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Nursing Diagnosis Practice Exam (PM)**
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Question 1
Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance, as evidenced by inability to speak in complete sentences:
A
“Inability to speak in complete sentences”
B
“Altered speech”
C
“As evidenced by”
D
“Recent neurological disturbances”
Question 1 Explanation:
Defining characteristics are assessment findings that support the nursing diagnosis. In this example, the inability to speak in complete sentences supports the nursing diagnosis of altered speech.
Question 2
The nurse is concerned that atelectasis may develop as a postoperative complication. Which of the following is an appropriate diagnostic label for this problem should it occur?
A
Decreased cardiac output
B
Impaired gas exchange
C
Impaired spontaneous ventilation
D
Ineffective airway clearance
Question 2 Explanation:
A potential etiology for impaired gas exchange may be atelectasis.
Question 3
Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
A
Deficient knowledge related to need for cardiac catheterization
B
Acute pain related to left mastectomy
C
Need for high protein diet related to alteration in nutrition
D
Impaired gas exchange related to altered blood gases
Question 3 Explanation:
This nursing diagnosis is written correctly. It defines a problem and its possible cause; in this case, the problem is the client’s response to a diagnostic test.
Question 4
The nurse recognizes that the primary purpose of a nursing diagnosis is to:
A
Provide a standardized approach for all clients
B
Support the medical plan of care
C
Recognize the client’s response to an illness or situation
D
Offer the nurse’s subjective view of the client’s behaviors
Question 4 Explanation:
The primary purpose of a nursing diagnosis is to recognize the client’s response to an illness or situation. The nurse can then use the nursing diagnosis to select appropriate nursing interventions to achieve positive client outcomes.
Question 5
When completing a client assessment and determining nursing diagnoses, the nurse may make an error. A diagnostic error can influence the application of the nursing care plan. A likely source for a nursing diagnosis error is if the nurse:
A
Validates the assessment information in the data base
B
Distinguishes the nursing focus instead of other health care disciplines
C
Formulates a diagnosis too closely resembling a medical diagnosis
D
Uses the North American Nursing Diagnosis Association (NANDA) list of diagnoses as a source
Question 5 Explanation:
A nursing diagnosis should identify the client’s response, not the medical diagnosis. Because the medical diagnosis requires medical interventions, it is legally inadvisable to include it in the nursing diagnosis.
Question 6
A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the client’s weight, the nurse also considers the age and height. This is an example of:
A
Recognizing gaps in data assessment
B
Comparing data with normal health patterns
C
Defining the client problem
D
Drawing conclusions about the client’s response
Question 6 Explanation:
The nurse used scientific knowledge and experience to analyze and interpret data collected about the client. This includes comparing the data with norms.
Question 7
Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
A
Risk for change in body image related to cancer
B
Cardiac output decreased related to motor vehicle accident
C
Ineffective airway clearance related to increased secretions
D
Potential for injury related to improper teaching in the use of crutches
Question 7 Explanation:
This nursing diagnosis is written appropriately. It identifies a problem by using a NANDA International diagnostic statement and connects it to its etiology.
Question 8
The nurse has diagnosed the client’s problem as altered elimination. From the data base the nurse identifies all the following as appropriate etiologies for this diagnosis except:
A
Total hip replacement
B
Poor fiber intake
C
Lower abdominal discomfort
D
Limited fluid intake
Question 8 Explanation:
Because the medical diagnosis requires medical interventions, it is legally inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client’s response, such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the etiology.
Question 9
After completion of the client assessment, the nurse uses nursing diagnoses because they
A
Make all client problems become more quickly and easily resolved
B
Identify the domain and focus of nursing
C
Are required for accreditation purposes
D
Assist the nurse to distinguish medical from nursing problems
Question 9 Explanation:
After completing the client assessment, the nurse develops nursing diagnoses based on the data obtained. Nursing diagnoses distinguish the nurse’s role from that of the physician, and help nurses to focus on the role of nursing in client care.
Question 10
The nurse recognizes that which one of the following statements is true with regard to the formulation of nursing diagnoses?
A
The etiology of the diagnosis must be within the scope of the health care team’s practice.
B
The diagnosis should include the problem and the related contributing conditions.
C
The diagnosis should identify a “cause and effect” relation.
D
The diagnosis must remain constant during the client’s hospitalization.
Question 10 Explanation:
This is a true statement. Related factors are causative or other contributing factors that have influence the client’s actual or potential response to the health problem and can be changed by nursing interventions.
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Exam Mode
Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam.
Nursing Diagnosis Practice Exam (EM)**
Choose the letter of the correct answer. You have 10 mins to finish this exam. Good luck!
Start
Congratulations - you have completed Nursing Diagnosis Practice Exam (EM)**.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
A
Acute pain related to left mastectomy
B
Need for high protein diet related to alteration in nutrition
C
Impaired gas exchange related to altered blood gases
D
Deficient knowledge related to need for cardiac catheterization
Question 1 Explanation:
This nursing diagnosis is written correctly. It defines a problem and its possible cause; in this case, the problem is the client’s response to a diagnostic test.
Question 2
The nurse is concerned that atelectasis may develop as a postoperative complication. Which of the following is an appropriate diagnostic label for this problem should it occur?
A
Impaired gas exchange
B
Impaired spontaneous ventilation
C
Decreased cardiac output
D
Ineffective airway clearance
Question 2 Explanation:
A potential etiology for impaired gas exchange may be atelectasis.
Question 3
After completion of the client assessment, the nurse uses nursing diagnoses because they
A
Identify the domain and focus of nursing
B
Are required for accreditation purposes
C
Assist the nurse to distinguish medical from nursing problems
D
Make all client problems become more quickly and easily resolved
Question 3 Explanation:
After completing the client assessment, the nurse develops nursing diagnoses based on the data obtained. Nursing diagnoses distinguish the nurse’s role from that of the physician, and help nurses to focus on the role of nursing in client care.
Question 4
Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance, as evidenced by inability to speak in complete sentences:
A
“Recent neurological disturbances”
B
“Altered speech”
C
“Inability to speak in complete sentences”
D
“As evidenced by”
Question 4 Explanation:
Defining characteristics are assessment findings that support the nursing diagnosis. In this example, the inability to speak in complete sentences supports the nursing diagnosis of altered speech.
Question 5
The nurse recognizes that the primary purpose of a nursing diagnosis is to:
A
Support the medical plan of care
B
Provide a standardized approach for all clients
C
Offer the nurse’s subjective view of the client’s behaviors
D
Recognize the client’s response to an illness or situation
Question 5 Explanation:
The primary purpose of a nursing diagnosis is to recognize the client’s response to an illness or situation. The nurse can then use the nursing diagnosis to select appropriate nursing interventions to achieve positive client outcomes.
Question 6
Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
A
Ineffective airway clearance related to increased secretions
B
Potential for injury related to improper teaching in the use of crutches
C
Cardiac output decreased related to motor vehicle accident
D
Risk for change in body image related to cancer
Question 6 Explanation:
This nursing diagnosis is written appropriately. It identifies a problem by using a NANDA International diagnostic statement and connects it to its etiology.
Question 7
When completing a client assessment and determining nursing diagnoses, the nurse may make an error. A diagnostic error can influence the application of the nursing care plan. A likely source for a nursing diagnosis error is if the nurse:
A
Uses the North American Nursing Diagnosis Association (NANDA) list of diagnoses as a source
B
Formulates a diagnosis too closely resembling a medical diagnosis
C
Validates the assessment information in the data base
D
Distinguishes the nursing focus instead of other health care disciplines
Question 7 Explanation:
A nursing diagnosis should identify the client’s response, not the medical diagnosis. Because the medical diagnosis requires medical interventions, it is legally inadvisable to include it in the nursing diagnosis.
Question 8
The nurse has diagnosed the client’s problem as altered elimination. From the data base the nurse identifies all the following as appropriate etiologies for this diagnosis except:
A
Lower abdominal discomfort
B
Limited fluid intake
C
Total hip replacement
D
Poor fiber intake
Question 8 Explanation:
Because the medical diagnosis requires medical interventions, it is legally inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client’s response, such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the etiology.
Question 9
A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the client’s weight, the nurse also considers the age and height. This is an example of:
A
Drawing conclusions about the client’s response
B
Comparing data with normal health patterns
C
Defining the client problem
D
Recognizing gaps in data assessment
Question 9 Explanation:
The nurse used scientific knowledge and experience to analyze and interpret data collected about the client. This includes comparing the data with norms.
Question 10
The nurse recognizes that which one of the following statements is true with regard to the formulation of nursing diagnoses?
A
The diagnosis should identify a “cause and effect” relation.
B
The diagnosis should include the problem and the related contributing conditions.
C
The diagnosis must remain constant during the client’s hospitalization.
D
The etiology of the diagnosis must be within the scope of the health care team’s practice.
Question 10 Explanation:
This is a true statement. Related factors are causative or other contributing factors that have influence the client’s actual or potential response to the health problem and can be changed by nursing interventions.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
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2
3
4
5
6
7
8
9
10
End
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questions
question
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Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
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Final Score on Quiz
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Text Mode
Text version of the exam.
1. After completion of the client assessment, the nurse uses nursing diagnoses because they
Make all client problems become more quickly and easily resolved
Assist the nurse to distinguish medical from nursing problems
Are required for accreditation purposes
Identify the domain and focus of nursing
2. A 53-year-old client is seen at the clinic for a yearly physical examination. In evaluating the client’s weight, the nurse also considers the age and height. This is an example of:
Defining the client problem
Recognizing gaps in data assessment
Comparing data with normal health patterns
Drawing conclusions about the client’s response
3. Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
Acute pain related to left mastectomy
Impaired gas exchange related to altered blood gases
Deficient knowledge related to need for cardiac catheterization
Need for high protein diet related to alteration in nutrition
4. Nursing diagnoses meet specific criteria so they accurately reflect both the client’s problem and the possible etiology involved. Of the following statements, which one is an example of an appropriately written nursing diagnosis?
Cardiac output decreased related to motor vehicle accident
Potential for injury related to improper teaching in the use of crutches
Ineffective airway clearance related to increased secretions
Risk for change in body image related to cancer
5. The nurse has diagnosed the client’s problem as altered elimination. From the data base the nurse identifies all the following as appropriate etiologies for this diagnosis except:
Poor fiber intake
Limited fluid intake
Total hip replacement
Lower abdominal discomfort
6. The nurse is concerned that atelectasis may develop as a postoperative complication. Which of the following is an appropriate diagnostic label for this problem should it occur?
Ineffective airway clearance
Impaired gas exchange
Decreased cardiac output
Impaired spontaneous ventilation
7. The nurse recognizes that which one of the following statements is true with regard to the formulation of nursing diagnoses?
The etiology of the diagnosis must be within the scope of the health care team’s practice.
The diagnosis must remain constant during the client’s hospitalization.
The diagnosis should include the problem and the related contributing conditions.
The diagnosis should identify a “cause and effect” relation.
8. When completing a client assessment and determining nursing diagnoses, the nurse may make an error. A diagnostic error can influence the application of the nursing care plan. A likely source for a nursing diagnosis error is if the nurse:
Validates the assessment information in the data base
Uses the North American Nursing Diagnosis Association (NANDA) list of diagnoses as a source
Formulates a diagnosis too closely resembling a medical diagnosis
Distinguishes the nursing focus instead of other health care disciplines
9. Identify the defining characteristics in the following nursing diagnosis: Altered speech related to recent neurological disturbance, as evidenced by inability to speak in complete sentences:
“Altered speech”
“As evidenced by”
“Recent neurological disturbances”
“Inability to speak in complete sentences”
10. The nurse recognizes that the primary purpose of a nursing diagnosis is to:
Support the medical plan of care
Provide a standardized approach for all clients
Recognize the client’s response to an illness or situation
Offer the nurse’s subjective view of the client’s behaviors
Answers and Rationale
Answer D. After completing the client assessment, the nurse develops nursing diagnoses based on the data obtained. Nursing diagnoses distinguish the nurse’s role from that of the physician, and help nurses to focus on the role of nursing in client care.
Answer C. The nurse used scientific knowledge and experience to analyze and interpret data collected about the client. This includes comparing the data with norms.
Answer C. This nursing diagnosis is written correctly. It defines a problem and its possible cause; in this case, the problem is the client’s response to a diagnostic test.
Answer C. This nursing diagnosis is written appropriately. It identifies a problem by using a NANDA International diagnostic statement and connects it to its etiology.
Answer C. Because the medical diagnosis requires medical interventions, it is legally inadvisable to use it in the nursing diagnosis. Rather, the nurse should identify the client’s response, such as decreased mobility. The nurse should be able to provide nursing interventions that will treat the etiology.
Answer B. A potential etiology for impaired gas exchange may be atelectasis.
Answer C. This is a true statement. Related factors are causative or other contributing factors that have influence the client’s actual or potential response to the health problem and can be changed by nursing interventions.
Answer C. A nursing diagnosis should identify the client’s response, not the medical diagnosis. Because the medical diagnosis requires medical interventions, it is legally inadvisable to include it in the nursing diagnosis.
Answer D. Defining characteristics are assessment findings that support the nursing diagnosis. In this example, the inability to speak in complete sentences supports the nursing diagnosis of altered speech.
Answer C. The primary purpose of a nursing diagnosis is to recognize the client’s response to an illness or situation. The nurse can then use the nursing diagnosis to select appropriate nursing interventions to achieve positive client outcomes.