Nursing Process Exam Review
Quiz by Cindy Dubs
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20 questions
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- Q1Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:List of priorities is determined.Review of the assessment is conducted with other team members.Plan is developed for nursing care.Physical assessment begins.30s
- Q2Which of the following nursing interventions are written correctly?Change dressing once a shiftApply continuous passive motion machine during dayElevate head of bed 30 degrees before mealsPerform neurovascular checks30s
- Q3When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:Administer aspirin 325 mg every 4 hours as neededElevate the leg 5 inches above the heart.Perform range of motion to right leg every 4 hours.Apply a cold pack to the tibia.30s
- Q4When establishing realistic goals, the nurse:Must have a client who is physically and emotionally stable.Must have the client’s cooperation.Knows the resources of the health care facility, family, and the client.Bases the goals on the nurse’s personal knowledge.30s
- Q5For clients to participate in goal setting, they should be:Ambulatory and mobile.Able to speak and write.Alert and have some degree of independence.Able to read and write.30s
- Q6The planning step of the nursing process includes which of the following activities?Performing nursing actions and documenting themSetting goals and selecting interventionsAssessing and diagnosingEvaluating goal achievement30s
- Q7The nurse writes a goal statement in measurable terms. An example is:Client will report pain acuity less than 4 on a scale of 0-10Client will take pain medication every 4 hours around the clockClient will be pain free.Client will have less pain30s
- Q8A client centered goal is a specific and measurable behavior or response that reflects a client’s:Desire for specific health care interventions.Physician’s goal for the specific client.Highest possible level of wellness and independence in function.Response when compared to another client with a like problem.30s
- Q9A client’s wound is not healing and appears to be worsening with the current treatment. The nurse first considers:Consulting with another nurseCalling the wound care nurseNotifying the physicianChanging the wound care treatment30s
- Q10Collaborative interventions are therapies that require:Physician and nurse interventions.Multiple health care professionals.Nurse and client interventions.Client and Physician intervention.30s
- Q11As goals, outcomes, and interventions are developed, the nurse must:Be in control of all interventions for the client.Not change the plan of care for the client.Be in charge of all care and planning for the client.Be aware of and committed to accepted standards of practice from nursing and other disciples.30s
- Q12Mr. Jones comes into the doctor’s office with his wife. During the initial interview with the nurse assessing the reason for the visit, the wife says that her husband has been feeling bad for three days. The nurse knows this is what type of data?Secondary subjective dataPrimary subjective dataSecondary objective dataPrimary objective data30s
- Q13The CNA reports that the patient who is scheduled to be discharge at 11:00 has a blood pressure of 160/90. What is the nurses first action?Call the physicianGet the charge nurseCheck the medication list to see if there is any medication to give for high blood pressureCheck the blood pressure30s
- Q14Pain is always which kind of symptom?SubjectiveObjective30s
- Q15Mr. Anderson says that his head has been hurting for 3 weeks. The nurse knows this is what kind of data?Secondary objective dataPrimary subjective dataSecondary subjective dataPrimary objective data30s