Nursing Process

Question 1

Which of the following would be a primary source of data?

Accepted Answer

The client

Question 2

What type of data is detectable by an observer and can be measured or tested?

Accepted Answer

Objective data

Question 3

What does the abbreviation PRN mean?

Accepted Answer

As necessary

Question 4

What is the etiology? Excess Fluid volume R/T decreased venous return AEB lower extremity edema

Accepted Answer

Decreased venous return

Question 5

Subjective or Objective? Skin pale and diaphoretic

Accepted Answer

Objective data

Question 6

What will be the nurse's actions during the assessment phase?

Accepted Answer

Collect, organize, validate and document data

Question 7

Which of the following are phases of the nursing process? SELECT ALL THAT APPLY

Accepted Answer

Evaluation, Diagnosing, Assessing

Question 8

Which type of data refers to symptoms apparent only to the person affected?

Accepted Answer

Subjective Data

Question 9

Which of the following is a correctly written goal?

Accepted Answer

The client will drink 400mL water by the end of shift.

Question 10

Subjective or objective? Client cried during interview

Accepted Answer

Objective Data

Question 11

You assess a client's blood pressure and are concerned with the result, what is the next step?

Accepted Answer

Look in the chart at previously recorded vital signs.

Question 12

Which of the following nursing diagnoses contains the proper components?

Accepted Answer

Risk for caregiver role strain r/t unpredictable illness

Question 13

The nurse must ensure all client care and activities are implemented according to the care plan

Accepted Answer

True

Question 14

Client states, "My head is hurting"

Accepted Answer

Subjective Data

Questions 14