NURSING 202 CH20 TEST BANK EXAM
QUESTIONS WITH VERIFIED
ANSWERS
A nurse is modifying a patient's care plan after evaluation of patient care. In which
order, starting with the first step, will the nurse perform the tasks?
1. Revise nursing diagnosis.
2. Reassess blood pressure reading.
3. Retake blood pressure after medication.
5. Administer new blood pressure medication.
5. Change goal to blood pressure less than 140/90.
A. 1, 5, 2, 4, 3
B. 2, 1, 5, 4, 3
C. 4, 3, 1, 5, 2
D. 5, 4, 5, 1, 2 - Answer-B. 2, 1, 5, 4, 3
If a nursing diagnosis is unresolved or if you determine that a new problem has
perhaps developed, reassessment is necessary. A complete reassessment of patient
factors relating to an existing nursing diagnosis and etiology is necessary when
modifying a plan. After reassessment, determine which nursing diagnoses are
accurate for the situation; revise as needed. When revising a care plan, review the
goals and expected outcomes for necessary changes after the diagnosis. Then
evaluate and revise interventions as needed.
A nurse is caring for a group of patients. Which evaluative measures will the nurse
use to determine a patient's responses to nursing care? (Select all that apply.)
A. Observations of wound healing
B. Daily blood pressure measurements
C. Findings of respiratory rate and depth
D. Completion of nursing interventions
E. Patient's subjective report of feelings about a new diagnosis of cancer - Answer-A.
Observations of wound healing
B. Daily blood pressure measurements
C. Findings of respiratory rate and depth
, E. Patient's subjective report of feelings about a new diagnosis of cancer
You examine the results of care by using evaluative measures, which are
assessment skills and techniques (e.g., observations, physiological measurements,
use of measurement scales, and patient interview). Examples of evaluative
measures include assessment of wound healing and respiratory status, blood
pressure measurement, and assessment of patient feelings. You conduct evaluative
measures to determine if your patients met expected outcomes, not if nursing
interventions were completed.
Which nursing actions will the nurse perform in the evaluation phase of the nursing
process? (Select all that apply.)
A. Set priorities for patient care.
B. Determine whether outcomes or standards are met.
C. Ambulate patient 25 feet in the hallway.
D. Document results of goal achievement.
E. Use self-reflection and correct errors. - Answer-B. Determine whether outcomes
or standards are met.
D. Document results of goal achievement.
E. Use self-reflection and correct errors.
The expected outcomes established during planning are the standards against which
you judge whether goals have been met and if care is successful. You evaluate
whether the results of care match the expected outcomes and goals set for a patient.
Documentation and reporting are important parts of evaluation because it is crucial
to share information about a patient's progress and current status. Using self-
reflection and correcting errors are indicators a nurse is performing evaluation.
Setting priorities is part of planning, and ambulating with a patient in the hallway is
an intervention, so it is included in the implementation step of the nursing process.
A nurse determines that the patient's condition has improved and has met expected
outcomes. Which step of the nursing process is the nurse exhibiting?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - Answer-D. Evaluation
QUESTIONS WITH VERIFIED
ANSWERS
A nurse is modifying a patient's care plan after evaluation of patient care. In which
order, starting with the first step, will the nurse perform the tasks?
1. Revise nursing diagnosis.
2. Reassess blood pressure reading.
3. Retake blood pressure after medication.
5. Administer new blood pressure medication.
5. Change goal to blood pressure less than 140/90.
A. 1, 5, 2, 4, 3
B. 2, 1, 5, 4, 3
C. 4, 3, 1, 5, 2
D. 5, 4, 5, 1, 2 - Answer-B. 2, 1, 5, 4, 3
If a nursing diagnosis is unresolved or if you determine that a new problem has
perhaps developed, reassessment is necessary. A complete reassessment of patient
factors relating to an existing nursing diagnosis and etiology is necessary when
modifying a plan. After reassessment, determine which nursing diagnoses are
accurate for the situation; revise as needed. When revising a care plan, review the
goals and expected outcomes for necessary changes after the diagnosis. Then
evaluate and revise interventions as needed.
A nurse is caring for a group of patients. Which evaluative measures will the nurse
use to determine a patient's responses to nursing care? (Select all that apply.)
A. Observations of wound healing
B. Daily blood pressure measurements
C. Findings of respiratory rate and depth
D. Completion of nursing interventions
E. Patient's subjective report of feelings about a new diagnosis of cancer - Answer-A.
Observations of wound healing
B. Daily blood pressure measurements
C. Findings of respiratory rate and depth
, E. Patient's subjective report of feelings about a new diagnosis of cancer
You examine the results of care by using evaluative measures, which are
assessment skills and techniques (e.g., observations, physiological measurements,
use of measurement scales, and patient interview). Examples of evaluative
measures include assessment of wound healing and respiratory status, blood
pressure measurement, and assessment of patient feelings. You conduct evaluative
measures to determine if your patients met expected outcomes, not if nursing
interventions were completed.
Which nursing actions will the nurse perform in the evaluation phase of the nursing
process? (Select all that apply.)
A. Set priorities for patient care.
B. Determine whether outcomes or standards are met.
C. Ambulate patient 25 feet in the hallway.
D. Document results of goal achievement.
E. Use self-reflection and correct errors. - Answer-B. Determine whether outcomes
or standards are met.
D. Document results of goal achievement.
E. Use self-reflection and correct errors.
The expected outcomes established during planning are the standards against which
you judge whether goals have been met and if care is successful. You evaluate
whether the results of care match the expected outcomes and goals set for a patient.
Documentation and reporting are important parts of evaluation because it is crucial
to share information about a patient's progress and current status. Using self-
reflection and correcting errors are indicators a nurse is performing evaluation.
Setting priorities is part of planning, and ambulating with a patient in the hallway is
an intervention, so it is included in the implementation step of the nursing process.
A nurse determines that the patient's condition has improved and has met expected
outcomes. Which step of the nursing process is the nurse exhibiting?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - Answer-D. Evaluation
