NSG3100 EXAM 1 with Correct Verified Answers. 100% PASS.
Which resource is most helpful when prioritizing identified nursing diagnoses
a. nursing interventions classification
b. gordon's functional health patterns
c. maslow's hierarchy of needs
d. nursing outcomes classification - ANSWER – c
What is the most important reason for nurses to use standardized taxonomy such as the ICNP,
CCC, NANDA?
a. insurance documentation
b. professional autonomy
c. EMR data analysis
d. patient safety - ANSWER - d
Which nursing diagnosis statements are appropriately written according to the 2018-2020
NANDA format? (select all that apply)
a. risk for infection related to elevated temperature and WBC
b. readiness for effective family process as evidenced by an expressed desire for improved
communication and mutual respect verbalized by family members
,c. impaired health maintenance related to inability to access care as evidenced by failure to keep
appointments, homebound status
d. risk for hemorrhaging as evidenced by prolonged clotting time
e. chronic pain related to osteoarthritis as manifested by verbalized postop discomfort -
ANSWER - b,c,d
Which direct-care intervention would be most effective in helping a patient cope emotionally
with a new diagnosis of cancer?
a. Reassessing for changes in the patient's physical condition
b. Teaching the patient various methods of stress reduction
c. Referring the patient for music and massage therapy
d. Encouraging the patient to explore options for care - ANSWER - d
What should be taken into consideration by the nurse when deciding on interventions to include
in a patient's plan of care?
a. patient's treatment preferences
b. cultural and ethnic influences
c. nurses professional expertise
d. current evidence based research
e. convenience to nursing staff - ANSWER - a,b,c,d
Which task may the registered nurse safely delegate to unlicensed assistive personnel without
prior intervention?
a. Ambulating a patient with ataxia and new right sided paresthesia
b. Feeding a patient with cerebral palsy who recently aspirated
c. Transporting a patient to the hospital entrance for discharge
d. Administering prescribed programmed medications - ANSWER - c
Which actions are part of the evaluation step in the nursing process?
,a- recognizing the need for modifications in the care plan
b. documenting performed nursing interventions
c. determining if nursing interventions were completed
d. reviewing whether a patient met their short term goal
e. identifying realistic outcomes with patient input - ANSWER - a, d
Which action by the day-shift nurse provides objective data that enables the night-shift nurse to
complete an evaluation of the patient's short term goals?
a. encouraging the patient to share observations from the day
b. leaving a message with the charge nurse before shift change
c. documenting patient assessment findings in the patients chart
d. checking with the pharmacist regarding possible drug interactions - ANSWER - c
Which phrase best represents a related factor in a problem-focused nursing diagnosis?
a. unsteady gait requiring the assistance of two people
b. redness and swelling around incision site
c. ineffective adaptation to recent loss
d. patient complaint of restlessness - ANSWER - c
Which actions does the nurse need to take before determining the types of nursing diagnoses that
are applicable to a patient? (Select all that apply.)
a. Review the patient's past and present medical history.
b. Analyze the nursing assessment data to determine whether information is complete.
c. Outline an individualized plan of care to address each concern.
d. Consider potential complications to which the patient is susceptible.
e. Evaluate how the patient has responded to treatment. - ANSWER - a,b,d
, If a patient is exhibiting signs and symptoms of each of these nursing diagnoses, which should
the nurse address first while planning care?
a. fatigue
b. acute pain
c. lack of knowledge
d. disturbed body image - ANSWER - b
Which statement illustrates a characteristic of goals within the care planning process?
a. goals are vague objectives communicating expectations for improvement
b. short-term goals need not be measurable, unlike long term goals
c. goal attainment can be measured by identifying nursing interventions
d. long term goals are helpful in judging a patient's progress - ANSWER - d
Which nursing goal is written correctly for a patient with the nursing diagnosis for risk for
infection after abdominal surgery?
a. nurse will encourage use of sterile technique during each dressing change
b. patient's WBC will remain within normal range throughout hospitalization
c. patient's visitors will be instructed in proper handwashing before direct interaction with patient
d. patient will understand the importance of cleaning around the incision with a clean cloth
during bath time - ANSWER - b
If the nurse chooses the Nursing Outcome Classification (NOC), Appetite (1014) for a
chemotherapy patient, which outcome indicators would be acceptable for evaluation of goal
attainment? (Select all that apply.)
a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
e. Uses nutritional information on labels to guide selections - ANSWER - a, b, d
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