simply described as identifying a
client's actual or potential healthcare problems or needs, establishing plans to
meet the identified needs, and delivering specific nursing interventions to
meet those needs. The Nursing Process is the framework within which nurses
provide care to patients in an organized and effective manner, it is not the
purpose. The nursing process is not part of the medical model. The nursing
process is individualized for each client's care plan. It is not about
standardizing care.
The nurse is planning care for a new patient with unstable blood glucose
levels. Which should be the priority action by the nurse?
A.Establish a specific nursing diagnosis.
B.Complete an assessment on the client.
C.Create a plan of nursing care for the client.
D.Carry out solutions to manage the problem. - correct answer ANS: B
,The five steps of the nursing process are assessment, diagnosis, planning
implementation, and evaluation. The nurse should first perform a thorough
assessment and then create a nursing diagnosis based on the assessment
data. The nurse should then create a plan of care with nursing interventions to
address the diagnosis, follow the plan, and then evaluate the effectiveness of
the nursing interventions.
Which patient should the nurse assess first after receiving the change-of-shift
report?
A.A patient with type 1 diabetes mellitus with blood glucose of 82 mg/dL
(range 70-130mg/dL)
B.A patient with hypertension with a blood pressure of 168/88 mmHg (normal
BP less than 120mmHg/less than 80mmHg)
C.A patient with a bowel obstruction who is complaining of nausea
D.A patient with heart failure who is complaining of shortness of breath -
correct answer ANS: D
Using the ABCs (airway, breathing, and circulation) as a guide, the nurse
should first assess the patient with shortness of breath. This would take
priority over a patient complaining of nausea, a patient with an elevated (but
not critically elevated) blood pressure, and a patient with a normal blood
glucose reading.
The nurse prioritizes care for a patient who is recovering from a below the
knee amputation secondary to complications of diabetes mellitus. Which
intervention is identified as the priority for this patient using Maslow's
hierarchy of needs?
A.The nurse teaches the patient how to properly change dressings on the
right-leg amputation site.
B.The nurse teaches the patient proper home safety techniques to prevent
diabetic wounds.
, C.The patient joins the local American Diabetes Association support group.
D.The patient attends classes to deal with body image. - correct answer
ANS: A
When prioritizing care based on Maslow's hierarchy of needs, physiological
needs will come before safety, social, and esteem needs. Caring for an
amputation site is meeting a physiological need. Attending a class to deal with
body-image issues addresses an esteem need. Teaching the patient about
safety techniques to prevent diabetic wounds addresses a safety need.
Joining a support group meets an esteem need.
The nurse is prioritizing patient care as low, medium, or high priority for the
current assignment. Which patient should the nurse identify as having a high-
priority circumstance? (Select all that apply.)
A.A patient with emphysema and a pulse oximeter reading of 88 (impaired
gas exchange)
B.A patient who is receiving a blood thinner (Risk for bleeding)
C.A confused older patient (Acute confusion)
D.A patient who is experiencing bouts of diarrhea
E.A patient with congestive heart failure and shortness of breath (Ineffective
breathing pattern) - correct answer ANS: A,B,E
High-priority circumstances include patients with a risk for bleeding, such as a
patient receiving blood thinners such as warfarin (Coumadin), patients with
ineffective breathing patterns, and patients with impaired gas exchange. A
confused patient and a patient with diarrhea would have medium-priority
circumstances.
A patient presents to the emergency department (ED) complaining of pain and
burning on urination. The patient also tells the triage nurse that she noted
blood in the urine the past few times she urinated, so she thought she should
come to the emergency department. In which category should the nurse
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