PROCTORED LATEST EXAM
QUESTIONS WITH COMPLETE &
VERIFIED RATIONALES AND
ANSWERS A+ GRADED 2023/2024
A nurse is providing nursing care to patients after completing a care plan from
nursing diagnoses. In which step of the nursing process is the nurse?
Assessmen
t Planning
Implement
ation
Evaluation
ANS: C
Implementation, the fourth step of the nursing process, formally begins after a
nurse develops a plan of care. With a care plan based on clear and relevant nursing
diagnoses, a nurse initiates interventions that are designed to assist the patient in
achieving the goals and expected outcomes needed to support or improve the
patient’s health status. The nurse gathers data during the assessment phase and
mutually sets goals and prioritizes care during the planning phase. During the
evaluation phase, the nurse determines the achievement 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? Protocols areguidelines to follow that replace the
nursing care plan.
Protocols assist the clinician in making decisions and
, choosing interventions forspecific health care problems
or conditions.
Protocols are policies designating each nurse’s duty
according to standards ofcare and a code of ethics.
Protocols are prescriptive order forms that help
individualize the plan of care.ANS: B
A clinical practice guideline or protocol is a systematically developed set of
statements that helps nurses, physicians, and other health care providers make
decisions about appropriate health care for specific clinical situations. This guideline
establishes interventions for specific health care problems or conditions. The
protocol does not replace the nursing care plan. Evidence- based guidelines from
protocols can be incorporated into an individualized plan of care. Aclinical guideline
is not the same as a hospital policy. Standing