NURS 3000 Exam test questions and
answers graded A+
In Maslow's hierarchy what receives highest priority? - ANS✅✅physiologic needs such as air, food,
and water
___________ are predeveloped to indicate the actions commonly required for a particular group of
clients. For example, an agency may have a set of rules for admitting a client to the ICU or for caring
for a client receiving continuous epidural analgesia. - ANS✅✅Protocols
___________ are developed to govern the handling of frequently occurring situations. For example,
a hospital may have rules specifying the number of visitors a client may have. - ANS✅✅Policies
The client's goals are the opposite of the _________________, and the desired outcome is the
clients will. - ANS✅✅Nursing diagnosis
The components are a subject, verb, conditions/modifiers, and criterion of desired performance. -
ANS✅✅Client goals
What specific elements should be included in every intervention? - ANS✅✅A time element
regarding when, how long, or how often the nursing action is to occur.
The five rights of delegation - ANS✅✅right task
right circumstances
right person
right directions/ communication
right supervision and evaluation
What tasks are generally ones which may be delegated to unlicensed personnel? - ANS✅✅Taking
VS on stable clients, basic hygiene, bedmaking, client transfer and ambulation, personal care, food
service, documentation, safety measures, performing BLS, basic preventative and restorative care,
basic observation procedures.
, Who has ultimate responsibility for the care of the client? - ANS✅✅The delegator or nurse
assigned to the patient
What responsibility does the delegate have? - ANS✅✅responsibility for the actual performance of
the task
Evaluation checklist - ANS✅✅Assessing: is data complete, accurate, and validated?
Diagnosis: Are nursing diagnosis relevant and accurate? Has the problem status changed? Have any
diagnoses been resolved?
Planning: Do new nursing diagnoses require new goals? Was enough time allowed to achieve goal?
Implementing: Was client input obtained at each step of the process? Did caregivers have the
knowledge and skill to perform intervention correctly?
ANA Code of Ethics: moral principles - ANS✅✅autonomy
nonmaleficence
beneficence
justice
fidelity
veracity
accountability
responsibility
When goals have been partially met or when goals have not been met, two conclusions may be
drawn: - ANS✅✅The care plan may need to be revised, since the problem is only partially
resolved.
The care plan does not need revision, because the client merely needs more time to achieve the
previously established goal(s).
5 components of evaluation phase - ANS✅✅1. collecting data related to desired outcomes
2. comparing the data with desired outcomes
3. relating nursing activities to outcomes
4. drawing conclusions about problem status
5. continuing, modifying, or terminating the nursing care plan
answers graded A+
In Maslow's hierarchy what receives highest priority? - ANS✅✅physiologic needs such as air, food,
and water
___________ are predeveloped to indicate the actions commonly required for a particular group of
clients. For example, an agency may have a set of rules for admitting a client to the ICU or for caring
for a client receiving continuous epidural analgesia. - ANS✅✅Protocols
___________ are developed to govern the handling of frequently occurring situations. For example,
a hospital may have rules specifying the number of visitors a client may have. - ANS✅✅Policies
The client's goals are the opposite of the _________________, and the desired outcome is the
clients will. - ANS✅✅Nursing diagnosis
The components are a subject, verb, conditions/modifiers, and criterion of desired performance. -
ANS✅✅Client goals
What specific elements should be included in every intervention? - ANS✅✅A time element
regarding when, how long, or how often the nursing action is to occur.
The five rights of delegation - ANS✅✅right task
right circumstances
right person
right directions/ communication
right supervision and evaluation
What tasks are generally ones which may be delegated to unlicensed personnel? - ANS✅✅Taking
VS on stable clients, basic hygiene, bedmaking, client transfer and ambulation, personal care, food
service, documentation, safety measures, performing BLS, basic preventative and restorative care,
basic observation procedures.
, Who has ultimate responsibility for the care of the client? - ANS✅✅The delegator or nurse
assigned to the patient
What responsibility does the delegate have? - ANS✅✅responsibility for the actual performance of
the task
Evaluation checklist - ANS✅✅Assessing: is data complete, accurate, and validated?
Diagnosis: Are nursing diagnosis relevant and accurate? Has the problem status changed? Have any
diagnoses been resolved?
Planning: Do new nursing diagnoses require new goals? Was enough time allowed to achieve goal?
Implementing: Was client input obtained at each step of the process? Did caregivers have the
knowledge and skill to perform intervention correctly?
ANA Code of Ethics: moral principles - ANS✅✅autonomy
nonmaleficence
beneficence
justice
fidelity
veracity
accountability
responsibility
When goals have been partially met or when goals have not been met, two conclusions may be
drawn: - ANS✅✅The care plan may need to be revised, since the problem is only partially
resolved.
The care plan does not need revision, because the client merely needs more time to achieve the
previously established goal(s).
5 components of evaluation phase - ANS✅✅1. collecting data related to desired outcomes
2. comparing the data with desired outcomes
3. relating nursing activities to outcomes
4. drawing conclusions about problem status
5. continuing, modifying, or terminating the nursing care plan
