pg. 1 NSG3100 EXAM 1 & 2 COMBINED/ Actual Exam Questions with Correct Verified Answers – Rated A+
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 1 / 4
pg. 2 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?
- Reassessing for changes in the patient's physical condition
- Teaching the patient various methods of stress reduction
- Referring the patient for music and massage therapy
- 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?
- Ambulating a patient with ataxia and new right sided paresthesia
- Feeding a patient with cerebral palsy who recently aspirated
- Transporting a patient to the hospital entrance for discharge
- 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
- documenting performed nursing interventions
c- determining if nursing interventions were completed 2 / 4
pg. 3 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.)
- Review the patient's past and present medical history.
- Analyze the nursing assessment data to determine whether information is complete.
- Outline an individualized plan of care to address each concern.
- Consider potential complications to which the patient is susceptible.
- 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 3 / 4
pg. 4 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.)
- Expressed desire to eat
- Report that food smells good
- Use of relaxation techniques before meals
- Preparation of home-cooked meals for self and family
- Uses nutritional information on labels to guide selections - ANSWER - a, b, d
which action by the nurse would be most important in developing a patient-centered plan of care for an alert, oriented adult a- providing a written copy of care options to the patient and family b- collaborrating with the patient's social worker to determine resources c- listening to patient's concerns and beliefs about proposed treatment
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