,
,
,Chapter W 01: W Professional W Nursing
Test WBank
W MULTIPLE
WCHOICE
1. The Wnurse Wteaches Wa Wstudent Wnurse Wabout Whow Wto Wapply Wthe Wnursing Wprocess Wwhen
Wproviding Wpatient Wcare.Which Wstatement, Wif Wmade Wby Wthe Wstudent Wnurse, Windicates Wthat
Wteaching Wwas Wsuccessful?
a. The Wnursing Wprocess Wis Wa Wscientific-based Wmethod Wof Wdiagnosing Wthe Wpatients Whealth Wcare
Wproblems.
b. The W nursing W process W is Wa W problem-solving W tool W used W to Widentify W and W treat W patients
W health W care W needs.
c. The Wnursing Wprocess Wis Wbased Won Wnursing Wtheory Wthat Wincorporates Wthe
Wbiopsychosocial Wnature Wofhumans.
d. The Wnursing Wprocess Wis Wused Wprimarily Wto Wexplain Wnursing Winterventions Wto
Wother Whealth Wcareprofessionals.
ANS: WB
The Wnursing Wprocess Wis Wa Wproblem-solving Wapproach Wto Wthe Widentification Wand Wtreatment Wof Wpatients
Wproblems. WDiagnosis Wis W only Wone Wphase Wof Wthe W nursing Wprocess. W The Wprimary Wuse Wof Wthe
Wnursing Wprocess Wis Win W patient Wcare,not Wto Westablish Wnursing Wtheory Wor Wexplain Wnursing
Winterventions Wto Wother Whealth Wcare Wprofessionals.
DIF: W Cognitive W Level: W Understand W (comprehension)
TOP: W Nursing W Process: W Implementation W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
2. The Wnurse Wdescribes Wto Wa Wstudent Wnurse Whow Wto Wuse Wevidence-based Wpractice Wguidelines
Wwhen Wcaring Wforpatients. W Which W statement, Wif W made Wby Wthe W nurse, W would W be Wthe
W most W accurate?
a. Inferences W from W clinical W research W studies W are W used W as Wa W guide.
b. Patient Wcare Wis Wbased Won Wclinical Wjudgment, Wexperience, Wand Wtraditions.
c. Data Ware Wevaluated Wto Wshow Wthat Wthe Wpatient Woutcomes Ware Wconsistently Wmet.
d. Recommendations W are W based W on W research, W clinical W expertise, W and W patient W preferences.
ANS: WD
Evidence-based W practice W (EBP) W is W the W use W of W the W best W research-based W evidence
W combined W with W clinician Wexpertise. W Clinical W judgment W based W on W the W nurses W clinical
W experience W is W part W of W EBP, W but W clinical Wdecision W making Wshould Walso Wincorporate
Wcurrent Wresearch Wand Wresearch-based Wguidelines. WEvaluation Wof Wpatient Woutcomesis W important,
W but W interventions W should W be W based W on W research W from W randomized W control Wstudies
W with W a W large W number Wof Wsubjects.
,DIF: W Cognitive W Level: W Remember W (knowledge)
TOP: W Nursing W Process: W Planning W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
3. The Wnurse Wcompletes Wan Wadmission Wdatabase Wand Wexplains Wthat Wthe Wplan Wof Wcare Wand
Wdischarge Wgoals Wwill Wbe W developed Wwith Wthe Wpatients Winput. WThe Wpatient Wstates, WHow Wis Wthis
Wdifferent Wfrom Wwhat Wthe Wdoctor Wdoes? W Whichresponse W would Wbe W most W appropriate Wfor Wthe
Wnurse Wto W make?
a. The Wrole Wof W the W nurse W is Wto W administer W medications W and W other Wtreatments W prescribed W by
W your W doctor.
b. The Wnurses Wjob Wis Wto Whelp Wthe Wdoctor Wby Wcollecting Winformation Wand
Wcommunicating Wany Wproblemsr that Woccur.
c. Nurses Wperform Wmany Wof Wthe Wsame Wprocedures Was Wthe Wdoctor, Wbut Wnurses Ware Wwith
Wthe Wpatients Wfor Walonger Wtime Wthan Wthe Wdoctor.
d. In Waddition Wto Wcaring Wfor Wyou Wwhile Wyou Ware Wsick, Wthe Wnurses Wwill Wassist
Wyou Wto Wdevelop Wanindividualized Wplan Wto W maintain Wyour Whealth.
ANS: WD
This W response W is W consistent W with W the W American W Nurses W Association W (ANA) W definition
W of W nursing, W which Wdescribes Wthe Wrole Wof Wnurses Win Wpromoting Whealth. WThe Wother Wresponses
Wdescribe Wsome Wof Wthe W dependent Wand Wcollaborative Wfunctions Wof Wthe Wnursing Wrole Wbut Wdo Wnot
Waccurately Wdescribe Wthe W nurses Wrole Win Wthe Whealth Wcaresystem.
DIF: W Cognitive W Level: W Understand W (comprehension)
TOP: W Nursing W Process: W Implementation W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
4. A Wpatient Wwho Wis Wparalyzed Won Wthe Wleft Wside Wof Wthe Wbody Wafter Wa Wstroke Wdevelops Wa
Wpressure Wulcer Won Wthe Wleft WhipWhich Wnursing Wdiagnosis Wis W most Wappropriate?
a. Impaired W physical W mobility W related W to W left-sided W paralysis
b. Risk W for W impaired W tissue W integrity W related W to W left-sided W weakness
c. Impaired W skin W integrity W related W to W altered W circulation W and W pressure
d. Ineffective Wtissue Wperfusion Wrelated Wto Winability Wto
W move Windependently
r ANS: W C
The Wpatients Wmajor Wproblem Wis Wthe Wimpaired Wskin Wintegrity Was Wdemonstrated Wby Wthe Wpresence Wof
Wa Wpressure Wulcer.The Wnurse Wis Wable Wto Wtreat Wthe Wcause Wof Waltered Wcirculation Wand Wpressure Wby
Wfrequently Wrepositioning Wthe Wpatient. W Although W left-sided W weakness W is W a W problem W for
W the W patient, W the W nurse W cannot W treat W the W weakness. W The W risk W fordiagnosis Wis Wnot
Wappropriate Wfor Wthis Wpatient, Wwho Walready Whas Wimpaired Wtissue Wintegrity. WThe Wpatient Wdoes Whave
, W ineffective W tissue W perfusion, W but W the W impaired W skin W integrity W diagnosis Windicates W more
W clearly W what W the W healthproblem Wis.
DIF: WCognitive WLevel: WApply W(application)
TOP: W Nursing W Process: W Diagnosis W MSC: W NCLEX: W Physiological W Integrity
5. A Wpatient Whas Wbeen Wadmitted Wto Wthe Whospital Wfor Wsurgery Wand Wtells Wthe Wnurse, WI Wdo Wnot
Wfeel Wcomfortable Wleavingmy W children Wwith W my W parents. W Which Waction W should Wthe
W nurse Wtake W next?
a. Reassure Wthe Wpatient Wthat Wthese Wfeelings Ware Wcommon Wfor Wparents.
b. Have Wthe Wpatient Wcall Wthe Wchildren Wto Wensure Wthat Wthey Ware Wdoing Wwell.
c. Gather Wmore Wdata Wabout Wthe Wpatients Wfeelings Wabout Wthe Wchild-care Warrangements.
d. Call Wthe Wpatients Wparents Wto Wdetermine Wwhether Wadequate Wchild Wcare Wis Wbeing Wprovided.
ANS: WC
Since Wa Wcomplete Wassessment Wis Wnecessary Win Worder Wto Widentify Wa Wproblem Wand Wchoose Wan
Wappropriate Wintervention, Wthe Wnurses Wfirst Waction W should Wbe Wto Wobtain Wmore Winformation. W The
Wother Wactions Wmay Wbeappropriate, Wbut W more Wassessment Wis Wneeded Wbefore Wthe Wbest Wintervention
Wcan Wbe Wchosen.
DIF: WCognitive WLevel: WApply W(application)
OBJ: W Special W Questions: W Prioritization W TOP: W Nursing W Process:
AssessmentMSC: W NCLEX: W Psychosocial W Integrity
6. A Wpatient Wwith Wa Wbacterial Winfection Whas Wa Wnursing Wdiagnosis Wof Wdeficient Wfluid Wvolume
Wrelated Wto Wexcessivediaphoresis. W Which Woutcome W would Wthe Wnurse Wrecognize Was Wmost
Wappropriate Wfor Wthis Wpatient?
a. Patient Whas Wa Wbalanced Wintake Wand Woutput.
b. Patients Wbedding Wis Wchanged Wwhen Wit Wbecomes Wdamp.
c. Patient Wunderstands Wthe Wneed Wfor Wincreased Wfluid Wintake.
d. Patients Wskin Wremains Wcool Wand Wdry Wthroughout Whospitalization.
ANS: WA
This Wstatement Wgives Wmeasurable Wdata Wshowing Wresolution Wof Wthe Wproblem Wof Wdeficient Wfluid
Wvolume Wthat Wwasidentified Win Wthe Wnursing Wdiagnosis Wstatement. WThe Wother Wstatements Wwould Wnot
Windicate Wthat Wthe Wproblem Wof Wdeficient Wfluid Wvolume W was Wresolved.
DIF: WCognitive WLevel: WApply W(application)
TOP: W Nursing W Process: W Planning W MSC: W NCLEX: W Physiological W Integrity
7. A Wnurse Wasks Wthe Wpatient Wif Wpain Wwas Wrelieved Wafter Wreceiving Wmedication. WWhat Wis
Wthe Wpurpose Wof Wtheevaluation Wphase Wof Wthe Wnursing Wprocess?
,
,Chapter W 01: W Professional W Nursing
Test WBank
W MULTIPLE
WCHOICE
1. The Wnurse Wteaches Wa Wstudent Wnurse Wabout Whow Wto Wapply Wthe Wnursing Wprocess Wwhen
Wproviding Wpatient Wcare.Which Wstatement, Wif Wmade Wby Wthe Wstudent Wnurse, Windicates Wthat
Wteaching Wwas Wsuccessful?
a. The Wnursing Wprocess Wis Wa Wscientific-based Wmethod Wof Wdiagnosing Wthe Wpatients Whealth Wcare
Wproblems.
b. The W nursing W process W is Wa W problem-solving W tool W used W to Widentify W and W treat W patients
W health W care W needs.
c. The Wnursing Wprocess Wis Wbased Won Wnursing Wtheory Wthat Wincorporates Wthe
Wbiopsychosocial Wnature Wofhumans.
d. The Wnursing Wprocess Wis Wused Wprimarily Wto Wexplain Wnursing Winterventions Wto
Wother Whealth Wcareprofessionals.
ANS: WB
The Wnursing Wprocess Wis Wa Wproblem-solving Wapproach Wto Wthe Widentification Wand Wtreatment Wof Wpatients
Wproblems. WDiagnosis Wis W only Wone Wphase Wof Wthe W nursing Wprocess. W The Wprimary Wuse Wof Wthe
Wnursing Wprocess Wis Win W patient Wcare,not Wto Westablish Wnursing Wtheory Wor Wexplain Wnursing
Winterventions Wto Wother Whealth Wcare Wprofessionals.
DIF: W Cognitive W Level: W Understand W (comprehension)
TOP: W Nursing W Process: W Implementation W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
2. The Wnurse Wdescribes Wto Wa Wstudent Wnurse Whow Wto Wuse Wevidence-based Wpractice Wguidelines
Wwhen Wcaring Wforpatients. W Which W statement, Wif W made Wby Wthe W nurse, W would W be Wthe
W most W accurate?
a. Inferences W from W clinical W research W studies W are W used W as Wa W guide.
b. Patient Wcare Wis Wbased Won Wclinical Wjudgment, Wexperience, Wand Wtraditions.
c. Data Ware Wevaluated Wto Wshow Wthat Wthe Wpatient Woutcomes Ware Wconsistently Wmet.
d. Recommendations W are W based W on W research, W clinical W expertise, W and W patient W preferences.
ANS: WD
Evidence-based W practice W (EBP) W is W the W use W of W the W best W research-based W evidence
W combined W with W clinician Wexpertise. W Clinical W judgment W based W on W the W nurses W clinical
W experience W is W part W of W EBP, W but W clinical Wdecision W making Wshould Walso Wincorporate
Wcurrent Wresearch Wand Wresearch-based Wguidelines. WEvaluation Wof Wpatient Woutcomesis W important,
W but W interventions W should W be W based W on W research W from W randomized W control Wstudies
W with W a W large W number Wof Wsubjects.
,DIF: W Cognitive W Level: W Remember W (knowledge)
TOP: W Nursing W Process: W Planning W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
3. The Wnurse Wcompletes Wan Wadmission Wdatabase Wand Wexplains Wthat Wthe Wplan Wof Wcare Wand
Wdischarge Wgoals Wwill Wbe W developed Wwith Wthe Wpatients Winput. WThe Wpatient Wstates, WHow Wis Wthis
Wdifferent Wfrom Wwhat Wthe Wdoctor Wdoes? W Whichresponse W would Wbe W most W appropriate Wfor Wthe
Wnurse Wto W make?
a. The Wrole Wof W the W nurse W is Wto W administer W medications W and W other Wtreatments W prescribed W by
W your W doctor.
b. The Wnurses Wjob Wis Wto Whelp Wthe Wdoctor Wby Wcollecting Winformation Wand
Wcommunicating Wany Wproblemsr that Woccur.
c. Nurses Wperform Wmany Wof Wthe Wsame Wprocedures Was Wthe Wdoctor, Wbut Wnurses Ware Wwith
Wthe Wpatients Wfor Walonger Wtime Wthan Wthe Wdoctor.
d. In Waddition Wto Wcaring Wfor Wyou Wwhile Wyou Ware Wsick, Wthe Wnurses Wwill Wassist
Wyou Wto Wdevelop Wanindividualized Wplan Wto W maintain Wyour Whealth.
ANS: WD
This W response W is W consistent W with W the W American W Nurses W Association W (ANA) W definition
W of W nursing, W which Wdescribes Wthe Wrole Wof Wnurses Win Wpromoting Whealth. WThe Wother Wresponses
Wdescribe Wsome Wof Wthe W dependent Wand Wcollaborative Wfunctions Wof Wthe Wnursing Wrole Wbut Wdo Wnot
Waccurately Wdescribe Wthe W nurses Wrole Win Wthe Whealth Wcaresystem.
DIF: W Cognitive W Level: W Understand W (comprehension)
TOP: W Nursing W Process: W Implementation W MSC: W NCLEX: W Safe W and W Effective W Care W Environment
4. A Wpatient Wwho Wis Wparalyzed Won Wthe Wleft Wside Wof Wthe Wbody Wafter Wa Wstroke Wdevelops Wa
Wpressure Wulcer Won Wthe Wleft WhipWhich Wnursing Wdiagnosis Wis W most Wappropriate?
a. Impaired W physical W mobility W related W to W left-sided W paralysis
b. Risk W for W impaired W tissue W integrity W related W to W left-sided W weakness
c. Impaired W skin W integrity W related W to W altered W circulation W and W pressure
d. Ineffective Wtissue Wperfusion Wrelated Wto Winability Wto
W move Windependently
r ANS: W C
The Wpatients Wmajor Wproblem Wis Wthe Wimpaired Wskin Wintegrity Was Wdemonstrated Wby Wthe Wpresence Wof
Wa Wpressure Wulcer.The Wnurse Wis Wable Wto Wtreat Wthe Wcause Wof Waltered Wcirculation Wand Wpressure Wby
Wfrequently Wrepositioning Wthe Wpatient. W Although W left-sided W weakness W is W a W problem W for
W the W patient, W the W nurse W cannot W treat W the W weakness. W The W risk W fordiagnosis Wis Wnot
Wappropriate Wfor Wthis Wpatient, Wwho Walready Whas Wimpaired Wtissue Wintegrity. WThe Wpatient Wdoes Whave
, W ineffective W tissue W perfusion, W but W the W impaired W skin W integrity W diagnosis Windicates W more
W clearly W what W the W healthproblem Wis.
DIF: WCognitive WLevel: WApply W(application)
TOP: W Nursing W Process: W Diagnosis W MSC: W NCLEX: W Physiological W Integrity
5. A Wpatient Whas Wbeen Wadmitted Wto Wthe Whospital Wfor Wsurgery Wand Wtells Wthe Wnurse, WI Wdo Wnot
Wfeel Wcomfortable Wleavingmy W children Wwith W my W parents. W Which Waction W should Wthe
W nurse Wtake W next?
a. Reassure Wthe Wpatient Wthat Wthese Wfeelings Ware Wcommon Wfor Wparents.
b. Have Wthe Wpatient Wcall Wthe Wchildren Wto Wensure Wthat Wthey Ware Wdoing Wwell.
c. Gather Wmore Wdata Wabout Wthe Wpatients Wfeelings Wabout Wthe Wchild-care Warrangements.
d. Call Wthe Wpatients Wparents Wto Wdetermine Wwhether Wadequate Wchild Wcare Wis Wbeing Wprovided.
ANS: WC
Since Wa Wcomplete Wassessment Wis Wnecessary Win Worder Wto Widentify Wa Wproblem Wand Wchoose Wan
Wappropriate Wintervention, Wthe Wnurses Wfirst Waction W should Wbe Wto Wobtain Wmore Winformation. W The
Wother Wactions Wmay Wbeappropriate, Wbut W more Wassessment Wis Wneeded Wbefore Wthe Wbest Wintervention
Wcan Wbe Wchosen.
DIF: WCognitive WLevel: WApply W(application)
OBJ: W Special W Questions: W Prioritization W TOP: W Nursing W Process:
AssessmentMSC: W NCLEX: W Psychosocial W Integrity
6. A Wpatient Wwith Wa Wbacterial Winfection Whas Wa Wnursing Wdiagnosis Wof Wdeficient Wfluid Wvolume
Wrelated Wto Wexcessivediaphoresis. W Which Woutcome W would Wthe Wnurse Wrecognize Was Wmost
Wappropriate Wfor Wthis Wpatient?
a. Patient Whas Wa Wbalanced Wintake Wand Woutput.
b. Patients Wbedding Wis Wchanged Wwhen Wit Wbecomes Wdamp.
c. Patient Wunderstands Wthe Wneed Wfor Wincreased Wfluid Wintake.
d. Patients Wskin Wremains Wcool Wand Wdry Wthroughout Whospitalization.
ANS: WA
This Wstatement Wgives Wmeasurable Wdata Wshowing Wresolution Wof Wthe Wproblem Wof Wdeficient Wfluid
Wvolume Wthat Wwasidentified Win Wthe Wnursing Wdiagnosis Wstatement. WThe Wother Wstatements Wwould Wnot
Windicate Wthat Wthe Wproblem Wof Wdeficient Wfluid Wvolume W was Wresolved.
DIF: WCognitive WLevel: WApply W(application)
TOP: W Nursing W Process: W Planning W MSC: W NCLEX: W Physiological W Integrity
7. A Wnurse Wasks Wthe Wpatient Wif Wpain Wwas Wrelieved Wafter Wreceiving Wmedication. WWhat Wis
Wthe Wpurpose Wof Wtheevaluation Wphase Wof Wthe Wnursing Wprocess?
