Question 1

The nurse knows that standardized care plans may be available and:

Accepted Answer

A)  need to be individualized for each patient. 
B)  are implemented without adjustment. 
C)  remove the need for nurse involvement. 
D)  do not require the use of nursing diagnoses. 
A)  need to be individualized for each patient. 
B)  are implemented without adjustment. 
C)  remove the need for nurse involvement. 
D)  do not require the use of nursing diagnoses. A

Question 2

The nurse is formulating the patient's care plan. In determining when to evaluate the patient's progress, the nurse is aware that evaluations:

Accepted Answer

A)  must be done at the end of every shift. 
B)  should be done at least every 24 hours. 
C)  depend on intervention and patient condition. 
D)  are always done at time of discharge. 
A)  must be done at the end of every shift. 
B)  should be done at least every 24 hours. 
C)  depend on intervention and patient condition. 
D)  are always done at time of discharge. C

Question 3

Setting priorities among identified nursing diagnoses is the first step in the planning process. The nurse is responsible for:

Accepted Answer

A)  monitoring patient responses. 
B)  carrying out the physician's plan of care. 
C)  providing all interventions. 
D)  preventing interference from other disciplines. 
A)  monitoring patient responses. 
B)  carrying out the physician's plan of care. 
C)  providing all interventions. 
D)  preventing interference from other disciplines. A

Question 4

Which assessment made by the nurse should be addressed first?

Accepted Answer

A)  Reddened area to coccyx 
B)  Decreased urinary output 
C)  Shortness of breath 
D)  Drainage from surgical incision 
A)  Reddened area to coccyx 
B)  Decreased urinary output 
C)  Shortness of breath 
D)  Drainage from surgical incision

Question 5

The nurse has a thorough understanding of the planning phase of the nursing process when stating:

Accepted Answer

A)  "Patients should be included in the planning process." 
B)  "Patient families should not interfere in the planning process." 
C)  "The planning process should focus on short-term goals only." 
D)  "Planning is the first phase of the nursing process." 
A)  "Patients should be included in the planning process." 
B)  "Patient families should not interfere in the planning process." 
C)  "The planning process should focus on short-term goals only." 
D)  "Planning is the first phase of the nursing process."

Question 6

Nursing interventions that originate from the physician or primary care provider orders are:

Accepted Answer

A)  dependent 
B)  independent 
C)  collaborative 
D)  Nursing Interventions Classifications 
A)  dependent 
B)  independent 
C)  collaborative 
D)  Nursing Interventions Classifications

Question 7

The nurse is accurate when stating that adequate discharge planning:

Accepted Answer

A)  "May decrease the incidence of patients required to return to the hospital." 
B)  "Increases complications and readmissions in most cases." 
C)  "Adapts to the situation as the patient's conditions changes." 
D)  "Should begin as soon as the patient is discharged home." 
A)  "May decrease the incidence of patients required to return to the hospital." 
B)  "Increases complications and readmissions in most cases." 
C)  "Adapts to the situation as the patient's conditions changes." 
D)  "Should begin as soon as the patient is discharged home."

Question 8

Which goal is written correctly for the nursing diagnosis of activity intolerance related to imbalance between oxygen supply and demand?

Accepted Answer

A)  Patient will walk 1 mile without shortness of breath. 
B)  Patient will ambulate 100 feet with no shortness of breath on third day after treatment. 
C)  Patient will climb stairs without shortness of breath by day 2 of hospital stay 
D)  Patient will tolerate activity. 
A)  Patient will walk 1 mile without shortness of breath. 
B)  Patient will ambulate 100 feet with no shortness of breath on third day after treatment. 
C)  Patient will climb stairs without shortness of breath by day 2 of hospital stay 
D)  Patient will tolerate activity.

Question 9

Measurable goals are: (Select all that apply.)

Accepted Answer

A)  specific 
B)  concrete 
C)  vague 
D)  easy to judge 
E)  non-specific 
A)  specific 
B)  concrete 
C)  vague 
D)  easy to judge 
E)  non-specific

Question 10

Which should the nurse address first?

Accepted Answer

A)  Pain 
B)  Hunger 
C)  Decreased self-esteem 
D)  Absence of pulse 
A)  Pain 
B)  Hunger 
C)  Decreased self-esteem 
D)  Absence of pulse

Question 11

Goals are broad statements of purpose that describe the aim of nursing care. As such, goals:

Accepted Answer

A)  are considered short term if achieved within a month of identification. 
B)  always have established time parameters, such as "long-term" or "short-term." 
C)  are mutually acceptable to the nurse, patient, and family. 
D)  can be vague to facilitate evaluation of achievement. 
A)  are considered short term if achieved within a month of identification. 
B)  always have established time parameters, such as "long-term" or "short-term." 
C)  are mutually acceptable to the nurse, patient, and family. 
D)  can be vague to facilitate evaluation of achievement.

Question 12

The nurse recognizes which of the following as a barrier to achieving goals?

Accepted Answer

A)  The effects of pain and/or clinical depression 
B)  Patient involvement in setting patient goals 
C)  Family involvement in setting patient goals 
D)  Realistic expectations of the patient's capabilities. 
A)  The effects of pain and/or clinical depression 
B)  Patient involvement in setting patient goals 
C)  Family involvement in setting patient goals 
D)  Realistic expectations of the patient's capabilities.

Question 13

The nurse is formulating a plan of care for a patient. In this phase of the nursing process, the nurse: (Select all that apply.)

Accepted Answer

A)  prioritizes nursing diagnoses. 
B)  determines short and long-term goals. 
C)  identifies outcome indicators. 
D)  lists nursing interventions. 
E)  gathers assessment data. 
A)  prioritizes nursing diagnoses. 
B)  determines short and long-term goals. 
C)  identifies outcome indicators. 
D)  lists nursing interventions. 
E)  gathers assessment data.

Question 14

Which of the following is a correctly written example of a short-term goal?

Accepted Answer

A)  By attending the gym, the patient will lose 50 lb in 1 year. 
B)  In 6 months, patient will be able to ambulate 1 mile without shortness of breath. 
C)  Patient will be able to change his colostomy bag within 6 weeks of surgery. 
D)  With diet and exercise, the patient will lose 1 lb this week. 
A)  By attending the gym, the patient will lose 50 lb in 1 year. 
B)  In 6 months, patient will be able to ambulate 1 mile without shortness of breath. 
C)  Patient will be able to change his colostomy bag within 6 weeks of surgery. 
D)  With diet and exercise, the patient will lose 1 lb this week.

Question 15

The significance of developing organized plans of care for patients cannot be stressed enough. In the planning phase, the nurse must take seriously the responsibility of: (Select all that apply.)

Accepted Answer

A)  prioritizing patient needs. 
B)  developing mutually agreed-on goals. 
C)  determining outcome criteria. 
D)  identifying interventions. 
E)  implementation of the patient's plan of care. 
A)  prioritizing patient needs. 
B)  developing mutually agreed-on goals. 
C)  determining outcome criteria. 
D)  identifying interventions. 
E)  implementation of the patient's plan of care.

Question 16

The nurse is caring for a patient who has had abdominal surgery but has developed a slight temperature. A patient-centered goal would be:

Accepted Answer

A)  the patient's temperature will return to normal within 24 hours. 
B)  the nurse will medicate the patient for surgical pain every 4 hours. 
C)  skin integrity will be maintained until the patient is ambulatory. 
D)  the patient will ambulate 10 feet by post-op day 2. 
A)  the patient's temperature will return to normal within 24 hours. 
B)  the nurse will medicate the patient for surgical pain every 4 hours. 
C)  skin integrity will be maintained until the patient is ambulatory. 
D)  the patient will ambulate 10 feet by post-op day 2.

Question 17

Patients should be included in the planning process. Involving patients in planning their care helps them to: (Select all that apply.)

Accepted Answer

A)  be aware of identified needs. 
B)  accept that not all goals are measurable. 
C)  embrace mutually agreed-on goals. 
D)  feel a sense of empowerment. 
E)  overcome unrealistic goals. 
A)  be aware of identified needs. 
B)  accept that not all goals are measurable. 
C)  embrace mutually agreed-on goals. 
D)  feel a sense of empowerment. 
E)  overcome unrealistic goals.

Question 18

Physical therapy, home health care, and personal care are examples of:

Accepted Answer

A)  collaborative interventions. 
B)  dependent nursing interventions. 
C)  independent nursing interventions. 
D)  assessment data. 
A)  collaborative interventions. 
B)  dependent nursing interventions. 
C)  independent nursing interventions. 
D)  assessment data.

Question 19

Medication administration is what type of nursing intervention?

Accepted Answer

A)  Independent 
B)  Dependent 
C)  Collaborative 
D)  Interdisciplinary 
A)  Independent 
B)  Dependent 
C)  Collaborative 
D)  Interdisciplinary

Question 20

Which statement is correct regarding diversity considerations?

Accepted Answer

A)  The male gender may struggle less with health care terminology. 
B)  High numbers of minority populations do not understand health teachings. 
C)  Older adults have an easier time understanding health teachings because of life experience. 
D)  Disabilities have no impact on the development of patient care goals. 
A)  The male gender may struggle less with health care terminology. 
B)  High numbers of minority populations do not understand health teachings. 
C)  Older adults have an easier time understanding health teachings because of life experience. 
D)  Disabilities have no impact on the development of patient care goals.

Exam 8: Planning

The nurse knows that standardized care plans may be available and:

The nurse is formulating the patient's care plan. In determining when to evaluate the patient's progress, the nurse is aware that evaluations:

Setting priorities among identified nursing diagnoses is the first step in the planning process. The nurse is responsible for:

Which assessment made by the nurse should be addressed first?

The nurse has a thorough understanding of the planning phase of the nursing process when stating:

Nursing interventions that originate from the physician or primary care provider orders are:

The nurse is accurate when stating that adequate discharge planning:

Which goal is written correctly for the nursing diagnosis of activity intolerance related to imbalance between oxygen supply and demand?

Measurable goals are: (Select all that apply.)

Which should the nurse address first?

Goals are broad statements of purpose that describe the aim of nursing care. As such, goals:

The nurse recognizes which of the following as a barrier to achieving goals?

The nurse is formulating a plan of care for a patient. In this phase of the nursing process, the nurse: (Select all that apply.)

Which of the following is a correctly written example of a short-term goal?

The significance of developing organized plans of care for patients cannot be stressed enough. In the planning phase, the nurse must take seriously the responsibility of: (Select all that apply.)

The nurse is caring for a patient who has had abdominal surgery but has developed a slight temperature. A patient-centered goal would be:

Patients should be included in the planning process. Involving patients in planning their care helps them to: (Select all that apply.)

Physical therapy, home health care, and personal care are examples of:

Medication administration is what type of nursing intervention?

Which statement is correct regarding diversity considerations?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception through Adolescence

Human Development Young Adult to Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community Base, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

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