Clinical Decision Making and Judgement Test Questions and Correct Answers

By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? A. Reassess the client to determine the reasons for inadequate pain relief. B. Wait to see whether the pain lessens during the next 24 hr. C. Change the plan of care to provide different pain relief interventions. D. Teach the client about the plan of care for managing his pain. A. Reassess the client to determine the reasons for inadequate pain relief. A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when the client reported improvement. The newly licensed nurse left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation A. Assessment A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply) A. Respiratory rate is 22/min with even, unlabored respirations B. The client's partner states, "They said they hurt after walking about 10 minutes." C. The client's pain rating is 3 on a scale of 0 to 10 D. The client's skin is pink, warm and dry E. The assistive personnel reports that the client walked with a limp A. Respiratory rate is 22/min with even, unlabored respirations D. The client's skin is pink, warm and dry E. The assistive personnel reports that the client walked with a limp A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply