When asked to define “Nursing Diagnosis” the nurse’s best response is: 1. “It is the second step in the Nursing Process.” 2. “It is the process of defining a client’s problems.” 3. “It correlates a client’s problem with a condition a nurse is competent to treat.” 4. “It focuses care a licensed nurse can provide […]
Date: September 29th, 2020
When attempting to meet the needs of the family, the nurse recognizes the central concept of the theory of family developmental stages is that: 1. Over time all families progress through developmental stages 2. Needs differ as the family progresses through the various stages 3. While each family is unique, they all tend to progress […]
Date: September 29th, 2020
A client experiencing respiratory acidosis as a result of pneumonitis is likely to present with which of the following clinical signs? (Select all that apply.) 1. Tingling fingers 2. Difficult to arouse 3. Warm, flushed skin 4. Tremors in the hands 5. Reporting a “terrible headache” 6. Repeatedly asking “Where am I?” ANSWER ANS: […]
Date: September 29th, 2020
Which of the following statements by the nurse best defines ‘nursing diagnoses’ for a client? 1. “It is the basis for a client’s care plan.” 2. “It is what we nurses use to plan your care.” 3. “It is one of a set of standardized client oriented problems.” 4. “It is the way nurses identify […]
Date: September 29th, 2020
The nurse observes a client scheduled for an invasive procedure crying while discussing the pro-cedure with a family member. Which of the following therapeutic nursing interventions would be the most caring? 1. Arranging for the client’s clergy to visit 2. Inquiring, “Why is your sister crying?” 3. Providing a detailed explanation of the procedure 4. […]
Date: September 29th, 2020
The nurse has delegated the task of obtaining vital signs on a new admission to a UAP (unlicensed assistive personnel). The task is completed, but the vitals were not recorded accurately. Who is fully responsible for this action? 1. The UAP 2. The nurse 3. Both the UAP and the nurse 4. The nurse manager […]
Date: September 29th, 2020
Which of the following questions, asked by a nurse, best reflects an understanding of effective evaluation? 1. “Do you feel confident in the use of your glucometer?” 2. “Have you been following your low carbohydrate diet?” 3. “Any questions regarding the tests you are scheduled for today?” 4. “May we review what we discussed earlier […]
Date: September 29th, 2020
Which of the following best describes a nurse thinking at stage 5 of Kohlberg’s Moral Develop-mental Theory? 1. “The client has a right to decide whether or not to proceed with the treatment plan.” 2. “The hospital’s policies and procedures are excellent tools for making client ori-ented decisions.” 3. “It won’t be fair to expect […]
Date: September 29th, 2020
When discussing the details of having a procedure done in a facility’s ambulatory surgery de-partment, the nurse includes which of the following as advantages? (Select all that apply.) 1. Facilitates faster postsurgical recovery 2. Reduces hospital-oriented expenses 3. Allows for more one-on-one attention by staff 4. Cuts preparation time for surgical procedures 5. Minimizes risk […]
Date: September 29th, 2020
A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility. Which nursing intervention should be identified for this client’s problem? 1. Encourage the client to eat at least 40% of meals. 2. Keep linens dry and wrinkle-free. 3. Restrict fluid intake. 4. Turn client every 3 hours. ANSWER Correct Answer: […]
Date: September 29th, 2020
