Exam Questions and Answers |
A+ Score Assured
which action would the nurse undertake first when beginning to
formulate a patient's plan of care
a- list possible treatment options
b-identify realistic outcome indicators
c- consult with healthcare team members
d- rank patient concerns from assessment data - ANSWER ✔✔d
which resource is most helpful when prioritizing identified nursing
diagnoses
,a- nursing interventions classification
b- gordon's functional health patterns
c- maslow's hierarchy of needs
d- nursing outcomes classification - ANSWER ✔✔c
if a patient is exhibiting signs and symptoms of each of these nursing
diagnoses, which should the nurse address first while planning care?
a- fatigue
b- acute pain
c- lack of knowledge
d- disturbed body image - ANSWER ✔✔b
which statement illustrates a characteristic of goals within the care
planning process?
a- goals are vague objectives communicating expectations for
improvement
b- short-term goals need not be measurable, unlike long term goals
c- goal attainment can be measured by identifying nursing interventions
d- long term goals are helpful in judging a patient's progress -
ANSWER ✔✔d
,which nursing goal is written correctly for a patient with the nursing
diagnosis for risk for infection after abdominal surgery?
a- nurse will encourage use of sterile technique during each dressing
change
b- patient's WBC will remain within normal range throughout
hospitalization
c- patient's visitors will be instructed in proper handwashing before direct
interaction with patient
d- patient will understand the importance of cleaning around the incision
with a clean cloth during bath time - ANSWER ✔✔b
If the nurse chooses the Nursing Outcome Classification (NOC),
Appetite (1014) for a chemotherapy patient, which outcome indicators
would be acceptable for evaluation of goal attainment? (Select all that
apply.)
a. Expressed desire to eat
b. Report that food smells good
c. Use of relaxation techniques before meals
d. Preparation of home-cooked meals for self and family
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, e. Uses nutritional information on labels to guide selections -
ANSWER ✔✔a, b, d
which action by the nurse would be most important in developing a
patient-centered plan of care for an alert, oriented adult
a- providing a written copy of care options to the patient and family
b- collaborrating with the patient's social worker to determine resources
c- listening to patient's concerns and beliefs about proposed treatment
d- engaging the patient's family, friends or care providers in conversation
- ANSWER ✔✔c
which interventions can the nurse initiate independently while providing
patient care?
a- ordering blood transfusion
b- auscultating lung sounds
c- monitoring skin integrity
d- apply heel protectors
e- adjusting antibiotic dosages - ANSWER ✔✔b,c,d