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NCSBN TEST BANK - for the NCLEX-RN &

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A c. What document should be in guiding the care of this client? A)Client Self Determination Act B)Physician's treatment orders C)Advance Directives. D)Clinical Pathway protocols Review Information: The correct answer is: C) Advance Directives. This document specifies the client's wishes Question 2 You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant, a nursing student and yourself. To whom is it appropriate to assign complete care for A)Yourself B)The nursing student C)The licensed vocational nurse D)The nursing assistant Review Information: The correct answer is:A) Yourself. While the nurse may delegate a bed bath for a stable client, this care should be performed by an RN for a new admission. Only tasks that do not require independent judgment should be delegated. Question 3 A mother brings her the clinic, complaining that the child seems to be .The nurse expects to find which of the following on the initial history and physical assessment? A)Increased temperature and lethargy B)Rash and restlessness C)Increased sleeping and listlessness D)Diarrhea and poor skin turgor Review Information: The correct answer is: B) Rash and restlessness. Question 4 As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the parents require follow-up and are consistent with the diagnosis? A)"The child has been listless and has lost weight." B)"Her urine is dark yellow and small in amounts." C)"Clothes are becoming tighter across her abdomen." D+) "We notice muscle weakness and some unsteadiness." Review Information: The correct answer is:C) "Clothes are becoming tighter across her abdomen.". One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that clothing is tight is significant, and should be followed by additional assessments. Question 5 A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally married and signed the consent form for treatment. What would be the appropriate INITIAL action by the nurse? A)Refuse to see the client until a parent or legal guardian can be contacted B)Withhold treatment until telephone consent can be obtained from the spouse C)Refer the client to a community pediatric hospital emergency room D)Assess and treat in the same manner as any adult client Review Information: The correct answer is:D) Assess and treat in the same manner as any adult client. Minors may become known as an "emancipated minor" through marriage, pregnancy, high school graduation, independent living or service in the military. Therefore, this client, who is married, has the legal capacity of an adult. Question 6 A newly admitted elderly client is severely dehydrated. When planning care for this client, which one of the following is an appropriate task for an Unlicensed Assistive Personnel (UAP)? A)Obtain a history of fluid loss B)Report output of less than 30 ml/hr C)Monitor response to IV fluids D)Check skin turgor every four hours Review Information: The correct answer is:B) Report output of less than 30 ml/hr. When directing a UAP, the nurse must communicate clearly about each delegated task with specific instructions on what must be reported. Because the RN is responsible for all care-related decisions,only implementation tasks should be assigned because they do not require independent judgment.

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TEST BANK FOR PHARMACOLOGY
10TH EDITION BY MCCUISTION
McCuisti. VERIFIED




CHAPTER 01: THE NURSING
PROCESS AND PATIENTCENTERED
CARE MCCUISTION:
PHARMACOLOGY: A
PATIENTCENTERED NURSING
PROCESS APPROACH, 10TH EDITION
RANKED A+




TOPTARGET ACADEMICS
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,




Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition




MULTIPLE CHOICE

1. The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT: a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patient problem, 3) planning, 4) implementation, and 5) evaluation. ―Right drug is one of ‖
the ―Six Rights of medication administration. ‖

DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX:
Management of Care

2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient‘s problems. Which step of the nursing process is the nurse applying? a.
Assessment
b. Patient problem
c. Planning
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected
outcomes and interventions which address the patient‘s problems. The data was collected
during the ―Assessment and ―Patient problem steps. During the ―Evaluation phase the‖
‖ ‖ nurse would determine whether the goals and objectives set during the
planning phase were met.

DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention MSC: NCLEX:
Management of Care



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3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that
has to be done to care for their child. The nurse reviews medications, diet, and symptom
management with the parents and draws up a daily checklist for the family to use. These
activities are completed in which step of the nursing process? a. Assessment b. Planning
c. Implementation
d. Evaluation
ANS: C




TESTBANKWORLD.ORG




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The implementation phase is the part of the nursing process in which the nurse provides
education, drug administration, patient care, and other interventions necessary to assist the
patient in accomplishing established medication goals.

DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care

4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are
reflective of which phase of the nursing process? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any
previous use of the drug.

DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care

5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would include lab values.
The other examples are subjective data.

DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care

6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful,
and does not have an established routine. The patient will be sent home with three new
medications to be taken at different times of the day. The nurse develops a daily
medication chart and enlists a family member to put the patient‘s pills in a pill organizer.
This is an example of which phase of the nursing process? a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C
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