{NGN} PN PHARMACOLOGY PROC
j j j
TORED LATEST EXAM QUESTIONS j j j j
WITH COMPLETE &VERIFIED RATI
j j j j
ONALES AND ANSWERS 2023/2024 j j j
Aj nursej isj providingj nursingj carej toj patientsj afterj completingj aj carejplanj fromj nursingj diagnoses.j Injwhichj
stepjofjthejnursingjprocessjisjthejnurse?
AssessmentjPl
anningjImplem
entationjEvaluat
ion
ANS:jC
Implementation,jthejfourthjstepjofjthejnursingjprocess,jformallyjbeginsjafterjajnursejdevelopsjajplanjofjcare.jW ithjaj
carejplanjbasedjonjclearjandjrelevantjnursingjdiagnoses,jajnursejinitiatesjinterventionsjthatjarejdesignedjtojassistj
thejpatientjinjachievingjthejgoalsjandjexpectedjoutcomesjneededjtojsupportjorjimprovejthejpatient’sjhealthjstatus.j
Thejnursejgathersjdatajduringjthejassessmentjphasejandjmutuallyjsetsj goalsjandjprioritizesjcarejduringjthejplann
ingjphase.jDuringjthejevaluationjphase,jthejnursejdeterminesjthejachievementjofjgoalsjandjeffectivenessjofjinterv
entions.
Thejnursejisjteachingjajnewjnursejaboutjprotocols.jWhich
informationjfromjthejnewjnursejindicatesjajcorrectjunderstandingjofjtheteaching?
Protocolsjarejguidelinesjtojfollowjthatjreplacejthejnursingjcarejplan.
Protocolsjassistjthejclinicianjinjmakingjdecisionsjandjchoosingjinter
ventionsjforjspecificjhealthjcarejproblemsjorjconditions.
Protocolsjarejpoliciesjdesignatingjeachjnurse’sjdutyjaccordingjtojsta
ndardsjofjcarejandjajcodejofjethics.
Protocolsjarejprescriptivejorderjformsjthatjhelpjindividualizejthejplanjofjcar
e.
ANS:jB
Ajclinicaljpracticejguidelinejorjprotocoljisjajsystematicallyjdevelopedjsetjofjstatementsjthatjhelpsjnurses,jphysician
s,jandjotherjhealthjcarejprovidersjmakejdecisionsjaboutjappropriatejhealthjcarejforjspecificjclinicaljsituations.jThisj
guidelinejestablishesjinterventionsjforjspecificjhealthjcarejproblemsjorjconditions.jThejprotocoljdoesjnotjreplacejt
hejnursingjcarejplan.jEvidence-
jbasedjguidelinesjfrom jprotocolsjcanjbejincorporatedj intoj anj individualizedj planj ofj care.j Aj clinicalj guidelinej isj no
tj thej samej asj aj hospitalj policy.
Standing
1
ordersjcontainjordersjforjthejcarejofjajspecificjgroupjofjpatients.jAjprotocoljisjjjjj
notjajprescriptivejorderjformjlikejajstandingjorder.
, Thej standingj ordersj forj aj patientj includej acetaminophenj 650j mgj everyj4j hoursj prnj forjheadache.jAfterjassess
ingjthejpatient,jthejnursejidentifiesjthe
needjforjheadachejreliefjandjdeterminesjthatjthejpatientjhasjnotjhadjacetaminophenjinjthejpastj4jhours.jWhichjact
ionjwilljthejnursejtakejnext?
Administerjthejacetaminophen.
Notifyjthejhealthjcarejproviderjtojobtainjajverbaljorder.
Directj thej nursingj assistivejpersonneljtoj givejthej acetaminophen.jPerformj aj painj assessmentjonlyjafterjadminist
eringthe
acetaminophen.
ANS:jA
Ajstandingjorderjisjajpreprintedjdocumentjcontainingjordersjforjthejconductjofjroutinejtherapies,jmonitoringjguideli
nes,jand/orjdiagnosticjproceduresjforjspecificjpatientsjwithjidentifiedjclinicaljproblems.jThejnursejwilljadministerjt
hejmedication.jNotifyingjthejhealthjcarejproviderjisjnotjnecessaryjifjajstandingjorderjexists.jThejnursingjassistivejp
ersonneljarejnotjlicensedjtojadministerjmedications;jtherefore,jmedicationjadministrationjshouldjnotjbejdelegated
jtojthisjperson.jAjpainjassessmentjshouldjbejperformedjbeforejandafterjpainjmedicationjadministrationjtojassessjt
hejneedjforjandjeffectivenessofjthejmedication.
Whichjactionjindicatesjajnursejisjusingjcriticaljthinkingjforimplementationjofjnursingjcarejtojpatients?
Determinesjwhetherjanjinterventionjisjcorrectjandjappropriatejforjthe
a.j givenjsituation
Reaj djsjoverjthejstepsjandjperformsjajprocedurejdespitejlackjofjclinicalcompetency
bj .
c.j Establishesjgoalsjforjajparticularjpatientjwithoutjassessment
d.j Evaluatesjthejeffectivenessjofjinterventions
ANS:jA
Asjyoujimplementjinterventions,jusejcriticaljthinkingjtojconfirmjwhetherjthejinterventionsjarejcorrectjandjstilljappro
priatejforjajpatient’sjclinicaljsituation.jYoujarejresponsiblejforjhavingjthejnecessaryjknowledgejandjclinicaljcompet
encyjtojperformjinterventionsjforjyourjpatientsjsafelyjandjeffectively.jThejnursejneedsjtojrecognizejthejsafetyjhaza
rdsjofjperformingjanjinterventionjwithoutjclinicaljcompetencyjandjseekjassistancejfromjanotherjnurse.jThe
nursejcannotjevaluatejinterventionsjuntiljtheyjarejimplemented.jPatientsjneedj2jongoi
ngjassessmentjbeforejestablishingjgoalsjbecausejpatientjconditionsjcan
, changejveryjrapidly.
Ajnursejisjreviewingjajpatient’sjcarejplan.jWhichjinformation
willjthejnursejidentifyjasjajnursingjintervention?
Thejpatientjwilljambulatejinjthejhallwayjtwicejthisjshiftjusingjcrutchesjcorr
ectly.
Impairedjphysicaljmobilityjrelatedjtojinabilityjtojbearjweightjonjrightjleg.
Providejassistancejwhilejthejpatientjwalksjinjthejhallwayjtwicejthisjshiftjwithj
crutches.
Thejpatientjisjunablejtojbearjweightjonjrightjlowerjextremity.
ANS:jC
Providingjassistancejtojajpatientjwhojisjambulatingjisjajnursingjintervention.jThejstatement,j“Thejpatientjwilljambu
latejinjthejhallwayjtwicejthisjshiftjusingjcrutchesjcorrectly”jisjajpatientjoutcome.jImpairedjphysicaljmobilityisjajnursi
ngjdiagnosis.jThejstatementjthatjthejpatientjisjunablejtojbearjweightjandjambulatejcanjbejincludedjwithjassessme
ntjdatajandjisjajdefiningjcharacteristicjforjthejdiagnosisjofjImpairedj physicaljmobility.
Ajpatientjrecoveringjfromjajlegjfracturejafterjajfalljreportsjhavingjdulljpainjinjthejaffectedjlegjandjratesjitjasjaj7jonj
aj0jtoj10jscale.jThejpatientjisjnot
ablej toj walkj aroundj inj thej roomj withj crutchesj becausej ofj legj discomfort.jWhichj nursingj interventionj is
priority?
Assistjthejpatientjtojwalkjinjthejroomjwithjcrutches.
Obtainjajwalkerjforjthejpatient.jC
onsultjphysicaljtherapy.
Administerjpainjmedication.
ANS:jD
Thejpatient’sjpainjisjaj7,jindicatingjthejpriorityjisjpainjreliefj(administerjpainjmedication).jAcutejpainjisjthejpriorityjb
ecausejthejnursejcanjaddressjthejproblemjofjimmobilityjafterjthejpatientjreceivesjadequatejpainjrelief.jAssistingjth
ejpatientjtojwalkjorjobtainingjajwalkerjwilljnotjaddressjthejpainjthejpatientjisjexperiencing.
Thejnursejisjcaringjforjajpatientjwhojrequiresjajcomplexjdressing
change.jWhilejinjthejpatient’sjroom,jthejnursejdecidesjtojchangejthedressing.jWhichjactionjwilljthejnursejtakejjustj
beforejchangingjthejdressing?
Gathersjandjorganizesjneededjsupplies
3
Decidesjonjgoalsjandjoutcomesjforjthejpatient
j j j
TORED LATEST EXAM QUESTIONS j j j j
WITH COMPLETE &VERIFIED RATI
j j j j
ONALES AND ANSWERS 2023/2024 j j j
Aj nursej isj providingj nursingj carej toj patientsj afterj completingj aj carejplanj fromj nursingj diagnoses.j Injwhichj
stepjofjthejnursingjprocessjisjthejnurse?
AssessmentjPl
anningjImplem
entationjEvaluat
ion
ANS:jC
Implementation,jthejfourthjstepjofjthejnursingjprocess,jformallyjbeginsjafterjajnursejdevelopsjajplanjofjcare.jW ithjaj
carejplanjbasedjonjclearjandjrelevantjnursingjdiagnoses,jajnursejinitiatesjinterventionsjthatjarejdesignedjtojassistj
thejpatientjinjachievingjthejgoalsjandjexpectedjoutcomesjneededjtojsupportjorjimprovejthejpatient’sjhealthjstatus.j
Thejnursejgathersjdatajduringjthejassessmentjphasejandjmutuallyjsetsj goalsjandjprioritizesjcarejduringjthejplann
ingjphase.jDuringjthejevaluationjphase,jthejnursejdeterminesjthejachievementjofjgoalsjandjeffectivenessjofjinterv
entions.
Thejnursejisjteachingjajnewjnursejaboutjprotocols.jWhich
informationjfromjthejnewjnursejindicatesjajcorrectjunderstandingjofjtheteaching?
Protocolsjarejguidelinesjtojfollowjthatjreplacejthejnursingjcarejplan.
Protocolsjassistjthejclinicianjinjmakingjdecisionsjandjchoosingjinter
ventionsjforjspecificjhealthjcarejproblemsjorjconditions.
Protocolsjarejpoliciesjdesignatingjeachjnurse’sjdutyjaccordingjtojsta
ndardsjofjcarejandjajcodejofjethics.
Protocolsjarejprescriptivejorderjformsjthatjhelpjindividualizejthejplanjofjcar
e.
ANS:jB
Ajclinicaljpracticejguidelinejorjprotocoljisjajsystematicallyjdevelopedjsetjofjstatementsjthatjhelpsjnurses,jphysician
s,jandjotherjhealthjcarejprovidersjmakejdecisionsjaboutjappropriatejhealthjcarejforjspecificjclinicaljsituations.jThisj
guidelinejestablishesjinterventionsjforjspecificjhealthjcarejproblemsjorjconditions.jThejprotocoljdoesjnotjreplacejt
hejnursingjcarejplan.jEvidence-
jbasedjguidelinesjfrom jprotocolsjcanjbejincorporatedj intoj anj individualizedj planj ofj care.j Aj clinicalj guidelinej isj no
tj thej samej asj aj hospitalj policy.
Standing
1
ordersjcontainjordersjforjthejcarejofjajspecificjgroupjofjpatients.jAjprotocoljisjjjjj
notjajprescriptivejorderjformjlikejajstandingjorder.
, Thej standingj ordersj forj aj patientj includej acetaminophenj 650j mgj everyj4j hoursj prnj forjheadache.jAfterjassess
ingjthejpatient,jthejnursejidentifiesjthe
needjforjheadachejreliefjandjdeterminesjthatjthejpatientjhasjnotjhadjacetaminophenjinjthejpastj4jhours.jWhichjact
ionjwilljthejnursejtakejnext?
Administerjthejacetaminophen.
Notifyjthejhealthjcarejproviderjtojobtainjajverbaljorder.
Directj thej nursingj assistivejpersonneljtoj givejthej acetaminophen.jPerformj aj painj assessmentjonlyjafterjadminist
eringthe
acetaminophen.
ANS:jA
Ajstandingjorderjisjajpreprintedjdocumentjcontainingjordersjforjthejconductjofjroutinejtherapies,jmonitoringjguideli
nes,jand/orjdiagnosticjproceduresjforjspecificjpatientsjwithjidentifiedjclinicaljproblems.jThejnursejwilljadministerjt
hejmedication.jNotifyingjthejhealthjcarejproviderjisjnotjnecessaryjifjajstandingjorderjexists.jThejnursingjassistivejp
ersonneljarejnotjlicensedjtojadministerjmedications;jtherefore,jmedicationjadministrationjshouldjnotjbejdelegated
jtojthisjperson.jAjpainjassessmentjshouldjbejperformedjbeforejandafterjpainjmedicationjadministrationjtojassessjt
hejneedjforjandjeffectivenessofjthejmedication.
Whichjactionjindicatesjajnursejisjusingjcriticaljthinkingjforimplementationjofjnursingjcarejtojpatients?
Determinesjwhetherjanjinterventionjisjcorrectjandjappropriatejforjthe
a.j givenjsituation
Reaj djsjoverjthejstepsjandjperformsjajprocedurejdespitejlackjofjclinicalcompetency
bj .
c.j Establishesjgoalsjforjajparticularjpatientjwithoutjassessment
d.j Evaluatesjthejeffectivenessjofjinterventions
ANS:jA
Asjyoujimplementjinterventions,jusejcriticaljthinkingjtojconfirmjwhetherjthejinterventionsjarejcorrectjandjstilljappro
priatejforjajpatient’sjclinicaljsituation.jYoujarejresponsiblejforjhavingjthejnecessaryjknowledgejandjclinicaljcompet
encyjtojperformjinterventionsjforjyourjpatientsjsafelyjandjeffectively.jThejnursejneedsjtojrecognizejthejsafetyjhaza
rdsjofjperformingjanjinterventionjwithoutjclinicaljcompetencyjandjseekjassistancejfromjanotherjnurse.jThe
nursejcannotjevaluatejinterventionsjuntiljtheyjarejimplemented.jPatientsjneedj2jongoi
ngjassessmentjbeforejestablishingjgoalsjbecausejpatientjconditionsjcan
, changejveryjrapidly.
Ajnursejisjreviewingjajpatient’sjcarejplan.jWhichjinformation
willjthejnursejidentifyjasjajnursingjintervention?
Thejpatientjwilljambulatejinjthejhallwayjtwicejthisjshiftjusingjcrutchesjcorr
ectly.
Impairedjphysicaljmobilityjrelatedjtojinabilityjtojbearjweightjonjrightjleg.
Providejassistancejwhilejthejpatientjwalksjinjthejhallwayjtwicejthisjshiftjwithj
crutches.
Thejpatientjisjunablejtojbearjweightjonjrightjlowerjextremity.
ANS:jC
Providingjassistancejtojajpatientjwhojisjambulatingjisjajnursingjintervention.jThejstatement,j“Thejpatientjwilljambu
latejinjthejhallwayjtwicejthisjshiftjusingjcrutchesjcorrectly”jisjajpatientjoutcome.jImpairedjphysicaljmobilityisjajnursi
ngjdiagnosis.jThejstatementjthatjthejpatientjisjunablejtojbearjweightjandjambulatejcanjbejincludedjwithjassessme
ntjdatajandjisjajdefiningjcharacteristicjforjthejdiagnosisjofjImpairedj physicaljmobility.
Ajpatientjrecoveringjfromjajlegjfracturejafterjajfalljreportsjhavingjdulljpainjinjthejaffectedjlegjandjratesjitjasjaj7jonj
aj0jtoj10jscale.jThejpatientjisjnot
ablej toj walkj aroundj inj thej roomj withj crutchesj becausej ofj legj discomfort.jWhichj nursingj interventionj is
priority?
Assistjthejpatientjtojwalkjinjthejroomjwithjcrutches.
Obtainjajwalkerjforjthejpatient.jC
onsultjphysicaljtherapy.
Administerjpainjmedication.
ANS:jD
Thejpatient’sjpainjisjaj7,jindicatingjthejpriorityjisjpainjreliefj(administerjpainjmedication).jAcutejpainjisjthejpriorityjb
ecausejthejnursejcanjaddressjthejproblemjofjimmobilityjafterjthejpatientjreceivesjadequatejpainjrelief.jAssistingjth
ejpatientjtojwalkjorjobtainingjajwalkerjwilljnotjaddressjthejpainjthejpatientjisjexperiencing.
Thejnursejisjcaringjforjajpatientjwhojrequiresjajcomplexjdressing
change.jWhilejinjthejpatient’sjroom,jthejnursejdecidesjtojchangejthedressing.jWhichjactionjwilljthejnursejtakejjustj
beforejchangingjthejdressing?
Gathersjandjorganizesjneededjsupplies
3
Decidesjonjgoalsjandjoutcomesjforjthejpatient
