QUIZ REVIEW

Question 1

“Client will ambulate in the hall without assistance within 4 days” this statement is an example of?

Nursing diagnosis
client outcome
subjective data
nursing intervention

Question 2

“The result of the arterial blood gas of the patient.” What data does this statement portray?

Question 3

which would prompt the nurse to report to the doctor for client status?

BP of 130/80

vomiting 1 cup of fluid consistency 4 times in 3 hrs

claimed body malaise

pallor

Question 4

care provider of client claimed that the clients head has been hurting for a month. what data is this?

Secondary objective
secondary subjective

Question 5

the nurse inquired fullname, client, age, gender & address. where would the nurse enter the information in which sheets?

progress notes
doctors order
admission sheet
nurses notes

Question 6

the primary source of data collection is from the

client
chart
doctor

Question 7

difficulty of breathing after 12hrs from admission time is an example of what type of assessment

Initial
problem
time-lapsed
Emergency

Question 8

maintening clients airway; “suction equipment should be available in event she is unable to handle secretions”

the statement is an example of which phase of nursing process?

Assessment
Nursing diagnosis
Planning
Interventions

Question 9

Conscious upon admission is an example of

Objective
subjective
assessment

Question 10

Ronchi, rales, crackles abnormal lung sounds are considered what objective data?

constant
variable

Question 11

After formulating a plane, you instructed the client to keep on NPO (nothing per orem) for 4 hours. This is which phase of the nursing process?

assessment
intervention
nursing diagnosis
evaluation

Question 12

Bobby brown, a 4 yr old nigga with hemophillia was admitted to hospital because of persistent bleeding from minor laceration. which of the following is an objective data?

laceration
bleeding
Bobby brown

Question 13

Sara is admitted for acute otitis media of right ear. W elevated temp & dehydration. Prescriptions include intravenous fluids & antibiotic therapy. Which of the data would lead to medical management prescribed as intravenous fluid therapy

acute otitis media
elevated body temp
dehydration
non of the

Question 14

Edwin is 45 yrs old. He has been drinking for 10-15 ears. in the statement, which is a constant objective data?

Edwin Dare
45 yr old
10-15yrs

Question 15

When organizing data about conditions, which would be number 1?

Answer 15

Risk for falls
suicide risk
confusion

Question 16

if an aessement/ action was not documented, it is considered not done. TRUE OR FALSE

Question 17

In an implied consent which would it be based upon?

words
expectations
actions
orders

Question 18

the head nurse/chief nurse/supervisor can obtain informed consent from the patient? YES OR NAUR

Question 19

“the ultimate decision maker” would mean which of the following elements”

the consent must be voluntarily

the client must be given enough info

Question 20

which of the following does not relate to the following information that should be conveyed to the clients in an informed consent?

clients diagnosis
treatment plan
risk and benefits of plan
alternative options
what happens if you do nothing

Question 21

in instance of violence & abuse which of the following choices the nurse took action initially?

to proper authorities

must report situation

able to assess an injury appearing to be a result of abuse and neglect

Question 22

The health care proxy. What does proxy mean?

Doctor
substitute
spiritual person

Question 23

In the assessment phase, the nurse collects data related to the patient, which of the following is not applicable to the assessment phase?

Information about the patient
family
caregivers
the patient’s community environment

Question 24

Posting asignage on the clients chart cover of DNR is which of the following the nurse has done?

ASSESSMENT
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION

Question 25

The registered nurse’s analysis of assessment data to determine actual or potential diagnoses, problems, and issues. it reflects the nurse’s clinical judgment about a patient’s response to potential or actual health issues or needs. Which of the following Phases of the Nursing Process is being referred to in the previous statement?

ASSESSMENT
NURSING DIAGNOSIS
PLANNING
EVALUATION
IMPLEMENTING

Question 26

Assessment that establishes a complete database for problem identification, reference & future comparison

Initial
problem
timelapsed
emergency

Question 27

Data is referred as symptoms or covert data

SUBJECTIVE
ONBECTIVE