Which of the following steps of the nursing process includes gathering information
from a client who requires medical treatment?
Evaluation
Assessment
Implementation
Outcomes identification
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Assessment
A nurse is documenting client care including only unexpected findings related to the
client's condition. Which of the following documentation methods is the nurse
utilizing?
Problem-oriented medical record (POMR)
SOAP documentation
Focus charting (DAR)
Charting by exception (CBE)
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Charting by exception (CBE)
A nurse is assessing a client who has impaired mobility. The nurse should monitor the
client for a pressure injury due to which of the following factors?
Increased collagen
Increased muscle mass
Decreased circulation
Decreased serum calcium
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, Decreased circulation
A nurse is preparing to administer a client's antihypertensive medication. When using
clinical judgment, which of the following findings indicates the nurse should further
assess the client before administering medication?
The client reports having trouble sleeping the previous night.
The client reports dizziness when ambulating to the bathroom.
The client ate 60% of their breakfast.
The client has a urine output of 400 mL for the past 8 hr.
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The client reports dizziness when ambulating to the bathroom.
A nurse is caring for a group of clients. Which of the following clients should the nurse
identify is at highest risk for developing a pressure injury?
A client who alert and responsive and eats 25% of each meal.
A client who is unresponsive to verbal commands and changes position occasionally.
A client who is receiving enteral feeding and can change position independently.
A client who makes frequent slight changes in position and walks occasionally.
Give this one a try later!
from a client who requires medical treatment?
Evaluation
Assessment
Implementation
Outcomes identification
,Give this one a try later!
Assessment
A nurse is documenting client care including only unexpected findings related to the
client's condition. Which of the following documentation methods is the nurse
utilizing?
Problem-oriented medical record (POMR)
SOAP documentation
Focus charting (DAR)
Charting by exception (CBE)
Give this one a try later!
Charting by exception (CBE)
A nurse is assessing a client who has impaired mobility. The nurse should monitor the
client for a pressure injury due to which of the following factors?
Increased collagen
Increased muscle mass
Decreased circulation
Decreased serum calcium
Give this one a try later!
, Decreased circulation
A nurse is preparing to administer a client's antihypertensive medication. When using
clinical judgment, which of the following findings indicates the nurse should further
assess the client before administering medication?
The client reports having trouble sleeping the previous night.
The client reports dizziness when ambulating to the bathroom.
The client ate 60% of their breakfast.
The client has a urine output of 400 mL for the past 8 hr.
Give this one a try later!
The client reports dizziness when ambulating to the bathroom.
A nurse is caring for a group of clients. Which of the following clients should the nurse
identify is at highest risk for developing a pressure injury?
A client who alert and responsive and eats 25% of each meal.
A client who is unresponsive to verbal commands and changes position occasionally.
A client who is receiving enteral feeding and can change position independently.
A client who makes frequent slight changes in position and walks occasionally.
Give this one a try later!
