1. The nursing process is a five-step decision-making approach that includes all of
the following steps, EXCEPT:
A. Assessment
B. Patient problem
C.
... [Show More] Planning
D. Right Drug
2. The nurse is using data collected to set goals or expected outcomes and
interventions that address the patient’s problems. Which step of the nursing
process is the nurse applying?
A. Assessment
B. Patient problem
C. Planning
D. Evaluation
3. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes of hyperglycemia. The parents tell the nurse that
they can’t keep track of everything that has to be done to care for their child. The
nurse reviews medications, diet, and symptom management with the parents and
draws up a daily checklist for the family to use. These activities are completed in
which step of the nursing process?
A.)Assessment
B.)Planning
C.) Implementation
D.) Evaluation
4. The nurse is preparing to administer a medication and reviews the patient’s
chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels.
The nurse’s actions are reflective of which phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
5. Which assessment is categorized as objective data?
A.) A list of herbal supplements regularly used
B.) Lab values associated with the drugs the patient is taking
C.) The ages and relationship to the patient of all household members
D.) Usual dietary patterns and food intake
6. The nurse reviews a patient’s database and learns that the patient lives alone, is
forgetful, and does not have an established routine. The patient will be sent home
with three new medications to be taken at different times of the day. The nurse
develops a daily medication chart and enlists a family member to put the patient’s
pills in a pill organizer. This is an example of which phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD)
wants to go home. The nurse and the patient discuss the patient’s situation and
decide that the patient may go home when able to perform self-care without
dyspnea and hypoxia. This is an example of which phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
8. A patient will be sent home with a metered-dose inhaler, and the nurse is
providing teaching. Which is a correctly written goal for this process?
A. The nurse will demonstrate the correct use of a metered-dose inhaler to
the patient.
B. The nurse will teach the patient how to administer medication with a
metered-dose inhaler.
C. The patient will know how to self-administer the medication using the
metered-dose inhaler.
D. The patient will independently administer the medication using the
metered-dose inhaler at the end of the session.
9. The nurse is developing a plan of care for a patient who has chronic lung
disease and hypoxia. The patient has been admitted for increased oxygen needs
above a baseline of 2 L/min. The nurse develops a goal stating, “The patient will
have oxygen saturations of >95% on room air at the time of discharge from the
hospital.” What is wrong with this goal?
A. It cannot be evaluated.
B. It is not measurable.
C. It is not patient-centered.
D. It is not realistic.
10. The nurse is developing a teaching plan for an elderly patient who will begin
taking an antihypertensive drug that causes dizziness and orthostatic hypotension.
Which patient problem documented by the nurse is appropriate for this patient?
A. Deficient knowledge related to drug side effects
B. Ineffective health maintenance related to age
C. Readiness for enhanced knowledge related to medication side effects
D. Risk for injury related to side effects of the medication
11. An older patient must learn to administer a medication using a device that
requires manual dexterity. The patient becomes frustrated and expresses lack of
self-confidence in performing this task. Which action will the nurse perform next?
A. Ask the patient to keep trying until the skill is learned.
B. Provide written instructions with illustrations showing each step of the skill.
C. Schedule multiple sessions and practice each step separately.
D. Teach the procedure to family members who can administer the medication
for the patient.
12. A school-age child will begin taking a medication to be administered at 5 mL
three times daily. The child’s parent tells the nurse that, with a previous use of the
drug, the child repeatedly forgot to bring the medication home from school,
resulting in missed evening doses. What will the nurse recommend?
A. Asking the provider if the medication may be taken before school, after
school, and at bedtime
B. Putting a note on the child’s locker to encourage the child to take
responsibility for medication administration
C. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may
be taken in the evening so that the correct amount is given daily
D. Taking the noon dose to school every day and giving it to the school nurse
to administer
13. A high-school student regularly forgets to use a twice-daily inhaled
corticosteroid to prevent asthma flares and is repeatedly admitted to the hospital.
The child’s parent tells the nurse that the child has been told that forgetting to
take the medication causes frequent hospitalizations. The nurse will:
A. encourage the child to take responsibility for taking the medication.
B. reinforce the need to take prescribed medications to avoid hospitalizations.
C. suggest putting the inhaler with the child’s toothbrush to use before
brushing teeth.
D. suggest that the child’s parents administer the medication to increase
compliance.
14. An adolescent patient who has acne is given a regimen of topical medications
and an oral antibiotic that generally clears up lesions to fewer than 10 within 6 to
8 weeks. At a 2-month follow-up, the patient continues to have more than 25
lesions. The child’s parents affirms that the child is using the medication as
prescribed. Which evaluation statement is correct for this patient?
A. “Goal that the medication will be effective is not met.”
B. “Goal that the patient will take medications as prescribed is not met.”
C. “Goal that the patient understands the medication regimen is not met.”
D. “Goal that the patient understands the medication regime is not met.”
15. During a home visit, the nurse learns that a patient has not been taking their
medications as prescribed. The patient reports having no insurance and tells the
nurse that the drug is too expensive. After learning that there is no substitute
medication, the nurse will perform which action next?
A. Assist the patient to apply for a patient-assist program.
B. Contact the pharmacy to request a reduction in the cost of the drug.
C. Determine the patient’s annual income.
D. Give the patient the number of a charitable organization that may be able
to help............ [Show Less]