PN & Nursing Process NCLEX Style Questions With certified Answer.

A nurse is caring for a client with a lung disorder. Which nursing actions achieve the primary goal of nursing? Select all that apply. a.) Encouraging the client's healthy habits b.) Communicating with the client c.) Providing a non-individualized nursing care plan d.) Assisting the client in activities of daily living e.) Delaying the participation of the client's family - correct answer Answer: a, b, d a.) Encouraging the client's healthy habits b.) Communicating with the client d.) Assisting the client in activities of daily living Place the steps of the nursing process in the correct order: Implementation Nursing assessment Nursing diagnosis Evaluation Planning - correct answer 1.) Nursing assessment 2.) Nursing diagnosis 3.) Planning 4.) Implementation 5.) Evaluation The nurse obtains information regarding health problems from a newly admitted client and documents them systematically. Which step of the nursing process does the nurses' action represent? a.) Implementing care b.) Identifying the goal or plan c.) Evaluating the plan d.) Nursing assessment - correct answer Answer: d d.) Nursing assessment A client who has met the short-term goals of treatment will be discharged the next day. The nurse is preparing a care plan for the client to meet long-term goals. What factor about the nursing care plan should the nurse keep in mind when preparing it? a.) Experimental b.) Task oriented c.) Generic d.) Client oriented - correct answer Answer: d d.) Client oriented After measuring a client's vital signs, the nurse determines that the outcome of treatment being provided is not as expected. What nursing intervention should be performed? a.) Change to a trail and error method for solving the problem b.) Adopt a care plan devised for another client with similar challenges c.) Reassess, re-evaluate, and revise the nursing care plan d.) Implement existing care plan and manage adverse reactions - correct answer Answer: c c.) Reassess, re-evaluate, and revise the nursing care plan The nurse delegates the task of measuring a clients' vital signs to an unlicensed assistive personnel. After receiving the vital signs, what will the nurse do with this data? Select all that apply. a.) Compare how the vital signs were measured. b.) Analyze the vital signs to determine which ones are of high importance. c.) Examine where the client was when the vital signs were assessed. d.) Determine the relationship of the vital signs obtained with the client's condition. e.) Analyze what equipment was used to measure the vital signs. - correct answer Answer: b & d b.) Analyze the vital signs to determine which ones are of high importance. d.) Determine the relationship of the vital signs obtained with the client's condition. When caring for a client with neuropathic pain the nurse uses ice, heat, pillows, and position changes to try to help reduce the client's pain. The method the nurse is using to help this client is: a.) Critical thinking b.) Scientific method c.) Nursing process d.) Trail and error - correct answer Answer: d d.) Trail and error Which step of the nursing process is the nurse implementing when identifying the statement of a client's potential and actual problem? a.) Nursing diagnosis b.) Implementation c.) Planning d.) Assessment - correct answer Answer: a a.) Nursing diagnosis Before providing a client with a prescribe medication the nurse assesses the client's heart rate and blood pressure. This reassessment is an example of which characteristic of the nursing process? a.) Continuous b.) Nursing diagnosis c.) Implementation d.) Goal-oriented - correct answer Answer: a a.) Continuous Which observation would indicate that interventions to help reduce a client's intake of sodium to control blood pressure have been effective