PROCTORED LATEST EXAM VERIFIED RATIO
ANSWERS 2023-2024
A nurse is providing nursing care to patients after completing a care plan from n
step of the nursing process is the nurse?
Assessment Planning Implementation
Evaluation
ANS: C
Implementation, the fourth step of the nursing process, formally begins after a n
With a care plan based on clear and relevant nursing diagnoses, a nurse in
designed to assist the patient in achieving the goals and expected outcomes need
patient’s health status. The nurse gathers data during the assessment phase
prioritizes care during the planning phase. During the evaluation phase, the nurse
of goals and effectiveness of interventions.
The nurse is teaching a new nurse about protocols. Which
information from the new nurse indicates a correct understanding of theteaching
guidelines to follow that replace the nursing care plan.
Protocols assist the clinician in making decisions and choosing interventions for
health care problems or conditions.
Protocols are policies designating each nurse’s duty according to standards of care
a code of ethics.
Protocols are prescriptive order forms that help individualize the plan of care. ANS
A clinical practice guideline or protocol is a systematically developed set of s
, 1
orders contain orders for the care of a specific group of patients. A protocol is
order form like a standing order.
The standing orders for a patient include acetaminophen 650 mg every 4 hours p
the patient, the nurse identifies the
need for headache relief and determines that the patient has not had acetaminop
Which action will the nurse take next? Administer theacetaminophen.
Notify the health care provider to obtain a verbal order.
Direct the nursing assistive personnel to give the acetaminophen. Perform a pain
administeringthe
acetaminophen. ANS: A
A standing order is a preprinted document containing orders for the conduct of
guidelines, and/or diagnostic procedures for specific patients with identified clin
administer the medication. Notifying the health care provider is not necessary i
nursing assistive personnel are not licensed to administer medications; therefo
should not be delegated to this person. A pain assessment should be perf
medication administration to assess the need for and effectivenessof the medicat
Which action indicates a nurse is using critical thinking forimplementation of
Determines whether an intervention is correct and appropriate for the a. given situ
d s over the steps and performs a procedure despite lack of clinicalcompetency
b.
c. Establishes goals for a particular patient without assessment
d. Evaluates the effectiveness of interventions
ANS: A
As you implement interventions, use critical thinking to confirm whether the inte
appropriate for a patient’s clinical situation. You are responsible for having t
clinical competency to perform interventions for your patients safely and eff