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principle of nursing aya punya

Total questions: 23

Worksheet time: 12mins

Name
Class
Date
1.

You are collecting data from a new admission patient who is diagnosed of uncontrolled hypertension. Which information about your patient is of least priority?

a)

Respiratory

b)

Neurological

c)

Psychosocial

d)

Cardiovascular

2.

Planning is a category of nursing behaviour in which

a)

the patient determines the care needed

b)

the doctor determines the plan of care for the patient

c)

the nurse determines the health care needed for the patient

d)

patient-centered goals and expected outcomes are established

3.

A nurse makes a clinical judgment that man to be vaccinated is more vulnerable to

developing fear than a woman in the same or a similar situation. Which type of nursing diagnosis it is referring to?

a)

Risk

b)

actual

c)

possible

d)

wellness

4.

A nurse is writing an evaluative statement for a patient who is trying to lower cholesterol through diet and exercise. Which of the following evaluative statement is written correctly?

a)

"Outcome not met."

b)

"1/21/20-Patient reports no change in diet."

c)

"Outcome not met. Patient reports no change in diet or activity level."

d)

"1/21/20-Outcome not met. Patient reports no change in diet or activity

level."

5.

Mr. CA just come back to ward from an operation: Which of the following nursing

diagnoses are written correctly?

a)

Catheterization R/T urinary retention

b)

Pain and fever related to upcoming abdominal surgery

c)

Pain reinted to tissue trauma secondary to hand surgery as evidence by pain

ranked 4/10

d)

Impaired Tissue Integrity related to infrequent turning as evidence by 3 cm diameter ankle ulcer

6.

Which of the following action that is appropriate once a nurse assesses a patient condition and identifies appropriale nursing diagnoses?

a)

Determine a list of priorities

b)

Begins Physical assessment

c)

Develop a plan for nursing care

d)

Review of the assessment that done by other nurses

7.

According to Maslow's hierarchy of needs, which of the following nursing diagnosis falls on the highest priority?

a)

Anxiety

b)

Sleep deprivation

c)

Disturbed body image

d)

Decrease Cardiac Output

8.

Which of the following is an appropriate patient-centered goal for a nursing diagnosis of acute pain?

a)

Determine effect of pain intensity on patient function

b)

Pain intensity reported as a 3 or less during hospital stay

c)

Encourage patient to implement guided imagery when pain begins

d)

Administer analgesic 30 minutes before physical therapy treatment

9.

Nurse SS has received her patient assignment for the day-shift. After making the initial rounds and assessing the patients, which patient would nurse SS needs to develop a care plan first?

a)

patient who is ambulatory

b)

A patient scheduled for a surgery at 1300

c)

A patient, who has a fever, is diaphoretic and restless

d)

A client who just had an appendectomy and has just received pain

medication.

10.

Nurse M documents that the patient has voided 475 mL. during the shift via an

indwelling urinary catheter. What type of data has the nurse documented?

a)

Covert

b)

Objective

c)

Subjective

d)

Continuous

11.

You are interviewing a patient and is focusing on avoiding comments and questions

that will slow down communication. Which sentence demonstrates the appropriate communication techniques?

a)

"Do you have any additional questions for me?

b)

When did you first notice the rash on your leg?"

c)

"Have you ever heard the saying 'no pain no gain?"

d)

"Why do you feel that way about your cancer diagnosis?"

12.

The nurse prioritizes the patient interventions to provide oxygen to the patient first with respiratory distress. Which of the model is the nurse applying?

a)

Body Systems Model

b)

Functional Health Patterns

c)

Human Response Patterns

d)

Hierarchy of Human Needs

13.

A nurse is justified in independently identifying and documenting which diagnosis

related to impaired elimination?

a)

Ulcerative Colitis

b)

Bowel Incontinence

c)

Small Bowel Obstruction

d)

Irritable Bowel Syndrome

14.

A patient is brought to the emergency room in respiratory arrest and immediately

intubated and placed on mechanical ventilation. What is the most appropriate nursing

diagnosis for this patient?

a)

impaired gas exchange

b)

Ineffective airway clearance

c)

Ineffective breathing pattern

d)

Impaired spontaneous ventilation

15.

You are caring for Mr. KC who is newly admitted with acute abdominal pain. Which nursing diagnosis is the priority for this Mr. KC?

a)

Impaired comfort

b)

Activity intolerance

c)

Disturbed body image

d)

Disturbed sleep pattern

16.

The nurse writes an expected outcome statement in measurable terms. Which of the following statement is correct?

a)

Patient will be pain free

b)

Patient will have less pain

c)

Patient will report pain acuity less than 4 on a scale of 0-10

d)

Patient will take pain medication every 4 hours around the clock

17.

Which of the following statements pertaining to an assigned patient the nurse needs to validate?

a)

The patient reported an infected toe

b)

A weight of 83 kg is recorded in the chart

c)

The patient's blood pressure is 124/70 mm Hg

d)

The patient has a hard, raised, red lesion on his right hand.

18.

Which of the following items of subjective data would be documented in the medical record by the nurse?

a)

Patient's face is pale

b)

Patient feels nauseated

c)

Cervical lymph nodes are palpable

d)

Nurse assistant reports patient refused lunch

19.

Mr. CK reports nausea and constipation. Which of the following would be the

appropriate nursing action?

a)

Notify the physician

b)

Collect a stool sample

c)

Complete an abdominal assessment

d)

Administer an anti-nausea medication

20.

You are developing a nursing diagnosis for Ms. YB who has cachexia and decreased

weight. Which of the following nursing diagnosis is appropriate?

a)

Anorexia nervosa and bulimia

b)

Weight loss related to abdominal discomfort

c)

Imbalanced nutrition: less than body requirements

d)

Lack of adequate nutrition related to decreased calories

21.

A nurse is giving postoperative care to a patient after a knee operation. What is a

possible short-term goal for this patient?

a)

To prevent repeat surgery in the patient

b)

To maintain a health and active lifestyle

c)

To ambulate the patient to a bedside chair

d)

To help the patient return to activities of daily life

22.

Mr. SM with HIV has been admitted to hospital. Which nursing diagnosis should be of the priority, keeping in mind of Mr. SM's condition?

a)

Risk for infection

b)

Risk for ineffective coping

c)

Risk for activity intolerance

d)

Risk for imbalanced nutrition

23.

Mr. PM is failing to follow the plan of care that was collaboratively developed. After

investigation you found that the plan of care is not appropriate for him. What is your next step in correcting this problem?

a)

Ask Mr. PM's family to assist him in following the plan of care

b)

Make changes in the plan of care based upon assessment data

c)

Discuss the desired outcomes with Mr. PM and the importance of outcomes

d)

Provide information to the Mr. PM on the benefits of complying with the plan

of care