Nursing 150 -Nursing Process Questions

Nursing 150 -Nursing Process Questions

Nursing 150 -Nursing Process Questions

Examples of Nursing Process Questions:

1. Smith was admitted for anemia. When you perform your assessment, which of the following would be considered subjective data?
   1. Patient appears pale and listless
   2. The blood labs show a hemoglobin level is 7.4.
   3. Patient states that they have been feeling tired lately.
   4. Patient’s bowel movement is dark and red.

2. A nurse is caring for a patient who is complaining of shortness of breath for the last 5 minutes. The nurse places oxygen 2L via nasal cannula on the patient.  What level of the nursing process is this nurse in?
   1. Assessment
   2. Diagnosis
   3. Planning
   4. Implementation
   5. Evaluation

3. A patient’s blood pressure is 170/82. The nurse medicates the patient with the prescribed PRN blood pressure medication for SBP >160.  An hour later, the nurse takes the patient’s blood pressure again.  At what stage of the nursing process is the nurse in?
   1. Assessment
   2. Nursing diagnosis
   3. Planning
   4. Implementation
   5. Evaluation

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4. A patient is admitted with a broken femur for which he has received a surgical procedure to place pins to repair the break. Pt is now wearing a cast and grimaces and groans during learning to ambulate with crutches. Based on the above data, the nurse identifies which of the following nursing diagnosis/es?  Select all that apply.
   1. Ineffective tissue perfusion
   2. Risk for falls
   3. Acute pain
   4. Risk for impaired physical integrity

5. Smith has a diagnosis of congestive heart failure. He has not been following the low fat, low cholesterol, 2-gram sodium diet that was suggested by his physician and has been eating high fat and salty foods.  This morning he woke to find that his legs are severely swollen.  The nurses assesses that he has 4+ pitting edema in bilateral lower extremities.  What is the appropriate nursing diagnosis for this patient?
   1. Risk for impaired skin integrity related to congestive heart failure as evidenced by 4+ pitting edema in bilateral lower extremities.
   2. Fluid overload related to increased high fat, high salt diet as evidenced by 4+ pitting edema in bilateral lower extremities.
   3. Fluid volume deficit related to congestive heart failure as evidenced by bilateral swollen extremities.
   4. Body image disturbance related to high fat, high cholesterol, high salt diet as evidenced by 4+ pitting edema in bilateral lower extremities.