Founda'on mid 1

1- Clinical judgment that a problem dose not exist, but the presence of factors indicates
that a problem is likely to develop, which the type of this nursing diagnosis?
a-Actual
b-Risk
c- Wellness
d-Possible
2- The nurse documents the following informaEon in a paEent’s chart(Instruct in breathing
and coughing techniques every 3 hours). This is an example of:
a-Assessment
b-History
c-Nursing intervenEons
d-Measurement
3- Which of the following assessment findings would be documented as objecEve data?
a-Leg pain
b-Headache
c-Redness on arm
d-Nausea
4- The nurse is organizing the assessment data elicited from her client and groups related
informaEon together. The nurse is doing what phase of nursing process?
a-Planning
b-EvaluaEon
c-Assessment
d-ImplementaEon
5- The nurse obtains informaEon that clarifies the nature of the problem and suggests
possible soluEons. This process called?
a-Decision making
b-Problem solving
c-CriEcal analysis
d-Nursing process
6- During the assessment phase, the nurse collects data through various sources. Which
source provides subjecEve informaEon directly from the paEent?
a-Physical examinaEon
b-Laboratory tests
c-Medical records
d-PaEent interview
7- The planning step of nursing process includes which of the following acEviEes?
a-Assessing and diagnosing
b-EvaluaEon goal achievement
c-performing nursing acEons and documenEng them
d-Se[ng goal and selecEng intervenEon
8- Which of the following processes is the most important when providing nursing care to
an ill paEent?
a-Using CriEcal thinking
 b-CollecEng objecEve data
c-WriEng outcomes
d-Performing a focused assessment
9- What is the accurate definiEon of nursing care plan?
a-A projecEon of potenEal alteraEon in client behaviors
b-A tool to set goals and project outcomes
c-A wri_en guideline for implementaEon and evaluaEon
d-DocumentaEon of clint care
10- In the diagnosEc statement “IneffecEve breathing pa_ern related to viral infecEon as
manifested by dyspnea”, the eEology problem is which of the following?
a-IneffecEve breathing pa_ern
b-Viral infecEon
c-dyspnea
d-Unknown
11- The nurse in charge idenEfies a paEent’s responses to actual or potenEal health problem
The nurse is doing what phase of nursing process?
a-Diagnosing
b-EvaluaEng
c-Assessing
d-ImplemenEng
12- Using Maslow’s hierarchy of needs, a nurse assigns the highest priority to which clint
need?
a-EliminaEon
b-Security
c-Safety
d-Belonging
13- What does the implementaEon phase of nursing process involve?
a-PrioriEzing paEent problems and developing a care plan.
b-EvaluaEng the effecEveness of nursing intervenEons.
c-Carrying out the planned nursing intervenEons
d-CollecEng data and analyzing.
14- During the evaluaEon phase, the nurse determines if the goal have been met. Which
statement is true about this phase?
a-It is the first step of the nursing process.
b-It is only performed once at the end of the care period.
c-It assesses the paEent’s response to nursing intervenEons.
d-It includer reassessment of the paEent’s condiEon.
15- If the first method of data collecEon is conduct an interview, what is the second
method?
a-Perform physical assessment.
b-Run laboratory work
c-Evaluate exiEng problem.
d-Do x-ray tests
16- A paEent says that she is having throbbing pain that she rates as 6 on a 10-point scale.
This is referred to as:
a-SubjecEve primary data
b-ObjecEve secondary data
c-SubjecEve secondary data
d-ObjecEve primary data
17- Which of the following descriptors is an appropriate example of an actual nursing
diagnosis?
a-Risk for infecEon
b-Impaired physical mobility
c-Readiness for enhanced nutriEon
d-Readiness for enhanced coping
18- Which of the following statement describes an expected outcome statement in
measurable form?
a-Client will be pain free
b-Client will have less pain
c-Client will have less pain with rest
d-Client will report pain score less 4 on a scale of 0-10
19- Which route of medicaEon administraEon has the fastest absorpEon rate
a-Oral
b-Intramuscular
c-Subcutaneous
d-Intravenous
20- Which of the following should a nurse prioriEze when administering medicaEon?
a-Checking the medicaEon name and dosage against the physicians’ order
b-Administering the medicaEon to the paEent as quickly as possible
c-DocumenEng the medicaEon ager it is given
d-Double checking with another nurse before administering
21- Which of the following is an example of standing order?
a-A one-Eme order for pain medicaEon
b-An order for anEbioEcs to be taken daily for 7 days
c-An order for an intravenous infusion to run over 4 hours
d-An order for medicaEon to be given as needed for nausea
22- A physician orders 600 mg of medicaEon to be administered to a paEent. The
medicaEon is available in concentraEon of 200mg/ml. How many milliliters should the
nurse administer?
a-2ml
b-3ml
c-4ml
d-5ml
23- Which of the following terms mean convert a drug to a less acEve form?
a-ExcreEon
b-AbsorpEon
c-DistribuEon
 d-BiotransformaEon
24- What is the rout of medicaEon administraEon when the drug is held in the mouth
against the mucous membranes of the cheek unEl the drug dissolves?
a-Oral
b-Buccal
c-Topical
d-Sublingual
25- During rang of moEon exercise, moving the bone away from midline of the body is
called:
a-AdducEon
b-Flexion
c-Extension
d-AbducEon
26- Which of the following part in the brain iniEates voluntary moto acEvity?
a-Cerebellum
b-Cerebral cortex
c-Basal ganglia
d-Cerebrum
27- Which of the following types of exercise means muscle contracEon without moving the
joint?
a-Isometric exercise
b-Isotonic exercise
c-IsokineEc exercise
d-Anaerobic exercise
28- Osteoporosis is a condiEon in which bones become bri_le and fragile due to:
a-potassium depleEon
b-Calcium depleEon
c-Iron depleEon
d-Potassium and calcium depleEon
29- Which of the following joint movements involves touching each thumb to the top of
each finger of the same hand?
a-Eversion
b-PronaEon
c-AbducEon
d-OpposiEon
30- The type and amount of exercise that an individual is able to perform without
experiencing adverse effects is:
a-PropriocepEon
b-AcEvity tolerance
c-FuncEonal strength
d-Coordinated Movement

Popcorn 🍿 Mid 23
By : E & A

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