Examen Integrado Enfermería Practice Questions - Examen Integrado de Residencias de la Salud - Enfermería Exam - Examen Integrado Enfermería Practice Questions - Examen Integrado de Residencias de la Salud

Question 1

During the initial nursing assessment (Valoración) of a newly admitted patient, the nurse collects both subjective and objective data. Which of the following is classified as objective clinical data?

The patient reports feeling dizzy and nauseous when standing up A measured blood pressure of 88/54 mmHg and heart rate of 118 beats per minute The patient states having severe retrosternal chest pain radiating to the left shoulder The patient describes experiencing severe anxiety and insomnia over the past week

Correct Answer:

A measured blood pressure of 88/54 mmHg and heart rate of 118 beats per minute

Question 2

When formulating a problem-focused (actual) NANDA-I nursing diagnosis, what is the standard three-part PES format used in the Nursing Care Process (PAE)?

Plan, Evaluation, and Symptoms Prescription, Etiology, and Standard Problem (Diagnostic Label), Etiology (Related Factors), and Signs/Symptoms (Defining Characteristics) Prognosis, Evidence-based interventions, and Safety considerations

Correct Answer:

Problem (Diagnostic Label), Etiology (Related Factors), and Signs/Symptoms (Defining Characteristics)

Question 3

In the Planning phase (Planificación) of the Nursing Care Process (PAE), what is the key conceptual difference between a NOC outcome and a NIC intervention?

NOC defines measurable patient states, behaviors, or perceptions achieved in response to nursing care, whereas NIC defines autonomous and collaborative nursing actions performed to achieve those outcomes NOC represents medical treatments prescribed by physicians, whereas NIC represents autonomous nursing documentation guidelines NOC applies only to pediatric patients, whereas NIC is exclusively utilized in adult intensive care units NOC designates the diagnostic label of pathology, whereas NIC represents institutional discharge planning criteria

Correct Answer:

Question 4

During the Evaluation phase (Evaluación) of the Nursing Care Process (PAE), what is the nurse's primary responsibility when a patient has not achieved the planned target outcome?

Immediately discharge the patient and refer them to outpatient social services Delete the unachieved nursing diagnosis from the clinical chart to prevent documentation discrepancies Administer higher doses of analgesics regardless of the underlying etiology Systematically re-evaluate the previous phases (Assessment, Diagnosis, and Planning) and modify the care plan accordingly

Correct Answer:

Systematically re-evaluate the previous phases (Assessment, Diagnosis, and Planning) and modify the care plan accordingly

Question 5

When measuring blood pressure with an aneroid sphygmomanometer, an 'auscultatory gap' (pozo o brecha auscultatoria) may lead to an underestimation of systolic pressure or overestimation of diastolic pressure. How should the nurse prevent this error?

Deflate the cuff rapidly at a rate of 10 to 15 mmHg per second Determine the systolic blood pressure first by radial artery palpation and inflate the cuff 20 to 30 mmHg above the palpated disappearance point Place the stethoscope bell underneath the distal edge of the blood pressure cuff for direct contact Keep the patient standing upright with both arms raised above the shoulder level during measurement

Correct Answer:

Determine the systolic blood pressure first by radial artery palpation and inflate the cuff 20 to 30 mmHg above the palpated disappearance point

Question 1

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Prepare with the Examen Integrado Enfermería Practice Questions - Examen Integrado de Residencias de la Salud - Enfermería Exam practice quiz. This question bank includes 100 questions covering patient, nursing, nurse, clinical, and pressure. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Examen Integrado Enfermería Practice Questions - Examen Integrado de Residencias de la Salud - Enfermería Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, nursing, nurse, clinical, and pressure. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Examen Integrado Enfermería Practice Questions - Examen Integrado de Residencias de la Salud - Enfermería Exam

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