Deck 1: Nursing Practice Today

Question 1

During the assessment phase of the nursing process, the nurse

A) obtains data with which to diagnose patient problems.
B) teaches interventions to relieve patient health problems.
C) uses patient data to develop priority nursing diagnoses.
D) helps the patient identify realistic outcomes to health problems.

Answer 1

obtains data with which to diagnose patient problems.

Question 2

An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the nursing action is considered to be

A) dependent.
B) cooperative.
C) independent.
D) collaborative.

Answer 2

collaborative.

Question 3

An example of a correctly written nursing diagnosis statement is

A) altered tissue perfusion related to heart failure.
B) ineffective coping related to response to biopsy test results.
C) altered urinary elimination related to urinary tract infection.
D) risk for impaired tissue integrity related to sacral redness.

Answer 3

ineffective coping related to response to biopsy test results.

Question 4

The nurse uses the nursing process in the care of patients primarily

A) as a scientific-based process of diagnosing the patient's health care problems.
B) to establish nursing theory that incorporates the biopsychosocial nature of humans.
C) to explain nursing interventions to other health care professionals.
D) as a problem-solving tool to identify and treat patients' health care needs.

Question 5

Which of these tasks is appropriate for the registered nurse to delegate to a licensed practical nurse?

A) Documenting patient teaching about a routine surgical procedure
B) Administering an oral pain medication to a patient
C) Teaching a patient how to self-administer insulin
D) Completing the initial admission assessment and plan of care

Question 6

A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed. A pressure ulcer has developed on the patient's left hip. The best nursing diagnosis for this patient is

A) impaired physical mobility related to paralysis.
B) impaired skin integrity related to altered circulation and pressure.
C) risk for impaired tissue integrity related to impaired physical mobility.
D) ineffective tissue perfusion related to inability to turn and move self in bed.

Question 7

When the nurse explains to the patient that together they will plan the patient's care and set goals to achieve by discharge, the patient says, "How is that different from what the doctor does?" Which response by the nurse is most appropriate?

A) "The role of the nurse is to provide prescribed patient care."
B) "The nurse helps the doctor to diagnose and treat patients."
C) "Nurses perform many of the procedures done by physicians."
D) "Nursing is focused on the human response to health problems."

Question 8

A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis. An appropriate patient outcome identified by the nurse is that the

A) patient has a balanced intake and output.
B) patient understands the need for increased fluid intake.
C) patient's bedding is changed when it becomes damp.
D) patient's skin remains cool and dry throughout hospitalization.

Question 9

A nursing activity that is carried out during the evaluation phase of the nursing process is

A) documenting the nursing care plan in the progress notes.
B) asking whether the patient's health problems have been completely resolved.
C) determining the effectiveness of nursing interventions toward meeting patient outcomes.
D) asking the patient to evaluate whether the nursing care provided was satisfactory.

Question 10

A patient who has been admitted to the hospital for gallbladder surgery tells the nurse on admission, "I do not feel right about leaving my children with my neighbor." During assessment of the patient, an appropriate nursing action by the nurse is to

A) reassure the patient that these feelings are common for parents.
B) call the neighbor to determine whether adequate child care is being provided.
C) have the patient call the children to reassure herself that they are doing well.
D) gather more data about the patient's feelings about the child care arrangements.

Question 11

When providing patient care using evidence-based practice, the nurse uses

A) clinical judgment based on experience.
B) evidence from a clinical research study.
C) evidence-based guidelines coupled with clinical expertise.
D) evaluation of data showing that the patient outcomes are met.

Question 12

The nurse reads on the care plan that a patient is at risk for developing an infection. The nurse recognizes that this patient problem

A) is always a nursing diagnosis.
B) is always a collaborative problem.
C) could be either a nursing diagnosis or a collaborative problem, depending on the cause of the problem.
D) should not be included on the care plan because nursing actions routinely protect patients from infection.

Question 13

The nurse writes a complete nursing diagnosis statement by including

A) a problem, its cause, and objective data that support the problem.
B) a problem with all its possible causes and the planned interventions.
C) a problem and the suggested patient goals or outcomes.
D) a problem with its etiology and the signs and symptoms of the problem.

Question 14

A patient has a nursing diagnosis of activity intolerance related to prolonged bed rest as manifested by the patient's report of weakness and fatigue. An appropriate NOC outcome and NIC intervention for this nursing diagnosis would be

A) Activity Tolerance (NOC) and Activity Therapy (NIC).
B) Endurance (NOC) and Body Mechanics Promotion (NIC).
C) Energy Conservation (NOC) and Sleep Enhancement (NIC).
D) Energy Conservation (NOC) and Exercise Therapy: Balance (NIC).