Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is caring for a patient with new-onset confusion. What is the priority nursing action?
a. Notify the family
b. Give a sedative
✔✔c. Assess oxygen saturation
d. Reorient the patient every hour
During the planning phase of the nursing process, what should the nurse focus on?
a. Collecting data
✔✔b. Creating measurable and achievable goals
c. Administering medications
d. Performing procedures
A patient is refusing treatment due to personal beliefs. What is the most appropriate nursing
response?
a. Convince the patient to comply
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, ✔✔b. Respect the refusal and notify the provider
c. Document that the patient is noncompliant
d. Call security for support
What is the first step of the nursing process?
a. Planning
b. Diagnosis
✔✔c. Assessment
d. Evaluation
A nurse notices a sudden drop in a patient’s blood pressure. What should the nurse do first?
a. Call the family
b. Increase IV fluids
✔✔c. Reassess the blood pressure to confirm accuracy
d. Administer pain medication
The nurse is caring for a client with a new diagnosis of diabetes. What is the best example of an
evaluation step?
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