Q: A nurse sets a long-term goal for a patient: 'Patient will gain 2 lbs within 1 month.' Which formula best represents the calculation of percentage weight gain over time?

$$\frac{\text{Final Weight} - \text{Initial Weight}}{\text{Initial Weight}} \times 100$$

Question 1

Which of the following best describes the definition of nursing according to the ANA?

Accepted Answer

The diagnosis and treatment of human responses to actual/potential health problems

Question 2

A nurse is caring for a patient with pneumonia who reports shortness of breath and fatigue. Which phase of the nursing process involves setting measurable goals for the patient’s recovery?

Accepted Answer

Planning Outcomes

Question 3

Which of the following is NOT one of Gordon’s Functional Health Patterns?

Accepted Answer

Pathophysiology and Treatment

Question 4

A nurse documents 'Risk for impaired skin integrity related to immobility.' This is an example of which type of nursing diagnosis?

Accepted Answer

Risk diagnosis

Question 5

Which of the following is a direct care intervention?

Accepted Answer

Teaching a client how to self-administer insulin

Question 6

A nurse sets a goal for a patient: 'Patient’s O$$_2$$ saturation will increase to 92% on room air within 24 hours.' Which type of outcome is this?

Accepted Answer

Short-term outcome

Question 7

Which step of the nursing process involves collecting subjective and objective data?

Accepted Answer

Assessment

Question 8

A nurse is evaluating a patient’s progress after implementing a care plan. Which action best demonstrates the evaluation phase?

Accepted Answer

Judging whether interventions successfully treated or prevented health problems

Question 9

Which of the following is a key quality essential for effective nursing practice?

Accepted Answer

Critical thinking

Question 10

A nurse is planning discharge for a patient. What is the main purpose of discharge planning?

Accepted Answer

Prepare the patient for a move to another level of care

Question 11

Which of the following demonstrates critical thinking in nursing practice?

Accepted Answer

Using evidence-based reasoning and reflecting on outcomes

Question 12

Which of the following is a component of an actual NANDA-I nursing diagnosis?

Accepted Answer

All of the above

Question 13

A nurse is caring for a patient who is anxious about their diagnosis. Which strategy best helps overcome anxiety as an obstacle to critical thinking?

Accepted Answer

Using mindfulness and study planning

Question 14

Which of the following is an example of a nurse-initiated intervention?

Accepted Answer

Teaching a patient deep breathing exercises

Question 15

Which of the following best differentiates a medical assessment from a nursing assessment?

Accepted Answer

Medical assessment focuses on disease/pathology; nursing assessment focuses on patient’s response to health problems

Question 16

A nurse sets a long-term goal for a patient: 'Patient will gain 2 lbs within 1 month.' Which formula best represents the calculation of percentage weight gain over time?

Accepted Answer

$$\frac{	ext{Final Weight} - 	ext{Initial Weight}}{	ext{Initial Weight}} 	imes 100$$

Question 17

Which of the following is a benefit of using standardized nursing diagnoses?

Accepted Answer

Promotes common language and accountability

Question 18

A nurse is using Gordon’s Functional Health Patterns to assess a patient. Which pattern would include questions about sleep quality?

Accepted Answer

Sleep/rest

Question 19

Which of the following is a collaborative nursing problem requiring physician intervention?

Accepted Answer

Physiologic complications such as respiratory failure

Question 20

A nurse is evaluating a patient’s progress toward nutritional goals. Which outcome would indicate successful achievement?

Accepted Answer

Patient consumes \u003e75% of meals and gains at least 2 lbs at follow-up

Foundations of Nursing: Concepts, Process, and Care Planning

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