Nursing Process Test with Complete Solutions, Exams of Nursing

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Nursing Process Test with Complete Solutions

An intervention that addresses a patient's long-term health care needs, rather than a specific illness, would generally be assigned which priority? - ANS-A. High B. Intermediate C. Low D. it would not be assigned a priority Correct: C Changing the bandage on a patient's wound is an example of which type of care? - ANS-A. Direct care B. Indirect care C. Patient-centered goal D. Patinet-centered outcome Correct: A Consulting with another health care provider about patient care is an example of which type of care? - ANS-A. Direct care B. indirect care C. Patient-centered goal D. Patient-centered outcome Correct: B During the interview, the patient provides information about his or her symptoms and health status. What is this data called? - ANS-A. Invalid data B. Objective data C. Perceptual data D. Subjective data Correct: D During the patient interview, the patient shows signs of acute respiratory distress. What should you do next? - ANS-A. Continue the interview so you can get the whole picture before taking action. B. Immediately assess the affected body system. C. Reassure the patient that everything will be all right. D. Refer the patient to his or her primary health care provider. Correct: B In which order should nursing diagnoses be listed in the patient's record? - ANS-A. List nursing diagnoses by how quickly each condition can be resolved B. List nursing diagnoses solely in alphabetical order

C. Listing nursing diagnoses from highest priority to lowest, and in chronologiccal order D. List nursing diagnoses from lowest priority to highest, and in alphabetical order Correct: C One of the patient's goals is for her surgery incision to remain free of infection. At her follow up, the wound looks good but has not completely healed yet. As a result, the goal of remaining free of infection should be ____ on the care plan. - ANS-A. Continued B. Deleted C. Discontinued D. Revised Correct: A The fifth step in the nursing process is evaluation. What action do you perform during evaluation? - ANS-A. Collaborate with the patient and family to prioritize interventions B. Determine whether goals and outcomes have been achieved C. Identify a pattern to reach a diagnostic conclusion D. Provide direct or indirect care Correct: B The first step of the nursing process is assessment. What action do you perform during assessment? - ANS-A. Acquire and validate information about the patient's health B. Collaborate with the patient and family to prioritize interventions C. Identify a pattern to reach a diagnostic conclusion D. Provide direct care Correct: A The fourth step in the nursing process is implentation. waht action do you perform during implentation? - ANS-A. Acquire and validate information about the patient's health B. Collaborate with the patient and family to prioritize interventions C. Identify a pattern to reach a diagnostic conclusion D. Provide direct care Correct: D The second step of the nursing process is diagnosis. What action do you perform during diagnosis? - ANS-A. Acquire and validate information about the patient's health B. Collaborate with the patient and family to prioritize interventions C. Identify a pattern to reach a diagnostic conclusion D. Provide direct care Correct: B

The third step of the nursing process is planning. What action do you perform during planning? - ANS-A. Acquire and validate information about the patient's health B. Collaborate with the patient and family to prioritize interventions C. Identify a pattern to reach a diagnostic conclusion D. Provide direct care Correct: B two nurses work together to reposition a patient in bed to aid to facilitate pressure injury prevention. This is an example of which kind of intervention? - ANS-A. Collaborative nursing intervention B. Dependent nursing intervention C. Independent nursing intervention D. Interdepent nursing intervention Correct: C (no Dr.Order is needed) What action should you take if you have not used a particular piece of equipment before? - ANS-A. Ask an experienced nurse to provide guidance B. Delagate the task to a more experience nurse C. Guess at the equipment's operation D. refuse to use the equipment Correct: A What do standing orders include? - ANS-A. Assistance in selecting a nursing diagnosis B. Equipment operation instructions C. Medical orders for routine therapies D. The interprofessional care plan Correct: C What is an example of a document that provides standard interventions for common health care problems? - ANS-A. Clinical practice guideline B. healthcare provider-initiated actions C. Individualized nursing care plan D. NOC Correct: A What is it called when you reinforce your interest in what a patient has to say by using active listening prompts such as "go on" or "uh-huh"? - ANS-A. Back channeling B. Observation C. Leading questions D. Probing

Correct: A What type of nursing diagnosis applies when a patient has an increased likelihood of developing a problem or complication? - ANS-A. Health promotion nursing diagnosis B. Medical diagnosis C. problem-focused nursing diagnosis D. Risk nursing diagnosis Correct: D What type of nursing diagnosis applies when a patient has an interest in improving his or her health status by making behavioral changes? - ANS-A. Health promotion nursing diagnosis B. Medical diagnosis C. problem-focused nursing diagnosis D. Risk nursing diagnosis Correct: A When formulating a nursing diagnosis, which of these should you do first? - ANS-A. Cluster assessment data into meaningful patterns B. Interpret assessment information C. Find and select the specific diagnoses that fit your patient D. Refer to the official ICNP or NANDA-I list to verify accurate use of the nursing diagnostic label Correct: A Which of the following is an example of a direct, closed-ended question? - ANS-A. "How many times in the last month have you slipped and fallen?" B. "Is there anything else you can tell me about this situation?" C. "Tell me about your balance issues." D. "You're losing your balance more often than before, right?" Correct: A Which of the following is an example of a problem focused nursing diganostic statement? - ANS-A. chronic obstructive pulmonary disease B. Impaired nutrional status: deficient food intake related to inability to absorb nutrients C. Readiness for enhanced knowledge of smoking cessation D. Risk for fall related to generalized weakness Correct: B

Which of these methods could be used to determine a patient's expecations of care? - ANS-A. Asking the patient if she received all the information she needed to care for her surgery incision B. Asking the patient to demonstrate how to perform wound care C. measuring the patient's wound and comparing it against previous measurements D. Rating the patient's pain using an agency-approved pain scale and determining that the patient's pain was withing the target parameters Correct: A You are assessing a patient's pain-relief goal. The patient self-reports his as a 1 on a scale of 0-10. You note the patient is grimacing, bracing his inicision site, and is reluctant to move. Additional pain meds is available on request but the patient has not requested it. What is your next step? - ANS-A. Ask the patient's wife if the patient is in more pain than he says B. Bring the patient the additional med he has not requested C. Consider his goal as being met and accept that his pain is under control, based on the patient's self-report D. Investigate his obvious discomfort Correct: D You determine that a patient is not meeting a nutrional goal because he is not following the mutually agreed-upon dietary plan. What is your next step? - ANS-A. Ask the nutritionist to speak with the patient B. Emphasize the importance of following the dietary plan C. Label the patient noncompliant and discontinue that part of the plan D. Understand why the patient is not following the plan Correct: D