Nursing License Test Preparation 1 Additional information Welcome to your Nursing License Test Preparation 1 Name Email 1. She is the first one to coin the term “NURSING PROCESS.” She introduced three (3) steps of nursing process which are: Observation, Ministration and Validation. Nightingale Johnson Rogers Hall 2. The American Nurses Association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process? APIE – 4 ADPIE – 5 ADOPIE – 6 ADOPIER – 7 3. They are the first ones to suggest a four (4) step nursing process called APIE or assessment, planning, implementation, and evaluation. Yura,Walsh Walsh,Roy Roy,yura Knowles,Yura 4. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources? Organized and Systematic Humanistic Efficient Effective 5. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive? Organized and Systematic Humanistic Efficient Effective 6. A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs. Organized and Systematic Humanistic Efficient Effective 7. Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? Rhina is giving an objective data Rhina is giving a subjective data The source of the data is primary The source of the data is secondary 8. Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis? Actual Probable Possible Risk 9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis? Actual Probable Possible Risk 10. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this? Actual Probable Possible Risk 11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis? Actual Probable Possible Risk 12. Which of the following Nursing diagnosis is INCORRECT? Fluid volume deficit R/T Diarrhea High risk for injury R/T Absence of side rails Possible ineffective coping R/T Loss of loved one Self esteem disturbance R/T Effects of surgical removal of the leg 13. Among the following statements, which should be given the HIGHEST priority? Client is in extreme pain Client’s blood pressure is 60/40 Client’s temperature is 40 deg. Centigrade Client is cyanotic 14. Which of the following need is given a higher priority among others? The client has attempted suicide and safety precaution is needed The client has disturbance in his body image because of the recent operation The client is depressed because her boyfriend left her all alone The client is thirsty and dehydrated 15. Which of the following is TRUE with regards to Client Goals? They are specific, measurable, attainable and time bounded They are general and broadly stated They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOW WELL and WHEN. Example is : After discharge planning, Client demonstrated the proper psychomotor skills for insulin injection. 16. Which of the following is a NOT a correct statement of an Outcome criteria? Ambulates 30 feet with a cane before discharge Discusses fears and concerns regarding the surgical procedure Demonstrates proper coughing and breathing technique after a teaching session Reestablishes a normal pattern of elimination 17. Which of the following is a OBJECTIVE data? Dizziness Chest pain Anxiety Blue nails 18. A patient’s chart is what type of data source? Primary Secondary Tertiary Can be A and B 19. All of the following are characteristic of the Nursing process except Dynamic Cyclical Universal Intrapersonal 20. Which of the following is true about the NURSING CARE PLAN? It is nursing centered Rationales are supported by interventions Verbal At least 2 goals are needed for every nursing diagnosis Time's up
