1. Nursing process can be defined as the
A. Implementation of nursing care by the nurse
B. Steps the nurse employs to provide nursing care
C. Process the nurse uses to determine nursing goals
D. Activities a nurse employs to identify a nursing problem correct answers B
2. To utilize t...
A. Implementation of nursing care by the nurse
B. Steps the nurse employs to provide nursing care
C. Process the nurse uses to determine nursing goals
D. Activities a nurse employs to identify a nursing problem correct answers B
2. To utilize the nursing process, the nurse must first:
A. Identify goals for nursing care
B. State the client's nursing needs
C. Obtain information about the client
D. Evaluate the effectiveness of nursing actions correct answers C
3. A Nursing Diagnosis represents the:
A. Proposed plan of care
B. Client's health problem
C. Assessment of client's data
D. Actual nursing intervention correct answers B
4. The nurse who collaborates directly with the client to establish and implement a plan
of care is the:
A. Primary Nurse
B. Nurse Clinician
C. Clinical Specialist
D. Nurse Coordinator correct answers A
5. The determining factor in the revision of a nursing care plan is the:
A. Time available for care
B. Validity of the diagnosis
C. Method for providing care
D. Effectiveness of the interventions correct answers D
6. The primary purpose for regulating nursing practice is to protect:
A. The public
B. Practicing nurses
C. The employing agency
, D. Professional standards correct answers A
7. When preparing an IV piggyback meds for a patient, the nurse is aware that it is
Essential to:
A. Use strict sterile technique
B. Rotate the bag after adding the medication
C. Use exactly 100 ml of fluid to mix medications
D. Change the needle just before adding the medication correct answers A
8. A client has an IV infusion. If the IV infusion infiltrates, the nurse should first.
A. Elevate the IV site
B. Attempts to flush the tubing
C. Discontinue the infusion
D. Apply warm moist soaks correct answers C
9. When instituting 02 therapy, the nurse recognizes that the method of 02 delivery that
is least likely to increase apprehension in the client is
A. Tent
B. Mask
C. Cannula
D. Catheter correct answers C
10. The nurse assess that a client's pulse pressure is decreasing. This should be
evaluated by calculating the:
A Force exerted against the arterial wall
B. Difference between the apical and radial pulse
C. Difference between systolic and diastolic readings
D. Degree of ventricular contraction in relation to the output correct answers C
11. When teaching a client about orthostatic hypotension, the nurse should explain that
it can be modified by:
A. Wearing support hose continuously
B. Lying down 30 minutes after taking medication
C. Avoiding tasks that require high energy expenditures
D. Sitting on the edge of the bed a short time before arising correct answers A
12. During blood transfusion, a client develops chills and headache. The nurse best
action is to:
A. Lightly cover the patient
B. Stop the infusion immediately
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