CLINICAL TEST BANK:
IMPLEMENTATION EXAM QUESTIONS
AND ANSWERS
C) ignoring the developmental needs of older adults - Answer-The staff in a long-
term care facility often plays loud rock music on the radio and designs childrens
games as exercise. What is the staff doing in this situation?
A) considering the hearing level of older adults
B) failing to consider visual deficits that occur with aging
C) ignoring the developmental needs of older adults
D) meeting needs for sensory input and exercise
D) In the eyes of the law, if it is not documented, it was not done. - Answer-A nurse
administers a medication for pain but forgets to document it in the patients medical
record. Legally, what does this mean?
A) Nothing, the nurses honesty will not be questioned.
B) The nurse can add the documentation after the patient goes home.
C) The physician will verify that the nurse carried out the order.
D) In the eyes of the law, if it is not documented, it was not done.
C) The nurse transfers responsibility but is accountable for the outcome. - Answer-A
nurse delegates a specific intervention to a UAP. What implications does this have
for the nurse?
A) The UAP is responsible and accountable for his or her own actions.
B) Nurses do not have authority to delegate interventions.
C) The nurse transfers responsibility but is accountable for the outcome.
D) The UAP can function in an independent role for all interventions.
A) nurses - Answer-According to the American Nurses Association, who determines
the scope of nursing practice?
A) nurses
B) lawyers
C) physicians
D) consumers
D) good personal health - Answer-What characteristic of a competent nurse
practitioner enables nurses to be role models for patients?
A) sense of humor
B) writing ability
C) organizational skills
D) good personal health
C) nurse/patient dynamic - Answer-What core value of nursing care is missing when
a nursing intervention is delegated to a UAP?
A) communication
B) patient teaching
C) nurse/patient dynamic
, D) competent care
A) patient response to health and illness - Answer-What is the unique focus of
nursing implementation?
A) patient response to health and illness
B) patient response to nursing diagnosis
C) patient compliance with treatment regimen
D) patient interview and physical assessment
A) to standardize nomenclature (names or terms) - Answer-What is one advantage
of having a standard classification of nursing interventions?
A) to standardize nomenclature (names or terms)
B) to legitimize the use of the nursing process
C) to classify indicators of patient outcomes
D) to facilitate documentation of expected goals
C) Written plans are developed that specify nursing activities for this skill. - Answer-A
nurse is changing a sterile pressure ulcer dressing based on an established protocol.
What does this
mean?
A) The nurse is using critical thinking to implement the dressing change.
B) The patient has specified how the dressing should be changed.
C) Written plans are developed that specify nursing activities for this skill.
D) The physician verbally requested specific steps of the dressing change.
D) The physician gives a verbal or written order. - Answer-What must occur before
physician-initiated interventions can be carried out?
A) They must be written on the nursing plan of care.
B) The nurse relinquishes all responsibility for them.
C) Any healthcare provider may order them.
D) The physician gives a verbal or written order.
D) to be sure the intervention is safe - Answer-A patient who was previously awake
and alert suddenly becomes unconscious. The nursing plan of care
includes an order to increase oral intake. Why would the nurse review the plan of
care?
A) to implement evidence-based practice
B) to ensure the order follows hospital policy
C) to be sure interventions are individualized
D) to be sure the intervention is safe
B) Ask the patient if visitors should remain in the room. - Answer-A nurse is
preparing to insert an intravenous line and begin administering intravenous fluids.
The
patient has visitors in the room. What should the nurse do?
A) Ask the visitors to leave the room.
B) Ask the patient if visitors should remain in the room.
C) Tell the patient to ask the visitors to leave the room.
D) Wait until the visitors leave to begin the procedure.
IMPLEMENTATION EXAM QUESTIONS
AND ANSWERS
C) ignoring the developmental needs of older adults - Answer-The staff in a long-
term care facility often plays loud rock music on the radio and designs childrens
games as exercise. What is the staff doing in this situation?
A) considering the hearing level of older adults
B) failing to consider visual deficits that occur with aging
C) ignoring the developmental needs of older adults
D) meeting needs for sensory input and exercise
D) In the eyes of the law, if it is not documented, it was not done. - Answer-A nurse
administers a medication for pain but forgets to document it in the patients medical
record. Legally, what does this mean?
A) Nothing, the nurses honesty will not be questioned.
B) The nurse can add the documentation after the patient goes home.
C) The physician will verify that the nurse carried out the order.
D) In the eyes of the law, if it is not documented, it was not done.
C) The nurse transfers responsibility but is accountable for the outcome. - Answer-A
nurse delegates a specific intervention to a UAP. What implications does this have
for the nurse?
A) The UAP is responsible and accountable for his or her own actions.
B) Nurses do not have authority to delegate interventions.
C) The nurse transfers responsibility but is accountable for the outcome.
D) The UAP can function in an independent role for all interventions.
A) nurses - Answer-According to the American Nurses Association, who determines
the scope of nursing practice?
A) nurses
B) lawyers
C) physicians
D) consumers
D) good personal health - Answer-What characteristic of a competent nurse
practitioner enables nurses to be role models for patients?
A) sense of humor
B) writing ability
C) organizational skills
D) good personal health
C) nurse/patient dynamic - Answer-What core value of nursing care is missing when
a nursing intervention is delegated to a UAP?
A) communication
B) patient teaching
C) nurse/patient dynamic
, D) competent care
A) patient response to health and illness - Answer-What is the unique focus of
nursing implementation?
A) patient response to health and illness
B) patient response to nursing diagnosis
C) patient compliance with treatment regimen
D) patient interview and physical assessment
A) to standardize nomenclature (names or terms) - Answer-What is one advantage
of having a standard classification of nursing interventions?
A) to standardize nomenclature (names or terms)
B) to legitimize the use of the nursing process
C) to classify indicators of patient outcomes
D) to facilitate documentation of expected goals
C) Written plans are developed that specify nursing activities for this skill. - Answer-A
nurse is changing a sterile pressure ulcer dressing based on an established protocol.
What does this
mean?
A) The nurse is using critical thinking to implement the dressing change.
B) The patient has specified how the dressing should be changed.
C) Written plans are developed that specify nursing activities for this skill.
D) The physician verbally requested specific steps of the dressing change.
D) The physician gives a verbal or written order. - Answer-What must occur before
physician-initiated interventions can be carried out?
A) They must be written on the nursing plan of care.
B) The nurse relinquishes all responsibility for them.
C) Any healthcare provider may order them.
D) The physician gives a verbal or written order.
D) to be sure the intervention is safe - Answer-A patient who was previously awake
and alert suddenly becomes unconscious. The nursing plan of care
includes an order to increase oral intake. Why would the nurse review the plan of
care?
A) to implement evidence-based practice
B) to ensure the order follows hospital policy
C) to be sure interventions are individualized
D) to be sure the intervention is safe
B) Ask the patient if visitors should remain in the room. - Answer-A nurse is
preparing to insert an intravenous line and begin administering intravenous fluids.
The
patient has visitors in the room. What should the nurse do?
A) Ask the visitors to leave the room.
B) Ask the patient if visitors should remain in the room.
C) Tell the patient to ask the visitors to leave the room.
D) Wait until the visitors leave to begin the procedure.
