Question 1

Nursing process

Accepted Answer

-an organized method of delivering patient care -provides a framework for planning, implementing, and evaluating nursing care

Question 2

3rd step in the problem-solving process is to

Accepted Answer

conside the possible outcomes for each alternatives

Question 3

Development of clinical judgment requires

Accepted Answer

-critical thinking skills -experience in the clinical setting

Question 4

Concept mapping helps promote critical thinking. It assists students to

Accepted Answer

gather data in a logical order and group it in a meaningful way

Question 5

When setting priorities for nursing care, problems that threaten health are considered

Accepted Answer

high priority

Question 6

When all tasks have relatively high priority and it is not possible to accomplish them all, you must

Accepted Answer

delegate some tasks to others to complete

Question 7

Examples of subjective data are

Accepted Answer

pain, itchy skin

Question 8

History & Physical examination provide both subjective data objective data. Objective data are those that

Accepted Answer

can be verified

Question 9

Analysis of the database is necessary for the formulation of

Accepted Answer

nursing diagnosis

Question 10

Which of the following is a NANDA-accepted nursing diagnosis

Accepted Answer

hyperthermia

Question 11

The difference between a medical diagnosis and a nursing diagnosis is that a nursing diagnosis

Accepted Answer

defines the patient\'s response to illness

Question 12

When considering the order of priority of patient problems according to Maslow

Accepted Answer

-inability to eat takes precedence over a risk of falling -oxygen needs take precedence over activity needs

Question 13

Short-term nursing goals are those that

Accepted Answer

are achievable within 7-10 days

Question 14

The best expected outcome for the nursing diagnosis ineffective breathing pattern would be

Accepted Answer

patient will exhibit no shortness of breath

Question 15

The primary objective of choosing nursing interventions is to

Accepted Answer

help the patient meet the expected outcomes

Question 16

The LPN/LVN\'s role in nursing care planning is to

Accepted Answer

-assist with writing the nursing care plan -assist with the data collection process

Question 17

Before implementation, assessment must take place. Place the following parts of the assessment process in the correct order

Accepted Answer

-obtaining a patient history -gathering physical data by examination -performing a chart review -grouping data that indicate a problem

Question 18

When implementing an order for an invasive procedure from your Kardex or daily nursing care plan printout, the nurse should

Accepted Answer

always check the actual physician\'s order

Question 19

Which one of the following is evaluation data that would indicate the expected outcome for the nursing diagnosis pain related to abdominal incision is being met

Accepted Answer

pain has dropped to 3 from 7 on a scale of 1-10

Question 20

When implementing nursing orders on the care plan, it is most important to consider

Accepted Answer

the safety of the patient

Question 21

When evaluating whether the expected outcome \"Wound infection will subside within 7 days\" has been met, the nurse would gather which of the following data?

Accepted Answer

-appearance and characteristics of the wound -downward trend in the patient\'s temperature chart

Question 22

An independent nursing action would be

Accepted Answer

teaching about the side effects of a medications

Question 23

Nursing diagnosis is a way of

Accepted Answer

stating patient problems

Question 24

Efficiently implementing patient care requires

Accepted Answer

prioritizing and combining tasks

Question 25

Evaluation as a step of the nursing process is a method of determining

Accepted Answer

whether actions are effective in helping the patient reach expected outcomes

Question 26

The goal of an outcome-based quality improvement program is to

Accepted Answer

improve nursing practice within an agency

Question 27

An expected outcome for a patient with pneumonia experiencing shortness of breath who has the nursing diagnosis of impaired oxygenation related to lung infection would be

Accepted Answer

oxygen saturation will be 98% within 7 days

Question 28

The evaluation step of the nursing process determines

Accepted Answer

if actions have helped the patient meet the expected outcomes

Question 29

When evaluation shows that the expected outcomes are not being met, the nurse would

Accepted Answer

consider different actions to assist the patient to meet the outcomes

Question 30

A long-term goal for the patient recovering from a hip fracture would be

Accepted Answer

patient will perform own activities of daily living without assistance

Question 31

The planning phase of the nursing process correlates with which step of the scientific method

Accepted Answer

developing solutions

Question 32

Priorities of care change constantly because

Accepted Answer

-the nurse\'s workload may change as patients are admitted -physicians\' orders may change throughout the shift -a patient\'s condition may deteriorate

Question 33

Clinical reasoning is necessary to

Accepted Answer

draw sound conclusions from assessment data

Question 34

Attributes of critical thinkers include

Accepted Answer

-setting priorities -verifying accuracy and reliability of data -reasoning logically -being flexible -recognizing inconsistencies in data gathered

Question 35

Critical thinking

Accepted Answer

is incorporated throughout the nursing process

Question 36

Critical thinking will help you in the clinical setting to

Accepted Answer

make good decisions most of the time

Question 37

How do concept maps assist critical thinking

Accepted Answer

they help point out relationships among the data

Question 38

Which is the best way to demonstrate critical thinking to your clinical instructor who has just asked you about your patient

Accepted Answer

pausing and thinking before answering the question

Question 39

Which is an example of clinical judgement

Accepted Answer

prioritizing which call light to answer first

Question 40

A nursing diagnosis differs from a medical diagnosis. A nursing diagnosis

Accepted Answer

indicates the patient\'s health status

Question 41

Which is the etiologic factor in the nursing diagnosis impaired physical mobility r/t left-sided muscular weakness, as evidenced by the inability to use the left arm for activities of daily living

Accepted Answer

left-sided muscular weakness

Question 42

An example of an approved, correctly written NANDA-I nursing diagnosis for the patient is

Accepted Answer

risk for injury r/t neurologic impairment as evidenced by paralysis of right leg

Question 43

The patient\'s temperatue is 100.4 degree F (38 degree C). The skin on her forehead is warm and dry. She has been incontinent, and her bed is wet. She complains of being very tired. Which of the data are subjective

Accepted Answer

states, \"I\'m very uncomfortable.\" complains of being very tired states, \"I have a headache.\"

Question 44

The role of the LPN/LVN in the patient admission procedure differs from that of the RN and might include

Accepted Answer

-obtains an ordered urine specimen -taken the patient\'s history -assists with physical data collection -orients the patient to the unit

Question 45

A long-term goal/outcome would be

Accepted Answer

will walk without assistance within 3 weeks

Question 46

Which is stated as a goal rather than an expected outcome

Accepted Answer

patient will regain use of left arm and leg

Question 47

A correctly stated expected outcome

Accepted Answer

patient will walk to the end of the hall this week

Question 48

You assist a patient with her bath, change her dressing, rub her back, give her medication, review her dietary needs, and assist with physical therapy exercises. Give example of interdependent nursing actions

Accepted Answer

- reinforcing dietary teaching - assisting with her exercises

Question 49

Before carrying out a dependent nursing action, the nurse

Accepted Answer

- verifies that the physician\'s order is on the chart - considers whether there is any contraindication for the action - schedules an appropriate time to carry out the action - gather all equipment and supplies needed for the action

Question 50

The nurse evaluates the care provided to the patient by determining

Accepted Answer

whether expected outcomes have been acheived

Question 51

A patient who is 14 hours postoperative complains of shortness of breath. Which action should be implemented first

Accepted Answer

Auscultate the lungs

Question 52

A difference in the assessment of the patient entering a long-term care facility versus that of a hospital patient is that the long-term care resident is assessed for

Accepted Answer

functional abilties

Question 53

Nursing and medical audits

Accepted Answer

are essential for hospital accreditation

Question 54

An example of a dependent nursing action would be

Accepted Answer

starting the continuous passive motion (CPM) machine

Question 55

When evaluating a patient admitted with a lower respiratory tract infection, which data are most important for the nurse to obtain

Accepted Answer

Bilateral lung sounds

Question 56

The patient\'s order reads:  ampicillin 20mg/kg/day, IVq 6hr The patient weighs 120 lb. How may milligrams per dose should you administer

Accepted Answer

182mg

Question 57

Quick Head-to-Toe Assessment

Accepted Answer

-Alert & Oriented x 3  (name, d.o.b, place, year, president) -5 vital signs  (temp, pulse, BP, respiration, pain) -ROM -Neuro - HEENT  (head, eyes, ears, nose, throat) -Level of Consciousness & Orientation -Skin  (turgor) -Thoracic region  (lung front 4, lung back 6, apical) -Abdomen  (4 quadrant; bowel intake/output, color; urine intake/output, color; appetite) -Extremities (edema, capillary refill, popitial pulse) -Sleep

Question 58

Rule of Nine\'s & Rule of Palms

Accepted Answer

Total body surface area Rule of Nine\'s -Head 9% -Chest 9% -Abdomen 9% -Upper back 9% -Lower back 9% -Anterior leg (each) 9% -Posterior leg (each) 9% -Entire arm (each) 9% -Genitalia/perineum 1%  Rule of Palms: The surface area of the patient palm represents 1%of total body surface area

Question 59

Cranial Nerves Oh, Oh, Oh, To Touch And Feel Very Good Velvet, Ah Heaven!

Accepted Answer

I - Olfactory nerve II - Optic nerve III - Oculomotor nerve IV - Trochlear nerve V - Trigeminal nerve VI - Abducens nerve VII - Facial nerve VIII - Vestibulocochlear nerve / Auditory nerve IX - Glossopharyngeal nerve X - Vagus nerve XI - Accessory nerve / Spinal accessory nerve XII - Hypoglossal nerve

Question 60

Attenuated Vaccines \"ROME Is My Best Place To Yell!\"

Accepted Answer

-Rubella -Oral polio vaccine -Measles -Epidemic typhus -Influenza -Mumps -BCG -Plague -Typhoid oral vaccine -Yellow fever

Question 61

Hypersensitivity Reactions \"ACID\"

Accepted Answer

type 1 Anaphylactic type 2 Cytotoxic type 3 Immune complex type 4 delayed hypersensitivity

Question 62

Stages of Shock \"CPR\"

Accepted Answer

Compensatory stage Progressive stage Refractory stage

Question 63

Liver Functions \"PUSH DoG\"

Accepted Answer

-Protein synthesis -Ureas synthesis -Storage -Hormone synthesis -Deroxification -Glucose and fat metabolism

Question 64

Signs of Inflammation PRISH

Accepted Answer

-Pain -Redness -Immobility (loss of function) -Swelling -Heat

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