Questions & Study Guide | Latest Update 2026
| Graded A+
subjective sources of data - correct answerWhat the client tells the nurse
Objective sources of data - correct answerData the nurse obtains through observation
and examination
secondary subjective data - correct answerwhat others tell the nurse; what the client
had told them
secondary objective sources of data - correct answerData the nurse collects from other
sources; family, friends, caregivers, health care professionals, literature review, medical
records, etc.
Steps of the Nursing Process - correct answerassessment/data collection, analysis/data
collection, planning, implementation, evaluation; ADPIE
Assessment/Data collection - correct answerthe systemic collection of information about
clients' present health statuses to identify needs and additional data to collect based on
findings
Analysis/data collection requires nurses to look at the data and: - correct
answerrecognize patterns or trends; compare the data with expected standards or
reference ranges, and arrive to conclusions to guide nursing care
Planning - correct answernurses must establish priorities and optimal outcomes of acre
they can readily measure and evaluate, which include interventions to promote,
maintain, or restore health
Discharge planning - correct answera process of anticipating and planning for client's
needs after discharge. To be effective, discharge planning must begin during admission
nurse-initiated/independent interventions - correct answernurses use evidence and
scientific rationale to take autonomous actions to benefit clients; based on identified
problems and health care needs, and make sure they are within their scope of practice.
An example is repositioning a client at least every 2 hours to prevent skin breakdown
Provider-initiated/dependent interventions - correct answerinterventions nurses initiate
as a result of a provider's prescription (written, standing, or verbal) or the facility's
protocol (blood administration procedures)
,collaborative interventions - correct answerinterventions nurses carry out in
collaboration with other health care team professionals (ensuring that a client receives
and eats their evening snack)
Implementation - correct answernurses base the care they provide based on
assessment data, analysis, and the plan of care they developed in the previous steps of
the nursing process. In this step they must use problem-solving, clinical judgement, and
critical thinking to select and implement appropriate therapeutic interventions using
nursing knowledge, priorities of care, and planned goals or outcomes to promote,
maintain, or restore health.
Evaluation - correct answernurses evaluate clients' responses to nursing interventions
and form a clinical judgment about the extent to which clients have met the goals and
outcomes; nurses determine the effectiveness of the nursing care plan. They collect
data based on the outcome criteria then compare what actually happened with the
planned outcomes; clients' outcomes in specific, measurable terms are easier to
evaluate
Evaluate: Questions to Consider - correct answer"Did the client meet the planned
outcomes?", "were the nursing interventions appropriate and effective?", "should I
modify the outcomes or interventions?"
Factors that can lead to lack of goal achievement during evaluation - correct answeran
incomplete database, unrealistic client outcomes, nonspecific nursing interventions, and
inadequate time for the client to achieve the outcomes
4 steps of Critical Thinking - correct answer1. identify and analyze the problem; 2. recall
info you need to resolve the problem; 3. evaluate each option; 4. select the correct or
priority option
clients with diabetes mellitus should eat what when their blood glucose is low? - correct
answerthey should eat a snack of 10-15 grams of carbohydrates, such as 120 mL or 4
oz of fruit juice
infants and toddlers are at risk for injury due to - correct answera tendency to put
objects in their mouth and from hazards encountered while exploring their environment
preschool and school-aged children often face injury from - correct answerlimited or
underdeveloped motor coordination
adolescents's risks for injury can stem from - correct answerincreased desire to make
independent decisions and relying on peers for guidance rather than family
preventing aspiration in infants and toddlers - correct answerkeep all small objects out
of reach; check toys and objects for loose or small parts and sharp edges; do not feed
the infant hard candy, peanuts, popcorn, or whole or sliced pieces of hot dog; do not
, place the infant in the supine position while feeding or prop the infant's bottle; a pacifier
(if used) should be constructed of one piece and never placed on a string or ribbon
around the neck
Antiemetics - correct answerused in the treatment and/or prevention of nausea and
vomiting.
common classes of antiemetics - correct answer5-HT3 receptor antagonists (serotonin
antagonists); Dopamine antagonists; Antihistamines (H1 histamine receptor
antagonists)
5-HT3 receptor antagonists (serotonin antagonists) - correct answerDolasetron
(Anzemet)
Granisetron (Kytril, Sancuso)
Ondansetron (Zofran)
Tropisetron (Navoban)
It's 'Tron' to the rescue!
Dopamine antagonists - correct answerPromethazine (Phenergan)
Prochlorperazine (Compazine)
Metoclopramide (Reglan): different in generic name because it can have extra-
pyramidal side effects
Antihistamines (H1 histamine receptor antagonists) - correct answerDiphenhydramine
(Benadryl)
Dimenhydrinate (Gravol, Dramamine)
Meclizine (Bonine, Antivert)
Proton Pump Inhibitors (PPIs) - correct answerdecrease stomach acid by inhibiting
those gastric proton pumps that make the acid - they stop the acid at the pump!; 'Zole' is
very friendly (well-tolerated by most clients), but can cause vitamin B12 deficiency if he
stays around too long (with long-term use).
Common PPIs - correct answerOmeprazole (brand names: Prilosec, Zegerid, Omepral,
Omez)
Lansoprazole (brand names: Prevacid, Zoton, Inhibitol)
Dexlansoprazole (brand name: Kapidex, Dexilant)
Esomeprazole (brand names: Nexium, Esotrex)
Pantoprazole (brand names: Protonix, Somac, Pantozol, Zentro)
Erectile Dysfunction Agents - correct answeract by increasing nitric oxide which opens
and relaxes the blood vessels of the penis causing increased blood flow (helping lead to
getting and keeping an erection); side effects: flushing, back pain and muscle aches
(with Levitra), temporary vision changes, (blue vision with Viagra); men who have heart
problems, uncontrolled blood pressure problems, history of stroke, or a health problem
that can cause priapism can't hang out with 'Fil.'