PROCTORED LATEST EXAM a a a
a QUESTIONS WITH COMPLETE a a
GVERIFIED RATIONALES AND
a a a a a
a ANSWERS 2024/2025 a
A anurse ais aproviding anursing acare ato apatients aafter acompleting aa acare aplan afrom anursing adiagnoses.
a Inwhich astep aof athe anursing aprocess ais athe anurse?
Assessment
a Planning
a Implementation
Evaluation
a
ANS: aC
Implementation, athe afourth astep aof athe anursing aprocess, aformally abegins aafter aa anurse adevelops aa aplan aof acare. aWith
a a acare aplan abased aon aclear aand arelevant anursing adiagnoses, aa anurse ainitiates ainterventions athat aare adesigned ato
a assist athe apatient ain aachieving athe agoals aand aexpected aoutcomes aneeded ato asupport aor aimprove athe apatient’s
health astatus. aThe anurse agathers adata aduring athe aassessment aphase aand amutually asets
a a goals aand aprioritizes acare
,during athe aplanning aphase. aDuring
a
,the aevaluation aphase, athe anurse adetermines athe aachievement aof agoals aand aeffectiveness aof ainterventions.
The anurse ais ateaching aa anew anurse aabout aprotocols. aWhich
information afrom athe anew anurse aindicates aa acorrect aunderstanding aof atheteaching?
Protocols aare aguidelines ato afollow athat areplace athe anursing acare aplan.
Protocols aassist athe aclinician ain amaking adecisions aand achoosing
a interventions afor aspecific ahealth acare aproblems aor aconditions.
Protocols a are a policies a designating a each a nurse’s a duty a according a to
standards aof acare aand aa acode aof aethics.
Protocols aare aprescriptive aorder aforms athat ahelp aindividualize athe aplan
a ofcare. aANS: aB
A aclinical apractice aguideline aor aprotocol ais aa asystematically adeveloped aset aof astatements athat ahelps anurses,
a physicians, aand aother ahealth acare aproviders amake adecisions aabout aappropriate ahealth acare afor aspecific aclinical
situations. aThis aguideline aestablishes ainterventions afor aspecific ahealth acare aproblems aor aconditions. aThe aprotocol
a
does anot areplace athe anursing acare aplan. aEvidence- abased aguidelines afrom aprotocols acan abe aincorporated ainto
a
a an aindividualized aplan aof acare. aA aclinical aguideline ais anot athe asame aas aa ahospital apolicy.
Standing
orders acontain aorders afor athe acare aof aa aspecific agroup aof apatients. aA
1
protocol ais
a
a
not aa aprescriptive aorder aform alike aa astanding aorder.
, The astanding aorders afor aa apatient ainclude aacetaminophen a650 amg aevery a4 ahours aprn afor aheadache.aAfterassessing
a the apatient, athe anurse aidentifies athe
need afor aheadache arelief aand adetermines athat athe apatient ahas anot ahad aacetaminophen ain athe apast a4 ahours.
a Which aaction awill athe anurse atake anext?
Administer athe aacetaminophen.
Notify athe ahealth acare aprovider ato aobtain aa averbal aorder.
Direct athe anursing aassistive apersonnel ato agive athe aacetaminophen. aPerform aa apain aassessment aonly
aafteradministeringthe aacetaminophen.
ANS: aA
A astanding aorder ais aa apreprinted adocument acontaining aorders afor athe aconduct aof aroutine atherapies, amonitoring
a guidelines, aand/or adiagnostic aprocedures afor aspecific apatients awith aidentified aclinical aproblems. aThe anurse
will aadminister athe amedication. aNotifying athe ahealth acare aprovider ais anot anecessary aif aa astanding aorder aexists.
a
The anursing aassistive apersonnel aare anot alicensed ato aadminister amedications; a therefore, amedication aadministration
a
a should anot abe adelegated ato athis aperson. a A apain aassessment ashould abe aperformed abefore aandafter apain
medication aadministration ato aassess athe aneed afor aand aeffectivenessof athe amedication.
a
Which aaction aindicates aa anurse ais ausing acritical athinking aforimplementation aof anursing acare ato apatients?
Determines awhether aan aintervention ais acorrect aand aappropriate afor athe
a. agiven asituation
Rea a d as aover athe asteps aand aperforms aaaprocedure adespite alack aof aclinicalcompetency
b a .
c. aEstablishes agoals afor aa aparticular apatient awithout aassessment
d. a Evaluates athe aeffectiveness aof ainterventions