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Foundations Nursing Process Exam Questions with Marking scheme

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  • Foundations Nursing Process

assessments can be done with an initial assessment. They identify new or overlooked problems. They are important because they can "flag" existing problems. a) Initial b) Focused c) On-going d) Emergency 2. Time lapsed assessments compare current status to the data a) Subje...

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  • October 22, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Foundations Nursing Process
  • Foundations Nursing Process
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masigabethwel
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Foundations Nursing Process Exam
Questions with Marking scheme
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Total questions: 122
Worksheet time: 2hrs 56mins
Date




1. assessments can be done with an initial assessment. They identify new or overlooked
problems. They are important because they can "flag" existing problems.

a) Initial b) Focused

c) On-going d) Emergency


2. Time lapsed assessments compare current status to the data

a) Subjective b) Projected

c) Objective d) Baseline


3. The E in the HELP mnemonic ensure systematic person-centered observation stand for

a) Environmental equipment b) Essential equipment

c) Environmental essentials


4. 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


5. is the conscious and deliberate use of the five senses to gather data

a) Assessment b) Interview

c) Observation


6. The act of confirming or verifying data is

a) Interview b) Inference

c) Validation

,7. The four methods used to collect data during an assessment (select all that apply)

a) Inspection b) Palpitation

c) Percussion d) Clarify

e) Auscultation


8. The step of the nursing process interprets and analyzes data gathered

a) Assessment b) Diagnosis

c) Implementation d) Evaluation


9. Alfaro-LaFevre in her book identifies the shift from diagnose and treat to , prevent, manage and
promote (PPMP)

a) Preside b) Propose

c) Pattern d) Predict


10. The formulation of nursing diagnosis statements include
(select all that apply)

a) Problem b) Defining characteristics

c) Related factors d) Medical diagnosis

e) Etiology


11. 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) Bronchial pneumonia b) Impaired gas exchange

c) Ineffective airway clearance d) Potential complications: sepsis

e) Risk for septic shock


12. Name the steps of the nursing process

a) assessment, diagnosis, planning, intervention, b) assessment, diagnosis, planning,
evaluation implementation, evaluation

c) acknowledge, decision-making, planning, d) assessment, decision-making, planning,
implementation, evaluation intervention, evaluation

, 13. What are two types of nursing diagnosis?

a) direct and indirect b) independent and collaborative

c) actual and potential d) independent and dependent


14. Which of the following are valid sources for patient assessment data?

a) patient's family b) medical record/chart

c) healthcare team d) All of the above


15. What are the parts of the nursing diagnosis statement.

a) assessment, diagnosis, plan, implementation, b) actual and potential
evaluation

c) cause and effect d) problem, etiology, symptoms


16. Which of the following is objective data?

a) client reports a fever b) itching

c) headache d) temp of 99.1


17. The purpose of the Nursing Process is to:

a) Cure illness b) Guide written documentation

c) Achieve care that is person centered and d) help plan your day
holistic


18. Although all sections of the nursing process (APIE) are important, which step provided the foundations
of the process?

a) Assessment b) Planning

c) Implementation d) Evaluation


19. Each phase Of nursing process affects the others ▪ Overlapping, continuing processes

a) TRUE b) FALSE

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