NS 660 Exam 1 Review | NS 660 Exam 1 |
COMPLETE QUESTIONS WITH 100%
RATED CORRECT ANSWERS | GRADED
A+ | 2025
A ,nurse ,administers ,an ,antihypertensive ,medication ,to ,a ,patient ,at ,the ,scheduled
,time ,of ,0900. ,The ,nursing ,assistive ,personnel ,(NAP) ,then ,reports ,to ,the ,nurse ,that
,the ,patient's ,blood ,pressure ,was ,low ,when ,it ,was ,taken ,at ,0830. ,The ,NAP ,states
,they ,were ,busy ,and ,did ,not ,have ,a ,chance ,to ,tell ,the ,nurse ,yet. ,The ,patient ,begins
,to ,complain ,of ,feeling ,dizzy ,and ,light-headed. ,The ,blood ,pressure ,is ,rechecked ,and ,it
,has ,dropped ,even ,lower. ,In ,which ,phase ,of ,the ,nursing ,process ,did ,the ,nurse ,first
,make ,an ,error?
Diagnosis
Evaluation
Implementation
Assessment ,- ,CORRECT ,ANSWER-Assessment
A ,charge ,nurse ,is ,observing ,a ,newly ,licensed ,nurse ,care ,for ,a ,client ,who ,reports
,pain. ,The ,nurse ,checked ,the ,client's ,MAR ,and ,noted ,the ,last ,dose ,of ,pain ,medication
,was ,6 ,hr ,ago. ,The ,prescription ,reads ,every ,4 ,hr ,PRN ,for ,pain. ,The ,nurse
,administered ,the ,medication ,and ,checked ,with ,the ,client ,40 ,min ,later, ,when ,the ,client
,reported ,improvement. ,The ,newly ,licensed ,nurse ,left ,out ,which ,of ,the ,following ,steps
,of ,the ,nursing ,process?
Intervention
Evaluation
Planning
Assessment ,- ,CORRECT ,ANSWER-Assessment
,A ,nursing ,assessment ,for ,a ,patient ,with ,a ,spinal ,cord ,injury ,leads ,to ,several ,pertinent
,nursing ,diagnoses. ,Which ,nursing ,diagnosis ,is ,the ,highest ,priority ,for ,this ,patient?
Risk ,for ,impaired ,skin ,integrity
Risk ,for ,infection
Spiritual ,distress
Reflex ,urinary ,incontinence ,- ,CORRECT ,ANSWER-Reflex ,urinary ,incontinence
While ,completing ,an ,admission ,database, ,the ,nurse ,is ,interviewing ,a ,patient ,who
,states ,"I ,am ,allergic ,to ,latex." ,Which ,action ,will ,the ,nurse ,take ,first?
Immediately ,place ,patient ,in ,isolation
Ask ,the ,patient ,to ,describe ,the ,type ,of ,reaction
Document ,latex ,allergy ,on ,medication ,administration ,record
Process ,to ,the ,termination ,phase ,of ,interview ,- ,CORRECT ,ANSWER-Ask ,the ,patient
,to ,describe ,type ,of ,reaction
A ,nurse ,is ,planning ,care ,for ,a ,client ,who ,is ,postoperative. ,Which ,of ,the ,following
,statements ,about ,pain ,management ,should ,the ,nurse ,consider ,when ,implementing
,client ,care? ,(Select ,all ,that ,apply.)
All ,clients ,will ,express ,the ,feeling ,of ,pain ,both ,verbally ,and ,nonverbally.
Patient-controlled ,analgesia ,(PCA) ,offers ,a ,constant ,level ,of ,opioids ,within ,therapeutic
,range.
Use ,of ,analgesics ,will ,eventually ,lead ,to ,addiction.
Pain ,level ,and ,pain ,tolerance ,can ,be ,assessed ,using ,a ,scale ,from ,0 ,to ,10.
Each ,client's ,expression ,of ,pain ,may ,be ,different ,and ,individualized. ,- ,CORRECT
,ANSWER-Patient-controlled ,analgesia ,(PCA) ,offers ,a ,constant ,level ,of ,opioids ,within
,therapeutic ,range.
Pain ,level ,and ,pain ,tolerance ,can ,be ,assessed ,using ,a ,scale ,from ,0 ,to ,10.
Each ,client's ,expression ,of ,pain ,may ,be ,different ,and ,individualized.
, The ,nurse ,is ,caring ,for ,an ,African ,American ,patient ,with ,COPD. ,The ,nurse ,knows
,that ,the ,best ,location ,to ,assess ,for ,hypoxia ,is ,the:
Lower ,extremities
Abdomen
Earlobes
Oral ,mucosa ,- ,CORRECT ,ANSWER-Oral ,mucosa
What ,is ,the ,most ,appropriate ,way ,to ,assess ,the ,pain ,of ,a ,patient ,who ,is ,oriented ,and
,has ,recently ,had ,surgery?
Observe ,cardiac ,monitor ,for ,increased ,HR
Ask ,patient ,describe ,the ,effect ,of ,pain ,on ,ability ,to ,cope
Ask ,patient ,to ,rate ,level ,of ,pain
Assess ,patients ,body ,language ,- ,CORRECT ,ANSWER-Ask ,patient ,to ,rate ,level ,of
,pain
An ,assistive ,personnel ,reports ,a ,client's ,vital ,signs ,as ,tympanic ,temperature ,37.1° ,C
,(98.8° ,F), ,pulse ,92/min, ,respiratory ,rate ,18/min, ,and ,BP ,98/58 ,mm ,Hg. ,Which ,of ,the
,following ,vital ,signs ,should ,the ,nurse ,re-measure?
BP
Temp
Pulse ,Rate
Respiratory ,Rate ,- ,CORRECT ,ANSWER-BP
In ,which ,order ,will ,the ,nurse ,use ,the ,nursing ,process ,steps ,during ,the ,clinical
,decision-making ,process? ,
1. ,Evaluating ,goals
,2. ,Assessing ,patient ,needs ,
3. ,Planning ,priorities ,of ,care ,
4. ,Determining ,nursing ,diagnoses ,
5. ,Implementing ,nursing ,interventions ,- ,CORRECT ,ANSWER-Assess, ,Determine
,diagnosis, ,Plan ,priorities ,of ,care, ,Implement ,interventions, ,Evaluate ,goals
COMPLETE QUESTIONS WITH 100%
RATED CORRECT ANSWERS | GRADED
A+ | 2025
A ,nurse ,administers ,an ,antihypertensive ,medication ,to ,a ,patient ,at ,the ,scheduled
,time ,of ,0900. ,The ,nursing ,assistive ,personnel ,(NAP) ,then ,reports ,to ,the ,nurse ,that
,the ,patient's ,blood ,pressure ,was ,low ,when ,it ,was ,taken ,at ,0830. ,The ,NAP ,states
,they ,were ,busy ,and ,did ,not ,have ,a ,chance ,to ,tell ,the ,nurse ,yet. ,The ,patient ,begins
,to ,complain ,of ,feeling ,dizzy ,and ,light-headed. ,The ,blood ,pressure ,is ,rechecked ,and ,it
,has ,dropped ,even ,lower. ,In ,which ,phase ,of ,the ,nursing ,process ,did ,the ,nurse ,first
,make ,an ,error?
Diagnosis
Evaluation
Implementation
Assessment ,- ,CORRECT ,ANSWER-Assessment
A ,charge ,nurse ,is ,observing ,a ,newly ,licensed ,nurse ,care ,for ,a ,client ,who ,reports
,pain. ,The ,nurse ,checked ,the ,client's ,MAR ,and ,noted ,the ,last ,dose ,of ,pain ,medication
,was ,6 ,hr ,ago. ,The ,prescription ,reads ,every ,4 ,hr ,PRN ,for ,pain. ,The ,nurse
,administered ,the ,medication ,and ,checked ,with ,the ,client ,40 ,min ,later, ,when ,the ,client
,reported ,improvement. ,The ,newly ,licensed ,nurse ,left ,out ,which ,of ,the ,following ,steps
,of ,the ,nursing ,process?
Intervention
Evaluation
Planning
Assessment ,- ,CORRECT ,ANSWER-Assessment
,A ,nursing ,assessment ,for ,a ,patient ,with ,a ,spinal ,cord ,injury ,leads ,to ,several ,pertinent
,nursing ,diagnoses. ,Which ,nursing ,diagnosis ,is ,the ,highest ,priority ,for ,this ,patient?
Risk ,for ,impaired ,skin ,integrity
Risk ,for ,infection
Spiritual ,distress
Reflex ,urinary ,incontinence ,- ,CORRECT ,ANSWER-Reflex ,urinary ,incontinence
While ,completing ,an ,admission ,database, ,the ,nurse ,is ,interviewing ,a ,patient ,who
,states ,"I ,am ,allergic ,to ,latex." ,Which ,action ,will ,the ,nurse ,take ,first?
Immediately ,place ,patient ,in ,isolation
Ask ,the ,patient ,to ,describe ,the ,type ,of ,reaction
Document ,latex ,allergy ,on ,medication ,administration ,record
Process ,to ,the ,termination ,phase ,of ,interview ,- ,CORRECT ,ANSWER-Ask ,the ,patient
,to ,describe ,type ,of ,reaction
A ,nurse ,is ,planning ,care ,for ,a ,client ,who ,is ,postoperative. ,Which ,of ,the ,following
,statements ,about ,pain ,management ,should ,the ,nurse ,consider ,when ,implementing
,client ,care? ,(Select ,all ,that ,apply.)
All ,clients ,will ,express ,the ,feeling ,of ,pain ,both ,verbally ,and ,nonverbally.
Patient-controlled ,analgesia ,(PCA) ,offers ,a ,constant ,level ,of ,opioids ,within ,therapeutic
,range.
Use ,of ,analgesics ,will ,eventually ,lead ,to ,addiction.
Pain ,level ,and ,pain ,tolerance ,can ,be ,assessed ,using ,a ,scale ,from ,0 ,to ,10.
Each ,client's ,expression ,of ,pain ,may ,be ,different ,and ,individualized. ,- ,CORRECT
,ANSWER-Patient-controlled ,analgesia ,(PCA) ,offers ,a ,constant ,level ,of ,opioids ,within
,therapeutic ,range.
Pain ,level ,and ,pain ,tolerance ,can ,be ,assessed ,using ,a ,scale ,from ,0 ,to ,10.
Each ,client's ,expression ,of ,pain ,may ,be ,different ,and ,individualized.
, The ,nurse ,is ,caring ,for ,an ,African ,American ,patient ,with ,COPD. ,The ,nurse ,knows
,that ,the ,best ,location ,to ,assess ,for ,hypoxia ,is ,the:
Lower ,extremities
Abdomen
Earlobes
Oral ,mucosa ,- ,CORRECT ,ANSWER-Oral ,mucosa
What ,is ,the ,most ,appropriate ,way ,to ,assess ,the ,pain ,of ,a ,patient ,who ,is ,oriented ,and
,has ,recently ,had ,surgery?
Observe ,cardiac ,monitor ,for ,increased ,HR
Ask ,patient ,describe ,the ,effect ,of ,pain ,on ,ability ,to ,cope
Ask ,patient ,to ,rate ,level ,of ,pain
Assess ,patients ,body ,language ,- ,CORRECT ,ANSWER-Ask ,patient ,to ,rate ,level ,of
,pain
An ,assistive ,personnel ,reports ,a ,client's ,vital ,signs ,as ,tympanic ,temperature ,37.1° ,C
,(98.8° ,F), ,pulse ,92/min, ,respiratory ,rate ,18/min, ,and ,BP ,98/58 ,mm ,Hg. ,Which ,of ,the
,following ,vital ,signs ,should ,the ,nurse ,re-measure?
BP
Temp
Pulse ,Rate
Respiratory ,Rate ,- ,CORRECT ,ANSWER-BP
In ,which ,order ,will ,the ,nurse ,use ,the ,nursing ,process ,steps ,during ,the ,clinical
,decision-making ,process? ,
1. ,Evaluating ,goals
,2. ,Assessing ,patient ,needs ,
3. ,Planning ,priorities ,of ,care ,
4. ,Determining ,nursing ,diagnoses ,
5. ,Implementing ,nursing ,interventions ,- ,CORRECT ,ANSWER-Assess, ,Determine
,diagnosis, ,Plan ,priorities ,of ,care, ,Implement ,interventions, ,Evaluate ,goals
