Exam 1: Professional Nursing Practice

The nurse is administering medications to a patient.Which actions by the nurse during this process are consistent with promoting safe delivery of care ?

The nurse documenting the patient's progress in the care plan in the electronic health record before an interdisciplinary discharge conference is demonstrating competency in which QSEN category?

The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients.Which statement,if made by the nurse,would be the most accurate?

The nurse interviews a patient while completing the health history and physical examination.What is the purpose of the assessment phase of the nursing process?

A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus.Which task is appropriate for the nurse to delegate to the home health aide?

The nurse teaches a student nurse about how to apply the nursing process when providing patient care.Which statement,if made by the student nurse,indicates that teaching was successful?

Which information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/LVN)who is working on a medical-surgical unit ?

The nurse is providing education to nursing staff on quality care initiatives.Which statement would be the most accurate description of the impact of health care financing on quality care?

A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury.The patient can expect the nurse functioning in this role to perform which activity?

The nurse is caring for an older adult patient who had surgery to repair a fractured hip.The patient needs continued nursing care and physical therapy to improve mobility before returning home.The nurse will help to arrange for transfer of this patient to which facility?

A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis.Which outcome would the nurse recognize as most appropriate for this patient?

The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input.The patient states,"How is this different from what the doctor does?" Which response would be most appropriate for the nurse to make?

A nurse is caring for a patient with heart failure.Which task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)?

Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?

The nurse uses the Situation-Background-Assessment-Recommendation (SBAR)format to communicate a change in patient status to a health care provider.In which order should the nurse make the following statements? (Put a comma and a space between each answer choice [A,B,C,D].) A) "The patient needs to be evaluated immediately and may need intubation and mechanical ventilation." B) "The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low." C) "The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%. Her condition is very unstable." D) "This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour."

The nurse admits a patient to the hospital and develops a plan of care.What components should the nurse include in the nursing diagnosis statement?

A patient has been admitted to the hospital for surgery and tells the nurse,"I do not feel comfortable leaving my children with my parents." Which action should the nurse take next?

Which nursing diagnosis statement is written correctly?

A nurse asks the patient if pain was relieved after receiving medication.What is the purpose of the evaluation phase of the nursing process?

A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN),one unlicensed assistive personnel (UAP),and one licensed practical/vocational nurse (LPN/LVN).Which assignment,if delegated by the nurse,would be inappropriate?