Lewis’s Medical Surgical Nursing 12th Edition Harding
JR JR JR JR JR JR JR
Test Bank Chapter 1 - 69 Updated 2025
JR JR JR JR JR JR JR JR
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
JR JR JR JR JR JR JR JR J R
Chapter 01: Professional Nursing
JR JR JR
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
JR JR JR JR JR
MULTIPLE JRCHOICE
1. The JRnurse JRcompletes JRan JRadmission JRdatabase JRand JRexplains JRthat JRthe JRplan JRof JRcare JRand
JRdischarge JRgoals JRwill JRbe JRdeveloped JRwith JRthe JRpatient‗s JRinput. JRThe JRpatient JRasks, JR―How JRis
JRthis JRdifferent JRfrom JRwhat JRthe JRphysician JRdoes?‖ JRWhich JRresponse JRwould JRthe JRnurse
JRprovide?
a. ―TheJRrole JRofJRtheJRnurseJRis JRtoJRadminister JRmedications JRand JRotherJRtreatments
JRprescribed JRby JRyour JRphysician.‖
b. ―In JRaddition JRto JRcaringJRfor JRyou JRwhile JRyou JRareJRsick, JRtheJRnurses JRwill JRhelp JRyou
JRplan JRto JRJRmaintain JRyour JRhealth.‖
c. ―TheJRnurse‗s JRjob JRis JRto JRcollect JRinformation JRand JRcommunicate JRany
JRproblems JRthat JRoccur JRto JRthe JRphysician.‖
d. ―Nurses JRperform JRmanyJRof JRtheJRsame JRprocedures JRas JRtheJRphysician, JRbut
JRnurses JRare JRwith JRthe JRpatients JRfor JRa JRlonger JRtime JRthan JRthe JRphysician.‖
ANS: JR B
The JRAmerican JRNurses JRAssociation JR(ANA) JRdefinition JRof JRnursing JRdescribes JRthe JRrole JRof
JRnurses JRin JRpromoting JRhealth. JRThe JRother JRresponses JRdescribe JRdependent JRand
JRcollaborative JRfunctions JRof JRthe JRnursing JRrole JRbut JRdo JRnot JRaccurately JRdescribe JRthe
JRnurse‗s JRunique JRrole JRin JRthe JRhealth JRcare JRsystem.
DIF: J R J R Cognitive JRLevel: JRAnalyze JR(Analysis)
TOP: J R Nursing JRProcess: JRImplementation J R J R J R MSC: JR NCLEX: JRSafe JRand JREffective JRCare
JREnvironment
2. Which JRstatement JRbyJRthe JRnurse JRaccurately JRdescribes JR the JRuse JRof JRevidence-based JRpractice JR(EBP)?
a. ―Patient JRcare JRis JRbased JRon JRclinical JRjudgment, JRexperience, JRand JRtraditions.‖
b. ―Data JRare JRanalyzed JRlater JRto JRshow JRthat JRthe JRpatient JRoutcomes JRare JRconsistentlyJRmet.‖
c. ―Research JRfrom JRall JRpublished JRarticles JRare JRused JRas JRa JRguide JRforJRplanningJRpatient JRcare.‖
d. ―Recommendations JRare JRbased JRon JRresearch, JRclinical JRexpertise, JRand
JR patient JR JRpreferences.‖
ANS: JR D
Evidence-based JRpractice JR(EBP) JRis JRthe JRuse JRof JRthe JRbest JRresearch-based JRevidence
JRcombined JRwith JRclinician JRexpertise JRand JRconsideration JRof JRpatient JRpreferences. JRClinical
JRjudgment JRbased JRon JRthe JRnurse‗s JRclinical JRexperience JRis JRpart JRof JREBP, JRbut JRclinical
JRdecision JRmaking JRshould JRalso JRincorporate JRcurrent JRresearch JRand JRresearch-based
JRguidelines. JREvaluation JRof JRpatient JRoutcomes JRis JRimportant, JRbut JRdata JRanalysis JRis JRnot
JRrequired JRto JRuse JREBP. JRAll JRpublished JRarticles JRdo JRnot JRprovide JRresearch JRevidence;
JRinterventions JRshould JRbe JRbased JRon JRcredible JRresearch, JRpreferably JRrandomized JRcontrolled
JRstudies JRwith JRa JRlarge JRnumber JRof JRsubjects.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
3. Which JRstatement JRbyJRthe JRnurse JRprovides JRa JRclear JRexplanation JRof JRthe JRnursing JRprocess?
a. ―The JRnursing JRprocess JRis JRa JRresearch JRmethod JRof JRdiagnosing JRthe JRpatient‗s
JR health JRcare JRproblems.‖
b. ―TheJRnursingJRprocess JRis JRused JRprimarilyJRto JRexplain JRnursingJRinterventions JRto
JR other JRhealth JRcare JRprofessionals.‖
c. ―TheJRnursingJRprocess JRis JRa JRproblem-solvingJRtool JRused JRto JRidentifyJRand JRmanage JRthe
, patients‗ JRhealth JRcare JRneeds.‖
d. ―The JRnursing JRprocess JRis JRbased JRon JRnursingJRtheorythat JRincorporates
the JRbiopsychosocial JRnature JRof JRhumans.‖
JR
ANS: JR C
The JRnursing JRprocess JRis JRa JRproblem-solving JRapproach JRto JRthe JRidentification JRand
JRtreatment JRof JRpatients‗ JRproblems. JRNursing JRprocess JRdoes JRnot JRrequire JRresearch JRmethods
JRfor JRdiagnosis. JRThe JRprimaryJRuse JRof JRthe JRnursing JRprocess JRis JRin JRpatient JRcare, JRnot JRto
JRestablish JRnursing JRtheory JRor JRexplain JRnursing JRinterventions JRto JRother JRhealth JRcare
JRprofessionals.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JREvaluation JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
4. A JRpatient JRadmitted JRto JRtheJRhospital JRforJRsurgeryJRtells JRthe JRnurse, JR―IJRdo JRnot JRfeel
comfortable JRleaving JRmy JRchildren JRwith JRmy JRparents.‖ JRWhich JRaction JRwould JRthe
JR
nurse JRtake JRnext?
JR
a. ReassureJRthe JRpatient JRthat JRthese JRfeelings JRare JRcommon JRfor JRparents.
b. Have JRthe JRpatient JRcall JRthe JRchildren JRto JRensure JRthat JRthey JRare JRdoing JRwell.
c. GatherJRinformation JRon JRthe JRpatient‗s JRconcerns JRabout JRthe JRchild JRcare JRarrangements.
d. Call JRthe JRpatient‗s JRparents JRto JRdetermine JRwhether JRadequate JRchild JRcare JRis
JRbeing JRprovided.
ANS: JR C
Because JRa JRcomplete JRassessment JRis JRnecessary JRin JRorder JRto JRidentify JRa JRproblem JRand
JRchoose JRan JRappropriate JRintervention, JRthe JRnurse‗s JRfirst JRaction JRshould JRbe JRto JRobtain
JRmore JRinformation. JRThe JRother JRactions JRmayJRbe JRappropriate, JRbut JRmore JRassessment JRis
JRneeded JRbefore JRthe JRbest JRintervention JRcan JRbe JRchosen.
DIF: Cognitive JRLevel: JRAnalyze JR(Analysis)
TOP: J R Nursing JRProcess: JRAssessment MSC: J R NCLEX: JRPsychosocial JRIntegrity
5. A JRpatient JRwith JRa JRbacterial JRinfection JRis JRhypovolemic JRdue JRto JRa JRfever JRand JRexcessive
diaphoresis. JRWhich JRexpected JRoutcome JRwould JRthe JRnurse JRselect JRfor JRthis JRpatient?
JR
a. Patient JRhas JRa JRbalanced JRintake JRand JRoutput.
b. Patient‗s JRbedding JRis JRkept JRclean JRand JRfree JRof JRmoisture.
c. Patient JRunderstands JRthe JRneed JRfor JRincreased JRfluid JRintake.
d. Patient‗s JRskin JRremains JRcool JRand JRdryJRthroughout JRhospitalization.
ANS: JR A
Balanced JRintake JRand JRoutput JRgives JRmeasurable JRdata JRshowing JRresolution JRof JRthe JRproblem JRof
JRdeficient JRfluid JRvolume. JRThe JRother JRstatements JRwould JRnot JRindicate JRthat JRthe JRproblem JRof
JRhypovolemia JRwas JRresolved.
DIF: Cognitive JRLevel: JRApply JR(Application) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRPhysiological JRIntegrity
6. Which JRstatement JRdescribes JRthe JRpurpose JRof JRthe JRevaluation JRphase JRof JRthe JRnursing JRprocess?
a. To JRdocument JRthe JRnursing JRcare JRplan JRin JRthe JRprogress JRnotes JRof JRthe JRhealth JRrecord
b. To JRdetermine JRif JRinterventions JRhave JRbeen JReffective JRin JRmeeting JRpatient JRoutcomes
c. To JRdecide JRwhether JRthe JRpatient‗s JRhealth JRproblems JRhave JRbeen JRcompletely JRresolved
d. To JRestablish JRif JRthe JRpatient JRagrees JRthat JRthe JRnursing JRcare JRprovided JRwas JRsatisfactory
ANS: JR B
, Evaluation JRconsists JRof JRdetermining JRwhether JRthe JRdesired JRpatient JRoutcomes JRhave JRbeen
JRmet JRand JRwhether JRthe JRnursing JRinterventions JRwere JRappropriate. JRThe JRother JRresponses
JRdo JRnot JRdescribe JRthe JRevaluation JRphase.
DIF: J R Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: Nursing
JR Process:
JR
JREvaluation JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
7. Which JRstatement JRdescribes JRthe JRpurpose JRof JRthe JRassessment JRphase JRof JRthe JRnursing JRprocess?
a. To JRteach JRinterventions JRthat JRrelieve JRhealth JRproblems
b. To JRuse JRpatient JRdata JRto JRevaluate JRpatient JRcare JRoutcomes
c. To JRobtain JRdata JRto JRdiagnose JRpatient JRstrengths JRand JRproblems
d. To JRhelp JRthe JRpatient JRidentify JRrealistic JRoutcomes JRfor JRhealth JRproblems
ANS: JR C
During JRthe JRassessment JRphase, JRthe JRnurse JRgathers JRinformation JRabout JRthe JRpatient JRto
JRdiagnose JRpatient JRstrengths JRand JRproblems. JRThe JRother JRresponses JRare JRexamples JRof JRthe
JRplanning, JRintervention, JRand JRevaluation JRphases JRof JRthe JRnursing JRprocess.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension)
TOP: J R Nursing JRProcess: JRAssessment MSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
8. When JRdeveloping JRthe JRplan JRof JRcare, JRwhich JRcomponents JRwould JRthe JRnurse JRinclude JRin JRthe
clinical JRproblem JRstatement?
JR
a. TheJRproblem JRand JRthe JRsuggested JRpatient JRgoals JRor JRoutcomes
b. The JRproblem, JRits JRcauses, JRand JRthe JRsigns JRand JRsymptoms JRof JRthe JRproblem
c. The JRproblem JRwith JRthe JRpossible JRetiology JRand JRthe JRplanned JRinterventions
d. TheJRproblem, JRits JRpathophysiology, JRand JRthe JRexpected JRoutcome
ANS: JR B
When JRwriting JRclinical JRproblems JRor JRnursing JRdiagnoses, JRthe JRsubjective JRas JRwell JRas
JRobjective JRdata JRto JRsupport JRthe JRproblem‗s JRexistence JRshould JRbe JRincluded. JRGoals,
JRoutcomes, JRand JRinterventions JRare JRnot JRincluded JRin JRthe JRproblem JRstatement.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JRDiagnosis JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
9. Which JRpatient JRcare JRtask JRwould JRthe JRnurse JRdelegate JRto JRexperienced JRassistive JRpersonnel JR(AP)?
a. Instruct JRthe JRpatient JRabout JRthe JRneed JRto JRalternate JRactivityJRand JRrest.
b. Monitor JRlevel JRof JRshortness JRof JRbreath JRor JRfatigue JRafter JRambulation.
c. Obtain JRthe JRpatient‗s JRblood JRpressure JRand JRpulse JRrate JRafter JRambulation.
d. Determine JRwhether JRthe JRpatient JRis JRreadyJRto JRincrease JRthe JRactivityJRlevel.
ANS: JR C
AP JReducation JRincludes JRaccurate JRvital JRsign JRmeasurement. JRAssessment JRand JRpatient JRteaching
JRrequire JRregistered JRnurse JReducation JRand JRscope JRof JRpractice JRand JRcannot JRbe JRdelegated.
DIF: Cognitive JRLevel: JRApply JR(Application) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
JR JR JR JR JR JR JR
Test Bank Chapter 1 - 69 Updated 2025
JR JR JR JR JR JR JR JR
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
JR JR JR JR JR JR JR JR J R
Chapter 01: Professional Nursing
JR JR JR
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
JR JR JR JR JR
MULTIPLE JRCHOICE
1. The JRnurse JRcompletes JRan JRadmission JRdatabase JRand JRexplains JRthat JRthe JRplan JRof JRcare JRand
JRdischarge JRgoals JRwill JRbe JRdeveloped JRwith JRthe JRpatient‗s JRinput. JRThe JRpatient JRasks, JR―How JRis
JRthis JRdifferent JRfrom JRwhat JRthe JRphysician JRdoes?‖ JRWhich JRresponse JRwould JRthe JRnurse
JRprovide?
a. ―TheJRrole JRofJRtheJRnurseJRis JRtoJRadminister JRmedications JRand JRotherJRtreatments
JRprescribed JRby JRyour JRphysician.‖
b. ―In JRaddition JRto JRcaringJRfor JRyou JRwhile JRyou JRareJRsick, JRtheJRnurses JRwill JRhelp JRyou
JRplan JRto JRJRmaintain JRyour JRhealth.‖
c. ―TheJRnurse‗s JRjob JRis JRto JRcollect JRinformation JRand JRcommunicate JRany
JRproblems JRthat JRoccur JRto JRthe JRphysician.‖
d. ―Nurses JRperform JRmanyJRof JRtheJRsame JRprocedures JRas JRtheJRphysician, JRbut
JRnurses JRare JRwith JRthe JRpatients JRfor JRa JRlonger JRtime JRthan JRthe JRphysician.‖
ANS: JR B
The JRAmerican JRNurses JRAssociation JR(ANA) JRdefinition JRof JRnursing JRdescribes JRthe JRrole JRof
JRnurses JRin JRpromoting JRhealth. JRThe JRother JRresponses JRdescribe JRdependent JRand
JRcollaborative JRfunctions JRof JRthe JRnursing JRrole JRbut JRdo JRnot JRaccurately JRdescribe JRthe
JRnurse‗s JRunique JRrole JRin JRthe JRhealth JRcare JRsystem.
DIF: J R J R Cognitive JRLevel: JRAnalyze JR(Analysis)
TOP: J R Nursing JRProcess: JRImplementation J R J R J R MSC: JR NCLEX: JRSafe JRand JREffective JRCare
JREnvironment
2. Which JRstatement JRbyJRthe JRnurse JRaccurately JRdescribes JR the JRuse JRof JRevidence-based JRpractice JR(EBP)?
a. ―Patient JRcare JRis JRbased JRon JRclinical JRjudgment, JRexperience, JRand JRtraditions.‖
b. ―Data JRare JRanalyzed JRlater JRto JRshow JRthat JRthe JRpatient JRoutcomes JRare JRconsistentlyJRmet.‖
c. ―Research JRfrom JRall JRpublished JRarticles JRare JRused JRas JRa JRguide JRforJRplanningJRpatient JRcare.‖
d. ―Recommendations JRare JRbased JRon JRresearch, JRclinical JRexpertise, JRand
JR patient JR JRpreferences.‖
ANS: JR D
Evidence-based JRpractice JR(EBP) JRis JRthe JRuse JRof JRthe JRbest JRresearch-based JRevidence
JRcombined JRwith JRclinician JRexpertise JRand JRconsideration JRof JRpatient JRpreferences. JRClinical
JRjudgment JRbased JRon JRthe JRnurse‗s JRclinical JRexperience JRis JRpart JRof JREBP, JRbut JRclinical
JRdecision JRmaking JRshould JRalso JRincorporate JRcurrent JRresearch JRand JRresearch-based
JRguidelines. JREvaluation JRof JRpatient JRoutcomes JRis JRimportant, JRbut JRdata JRanalysis JRis JRnot
JRrequired JRto JRuse JREBP. JRAll JRpublished JRarticles JRdo JRnot JRprovide JRresearch JRevidence;
JRinterventions JRshould JRbe JRbased JRon JRcredible JRresearch, JRpreferably JRrandomized JRcontrolled
JRstudies JRwith JRa JRlarge JRnumber JRof JRsubjects.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
3. Which JRstatement JRbyJRthe JRnurse JRprovides JRa JRclear JRexplanation JRof JRthe JRnursing JRprocess?
a. ―The JRnursing JRprocess JRis JRa JRresearch JRmethod JRof JRdiagnosing JRthe JRpatient‗s
JR health JRcare JRproblems.‖
b. ―TheJRnursingJRprocess JRis JRused JRprimarilyJRto JRexplain JRnursingJRinterventions JRto
JR other JRhealth JRcare JRprofessionals.‖
c. ―TheJRnursingJRprocess JRis JRa JRproblem-solvingJRtool JRused JRto JRidentifyJRand JRmanage JRthe
, patients‗ JRhealth JRcare JRneeds.‖
d. ―The JRnursing JRprocess JRis JRbased JRon JRnursingJRtheorythat JRincorporates
the JRbiopsychosocial JRnature JRof JRhumans.‖
JR
ANS: JR C
The JRnursing JRprocess JRis JRa JRproblem-solving JRapproach JRto JRthe JRidentification JRand
JRtreatment JRof JRpatients‗ JRproblems. JRNursing JRprocess JRdoes JRnot JRrequire JRresearch JRmethods
JRfor JRdiagnosis. JRThe JRprimaryJRuse JRof JRthe JRnursing JRprocess JRis JRin JRpatient JRcare, JRnot JRto
JRestablish JRnursing JRtheory JRor JRexplain JRnursing JRinterventions JRto JRother JRhealth JRcare
JRprofessionals.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JREvaluation JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
4. A JRpatient JRadmitted JRto JRtheJRhospital JRforJRsurgeryJRtells JRthe JRnurse, JR―IJRdo JRnot JRfeel
comfortable JRleaving JRmy JRchildren JRwith JRmy JRparents.‖ JRWhich JRaction JRwould JRthe
JR
nurse JRtake JRnext?
JR
a. ReassureJRthe JRpatient JRthat JRthese JRfeelings JRare JRcommon JRfor JRparents.
b. Have JRthe JRpatient JRcall JRthe JRchildren JRto JRensure JRthat JRthey JRare JRdoing JRwell.
c. GatherJRinformation JRon JRthe JRpatient‗s JRconcerns JRabout JRthe JRchild JRcare JRarrangements.
d. Call JRthe JRpatient‗s JRparents JRto JRdetermine JRwhether JRadequate JRchild JRcare JRis
JRbeing JRprovided.
ANS: JR C
Because JRa JRcomplete JRassessment JRis JRnecessary JRin JRorder JRto JRidentify JRa JRproblem JRand
JRchoose JRan JRappropriate JRintervention, JRthe JRnurse‗s JRfirst JRaction JRshould JRbe JRto JRobtain
JRmore JRinformation. JRThe JRother JRactions JRmayJRbe JRappropriate, JRbut JRmore JRassessment JRis
JRneeded JRbefore JRthe JRbest JRintervention JRcan JRbe JRchosen.
DIF: Cognitive JRLevel: JRAnalyze JR(Analysis)
TOP: J R Nursing JRProcess: JRAssessment MSC: J R NCLEX: JRPsychosocial JRIntegrity
5. A JRpatient JRwith JRa JRbacterial JRinfection JRis JRhypovolemic JRdue JRto JRa JRfever JRand JRexcessive
diaphoresis. JRWhich JRexpected JRoutcome JRwould JRthe JRnurse JRselect JRfor JRthis JRpatient?
JR
a. Patient JRhas JRa JRbalanced JRintake JRand JRoutput.
b. Patient‗s JRbedding JRis JRkept JRclean JRand JRfree JRof JRmoisture.
c. Patient JRunderstands JRthe JRneed JRfor JRincreased JRfluid JRintake.
d. Patient‗s JRskin JRremains JRcool JRand JRdryJRthroughout JRhospitalization.
ANS: JR A
Balanced JRintake JRand JRoutput JRgives JRmeasurable JRdata JRshowing JRresolution JRof JRthe JRproblem JRof
JRdeficient JRfluid JRvolume. JRThe JRother JRstatements JRwould JRnot JRindicate JRthat JRthe JRproblem JRof
JRhypovolemia JRwas JRresolved.
DIF: Cognitive JRLevel: JRApply JR(Application) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRPhysiological JRIntegrity
6. Which JRstatement JRdescribes JRthe JRpurpose JRof JRthe JRevaluation JRphase JRof JRthe JRnursing JRprocess?
a. To JRdocument JRthe JRnursing JRcare JRplan JRin JRthe JRprogress JRnotes JRof JRthe JRhealth JRrecord
b. To JRdetermine JRif JRinterventions JRhave JRbeen JReffective JRin JRmeeting JRpatient JRoutcomes
c. To JRdecide JRwhether JRthe JRpatient‗s JRhealth JRproblems JRhave JRbeen JRcompletely JRresolved
d. To JRestablish JRif JRthe JRpatient JRagrees JRthat JRthe JRnursing JRcare JRprovided JRwas JRsatisfactory
ANS: JR B
, Evaluation JRconsists JRof JRdetermining JRwhether JRthe JRdesired JRpatient JRoutcomes JRhave JRbeen
JRmet JRand JRwhether JRthe JRnursing JRinterventions JRwere JRappropriate. JRThe JRother JRresponses
JRdo JRnot JRdescribe JRthe JRevaluation JRphase.
DIF: J R Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: Nursing
JR Process:
JR
JREvaluation JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
7. Which JRstatement JRdescribes JRthe JRpurpose JRof JRthe JRassessment JRphase JRof JRthe JRnursing JRprocess?
a. To JRteach JRinterventions JRthat JRrelieve JRhealth JRproblems
b. To JRuse JRpatient JRdata JRto JRevaluate JRpatient JRcare JRoutcomes
c. To JRobtain JRdata JRto JRdiagnose JRpatient JRstrengths JRand JRproblems
d. To JRhelp JRthe JRpatient JRidentify JRrealistic JRoutcomes JRfor JRhealth JRproblems
ANS: JR C
During JRthe JRassessment JRphase, JRthe JRnurse JRgathers JRinformation JRabout JRthe JRpatient JRto
JRdiagnose JRpatient JRstrengths JRand JRproblems. JRThe JRother JRresponses JRare JRexamples JRof JRthe
JRplanning, JRintervention, JRand JRevaluation JRphases JRof JRthe JRnursing JRprocess.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension)
TOP: J R Nursing JRProcess: JRAssessment MSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
8. When JRdeveloping JRthe JRplan JRof JRcare, JRwhich JRcomponents JRwould JRthe JRnurse JRinclude JRin JRthe
clinical JRproblem JRstatement?
JR
a. TheJRproblem JRand JRthe JRsuggested JRpatient JRgoals JRor JRoutcomes
b. The JRproblem, JRits JRcauses, JRand JRthe JRsigns JRand JRsymptoms JRof JRthe JRproblem
c. The JRproblem JRwith JRthe JRpossible JRetiology JRand JRthe JRplanned JRinterventions
d. TheJRproblem, JRits JRpathophysiology, JRand JRthe JRexpected JRoutcome
ANS: JR B
When JRwriting JRclinical JRproblems JRor JRnursing JRdiagnoses, JRthe JRsubjective JRas JRwell JRas
JRobjective JRdata JRto JRsupport JRthe JRproblem‗s JRexistence JRshould JRbe JRincluded. JRGoals,
JRoutcomes, JRand JRinterventions JRare JRnot JRincluded JRin JRthe JRproblem JRstatement.
DIF: Cognitive JRLevel: JRUnderstand JR(Comprehension) TOP: JRNursingJRProcess:
JRDiagnosis JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
9. Which JRpatient JRcare JRtask JRwould JRthe JRnurse JRdelegate JRto JRexperienced JRassistive JRpersonnel JR(AP)?
a. Instruct JRthe JRpatient JRabout JRthe JRneed JRto JRalternate JRactivityJRand JRrest.
b. Monitor JRlevel JRof JRshortness JRof JRbreath JRor JRfatigue JRafter JRambulation.
c. Obtain JRthe JRpatient‗s JRblood JRpressure JRand JRpulse JRrate JRafter JRambulation.
d. Determine JRwhether JRthe JRpatient JRis JRreadyJRto JRincrease JRthe JRactivityJRlevel.
ANS: JR C
AP JReducation JRincludes JRaccurate JRvital JRsign JRmeasurement. JRAssessment JRand JRpatient JRteaching
JRrequire JRregistered JRnurse JReducation JRand JRscope JRof JRpractice JRand JRcannot JRbe JRdelegated.
DIF: Cognitive JRLevel: JRApply JR(Application) TOP: JRNursingJRProcess:
JRPlanning JRMSC: J R NCLEX: JRSafe JRand JREffective JRCare JREnvironment
