Nursing Foundation Unit Test (Unit V)

1. This step of the nursing process includes the systematic collection of all subjective and objective data about the client in which the nurse focuses holistically on the client- physical, psychological, emotional, socio-cultural, and spiritual.

• Assessment

• Planning

• Implementation

• Diagnosis

2. All are the aspects of critical thinking EXCEPT

• Skills

• Reflection

• Language

• Intuition

1. Which of the following critical thinking skill is applicable in nursing for identifying a Nursing diagnosis

• Analysis

• Interpretation

• Explanation

• Evaluation

4. Which of the following is objective data?

• Pain 5/10

• Temp 100.3 F

• Complains of fatigue

• Client states”I am sleepy”

5. The nursing diagnosis “Hyperthermia related to infectious process” is an example of

• Risk nursing diagnosis

• Actual nursing diagnosis

• Potential nursing diagnosis

• Wellness nursing diagnosis

6. The purpose of assessment is to

• Make a diagnostic conclusion

• Delegate nursing responsibility

• Teach the client about his/her health

• Establish a database concerning the client

7. Using Maslow's hierarchy of needs, a nurse assigns the highest priority to which client need?

• Security

• Safety

• Elimination

• Belonging

8. All of the following are characteristic of nursing process EXCEPT

• It is cyclic and dynamic

• Should be client centered

• System is closed and rigid

• Should be planned and goal directed

9. The guidelines for writing an appropriate nursing diagnosis include all of the following EXCEPT:

• State the diagnosis in terms of a problem, not a need

• Use nursing terminology to describe the patient's response

• Use statements that assist in planning independent nursing interventions

• Use medical terminology to describe the probable cause of the patient's response

10. While the nurse is providing a patient personal hygiene, she observes that his skin is excessively dry with cracks. During the procedure, he tells her that he is very thirsty. An appropriate nursing diagnosis would be:

• Potential for impaired skin integrity R/T altered gland function

• Potential for impaired skin integrity R/T dehydration

• Impaired skin integrity R/T dehydration

• Impaired skin integrity R/T altered circulation