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A nurse teaches a client to use visualization to cope with chronic pain. Which step of the nursing process is associated with this nursing intervention?
a. Planning
b. Analysis
c. Implementation
d. Evaluation
c. Implementation
A nurse evaluates a client’s response to a nebulizer treatment. To which aspect of the nursing process is this evaluation most directly related?
a. Goal/Outcome
b. Problem
c. Etiology
d. Implementation
a. Goal/Outcome
A nurse collects information about a client. Which should the nurse do next?
a. Plan nursing intervention
b. Write client-centered goals/outcomes
c. Perform client-centered interventions
d. Analyze the significance of the data
d. Analyze the significance of the data
A nurse has completed the planning step of the nursing process for a client who has an acid-base imbalance. Which of the following steps should the nurse take?
a. Analysis
b. Evaluation
c. Assessment
d. Implementation
d. Implementation
A nurse is preparing a teaching plan for for a client about hand hygiene. The nurse should identify that which of the following actions is part of the planning step?
a. Determine the client’s motivation to learn about hand hygiene
b. Identify teaching strategies about hand hygiene for the client
c. Demonstrate hand hygiene for the client
d. Ask the client to demonstrate hand hygiene
b. Identify teaching strategies about hand hygiene for the client
A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome?
a. Evaluation
b. Implementation
c. Planning
d. Assessment
c. Planning
A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse include?
a. Establishes health objectives for Americans
b. Monitors nonmodifiable risk factors
c. Utilizes health data from the past 20 years
d. Identifies viruses across the world
a. Establishes health objectives for Americans
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?
a. sunbathing
b. age
c. genetics
d. family history
a. sunbathing
A nurse is preparing a client for a colonoscopy. The client has a family history of colon cancer. Which of the following types of prevention is the nurse demonstrating?
a. Quaternary
b. Secondary
c. Primary
d. Tertiary
b. Secondary
A nurse is providing discharge teaching about improving gas exchange for a client who has COPD. Which of the following instructions should the nurse include in the teaching?
a. Collect and utilize data to change current practice
b. Organize client services following discharge
c. Teaches nursing students
d. Provides direct client care
b. Organize client services following discharge
A nurse is providing instructions to a client about the Press Ganey survey. Which of the following statements by the client indicates an understanding?
a. “This survey is provided to a sample group of people”
b. “This survey will ask me about my satisfaction of services provided”
c. “I will receive a printed survey in the mail to complete”
d. “I will receive a telephone call from someone regarding my visit”
b. “This survey will ask me about my satisfaction of services provided”
A nurse is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report?
a. Client’s bedside
b. Nurse’s lounge
c. Outside client’s room
d. Conference Room
a. Client’s bedside
A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow’s hierarchy of needs, which category should the nurse identify for the client’s situation?
a. Esteem
b. Physiological
c. Safety
d. Self-actualization
b. Physiological
A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?
a. A client who has pneumonia and has developed wheezing
b. A client who is postoperative and has a urine output of 50mL
c. A client who is scheduled for discharge and has a 101.1 F temperature
d. A client who has early dementia and awoke confused to their location this morning
a. A client who has pneumonia and has developed wheezing
A nurse is obtaining informed consent from a client who is scheduled for a procedure. Which of the following roles is the nurse demonstrating?
a. Nurse Manager
b. Case Manager
c. Advocate
d. Researcher
c. Advocate
A charge nurse is teaching a newly licensed nurse the importance of client confidentiality. Which of the following professional standards should the charge nurse refer to in the teaching?
a. Code of Ethics
b. Nursing Scope and Standards of Practice
c. Principles of Nursing Practice
d. AMA Position Statement.
a. Code of Ethics
Which of the following is a component of clinical decision making that the nurse should use to make an evidence based decision?
a. Concept Mapping
b. Clinical Reasoning
c. Clinical Judgment
d. Critical thinking
c. Clinical Judgment