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1. Although the components of the nursing process relate to each other in a
cyclical and dynamic manner, the steps should still be followed in a certain order.
Which answer choice correctly represents this order?
A. Assessment, outcomes identification, planning, diagnosis, implementation,
evaluation
B. Assessment, diagnosis, outcomes identification, planning, implementation,
evaluation
C. Assessment, planning, outcomes identification, diagnosis, implementation,
evaluation
D. Outcomes identification, assessment, diagnosis, planning, implementation,
evaluation - correct answer ✔✔B. Assessment, diagnosis, outcomes identification,
planning, implementation, evaluation
2. A well-written plan of care must be all of the following except
A. diagnostic-specific.
B. consistent with state statutes and regulations.
C. culturally sensitive.
D. based on the desires of the patient. - correct answer ✔✔D. based on the
desires of the patient.
,3. Shana has been a professional nurse for ten years. She currently works for a
family practice group of physicians. Shana makes it a point to receive input from
the parents when planning care for the pediatric patients. She also considers it
important to keep abreast of changes in nursing practice, so she coordinates with
the doctors and support staff to ensure that all the nurses in the office take turns
attending nursing conferences each quarter. Through her actions, Shana is
showing efforts most directed at which of the following ANA Standards of
Professional Performance?
A. Collaboration, Leadership, Education
B. Quality of Practice, Leadership, Professional Practice Evaluation
C. Ethics, Professional Practice Evaluation, Resource Utilization
D. Evidence-Based Practice and Research, Collaboration, Ethics - correct answer
✔✔A. Collaboration, Leadership, Education
4. Which of the following statements does not accurately describe one of the
underlying ethical principles that nurses should follow in their practice?
A. Discern ethical issues that relate to the changing context of health care.
B. Be loyal to the patients, the profession, and self.
C. Respect the autonomy of the patient and the nurse.
D. Promote social justice and social reform. - correct answer ✔✔D. Promote social
justice and social reform.
5. A man presents to the hospital's emergency room after falling from a ladder. He
is complaining of pain in his right leg and left arm. What type of nursing
assessment should the nurse perform?
,A. Initial
B. Focused
C. Emergency
D. Time-lapsed - correct answer ✔✔A. Initial
6. In the course of conducting an initial assessment, the nurse discusses the
patient's condition with his spouse. The spouse states, "My husband started
feeling feverish yesterday afternoon and went to bed early. I tried to wake him up
in the middle of the night, but he was unresponsive. That's when I called 911."
The spouse's statement that "my husband started feeling feverish" is an example
of
A. primary, objective data.
B. primary, subjective data.
C. secondary, objective data.
D. secondary, subjective data. - correct answer ✔✔D. secondary, subjective data.
7. The RN delegates to an LPN the care of four stable patients. The LPN reports
back to the RN that one of the patients shows an increased blood pressure from
the baseline. The increased blood pressure is an example of
A. primary, objective data.
B. primary, subjective data.
C. secondary, objective data.
D. secondary, subjective data. - correct answer ✔✔A. primary, objective data.
, 8. The nurse is collecting data on one patient during the late evening. The nurse
notes how much dinner the patient ate and spends some time talking with him.
Which of the following entries into the patient record represents the best
documentation?
A. "Patient reports feeling tired. Patient impatient about when he will be
discharged. Patient ate most of dinner served."
B. "Patient ate half a bowl of soup, two slices toast with butter, one apple, four oz
chicken breast. Patient said, 'I feel tired this evening. I can't wait to get back to my
own bed.'"
C. "Patient ate 85 percent of his dinner. Patient reported tiredness and being
uncomfortable in hospital setting."
D. "Patient ate almost all of his dinner. Patient reported feeling tired and
eagerness to be discharged." - correct answer ✔✔B. "Patient ate half a bowl of
soup, two slices toast with butter, one apple, four oz chicken breast. Patient said, 'I
feel tired this evening. I can't wait to get back to my own bed.'"
9. For data to be documented, it must be all of the following except
A. accurate.
B. factual.
C. complete.
D. validated. - correct answer ✔✔D. validated
10. The nurse is caring for a fourteen-year-old female who was admitted into a
mental health unit forty-eight hours ago immediately following an attempted
suicide. The nurse reads the following assessment data from the prior nursing
shift: