Lecture Exam 2

47 Questions | Total Attempts: 224

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Lecture Quizzes & Trivia

Lecture Exam 3 for accelerated nursing program at LCC


Questions and Answers
  • 1. 
    What are the steps of the nursing process?
    • A. 

      Assessment, Outcome Identification, Nursing Diagnosis, Planning, Implementation, Evaluation, Interventions

    • B. 

      Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, Evaluation

    • C. 

      Assessment, Planning, Nursing Diagnosis, Outcome Identification, Implementation, Evaluation

  • 2. 
    An actual Nursing Diagnosis has
    • A. 

      Label

    • B. 

      Related factors

    • C. 

      Defining Characteristics

    • D. 

      All the above

  • 3. 
    Related factors is
    • A. 

      Signs and symptoms

    • B. 

      Etiology

  • 4. 
    Defining characteristics are
    • A. 

      Signs and symptoms

    • B. 

      Subjective and objective

    • C. 

      Etiology

    • D. 

      A and B

    • E. 

      All the above

  • 5. 
    Which are priority problems
    • A. 

      Risk for fluid volume deficit

    • B. 

      Fluid volume deficit

  • 6. 
    Which are priorities
    • A. 

      Acute pain

    • B. 

      Impaired airway clearance

  • 7. 
    The following is a related factor of pain
    • A. 

      C/o sharp discomfort to RLQ of abd

    • B. 

      Tissue trauma from abd surgery

    • C. 

      Tylenol #3 eases pain from 7/10-1/10

    • D. 

      Grimacing when getting out of bed

  • 8. 
    The following are defining characteristics of a paralytic ileus except
    • A. 

      Absent bowel sounds

    • B. 

      Felling "bloated"

    • C. 

      Abd distention

    • D. 

      Surgical manipulation of the bowel

  • 9. 
    Your 8- yr old pt is very forgetful, does not know where they are and say's they are 50 years old.  all of the following are possible NANDA labels for this pt except
    • A. 

      Acute confusion

    • B. 

      Impaired memory

    • C. 

      Risk for acute confusion

    • D. 

      Disturbed thought processes

  • 10. 
    Ability to tell me your children's names
    • A. 

      Awareness

    • B. 

      Attention

    • C. 

      Memory

    • D. 

      Learning

  • 11. 
    Leaving the IV site & tubing alone because I know it may hurt/ bleed if I pull on it
    • A. 

      Judgment

    • B. 

      Awareness

    • C. 

      Attention

    • D. 

      Orientation

  • 12. 
    Pt shows me how they will use the call light after I explained it to them
    • A. 

      Awareness

    • B. 

      Learning

    • C. 

      Memory

    • D. 

      Judgment

  • 13. 
    Can tell me their name, where they are, and date
    • A. 

      Awareness

    • B. 

      Orientation

    • C. 

      Memory

    • D. 

      Learning

  • 14. 
    Confusion is
    • A. 

      Sign

    • B. 

      Symptom

    • C. 

      Syndrome

  • 15. 
    The nursing term is chronic confusion, what is the equivalent medical term
    • A. 

      Dementia

    • B. 

      Delerium

  • 16. 
    Vascular dementia occurs more in
    • A. 

      Male

    • B. 

      Female

  • 17. 
    Which is not a risk for vascular dementia
    • A. 

      High cholesterol

    • B. 

      Tau tangles

    • C. 

      HTN

  • 18. 
    Alzheimer's disease occurs more in
    • A. 

      Male

    • B. 

      Female

    • C. 

      Equal

  • 19. 
    I am talking about my dog and get frustrated because I mean to talk about my kids
    • A. 

      Affect

    • B. 

      Aphasia

    • C. 

      Apraxia

    • D. 

      Agnosia

  • 20. 
    I can move my legs but I con't figure out how
    • A. 

      Affect

    • B. 

      Aphasia

    • C. 

      Apraxia

    • D. 

      Agnosia

  • 21. 
    I don't smile when you smile at me or tell me a funny joke
    • A. 

      Affect

    • B. 

      Aphasia

    • C. 

      Apraxia

    • D. 

      Agnosia

  • 22. 
    When two nursing diagnoses appear closely related, what should the nurse do first to determine which diagnosis most accurately reflects the needs of the pt?
    • A. 

      Reassess the pt

    • B. 

      Examine the r/t

    • C. 

      Analyze the secondary to factors

    • D. 

      Review the DC

  • 23. 
    The nurse performs an assessment of a newly adm pt.  The nurse understands that this adm assessment is conducted primarily to:
    • A. 

      Diagnose if the pt is at risk for falls

    • B. 

      Ensure that the pts skin is intact

    • C. 

      Establish a therapeutic relationship

    • D. 

      Identify important data

  • 24. 
    The nurse identifies that the patient statement that provides subjective data is:
    • A. 

      "I'm not sure that I am going to be able to manage at home by myself"

    • B. 

      "I can call a home-care agency if I feel I need help at home"

    • C. 

      "What should I do if I have uncontrollable pain at home"

    • D. 

      "Will a home helath aide help me with my care at home"

  • 25. 
    The nurse understand that evaluation most directly relates to which aspect of the Nursing Process?
    • A. 

      Goal

    • B. 

      Problem

    • C. 

      Etiology

    • D. 

      Implementation