{NGN} PN PHARMACOLOGY f f f
PROCTORED LATEST EXAM ǪUESTION f f f
S WITH COMPLETE &VERIFIED RATIO
f f f f f
NALES AND ANSWERS2023/2024 f f f
Af nursef isf providingf nursingf caref tof patientsf afterf completingf af carefplanf fromf nursingf diagnoses.f Inwhichfstepf offthe
nursingfprocessfisfthefnurse?
f
AssessmentfPla
nningfImpleme
ntationfEvaluati
on
ANS:fC
Implementation,ftheffourthfstepfoffthefnursingfprocess,fformallyfbeginsfafterfafnursefdevelopsfafplanfoffcare.fWithfafcarefplanfb
asedfonfclearfandfrelevantfnursingfdiagnoses,fafnursefinitiatesfinterventionsfthatfarefdesignedftofassistfthefpatientfinfachievi
ngfthefgoalsfandfexpectedfoutcomesfneededftofsupportforfimprovefthefpatient’sfhealthfstatus.fThefnursefgathersf dataf dur
ingf thef assessmentf phasef andf mutuallyf setsffgoalsf andf prioritizesf caref duringf thef planningf phase.f During
,thefevaluationf phase,f thef nursef determinesf thef achievementf off goalsf andf effectivenessf offinterventions.
Thefnursef isfteachingf afnewf nursef aboutf protocols.f Which
informationffromfthefnewf nursefindicatesfafcorrectf understandingfofftheteaching?
Protocolsfarefguidelinesf tof followfthatf replacefthefnursingfcarefplan.
Protocolsfassistfthefclinicianfinfmakingfdecisionsfandfchoosingfinterventi
onsf forf specificf healthf caref problemsf orf conditions.
Protocolsf aref policiesf designatingf eachf nurse’sf dutyf accordingf to
standardsfoffcarefandfafcodefoffethics.
Protocolsf aref prescriptivef orderf formsf thatf helpf individualizef thef planf ofcare.fANS:f
B
Afclinicalfpracticefguidelineforfprotocolfisfafsystematicallyfdevelopedfsetfoffstatementsfthatfhelpsfnurses,fphysicians,fandfoth
erfhealthfcarefprovidersfmakefdecisionsfaboutfappropriatefhealthfcarefforfspecificfclinicalfsituations.fThisfguidelinefestabli
shesfinterventionsfforfspecificfhealthfcarefproblemsforfconditions.fThefprotocolfdoesfnotfreplacefthefnursingfcarefplan.fEvid
ence-
f basedfguidelinesffromfprotocolsfcanfbefincorporatedfintofanfindividualizedfplanfoffcare.fAfclinicalfguidelinef isf notf thef sa
mef asf af hospitalf policy.
Standing
ordersfcontainfordersfforfthefcarefoffafspecificf groupfoffpatients.f Afprotocolfis
1f
notfafprescriptiveforderfformflikefafstandingforder.
, Thef standingf ordersf forf af patientf includef acetaminophenf 650f mgf everyf4f hoursf prnf forf headache.fAfterassessingfthefpatient,ft
hefnursefidentifiesfthe
needfforfheadachefrelieffandfdeterminesfthatfthefpatientfhasfnotfhadfacetaminophenfinfthefpastf4fhours.fWhichfactionfwillf
thefnurseftakefnext?
Administerfthefacetaminophen.
Notifyfthefhealthfcarefproviderftofobtainfafverbalforder.
Directf thef nursingf assistivef personnelf tof givef thef acetaminophen.f Performf af painf assessmentf onlyf afteradministeringthefacet
ffff
aminophen.
ANS:fA
Afstandingforderfisfafpreprintedfdocumentfcontainingfordersfforfthefconductfoffroutineftherapies,fmonitoringfguidelines,fand/o
rfdiagnosticfproceduresfforfspecificfpatientsfwithfidentifiedfclinicalfproblems.fThefnursefwillfadministerfthefmedication.fN
otifyingfthefhealthfcarefproviderfisfnotfnecessaryfiffafstandingforderfexists.fThefnursingfassistivefpersonnelfaref notf licensedf t
of administerf medications;f therefore,f medicationf administrationf shouldf notf bef delegatedf tof thisf person.fAfpainfassessmentfs
houldfbefperformedfbeforefandafterfpainfmedicationfadministrationftofassessfthefneedfforfandfeffectivenessoffthefmedi
cation.
Whichf actionf indicatesf afnursefisf usingf criticalfthinkingf forimplementationf off nursingf caref tofpatients?
Determinesfwhetherfanfinterventionfisfcorrectfandfappropriatefforfthe
a.f givenfsituation
Reaf df soverf thefstepsandf performsf afproceduref despiteflackf offclinicalcompetency
bf .
c.f Establishesf goalsf forf af particularf patientf withoutf assessment
d.f Evaluatesfthefeffectivenessf offinterventions
, ANS:fA
Asfyoufimplementfinterventions,fusefcriticalfthinkingftofconfirmfwhetherfthefinterventionsfarefcorrectfandfstillfappropriatefforf
afpatient’sfclinicalfsituation.fYoufarefresponsiblefforfhavingfthefnecessaryfknowledgefandfclinicalfcompetencyftofperformf
interventionsfforfyourfpatientsfsafelyfandfeffectively.fThefnursefneedsftofrecognizefthefsafetyfhazardsfoffperformingfanfint
erventionfwithoutfclinicalfcompetencyfandfseekfassistanceffromfanotherfnurse.fThe
nursefcannotfevaluatefinterventionsfuntilftheyfarefimplemented.fPatientsfneedf2fongoingfas
sessmentfbeforefestablishingfgoalsfbecausefpatientfconditionsfcan
PROCTORED LATEST EXAM ǪUESTION f f f
S WITH COMPLETE &VERIFIED RATIO
f f f f f
NALES AND ANSWERS2023/2024 f f f
Af nursef isf providingf nursingf caref tof patientsf afterf completingf af carefplanf fromf nursingf diagnoses.f Inwhichfstepf offthe
nursingfprocessfisfthefnurse?
f
AssessmentfPla
nningfImpleme
ntationfEvaluati
on
ANS:fC
Implementation,ftheffourthfstepfoffthefnursingfprocess,fformallyfbeginsfafterfafnursefdevelopsfafplanfoffcare.fWithfafcarefplanfb
asedfonfclearfandfrelevantfnursingfdiagnoses,fafnursefinitiatesfinterventionsfthatfarefdesignedftofassistfthefpatientfinfachievi
ngfthefgoalsfandfexpectedfoutcomesfneededftofsupportforfimprovefthefpatient’sfhealthfstatus.fThefnursefgathersf dataf dur
ingf thef assessmentf phasef andf mutuallyf setsffgoalsf andf prioritizesf caref duringf thef planningf phase.f During
,thefevaluationf phase,f thef nursef determinesf thef achievementf off goalsf andf effectivenessf offinterventions.
Thefnursef isfteachingf afnewf nursef aboutf protocols.f Which
informationffromfthefnewf nursefindicatesfafcorrectf understandingfofftheteaching?
Protocolsfarefguidelinesf tof followfthatf replacefthefnursingfcarefplan.
Protocolsfassistfthefclinicianfinfmakingfdecisionsfandfchoosingfinterventi
onsf forf specificf healthf caref problemsf orf conditions.
Protocolsf aref policiesf designatingf eachf nurse’sf dutyf accordingf to
standardsfoffcarefandfafcodefoffethics.
Protocolsf aref prescriptivef orderf formsf thatf helpf individualizef thef planf ofcare.fANS:f
B
Afclinicalfpracticefguidelineforfprotocolfisfafsystematicallyfdevelopedfsetfoffstatementsfthatfhelpsfnurses,fphysicians,fandfoth
erfhealthfcarefprovidersfmakefdecisionsfaboutfappropriatefhealthfcarefforfspecificfclinicalfsituations.fThisfguidelinefestabli
shesfinterventionsfforfspecificfhealthfcarefproblemsforfconditions.fThefprotocolfdoesfnotfreplacefthefnursingfcarefplan.fEvid
ence-
f basedfguidelinesffromfprotocolsfcanfbefincorporatedfintofanfindividualizedfplanfoffcare.fAfclinicalfguidelinef isf notf thef sa
mef asf af hospitalf policy.
Standing
ordersfcontainfordersfforfthefcarefoffafspecificf groupfoffpatients.f Afprotocolfis
1f
notfafprescriptiveforderfformflikefafstandingforder.
, Thef standingf ordersf forf af patientf includef acetaminophenf 650f mgf everyf4f hoursf prnf forf headache.fAfterassessingfthefpatient,ft
hefnursefidentifiesfthe
needfforfheadachefrelieffandfdeterminesfthatfthefpatientfhasfnotfhadfacetaminophenfinfthefpastf4fhours.fWhichfactionfwillf
thefnurseftakefnext?
Administerfthefacetaminophen.
Notifyfthefhealthfcarefproviderftofobtainfafverbalforder.
Directf thef nursingf assistivef personnelf tof givef thef acetaminophen.f Performf af painf assessmentf onlyf afteradministeringthefacet
ffff
aminophen.
ANS:fA
Afstandingforderfisfafpreprintedfdocumentfcontainingfordersfforfthefconductfoffroutineftherapies,fmonitoringfguidelines,fand/o
rfdiagnosticfproceduresfforfspecificfpatientsfwithfidentifiedfclinicalfproblems.fThefnursefwillfadministerfthefmedication.fN
otifyingfthefhealthfcarefproviderfisfnotfnecessaryfiffafstandingforderfexists.fThefnursingfassistivefpersonnelfaref notf licensedf t
of administerf medications;f therefore,f medicationf administrationf shouldf notf bef delegatedf tof thisf person.fAfpainfassessmentfs
houldfbefperformedfbeforefandafterfpainfmedicationfadministrationftofassessfthefneedfforfandfeffectivenessoffthefmedi
cation.
Whichf actionf indicatesf afnursefisf usingf criticalfthinkingf forimplementationf off nursingf caref tofpatients?
Determinesfwhetherfanfinterventionfisfcorrectfandfappropriatefforfthe
a.f givenfsituation
Reaf df soverf thefstepsandf performsf afproceduref despiteflackf offclinicalcompetency
bf .
c.f Establishesf goalsf forf af particularf patientf withoutf assessment
d.f Evaluatesfthefeffectivenessf offinterventions
, ANS:fA
Asfyoufimplementfinterventions,fusefcriticalfthinkingftofconfirmfwhetherfthefinterventionsfarefcorrectfandfstillfappropriatefforf
afpatient’sfclinicalfsituation.fYoufarefresponsiblefforfhavingfthefnecessaryfknowledgefandfclinicalfcompetencyftofperformf
interventionsfforfyourfpatientsfsafelyfandfeffectively.fThefnursefneedsftofrecognizefthefsafetyfhazardsfoffperformingfanfint
erventionfwithoutfclinicalfcompetencyfandfseekfassistanceffromfanotherfnurse.fThe
nursefcannotfevaluatefinterventionsfuntilftheyfarefimplemented.fPatientsfneedf2fongoingfas
sessmentfbeforefestablishingfgoalsfbecausefpatientfconditionsfcan
