Examplify Nur111 Cape Fear Community College Proctored Exam

The nurse has completed a reassessment of the client and notes that the client has reached their goals. What is the next action by the nurse?

Which guidelines should the nurse follow when implementing nursing interventions? Select all that apply.

Which desired outcome is correctly written?

A nurse documents on a client's care plan, "Goal not met. Client refuses to ambulate, and states they are afraid of falling. The nurse should take which action?

When prioritizing a client's care plan based on Maslow's hierarchy of needs, a nurse's priority nursing intervention should be which action?

Choose the NANDA diagnosis from highest priority to lowest priority according to Maslow's hierarchy of needs.

A nurse would like to include ambulation assistance as a care plan intervention. Which is the best way to state this in the plan?

What critical thinking attitude is the nurse using when they are persistent to clarify the information and determined to find effective solutions to patient care problems?

A nurse questions a routine that has been practiced for a long time, researching whether there might be a better routine, in the best interest of the patients. Which critical- thinking attitude is thi

Which steps should a nurse use to avoid errors in writing a nursing diagnosis? Select all that apply.

A nurse's aide obtains vital signs for a newly admitted client and reports: respirations 26 breaths/min (normal adult range 12-20 breaths/minute), pulse = 98 beats/minute (normal adult range 60-100 be

Which behaviors by a nurse demonstrate that the nurse is practicing critical thinking? Select all that apply.

A nurse is performing an initial assessment of a spanish-speaking client. What is the best method to interview this client?

A nurse enters a client's room to provide education about how to care for the client's new colostomy. Upon entering the room, the client is crying. The nurse decides that listening to the client's fea

Which clinical manifestation is considered objective data?

What is the first component of the evaluation process?

A nurse is documenting a complete health history to establish a database of problems for a client. What type of assessment is the nurse performing?

Which statement is correct concerning the goal "Client will state pain is less than or equal to a 3 on a 0 to 10 pain scale?"

Which question is considered an open-ended question when performing a health history on a newly admitted patient?

Which actions should a nurse implement when conducting an interview with a new client? Select all that apply.

A nurse documents: "Client avoids eye contact and gives only vague, nonspecific answers to direct questioning by the professional staff. Laughs aloud, smiles, uses hand gestures in conversation with s

In developing a goal for a client with chronic high blood pressure, which nursing activity would be priority?

A client has just had a baby following a long labor and difficult delivery. Which nursing diagnosis is formulated correctly?

A client reports back pain. The client has not had an injury and x-rays are within defined limits. Which is the most appropriately written nursing diagnosis for this client?

A nurse notices that a previously awake, alert client has become unresponsive with slow, shallow respirations. Which type of assessment would be necessary in this situation?