Nursing Diagnoses Trivia Quiz Questions!
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Nurses are the people who spend a lot of time with a patient when compared to doctors. The tasks they undertake therefore call for critical thinking. Take this nursing diagnosis and critical thinking quiz to see just how detailed you are at your job. This quiz will not show a passing grade until I grade it. I will grade and return to you.
- 1.
You are making rounds after receiving the change of shift report. A. Moore, 87 years of age, was admitted for pneumonia. Vitals were reported as follows: temperature, 99.8 F, pulse, 96beats/min, respirations, 28 breaths/min, blood pressure 150/90mm Hg, The patient continues to be restless, complains of dyspnea, and is anxious. The oxygen saturation was 87% after he pulled his oxygen cannula off. List the top 3 nursing activities at this time.
- 2.
You continue your morning assessments when the patient in the next room complains of pain, rating it as a 9 on a 1 to 10 scale. After you obtain an order for morphine, 2 to 4 mg IV as needed for severe pain, you enter the room and observe that the patient has pulled out the central line catheter. What is your inital action at this time and why?
- 3.
S. Walker 68 years of age, was admitted for persistent abdominal pain and nausea during the past several weeks. Her history revealed that she stopped using sugar in her coffee to lose weight, with a resultant weight loss of 30 lbs during the past 4 months. Diagnostic testing reveals a colon lesion thought to be malignant, and the patient is scheduled for a colon resection in the morning. Sandra is very anxious after discussing the plan of care and refuses to sign a surgical consent form. Sandra tells the nurse that she is having severe abdominal pain and demands "a pain shot right now" The nurse notes that about 3 hours have passed since her last pain shot. All of the following nursing diagnoses are appropriate to this patient; which one is the priority at this time?Deficient knowledge related to procedureAnxiety related to procedureAcute pain related to the disease processRisk for imbalanced nutrition related to disease
- A.
Deficient knowledge related to procedure
- B.
Anxiety related to procedure
- C.
Acute pain related to the disease process
- D.
Risk for imbalanced nutrition related to disease
Correct Answer
C. Acute pain related to the disease processExplanation
The priority nursing diagnosis at this time is "Acute pain related to the disease process." This is because the patient is experiencing severe abdominal pain and is demanding immediate pain relief. Addressing the patient's pain is crucial in providing comfort and promoting their overall well-being. By addressing the acute pain, the nurse can help alleviate the patient's anxiety and potentially increase their willingness to sign the surgical consent form. Additionally, managing the pain will contribute to a more successful surgical outcome.Rate this question:
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- 4.
Which of the following patients should the nurse see first?
- A.
A 40 year old 7 day postpartum female with bright red vaginal bleeding and a hemoglobin level of 7.0 g/dL
- B.
A diabetic patient with a blood sugar of 400mg/dL and no orders for insulin coverage.
- C.
A 46 year old end stage renal disease patient who had an arteriovenous (AV) fistula placement 2 days ago. No thrill or bruit noted.
- D.
A 50 year old woman, 2 days after knee replacement. She refuses to use CPM machine due to pain
Correct Answer
A. A 40 year old 7 day postpartum female with bright red vaginal bleeding and a hemoglobin level of 7.0 g/dLExplanation
The 40-year-old postpartum female with bright red vaginal bleeding and a hemoglobin level of 7.0 g/dL should be seen first because she is experiencing significant bleeding and has a low hemoglobin level, indicating potential hemorrhage. This is a critical situation that requires immediate attention to prevent further complications or potential life-threatening situations.Rate this question:
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- 5.
The nurse recieves change of shift report and has been assigned each of these patients. Which one should be assessed first?
- A.
A 17 year old patient, 2 days after casting for a radial fracture. He is complaining of severe pain in his arm, his fingers are edematous, and pulses are weak.
- B.
A 16 year old boy who is scheduled for a colonoscopy in the morning and has not had his bowel prep.
- C.
A 49 year old woman with a history of COPD, admitted for deep vein thrombosis (DVT). She is experiencing chest discomfort and dyspnea.
- D.
A 72 year old man who is scheduled for total hip replacement in need of preparation for surgery and has not signed the consent form.
Correct Answer
C. A 49 year old woman with a history of COPD, admitted for deep vein thrombosis (DVT). She is experiencing chest discomfort and dyspnea.Explanation
The 49-year-old woman with a history of COPD, admitted for deep vein thrombosis (DVT), should be assessed first. Chest discomfort and dyspnea can be signs of a potential pulmonary embolism, which is a life-threatening condition. Prompt assessment and intervention are crucial to prevent further complications or potential cardiac arrest.Rate this question:
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