QUESTIONS WITH CORRECT ANSWERS
◉ a patient comes to the ED complaining of n/v, what should the
nurse ask the patient about first?
a- family hx of diabetes
b- medication the patient is taking
c- operations the patient has had in the past
d- severity and duration of the n/v. Answer: d
◉ An alert, oriented patient is admitted to the hospital with chest
pain. Who is the best source of primary data on this patient?
a. Family member
b. Physician
c. Another nurse
d. Patient. Answer: d
◉ what is the primary purpose of the nursing diagnosis?
a- resolve patient confusion
b- communicating patient needs
c- meeting accreditation requirements
d- articulating the nursing scope of practice. Answer: b
,◉ On what premise is a nursing diagnosis identified for a patient?
a. First impressions
b. Nursing intuition
c. Clustered data
d. Medical diagnoses. Answer: c
◉ which statement is an appropriately written short term goal?
a- pt will walk to bathroom independently without falling within two
days after surgery
b- nurse will watch patient demonstrate proper insulin injection
technique each morning
c- patient's spouse will express satisfaction with the patient's
progress before discharge
d- patient's incision will be well approximated each time it is
assessed by the nurse. Answer: a
◉ which nursing action is critical before delegating interventions to
another member of the health care team?
a- locate all members of health care team
b- notify the physical of potential complications
c- know the scope of practice and competency of the other team
member
, d- call a meeting of the healthcare team to determine needs of
patient. Answer: c
◉ what should be the primary focus for nursing interventions?
a- patient needs
b- nurse concerns
c- physician priorities
d- patient's family requests. Answer: a
◉ a patient reports feeling tired and complains of not sleeping at
night. what action should the nurse perform first?
a- identify the reasons the patient is unable to sleep
b- request medication to help the patient sleep
c- tell the patient that sleep will come with relaxation
d- notify the physician that the patient is restless and anxious.
Answer: a
◉ what action should the nurse take regarding a patient's plan of
care if the patient appears to have met the short term goal of
urinating one hour after surgery?
a- consult the surgeon to see if the clinical pathway is being followed
b- discontinue the plan of care, because the patient has met the
established goal