Question 1

Shortness of breath due to emphysema would be a major component of the _________ care plan.

Accepted Answer

interdisciplinary
An interdisc

Question 2

Place the steps of the nursing process in their proper sequence.

-Step 3

Accepted Answer

A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis 
A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis

Question 3

The diabetic patient who had blood drawn for an HbA1c level says,"I don't know why they want to look at my hemoglobin." Which response is most appropriate for the nurse to make?

Accepted Answer

A)  "Diabetes increases your risk of bleeding." 
B)  "The HbA1c provides information relative to blood sugar levels for the last 2 to 3 months." 
C)  "Hemoglobin levels and blood sugar levels are closely related." 
D)  "The HbA1c tells if you have type 1 or type 2 diabetes." 
A)  "Diabetes increases your risk of bleeding." 
B)  "The HbA1c provides information relative to blood sugar levels for the last 2 to 3 months." 
C)  "Hemoglobin levels and blood sugar levels are closely related." 
D)  "The HbA1c tells if you have type 1 or type 2 diabetes."

Question 4

The nurse is performing an intake interview on a new resident to the long-term care facility.The nurse detects the odor of acetone from the patient's breath.Which term accurately describes this assessment?

Accepted Answer

A)  Inspection 
B)  Observation 
C)  Auscultation 
D)  Olfaction 
A)  Inspection 
B)  Observation 
C)  Auscultation 
D)  Olfaction

Question 5

Place the steps of the nursing process in their proper sequence.

-Step 2

Accepted Answer

A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis 
A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis

Question 6

The nurse is caring for a patient with the problem statement/nursing diagnosis of Risk for Impaired Skin Integrity Related to Immobility.Which goal/outcome statement best correlates with this diagnosis?

Accepted Answer

A)  The patient will sit in chair at bedside for 15 minutes after each meal. 
B)  The nurse will assist the patient to chair every shift. 
C)  The nurse will assess skin and record condition every shift. 
D)  The patient will change positions frequently. 
A)  The patient will sit in chair at bedside for 15 minutes after each meal. 
B)  The nurse will assist the patient to chair every shift. 
C)  The nurse will assess skin and record condition every shift. 
D)  The patient will change positions frequently.

Question 7

While conducting an admission interview,the nurse questions the patient about pain.The patient responds,"No.I'm pretty wobbly." Which action should the nurse take next?

Accepted Answer

A)  Repeat the question about pain. 
B)  Ask the patient to clarify his meaning. 
C)  Record that the patient denied pain. 
D)  Record that the patient stated he was wobbly. 
A)  Repeat the question about pain. 
B)  Ask the patient to clarify his meaning. 
C)  Record that the patient denied pain. 
D)  Record that the patient stated he was wobbly.

Question 8

Which technique should the nurse employ to best assess skin turgor?

Accepted Answer

A)  Examine mucous membranes of the mouth. 
B)  Compare limbs for similar color. 
C)  Pinch a skinfold on chest to assess for tenting. 
D)  Palpate the ankles for evidence of pitting edema. 
A)  Examine mucous membranes of the mouth. 
B)  Compare limbs for similar color. 
C)  Pinch a skinfold on chest to assess for tenting. 
D)  Palpate the ankles for evidence of pitting edema.

Question 9

Which example(s)demonstrate patient care that reflects knowledge of the National Patient Safety Goals?

Accepted Answer

A)  Identifying the patient prior to medication administration by asking the patient to state his or her name. 
B)  Reporting any sentinel event to the facility's quality assurance team. 
C)  Assessing the patient's heartrate prior to administration of digoxin. 
D)  Performing hand hygiene prior to performing a patient assessment. 
E)  Documenting the appropriate time of medication administration. 
A)  Identifying the patient prior to medication administration by asking the patient to state his or her name. 
B)  Reporting any sentinel event to the facility's quality assurance team. 
C)  Assessing the patient's heartrate prior to administration of digoxin. 
D)  Performing hand hygiene prior to performing a patient assessment. 
E)  Documenting the appropriate time of medication administration.

Question 10

The nursing student demonstrates knowledge of the proper use of the ___________ when determining that it is safe to administer meperidine (Demerol)and promethazine (Phenergan)together.

Accepted Answer

Medication Reconciliation Form
The Medic

Question 11

The nurse is assessing a new patient who complains of his chest feeling tight.The patient displays a temperature of 100° F and an oxygen saturation of 89%,and expectorates frothy mucus.Which finding is an example of subjective data?

Accepted Answer

A)  Temperature 
B)  Oxygen saturation 
C)  Frothy mucus 
D)  Chest tightness 
A)  Temperature 
B)  Oxygen saturation 
C)  Frothy mucus 
D)  Chest tightness

Question 12

During a morning assessment,the nurse observes that the patient displays significant edema of both feet and ankles.Which statement best documents these findings?

Accepted Answer

A)  Pitting edema present in both feet and ankles 
B)  Edema in both feet and ankles approximately 4 mm deep 
C)  4 mm pitting edema quickly resolving 
D)  Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds 
A)  Pitting edema present in both feet and ankles 
B)  Edema in both feet and ankles approximately 4 mm deep 
C)  4 mm pitting edema quickly resolving 
D)  Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds

Exam 2: Critical Thinking and the Nursing Process

Shortness of breath due to emphysema would be a major component of the _________ care plan.

Place the steps of the nursing process in their proper sequence. -Step 3

The diabetic patient who had blood drawn for an HbA1c level says,"I don't know why they want to look at my hemoglobin." Which response is most appropriate for the nurse to make?

The nurse is performing an intake interview on a new resident to the long-term care facility.The nurse detects the odor of acetone from the patient's breath.Which term accurately describes this assessment?

Place the steps of the nursing process in their proper sequence. -Step 2

The nurse is caring for a patient with the problem statement/nursing diagnosis of Risk for Impaired Skin Integrity Related to Immobility.Which goal/outcome statement best correlates with this diagnosis?

While conducting an admission interview,the nurse questions the patient about pain.The patient responds,"No.I'm pretty wobbly." Which action should the nurse take next?

Which technique should the nurse employ to best assess skin turgor?

Which example(s)demonstrate patient care that reflects knowledge of the National Patient Safety Goals?

The nursing student demonstrates knowledge of the proper use of the ___________ when determining that it is safe to administer meperidine (Demerol)and promethazine (Phenergan)together.

The nurse is assessing a new patient who complains of his chest feeling tight.The patient displays a temperature of 100° F and an oxygen saturation of 89%,and expectorates frothy mucus.Which finding is an example of subjective data?

During a morning assessment,the nurse observes that the patient displays significant edema of both feet and ankles.Which statement best documents these findings?

Caring for Medical-Surgical Patients

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

Filters

The diabetic patient who had blood drawn for an HbA₁c level says,"I don't know why they want to look at my hemoglobin." Which response is most appropriate for the nurse to make?