Question 1

After the nurse completes a patient's initial assessment and develops a plan of care:

Accepted Answer

A)  continual reassessment of the patient is required. 
B)  no changes to the care interventions should be allowed. 
C)  reassessment should be done randomly. 
D)  the nursing process becomes static to maintain the course of the cure. 
A)  continual reassessment of the patient is required. 
B)  no changes to the care interventions should be allowed. 
C)  reassessment should be done randomly. 
D)  the nursing process becomes static to maintain the course of the cure. A

Question 2

The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?

Accepted Answer

A)  Involving the family in effective teaching empowers the patient and their support system. 
B)  Teaching family members decreases the number of questions they may ask. 
C)  Educated family members choose not to become part of the health care process. 
D)  The education is interesting although family do not usually care for patients after discharge. 
A)  Involving the family in effective teaching empowers the patient and their support system. 
B)  Teaching family members decreases the number of questions they may ask. 
C)  Educated family members choose not to become part of the health care process. 
D)  The education is interesting although family do not usually care for patients after discharge. A

Question 3

Repositioning a patient, providing hygiene, and active listening are examples of:

Accepted Answer

A)  dependent interventions. 
B)  independent nursing interventions. 
C)  standing orders. 
D)  counseling. 
A)  dependent interventions. 
B)  independent nursing interventions. 
C)  standing orders. 
D)  counseling. B

Question 4

The nurse is providing care for a patient of the Jehovah's Witness faith. Based on the nurse's knowledge of the patient's religious beliefs, the nurse would question which of the following orders?

Accepted Answer

A)  Obtain vital signs every shift 
B)  Regular diet as tolerated 
C)  Activity as tolerated 
D)  Infuse 1 unit packed red blood cells 
A)  Obtain vital signs every shift 
B)  Regular diet as tolerated 
C)  Activity as tolerated 
D)  Infuse 1 unit packed red blood cells

Question 5

The male nurse is caring for a female patient who needs a complete bed bath. The patient requests that a female nurse bathe her. The male nurse recognizes this request as an example of:

Accepted Answer

A)  gender diversity involving generational norms or cultural considerations. 
B)  life span diversity. 
C)  disability diversity. 
D)  morphology diversity. 
A)  gender diversity involving generational norms or cultural considerations. 
B)  life span diversity. 
C)  disability diversity. 
D)  morphology diversity.

Question 6

Which of the following is a direct care intervention?

Accepted Answer

A)  Administration of an injection 
B)  Making the change-of-shift report 
C)  Collaborating with members of the health care team 
D)  Ensuring availability of needed equipment 
A)  Administration of an injection 
B)  Making the change-of-shift report 
C)  Collaborating with members of the health care team 
D)  Ensuring availability of needed equipment

Question 7

The five rights of delegation include:

Accepted Answer

A)  right task, right circumstance, right person, right direction, and right supervision 
B)  right medication, right route, right time, right patient, and right dose 
C)  right task, right route, right patient, right direction, and right medication 
D)  right role, right job, right task, right need, and right dose 
A)  right task, right circumstance, right person, right direction, and right supervision 
B)  right medication, right route, right time, right patient, and right dose 
C)  right task, right route, right patient, right direction, and right medication 
D)  right role, right job, right task, right need, and right dose

Question 8

The nurse recognizes which of the following as appropriate teaching for the patient who is returning from surgery?

Accepted Answer

A)  Signs and symptoms of infection 
B)  Use of patient-controlled analgesia 
C)  Activity limitations upon discharge 
D)  Physical therapy 
A)  Signs and symptoms of infection 
B)  Use of patient-controlled analgesia 
C)  Activity limitations upon discharge 
D)  Physical therapy

Question 9

The nurse is learning to identify readiness to learn in patients. Which one of the following patients would the nurse identify correctly as ready to learn?

Accepted Answer

A)  The patient requesting pain medication for treatment of severe discomfort 
B)  The patient with nausea and vomiting 
C)  The patient who learned 30 minutes ago that she has cancer of the pancreas 
D)  The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days 
A)  The patient requesting pain medication for treatment of severe discomfort 
B)  The patient with nausea and vomiting 
C)  The patient who learned 30 minutes ago that she has cancer of the pancreas 
D)  The patient who was recently diagnosed with diabetes mellitus and is scheduled to be discharged in 2 days

Question 10

Documentation is a vital nursing role since the patient's health record:

Accepted Answer

A)  should be completed accurately and in a timely manner. 
B)  should not be computerized (EHR) because of disclosure risks. 
C)  is not a legal document although they can be helpful in lawsuits. 
D)  cannot be used in determining billing and reimbursement issues. 
A)  should be completed accurately and in a timely manner. 
B)  should not be computerized (EHR) because of disclosure risks. 
C)  is not a legal document although they can be helpful in lawsuits. 
D)  cannot be used in determining billing and reimbursement issues.

Question 11

Change of shift report, collaboration with other health care members, and ensuring availability of needed equipment are examples of:

Accepted Answer

A)  indirect care. 
B)  direct care. 
C)  referrals. 
D)  delegation 
A)  indirect care. 
B)  direct care. 
C)  referrals. 
D)  delegation

Question 12

The registered nurse is providing an independent nursing intervention when:

Accepted Answer

A)  administering oral medications. 
B)  administering oxygen. 
C)  providing emotional support. 
D)  administering intravenous medication. 
A)  administering oral medications. 
B)  administering oxygen. 
C)  providing emotional support. 
D)  administering intravenous medication.

Question 13

Which of the following cannot be delegated?

Accepted Answer

A)  Obtaining vital signs 
B)  Assessment of lung sounds 
C)  Bathing a patient 
D)  Ambulating a patient 
A)  Obtaining vital signs 
B)  Assessment of lung sounds 
C)  Bathing a patient 
D)  Ambulating a patient

Question 14

The nursing process is an attempt to meet patient needs. As such, it:

Accepted Answer

A)  is linear in nature. 
B)  is dynamic and cyclic. 
C)  requires care plans to be re-evaluated occasionally. 
D)  does not allow care plans to be modified. 
A)  is linear in nature. 
B)  is dynamic and cyclic. 
C)  requires care plans to be re-evaluated occasionally. 
D)  does not allow care plans to be modified.

Question 15

The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?

Accepted Answer

A)  Music therapist 
B)  Community agencies 
C)  Adaptive care services 
D)  Dermatologist 
A)  Music therapist 
B)  Community agencies 
C)  Adaptive care services 
D)  Dermatologist

Question 16

In implementing research-based interventions, the nurse realizes that:

Accepted Answer

A)  implementation of evidence-based care is unique to the nursing profession. 
B)  evidence-based practice is based entirely in nursing research. 
C)  evidence-based care is focused on practices and not outcomes. 
D)  nurses must read recent literature and remain current in practice 
A)  implementation of evidence-based care is unique to the nursing profession. 
B)  evidence-based practice is based entirely in nursing research. 
C)  evidence-based care is focused on practices and not outcomes. 
D)  nurses must read recent literature and remain current in practice

Question 17

The nurse is preparing to administer medications to a patient. The patient is complaining of shortness of breath. The nurse should:

Accepted Answer

A)  provide the patient with oxygen since it does not require a provider order. 
B)  complete at least two checks to ensure that the proper medication is given. 
C)  check the provider orders for all forms of prescription medications. 
D)  remember that medication administration is an independent nursing action. 
A)  provide the patient with oxygen since it does not require a provider order. 
B)  complete at least two checks to ensure that the proper medication is given. 
C)  check the provider orders for all forms of prescription medications. 
D)  remember that medication administration is an independent nursing action.

Question 18

The patient has an order for morphine sulfate 2 mg intravenously prn (as needed) every 2 hours. When the nurse administers this medication, she is providing:

Accepted Answer

A)  an independent nursing intervention. 
B)  a dependent nursing intervention. 
C)  a referral 
D)  an indirect care procedure. 
A)  an independent nursing intervention. 
B)  a dependent nursing intervention. 
C)  a referral 
D)  an indirect care procedure.

Question 19

Of the following interventions, which are prevention oriented? (Select all that apply.)

Accepted Answer

A)  Immunization programs 
B)  Cleansing an incision 
C)  Cardiac education related to risk factor modification 
D)  Placing infants prone when they sleep 
E)  Teaching patients to ask their physicians to wash their hands
F) None of the above 
A)  Immunization programs 
B)  Cleansing an incision 
C)  Cardiac education related to risk factor modification 
D)  Placing infants prone when they sleep 
E)  Teaching patients to ask their physicians to wash their hands
F) None of the above

Question 20

The nurse is caring for a patient with blindness. When reviewing the care plan, the nurse notes which of the following goals need to be modified?

Accepted Answer

A)  The patient will report any drainage from the wound with a foul odor to the primary care provider after discharge. 
B)  The patient will agree to report pain promptly while hospitalized. 
C)  The patient will obtain no injuries while in the hospital. 
D)  The patient will report any wound drainage with a purulent appearance to the primary care provider after discharge. 
A)  The patient will report any drainage from the wound with a foul odor to the primary care provider after discharge. 
B)  The patient will agree to report pain promptly while hospitalized. 
C)  The patient will obtain no injuries while in the hospital. 
D)  The patient will report any wound drainage with a purulent appearance to the primary care provider after discharge.

Exam 9: Implementation and Evaluation

After the nurse completes a patient's initial assessment and develops a plan of care:

The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?

Repositioning a patient, providing hygiene, and active listening are examples of:

The nurse is providing care for a patient of the Jehovah's Witness faith. Based on the nurse's knowledge of the patient's religious beliefs, the nurse would question which of the following orders?

The male nurse is caring for a female patient who needs a complete bed bath. The patient requests that a female nurse bathe her. The male nurse recognizes this request as an example of:

Which of the following is a direct care intervention?

The five rights of delegation include:

The nurse recognizes which of the following as appropriate teaching for the patient who is returning from surgery?

The nurse is learning to identify readiness to learn in patients. Which one of the following patients would the nurse identify correctly as ready to learn?

Documentation is a vital nursing role since the patient's health record:

Change of shift report, collaboration with other health care members, and ensuring availability of needed equipment are examples of:

The registered nurse is providing an independent nursing intervention when:

Which of the following cannot be delegated?

The nursing process is an attempt to meet patient needs. As such, it:

The nurse correctly identifies which one of the following referrals as an inappropriate nursing referral?

In implementing research-based interventions, the nurse realizes that:

The nurse is preparing to administer medications to a patient. The patient is complaining of shortness of breath. The nurse should:

The patient has an order for morphine sulfate 2 mg intravenously prn (as needed) every 2 hours. When the nurse administers this medication, she is providing:

Of the following interventions, which are prevention oriented? (Select all that apply.)

The nurse is caring for a patient with blindness. When reviewing the care plan, the nurse notes which of the following goals need to be modified?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Planning

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception through Adolescence

Human Development Young Adult to Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community Base, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

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