NGN} PN PHARMACOLOGY NGN} PN
v v v v
PHARMACOLOGY PROCTO v
RED LATEST EXAM
v v
QUESTIONS WITH COMPLETE & v v v v
VERIFIED RATIONALES AND ANSv v v
WERS 2023/2024 v
Avnursevisvprovidingvnursingv carevtovpatientsvaftervcompletingvavcarevplanvfromvnursingv diagnoses.v Invwhichv stepvofvt
hevnursingvprocessvisvthevnurse?
AssessmentvPla
nningvImplemen
tationvEvaluatio
n
ANS:vC
Implementation,vthevfourthvstepvofvthevnursingvprocess,vformallyvbeginsvaftervavnursevdevelopsvavplanvofvcare.vWithvavc
arevplanvbasedvonvclearvandvrelevantvnursingvdiagnoses,vavnursevinitiatesvinterventionsvthatvarevdesignedvtovassistvthevp
atientvinvachievingvthevgoalsvandvexpectedvoutcomesvneededvtovsupportvorvimprovevthevpatient’svhealthvstatus.vThevnu
rsevgathersvdatavduringvthevassessmentvphasevandvmutuallyvsetsvgoalsvandvprioritizesvcarevduringvthevplanningvphase.vD
uringvthevevaluationvphase,vthevnursevdeterminesvthevachievementvofvgoalsvandveffectivenessvofvinterventions.
Thevnursevisvteachingvavnewvnursevaboutvprotocols.vWhich
informationv fromv thev newv nursev indicatesv av correctv understandingv ofv theteaching?v Protocolsv arevgui
delinesvtovfollowvthatvreplacevthevnursingvcarevplan.
Protocolsvassistvthevclinicianvinvmakingvdecisionsvandvchoosingvinterventionsvforvsp
ecificvhealthvcarevproblemsvorvconditions.
Protocolsvarevpoliciesvdesignatingveachvnurse’svdutyvaccordingvtovstandardsvofv
carevandvavcodevofvethics.
Protocolsvarevprescriptivevordervformsvthatvhelpvindividualizevthevplanvofvcare.v
ANS:vB
Avclinicalvpracticevguidelinevorvprotocolvisvavsystematicallyvdevelopedvsetvofvstatementsvthatvhelpsvnurses,vphysicians,va
ndvothervhealthvcarevprovidersvmakevdecisionsvaboutvappropriatevhealthvcarevforvspecificvclinicalvsituations.vThisvguidel
inevestablishesvinterventionsvforvspecificvhealthvcarevproblemsvorvconditions.vThevprotocolvdoesvnotvreplacevthevnursin
gvcarevplan.vEvidence-
vbasedvguidelinesvfromvprotocolsvcanvbevincorporatedvintovanvindividualizedvplanvofvcare.vAvclinicalvguidelinevisvnotvthevs
amevasvavhospitalvpolicy.vStanding
, 1
ordersv containv ordersv forv thev carev ofv av specificv groupv ofv patients.v Av protocolv isv notv avprescriptiv
evordervformvlikevavstandingvorder.
Thev standingv ordersvforv avpatientvincludev acetaminophenv650v mgv everyv4v hoursv prnvforv headache.v Afterv assessingvt
hevpatient,vthevnursevidentifiesvthe
needvforvheadachevreliefvandvdeterminesvthatvthevpatientvhasvnotvhadvacetaminophenvinvthevpastv4vhours.
Whichvactionvwillvthevnursevtakevnext?vAdministervthevacetaminophen
.
Notifyvthevhealthvcarevprovidervtovobtainvavverbalvorder.
Directvthevnursingvassistivevpersonnelvtovgivevthevacetaminophen.vPerformvavpainvassessmentvonlyvafterv
administeringthe
acetaminophen.vANS:vA
Avstandingvordervisvavpreprintedvdocumentvcontainingvordersvforvthevconductvofvroutinevtherapies,vmonitoringvguidelin
es,vand/orvdiagnosticvproceduresvforvspecificvpatientsvwithvidentifiedvclinicalvproblems.vThevnursevwillvadministervthevme
dication.vNotifyingvthevhealthvcarevprovidervisvnotvnecessaryvifvavstandingvordervexists.vThevnursingvassistivevpersonnelv
arevnotvlicensedvtovadministervmedications;vtherefore,vmedicationvadministrationvshouldvnotvbevdelegatedvtovthisvperso
n.vAvpainvassessmentvshouldvbevperformedvbeforevandaftervpainvmedicationvadministrationvtovassessvthevneedvforvandvef
fectivenessofvthevmedication.
Whichv actionv indicatesv avnursev isv usingvvcriticalv thinkingv forimplementationv ofv nursingv carev tov patients?
Determinesvwhethervanvinterventionvisvcorrectvandvappropriatevforvtheva.vgivenvsituationv
Reavdvsvovervthevstepsvandvperformsvavprocedurevdespitevlackvofvclinicalcompetency
v bv .
c.v Establishesvgoalsvforvavparticularvpatientvwithoutvassessment
d.v Evaluatesvtheveffectivenessvofvinterventions
ANS:vA
Asvyouvimplementvinterventions,vusevcriticalvthinkingvtovconfirmvwhethervthevinterventionsvarevcorrectvandvstillvapprop
riatevforvavpatient’svclinicalvsituation.vYouvarevresponsiblevforvhavingvthevnecessaryvknowledgevandvclinicalvcompetencyv
tovperformvinterventionsvforvyourvpatientsvsafelyvandveffectively.vThevnursevneedsvtovrecognizevthevsafetyvhazardsvofvp
erformingvanvinterventionvwithoutvclinicalvcompetencyvandvseekvassistancevfromvanothervnurse.vThevnursevcannotveval
uatevinterventionsvuntilvtheyvarevimplemented.vPatientsvneedv2vongoingvassessmentvbeforevestablishingvgoalsvbecause
vpatientvconditionsvcan
changevveryvrapidly.
Avnursevisvreviewingvavpatient’svcarevplan.vWhichvinformation
willvthevnursevidentifyvasvavnursingvintervention?
Thevpatientvwillvambulatevinvthevhallwayvtwicevthisvshiftvusingvcrutchesvcorrectly.v
Impairedvphysicalvmobilityvrelatedvtovinabilityvtovbearvweightvonvrightvleg.
Providevassistancevwhilevthevpatientvwalksvinvthevhallwayvtwicevthisvshiftvwithv
crutches.
, Thevpatientvisvunablevtovbearvweightvonvrightvlowervextremity.
ANS:vC
Providingvassistancevtovavpatientvwhovisvambulatingvisvavnursingvintervention.vThevstatement,v“Thevpatientvwillvambulatev
invthevhallwayvtwicevthisvshiftvusingvcrutchesvcorrectly”visvavpatientvoutcome.vImpairedvphysicalvmobilityisvavnursingvdia
gnosis.vThevstatementvthatvthevpatientvisvunablevtovbearvweightvandvambulatevcanvbevincludedvwithvassessmentvdatavan
dvisvavdefiningvcharacteristicvforvthevdiagnosisvofvImpairedvphysicalvmobility.
Avpatientvrecoveringvfromvavlegvfracturevaftervavfallvreportsvhavingvdullvpainvinvthevaffectedvlegvandvratesvitvasvav7vonv
av0vtov10vscale.vThevpatientvisvnot
ablevtovwalkvaroundvinvthevroomvwithvcrutchesvbecausevofvlegvdiscomfort.vWhichvnursingvinterventionvisvpriority?
for
ANS:vD
Thevpatient’svpainvisvav7,vindicatingvthevpriorityvisvpainvreliefv(administervpainvmedication).vAcutevpainvisvthevpriorityvbec
ausevthevnursevcanvaddressvthevproblemvofvimmobilityvaftervthevpatientvreceivesvadequatevpainvrelief.vAssistingvthevpat
ientvtovwalkvorvobtainingvavwalkervwillvnotvaddressvthevpainvthevpatientvisvexperiencing.vThevnursevisvcaringvforvavpatient
vwhovrequiresvavcomplexvdressing
change.vWhilevinvthevpatient’svroom,vthevnursevdecidesvtovchangevthedressing.vWhichvactionvwillvthevnursevtakevjustvbe
forevchangingvthevdressing?
Gathersvandvorganizesvneededvsupplies
3v
vv Decidesvonvgoalsvandvoutcomesvforvthevpatient
v Assessesv thev patient’sv readinessv forv thev procedurev Callsv for
assistancevfromvanothervnursingvstaffvmember
ANS:vC
Alwaysvbevsurevavpatientvisvphysicallyvandvpsychologicallyvreadyvforvanyvinterventionsvorvprocedures.vAftervdeterminingv
thevpatient’svreadinessvforvthevdressingvchange,vthevnursevgathersvneededvsupplies.vThevnursevestablishesvgoalsvandvou
tcomesvbeforevintervening.vThevnursevneedsvtovaskvanothervstaffvmembervtovhelpvifvnecessaryvaftervdeterminingvreadin
essvofvthevpatient.
Avpatientvvisitingvwithvfamilyvmembersvinvthevwaitingvareavtellsvthevnurse“Ivdon’tvfeelvgood,vespeciallyvinvthevstoma
ch.”vWhatvshouldvthevnursevdo?
Requestvthatvthevfamilyvleave,vsovthevpatientvcanvrest.
Askvthevpatientvtovreturnvtovthevroom,vsovthevnursevcanvinspectvthevabdomen.
Askvtvhevpatientvwhenvthevlastvbowelvmovementvwasvandvtovlievdownvonthevsofa.vcv.
Tellvthevpatientvthatvthevdinnervtrayvwillvbevreadyvinv15vminutesvandthatvmayvhelpvthevstomachvfeelvbetter.
v v v v
PHARMACOLOGY PROCTO v
RED LATEST EXAM
v v
QUESTIONS WITH COMPLETE & v v v v
VERIFIED RATIONALES AND ANSv v v
WERS 2023/2024 v
Avnursevisvprovidingvnursingv carevtovpatientsvaftervcompletingvavcarevplanvfromvnursingv diagnoses.v Invwhichv stepvofvt
hevnursingvprocessvisvthevnurse?
AssessmentvPla
nningvImplemen
tationvEvaluatio
n
ANS:vC
Implementation,vthevfourthvstepvofvthevnursingvprocess,vformallyvbeginsvaftervavnursevdevelopsvavplanvofvcare.vWithvavc
arevplanvbasedvonvclearvandvrelevantvnursingvdiagnoses,vavnursevinitiatesvinterventionsvthatvarevdesignedvtovassistvthevp
atientvinvachievingvthevgoalsvandvexpectedvoutcomesvneededvtovsupportvorvimprovevthevpatient’svhealthvstatus.vThevnu
rsevgathersvdatavduringvthevassessmentvphasevandvmutuallyvsetsvgoalsvandvprioritizesvcarevduringvthevplanningvphase.vD
uringvthevevaluationvphase,vthevnursevdeterminesvthevachievementvofvgoalsvandveffectivenessvofvinterventions.
Thevnursevisvteachingvavnewvnursevaboutvprotocols.vWhich
informationv fromv thev newv nursev indicatesv av correctv understandingv ofv theteaching?v Protocolsv arevgui
delinesvtovfollowvthatvreplacevthevnursingvcarevplan.
Protocolsvassistvthevclinicianvinvmakingvdecisionsvandvchoosingvinterventionsvforvsp
ecificvhealthvcarevproblemsvorvconditions.
Protocolsvarevpoliciesvdesignatingveachvnurse’svdutyvaccordingvtovstandardsvofv
carevandvavcodevofvethics.
Protocolsvarevprescriptivevordervformsvthatvhelpvindividualizevthevplanvofvcare.v
ANS:vB
Avclinicalvpracticevguidelinevorvprotocolvisvavsystematicallyvdevelopedvsetvofvstatementsvthatvhelpsvnurses,vphysicians,va
ndvothervhealthvcarevprovidersvmakevdecisionsvaboutvappropriatevhealthvcarevforvspecificvclinicalvsituations.vThisvguidel
inevestablishesvinterventionsvforvspecificvhealthvcarevproblemsvorvconditions.vThevprotocolvdoesvnotvreplacevthevnursin
gvcarevplan.vEvidence-
vbasedvguidelinesvfromvprotocolsvcanvbevincorporatedvintovanvindividualizedvplanvofvcare.vAvclinicalvguidelinevisvnotvthevs
amevasvavhospitalvpolicy.vStanding
, 1
ordersv containv ordersv forv thev carev ofv av specificv groupv ofv patients.v Av protocolv isv notv avprescriptiv
evordervformvlikevavstandingvorder.
Thev standingv ordersvforv avpatientvincludev acetaminophenv650v mgv everyv4v hoursv prnvforv headache.v Afterv assessingvt
hevpatient,vthevnursevidentifiesvthe
needvforvheadachevreliefvandvdeterminesvthatvthevpatientvhasvnotvhadvacetaminophenvinvthevpastv4vhours.
Whichvactionvwillvthevnursevtakevnext?vAdministervthevacetaminophen
.
Notifyvthevhealthvcarevprovidervtovobtainvavverbalvorder.
Directvthevnursingvassistivevpersonnelvtovgivevthevacetaminophen.vPerformvavpainvassessmentvonlyvafterv
administeringthe
acetaminophen.vANS:vA
Avstandingvordervisvavpreprintedvdocumentvcontainingvordersvforvthevconductvofvroutinevtherapies,vmonitoringvguidelin
es,vand/orvdiagnosticvproceduresvforvspecificvpatientsvwithvidentifiedvclinicalvproblems.vThevnursevwillvadministervthevme
dication.vNotifyingvthevhealthvcarevprovidervisvnotvnecessaryvifvavstandingvordervexists.vThevnursingvassistivevpersonnelv
arevnotvlicensedvtovadministervmedications;vtherefore,vmedicationvadministrationvshouldvnotvbevdelegatedvtovthisvperso
n.vAvpainvassessmentvshouldvbevperformedvbeforevandaftervpainvmedicationvadministrationvtovassessvthevneedvforvandvef
fectivenessofvthevmedication.
Whichv actionv indicatesv avnursev isv usingvvcriticalv thinkingv forimplementationv ofv nursingv carev tov patients?
Determinesvwhethervanvinterventionvisvcorrectvandvappropriatevforvtheva.vgivenvsituationv
Reavdvsvovervthevstepsvandvperformsvavprocedurevdespitevlackvofvclinicalcompetency
v bv .
c.v Establishesvgoalsvforvavparticularvpatientvwithoutvassessment
d.v Evaluatesvtheveffectivenessvofvinterventions
ANS:vA
Asvyouvimplementvinterventions,vusevcriticalvthinkingvtovconfirmvwhethervthevinterventionsvarevcorrectvandvstillvapprop
riatevforvavpatient’svclinicalvsituation.vYouvarevresponsiblevforvhavingvthevnecessaryvknowledgevandvclinicalvcompetencyv
tovperformvinterventionsvforvyourvpatientsvsafelyvandveffectively.vThevnursevneedsvtovrecognizevthevsafetyvhazardsvofvp
erformingvanvinterventionvwithoutvclinicalvcompetencyvandvseekvassistancevfromvanothervnurse.vThevnursevcannotveval
uatevinterventionsvuntilvtheyvarevimplemented.vPatientsvneedv2vongoingvassessmentvbeforevestablishingvgoalsvbecause
vpatientvconditionsvcan
changevveryvrapidly.
Avnursevisvreviewingvavpatient’svcarevplan.vWhichvinformation
willvthevnursevidentifyvasvavnursingvintervention?
Thevpatientvwillvambulatevinvthevhallwayvtwicevthisvshiftvusingvcrutchesvcorrectly.v
Impairedvphysicalvmobilityvrelatedvtovinabilityvtovbearvweightvonvrightvleg.
Providevassistancevwhilevthevpatientvwalksvinvthevhallwayvtwicevthisvshiftvwithv
crutches.
, Thevpatientvisvunablevtovbearvweightvonvrightvlowervextremity.
ANS:vC
Providingvassistancevtovavpatientvwhovisvambulatingvisvavnursingvintervention.vThevstatement,v“Thevpatientvwillvambulatev
invthevhallwayvtwicevthisvshiftvusingvcrutchesvcorrectly”visvavpatientvoutcome.vImpairedvphysicalvmobilityisvavnursingvdia
gnosis.vThevstatementvthatvthevpatientvisvunablevtovbearvweightvandvambulatevcanvbevincludedvwithvassessmentvdatavan
dvisvavdefiningvcharacteristicvforvthevdiagnosisvofvImpairedvphysicalvmobility.
Avpatientvrecoveringvfromvavlegvfracturevaftervavfallvreportsvhavingvdullvpainvinvthevaffectedvlegvandvratesvitvasvav7vonv
av0vtov10vscale.vThevpatientvisvnot
ablevtovwalkvaroundvinvthevroomvwithvcrutchesvbecausevofvlegvdiscomfort.vWhichvnursingvinterventionvisvpriority?
for
ANS:vD
Thevpatient’svpainvisvav7,vindicatingvthevpriorityvisvpainvreliefv(administervpainvmedication).vAcutevpainvisvthevpriorityvbec
ausevthevnursevcanvaddressvthevproblemvofvimmobilityvaftervthevpatientvreceivesvadequatevpainvrelief.vAssistingvthevpat
ientvtovwalkvorvobtainingvavwalkervwillvnotvaddressvthevpainvthevpatientvisvexperiencing.vThevnursevisvcaringvforvavpatient
vwhovrequiresvavcomplexvdressing
change.vWhilevinvthevpatient’svroom,vthevnursevdecidesvtovchangevthedressing.vWhichvactionvwillvthevnursevtakevjustvbe
forevchangingvthevdressing?
Gathersvandvorganizesvneededvsupplies
3v
vv Decidesvonvgoalsvandvoutcomesvforvthevpatient
v Assessesv thev patient’sv readinessv forv thev procedurev Callsv for
assistancevfromvanothervnursingvstaffvmember
ANS:vC
Alwaysvbevsurevavpatientvisvphysicallyvandvpsychologicallyvreadyvforvanyvinterventionsvorvprocedures.vAftervdeterminingv
thevpatient’svreadinessvforvthevdressingvchange,vthevnursevgathersvneededvsupplies.vThevnursevestablishesvgoalsvandvou
tcomesvbeforevintervening.vThevnursevneedsvtovaskvanothervstaffvmembervtovhelpvifvnecessaryvaftervdeterminingvreadin
essvofvthevpatient.
Avpatientvvisitingvwithvfamilyvmembersvinvthevwaitingvareavtellsvthevnurse“Ivdon’tvfeelvgood,vespeciallyvinvthevstoma
ch.”vWhatvshouldvthevnursevdo?
Requestvthatvthevfamilyvleave,vsovthevpatientvcanvrest.
Askvthevpatientvtovreturnvtovthevroom,vsovthevnursevcanvinspectvthevabdomen.
Askvtvhevpatientvwhenvthevlastvbowelvmovementvwasvandvtovlievdownvonthevsofa.vcv.
Tellvthevpatientvthatvthevdinnervtrayvwillvbevreadyvinv15vminutesvandthatvmayvhelpvthevstomachvfeelvbetter.
