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NUR 142 EXAM QUESTIONS AND VERIFIED ANSWERS
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NUR 142 EXAM QUESTIONS AND VERIFIED ANSWERS...
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Which is true of nursing diagnoses?Convey information about the signs and symptoms of disease processes
Provide a convenient means for communicating treatment requirements
Describe a disease or pathology of specific organs or body systems
Describe the client's response to the health problem
Describe the client's response to the health problem
Which component of a nursing diagnosis gives additional meaning to the
nursing diagnosis?
Composition
Descriptors
Dysfunction
Qualifications
Descriptors
A homeless client in the public health clinic has a strong body odor and is
wearing clothes that are visibly soiled. What nursing diagnosis would
be most appropriate for the nurse to identify?
Bathing Self-care Deficit related to lack of access to bathing facilities as
evidenced by a strong body odor
Homelessness Syndrome related to lack of housing as evidenced by visibly
soiled clothing
Inadequate Hygiene related to homelessness as evidenced by client's stink
Impaired Impulse Control related to poor socioeconomic conditions as
evidenced by visibly soiled clothing
Bathing Self-care Deficit related to lack of access to bathing facilities as
evidenced by a strong body odor
,A nurse is caring for a toddler who has been treated on two different occasions
for lacerations and contusions due to the parents' negligence in providing a safe
environment. What is an appropriate nursing diagnosis for this client?
High Risk for Injury related to abusive parents
High Risk for Injury related to impaired home management
Child Abuse related to unsafe home environment
High Risk for Injury related to unsafe home environment
High Risk for Injury related to unsafe home environment
372
A nurse documents the following nursing diagnosis on a client's plan of care:
"Readiness for Enhanced Breast-Feeding." The nurse has identified which type
of nursing diagnosis?
Problem-focused
Risk
Health promotion
Syndrome
Health promotion
-
The nurse is aware that nursing diagnoses are:
within the nursing scope of practice to develop and client-focused.
collaborative and depend on the medical diagnosis.
based on assessment data and the primary care provider's input.
dictated by the medical diagnoses and change day by day.
within the nursing scope of practice to develop and client-focused.
A newly graduated nurse is unable to determine the significance of data
obtained during an assessment. What would be the nurse's most appropriate
action?
Consult with a more experienced nurse.
Continue to collect assessment data.
, Document the data for future reference.
Contact the client's health care provider.
Consult with a more experienced nurse.
When writing an actual nursing diagnosis, the nurse includes the etiology that
contributes to the current situation. This would be identified as:
diagnostic label.
related factors.
defining characteristics.
problem statement.
related factors.
Which is an example of a nursing diagnosis?
Constipation
Hypoglycemia
Dehydration
Depression
Constipation
370
After assessing a client, a nurse identifies the nursing diagnosis, "Ineffective
Airway Clearance related to thick tracheobronchial secretions." The nurse
would classify this nursing diagnosis as which type?
Health promotion
Actual
Risk
Possible
Actual
The nurse is assessing a 3-week-old infant who has not gained weight since
birth. The infant's bowel sounds are present in all quadrants and breath sounds
are clear to auscultation. The infant's mother reports that the child cries much of
the night but sleeps better in the daytime. The mother reports that the child only
breastfeeds about four times in a 24-hour period and that the mother doesn't
seem to have much milk. Which nursing diagnosis would be of highest priority
for this client?
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