A new nurse asks the preceptor to describe the primary purpose
of evaluation. Which statement made by the nursing preceptor is
most accurate?
Select one:
a. "Evaluation eliminates unnecessary paperwork and care
planning."
b. "During evaluation, you determine when to downsize staffing
on nursing units."
c. "Nurses use evaluation to determine the effectiveness of
nursing care."
d. "An evaluation helps you determine whether all nursing
interventions were completed." Correct Answers C
A nurse identifies that a patient is having a localized
inflammatory response. Which response supports this
conclusion?
Select one:
a.
Erythema
b.
Bradypnea
c.
Fever
d.
Tachycardia Correct Answers A
A nurse is caring for a group of patients. Which patient should
the nurse see first?
Select one:
, a. A patient with thick secretions is being tracheal suctioned first
and then orally
b. A patient with continued hypercapnia wearing an oxygen
mask
c. A patient with a chest tube ambulating with the chest tube
unclamped
d. A patient with a new tracheostomy and tracheostomy
obturator at bedside Correct Answers B
A nurse is caring for a male patient with urinary retention.
Which action should the nurse take first?
Select one:
a. Limit fluid intake.
b. Insert a urinary catheter.
c. Ask for a diuretic medication.
d. Assist to a standing position. Correct Answers D
A nurse teaches a patient about atelectasis. Which statement by
the patient indicates an understanding of atelectasis?
Select one:
a. "Atelectasis affects only those with chronic conditions such as
emphysema."
b. "If I develop atelectasis, I will need a chest tube to drain
excess fluid."
c. "Hyperventilation will open up my alveoli, preventing
atelectasis."
d. "It is important to do breathing exercises every hour to
prevent atelectasis." Correct Answers D
A patient has a urinary retention catheter (foley). What is most
important when the nurse cares for this patient?