DETAILED
SOLUTIONS, LATEST QUESTIONS WITH CORRECT
ANSWERS 2026/2027 LATEST
1. Which interventions are appropriate for a patient with diabetes
and poor wound healing? (Select all that apply.)
a. Perform dressing changes twice a day as ordered.
b. Teach the patient about signs and symptoms of infection.
c. Instruct the family about how to perform dressing changes.
d. Gently refocus patient from discussing body image changes. Administer
medications to control the patient’s blood sugar as
e. ordered.
ANS: A, B, C, E
Nursing priorities include interventions directed at enhancing wound healing.
Teaching the patient about signs and symptoms of infection will help the
patient identify signs of appropriate wound healing and know when the need
for calling the health care provider arises. Performing dressing changes,
controlling blood sugars through administration of medications, and
instructing the family in dressing changes all contribute to wound healing. As
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,long as a patient is stable and alert, it is appropriate to allow family to assist
with care. The patient should be allowed to discuss body image changes. 1 .
A nurse determines that the patient’s condition has improved and has
met expected outcomes. Which step of the nursing process is the nurse
exhibiting?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: D
Evaluation, the final step of the nursing process, is crucial to determine
whether, after application of the first four steps of the nursing process, a
patient’s condition or well-being improves and if goals have been met.
Assessment, the first step of the process, includes data collection. Planning,
the third step of the process, involves setting priorities, identifying patient
goals and outcomes, and selecting nursing interventions. During
implementation, nurses carry out nursing care, which is necessary to help
patients achieve their goals.
2. A nurse completes a thorough database and carries out nursing
interventions based on priority diagnoses. Which action will the nurse take
next?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
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,ANS: D
Evaluation, the final step of the nursing process, is crucial to determine
whether, after application of the first four steps of the nursing process, a
patient’s condition or well-being improves. Assessment involves gathering
information about the patient. During the planning phase, patient outcomes
are determined. Implementation involves carrying out appropriate nursing
interventions.
3 . A new nurse asks the preceptor to describe the primary purpose of
evaluation. Which statement made by the nursing preceptor is most accurate?
“An evaluation helps you determine whether all nursing interventions
a. were completed.”
“During evaluation, you determine when to downsize staffing on
b. nursing units.”
“Nurses use evaluation to determine the effectiveness of nursing
c. care.”
d. “Evaluation eliminates unnecessary paperwork and care planning.”
ANS: C
Evaluation is a methodical approach for determining if nursing
implementation was effective in influencing a patient’s progress or condition
in a favorable way. During evaluation, you do not simply determine whether
nursing interventions were completed. The evaluation process is not used to
determine when to downsize staffing or how to eliminate paperwork and care
planning.
4. After assessing the patient and identifying the need for headache relief,
the nurse administers acetaminophen for the patient’s headache. Which action
by the nurse is priority for this patient?
a. Eliminate headache from the nursing care plan.
Direct the nursing assistive personnel to ask if the headache is b.
relieved.
c. Reassess the patient’s pain level in 30 minutes.
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, d. Revise the plan of care.
ANS: C
The nurse’s priority action for this patient is to evaluate whether the nursing
intervention of administering acetaminophen was effective. The nurse does
not have enough evaluative data at this point to determine whether headache
needs to be discontinued. Assessment is the nurse’s responsibility and is not
to be delegated to nursing assistive personnel. The nurse does not have
enough evaluative data to determine whether the patient’s plan of care needs
to be revised.
5. A nurse is getting ready to discharge a patient who has a problem
with physical mobility. What does the nurse need to do before discontinuing
the patient’s plan of care?
a. Determine whether the patient has transportation to get home.
b. Evaluate whether patient goals and outcomes have been met.
c. Establish whether the patient has a follow-up appointment scheduled.
d. Ensure that the patient’s prescriptions have been filled to take home.
ANS: B
You evaluate whether the results of care match the expected outcomes and
goals set for a patient before discontinuing a patient’s plan of care. The patient
needs transportation, but that does not address the patient’s mobility status.
Whether the patient has a follow-up appointment and ensuring that
prescriptions are filled do not evaluate the problem of mobility.
6. The nurse is evaluating whether patient goals and outcomes have been
met for a patient with physical mobility problems due to a fractured leg.
Which finding indicates the patient has met an expected outcome?
The nurse provides assistance while the patient is walking in the
a. hallways.
b. The patient is able to ambulate in the hallway with crutches.
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