{NGN} PN PHARMACOLOGY 5 5 5
PROCTORED LATEST EXAM ǪUESTIO 5 5 5
NS WITH COMPLETE &VERIFIED RATIO
5 5 5 5 5
NALES AND ANSWERS 2023/20245 5 5
A5 nurse5 is5 providing5 nursing5 care5 to5 patients5 after5 completing5 a5 care5plan5 from5 nursing5 diagnoses.5 Inwhich5step5of
the5nursing5process5is5the5nurse?
5
Assessment5Pl
anning5Implem
entation5Evalua
tion
ANS:5C
Implementation,5the5fourth5step5of5the5nursing5process,5formally5begins5after5a5nurse5develops5a5plan5of5care.5With5a5care
5 plan5based5on5clear5and5relevant5nursing5diagnoses,5a5nurse5initiates5interventions5that5are5designed5to5assist5the5patie
nt5in5achieving5the5goals5and5expected5outcomes5needed5to5support5or5improve5the5patient’s5health5status.5The5nur
se5gathers5data5during5the5assessment5phase5and5mutually5sets5goals5and5prioritizes5care5during5the5planning5phase.5Duri
ng
,the5evaluation5phase,5the5nurse5determines5the5achievement5of5goals5and5effectiveness5of5interventions.
The5nurse5is5teaching5a5new5nurse5about5protocols.5Which
information5from5the5new5nurse5indicates5a5correct5understanding5of5theteaching?
Protocols5are5guidelines5to5follow5that5replace5the5nursing5care5plan.
Protocols5assist5the5clinician5in5making5decisions5and5choosing5interven
tions5for5specific5health5care5problems5or5conditions.
Protocols5are5policies5designating5each5nurse’s5duty5according5to
standards5of5care5and5a5code5of5ethics.
Protocols5are5prescriptive5order5forms5that5help5individualize5the5plan5ofcare.5AN
S:5B
A5clinical5practice5guideline5or5protocol5is5a5systematically5developed5set5of5statements5that5helps5nurses,5physicians,5an
d5other5health5care5providers5make5decisions5about5appropriate5health5care5for5specific5clinical5situations.5This5guideline5
establishes5interventions5for5specific5health5care5problems5or5conditions.5The5protocol5does5not5replace5the5nursing5care5
plan.5Evidence-
5 based5guidelines5from5protocols5can5be5incorporated5into5an5individualized5plan5of5care.5A5clinical5guideline5is5not
the5same5as5a5hospital5policy.
5
Standing
orders5contain5orders5for5the5care5of5a5specific5group5of5patients.5A5protocol5is
15
not5a5prescriptive5order5form5like5a5standing5order.
, The5standing5orders5for5a5patient5include5acetaminophen56505mg5every545hours5prn5for5headache.5Afterassessing5the5patie
nt,5the5nurse5identifies5the
need5for5headache5relief5and5determines5that5the5patient5has5not5had5acetaminophen5in5the5past545hours.5Which5action5
will5the5nurse5take5next?
Administer5the5acetaminophen.
Notify5the5health5care5provider5to5obtain5a5verbal5order.
Direct5the5nursing5assistive5personnel5to5give5the5acetaminophen.5Perform5a5pain5assessment5only5afteradministeringthe5a
555
cetaminophen.
ANS:5A
A5standing5order5is5a5preprinted5document5containing5orders5for5the5conduct5of5routine5therapies,5monitoring5guidelines,
5 and/or5diagnostic5procedures5for5specific5patients5with5identified5clinical5problems.5The5nurse5will5administer5the5
medication.5Notifying5the5health5care5provider5is5not5necessary5if5a5standing5order5exists.5The5nursing5assistive5personne
l5are5not5licensed5to5administer5medications;5therefore,5medication5administration5should5not5be5delegated5to5this5person
.5A5pain5assessment5should5be5performed5before5andafter5pain5medication5administration5to5assess5the5need5for5a
nd5effectivenessof5the5medication.
Which5action5indicates5a5nurse5is5using5critical5thinking5forimplementation5of5nursing5care5to5patients?
Determines5whether5an5intervention5is5correct5and5appropriate5for5the
a.5given5situation
Rea5 d5s5over5the5steps5and5performs5a5procedure5despite5lack5of5clinicalcompetency
b5 .
c.5Establishes5goals5for5a5particular5patient5without5assessment
d.5 Evaluates5the5effectiveness5of5interventions
, ANS:5A
As5you5implement5interventions,5use5critical5thinking5to5confirm5whether5the5interventions5are5correct5and5still5appropriate
5 for5a5patient’s5clinical5situation.5You5are5responsible5for5having5the5necessary5knowledge5and5clinical5competency5t
o5perform5interventions5for5your5patients5safely5and5effectively.5The5nurse5needs5to5recognize5the5safety5hazards5o
f5performing5an5intervention5without5clinical5competency5and5seek5assistance5from5another5nurse.5The
nurse5cannot5evaluate5interventions5until5they5are5implemented.5Patients5need525ongoin
g5assessment5before5establishing5goals5because5patient5conditions5can
PROCTORED LATEST EXAM ǪUESTIO 5 5 5
NS WITH COMPLETE &VERIFIED RATIO
5 5 5 5 5
NALES AND ANSWERS 2023/20245 5 5
A5 nurse5 is5 providing5 nursing5 care5 to5 patients5 after5 completing5 a5 care5plan5 from5 nursing5 diagnoses.5 Inwhich5step5of
the5nursing5process5is5the5nurse?
5
Assessment5Pl
anning5Implem
entation5Evalua
tion
ANS:5C
Implementation,5the5fourth5step5of5the5nursing5process,5formally5begins5after5a5nurse5develops5a5plan5of5care.5With5a5care
5 plan5based5on5clear5and5relevant5nursing5diagnoses,5a5nurse5initiates5interventions5that5are5designed5to5assist5the5patie
nt5in5achieving5the5goals5and5expected5outcomes5needed5to5support5or5improve5the5patient’s5health5status.5The5nur
se5gathers5data5during5the5assessment5phase5and5mutually5sets5goals5and5prioritizes5care5during5the5planning5phase.5Duri
ng
,the5evaluation5phase,5the5nurse5determines5the5achievement5of5goals5and5effectiveness5of5interventions.
The5nurse5is5teaching5a5new5nurse5about5protocols.5Which
information5from5the5new5nurse5indicates5a5correct5understanding5of5theteaching?
Protocols5are5guidelines5to5follow5that5replace5the5nursing5care5plan.
Protocols5assist5the5clinician5in5making5decisions5and5choosing5interven
tions5for5specific5health5care5problems5or5conditions.
Protocols5are5policies5designating5each5nurse’s5duty5according5to
standards5of5care5and5a5code5of5ethics.
Protocols5are5prescriptive5order5forms5that5help5individualize5the5plan5ofcare.5AN
S:5B
A5clinical5practice5guideline5or5protocol5is5a5systematically5developed5set5of5statements5that5helps5nurses,5physicians,5an
d5other5health5care5providers5make5decisions5about5appropriate5health5care5for5specific5clinical5situations.5This5guideline5
establishes5interventions5for5specific5health5care5problems5or5conditions.5The5protocol5does5not5replace5the5nursing5care5
plan.5Evidence-
5 based5guidelines5from5protocols5can5be5incorporated5into5an5individualized5plan5of5care.5A5clinical5guideline5is5not
the5same5as5a5hospital5policy.
5
Standing
orders5contain5orders5for5the5care5of5a5specific5group5of5patients.5A5protocol5is
15
not5a5prescriptive5order5form5like5a5standing5order.
, The5standing5orders5for5a5patient5include5acetaminophen56505mg5every545hours5prn5for5headache.5Afterassessing5the5patie
nt,5the5nurse5identifies5the
need5for5headache5relief5and5determines5that5the5patient5has5not5had5acetaminophen5in5the5past545hours.5Which5action5
will5the5nurse5take5next?
Administer5the5acetaminophen.
Notify5the5health5care5provider5to5obtain5a5verbal5order.
Direct5the5nursing5assistive5personnel5to5give5the5acetaminophen.5Perform5a5pain5assessment5only5afteradministeringthe5a
555
cetaminophen.
ANS:5A
A5standing5order5is5a5preprinted5document5containing5orders5for5the5conduct5of5routine5therapies,5monitoring5guidelines,
5 and/or5diagnostic5procedures5for5specific5patients5with5identified5clinical5problems.5The5nurse5will5administer5the5
medication.5Notifying5the5health5care5provider5is5not5necessary5if5a5standing5order5exists.5The5nursing5assistive5personne
l5are5not5licensed5to5administer5medications;5therefore,5medication5administration5should5not5be5delegated5to5this5person
.5A5pain5assessment5should5be5performed5before5andafter5pain5medication5administration5to5assess5the5need5for5a
nd5effectivenessof5the5medication.
Which5action5indicates5a5nurse5is5using5critical5thinking5forimplementation5of5nursing5care5to5patients?
Determines5whether5an5intervention5is5correct5and5appropriate5for5the
a.5given5situation
Rea5 d5s5over5the5steps5and5performs5a5procedure5despite5lack5of5clinicalcompetency
b5 .
c.5Establishes5goals5for5a5particular5patient5without5assessment
d.5 Evaluates5the5effectiveness5of5interventions
, ANS:5A
As5you5implement5interventions,5use5critical5thinking5to5confirm5whether5the5interventions5are5correct5and5still5appropriate
5 for5a5patient’s5clinical5situation.5You5are5responsible5for5having5the5necessary5knowledge5and5clinical5competency5t
o5perform5interventions5for5your5patients5safely5and5effectively.5The5nurse5needs5to5recognize5the5safety5hazards5o
f5performing5an5intervention5without5clinical5competency5and5seek5assistance5from5another5nurse.5The
nurse5cannot5evaluate5interventions5until5they5are5implemented.5Patients5need525ongoin
g5assessment5before5establishing5goals5because5patient5conditions5can
