A charge nurse is reviewing outcome statements The patient will feed self at all mealtimes today without reports of
written by a novice nurse. The nurse is using the shortness of breath.
SMART approach. Which patient outcome
statement will the charge nurse identify as
appropriate to the new nurse?
A nurse develops a nursing diagnostic statement Impaired gas exchange related to alveolar-capillary membrane
for a patient with a medical diagnosis of changes as evidenced by oxygen saturation of 88% on room air.
pneumonia with chest x-ray results lower lobe
infiltrates. Which nursing diagnosis is written
correctly?
A nurse is evaluating an expected outcome for a Heart rate 78 beats/min on 12/3
patient that states heart rate will be less than 80
beats/min by 12/3. Which finding will alert the
nurse that the goal has been met?
A nurse makes a nursing diagnosis of acute pain Collaborative
related to the postoperative abdominal incision.
The nurse writes a nursing order to reposition the
client in a comfortable by using pillows to splint or
support the painful areas. Which type of nursing
intervention did the nurse write?
, Using Maslow's hierarchy of needs, rank the 1. Impaired Gas Exchange
following nursing diagnosis in order of 2. Diarrhea
importance, beginning with the highest-priority 3. Risk for Infection
diagnosis: 4. Disturbed Body Image
1. Risk for Infection
2. Diarrhea
3. Disturbed Body Image
4. Impaired Gas Exchange
The nurse recognizes which examples of objective Blood pressure of 120/80 mmHG
data? Moderate amount of yellow drainage from right ear.
A charge nurse is making patient care Bathe patient who had an amputation 2 days ago.
assignments. Which of the following tasks should Assist a patient to ambulate using a gait belt.
the nurse delegate to assistive personnel (AP)? Feed a patient who had a stroke 3 months ago.
A nurse is caring for a patient prescribed IV Recording intake and output
therapy. Which task will the nurse assign to the
nursing assistive personnel?
A charge nurse is delegating tasks to other staff Providing nasopharyngeal suctioning for a patient who has pneumonia.
members on the floor including a LPN. Which task
should the charge nurse delegate to the LPN?
written by a novice nurse. The nurse is using the shortness of breath.
SMART approach. Which patient outcome
statement will the charge nurse identify as
appropriate to the new nurse?
A nurse develops a nursing diagnostic statement Impaired gas exchange related to alveolar-capillary membrane
for a patient with a medical diagnosis of changes as evidenced by oxygen saturation of 88% on room air.
pneumonia with chest x-ray results lower lobe
infiltrates. Which nursing diagnosis is written
correctly?
A nurse is evaluating an expected outcome for a Heart rate 78 beats/min on 12/3
patient that states heart rate will be less than 80
beats/min by 12/3. Which finding will alert the
nurse that the goal has been met?
A nurse makes a nursing diagnosis of acute pain Collaborative
related to the postoperative abdominal incision.
The nurse writes a nursing order to reposition the
client in a comfortable by using pillows to splint or
support the painful areas. Which type of nursing
intervention did the nurse write?
, Using Maslow's hierarchy of needs, rank the 1. Impaired Gas Exchange
following nursing diagnosis in order of 2. Diarrhea
importance, beginning with the highest-priority 3. Risk for Infection
diagnosis: 4. Disturbed Body Image
1. Risk for Infection
2. Diarrhea
3. Disturbed Body Image
4. Impaired Gas Exchange
The nurse recognizes which examples of objective Blood pressure of 120/80 mmHG
data? Moderate amount of yellow drainage from right ear.
A charge nurse is making patient care Bathe patient who had an amputation 2 days ago.
assignments. Which of the following tasks should Assist a patient to ambulate using a gait belt.
the nurse delegate to assistive personnel (AP)? Feed a patient who had a stroke 3 months ago.
A nurse is caring for a patient prescribed IV Recording intake and output
therapy. Which task will the nurse assign to the
nursing assistive personnel?
A charge nurse is delegating tasks to other staff Providing nasopharyngeal suctioning for a patient who has pneumonia.
members on the floor including a LPN. Which task
should the charge nurse delegate to the LPN?
