Study Guide
What is the measurable criterion used to evaluate
goal achievement?
a. Consultation
b. Critical Thinking
c. Expected Outcome
d. Communication - correct answer ✔✔C
What outcome allows you to measure a patient's
response to care more precisely?
a. The patient's wound will appear normal in 3 days
b. The patient's wound will have less drainage within 72 hours
c. The patient's wound will reduce in size to less
than 4 cm (1.5 cm) by day 4
d. The patient's wound will heal without redness or drainage by day 4 - correct answer ✔✔C
D - correct answer ✔✔Which expected outcome is written in measurable
terms?
a. Patient will be pain free
b. Patient will take pain medication every 4 hours
c. Patient will have less pain
,d. Patient will report pain that is less than a 4 on a
scale of 0 to 10
An 82 year old who resides in a nursing home is at risk for falling,
has pain related to decrease in mobility but wanders throughout
the facility due to cognitive impairment. The nursing staff
identified several goals of care, including pain relief. Which
outcome is related to this goal?
a. Patient will exit a low bed without falling
b. Patient will express fewer non-verbal signs of discomfort
c. Patient will follow a set care routine
d. Patient will walk correctly using a walker - correct answer ✔✔B
A couple who is caring for their aging parents are concerned about factors that put them at risk
for falls. Which factors are most likely to contribute to an increase risk for falls in the elderly?
SELECT ALL THAT APPLY
a. Inadequate lighting
b. Throw Rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails - correct answer ✔✔A, B, C, D, E
A newly admitted patient was found wandering the hallways for the past two nights. The most
appropriate nursing interventions to prevent a fall for this patient would include:
A. raise all four side rails when darkness falls.
, B. use an electronic bed monitoring device.
C. place the patient in a room close to the nursing station.
D. use a loose-fitting vest-type jacket restraint. - correct answer ✔✔B
What is your role as a nurse during a fire? SELECT ALL THAT APPLY
a. Help evacuate patients
b. Shut off medical gases
c. Use a fire extinguisher
d. Single carry patients out
e. Direct ambulatory patients
f. Call 911 or other emergency number - correct answer ✔✔**A, B, C, E, F
A new nurse enters a contact precautions room with a gown, gloves, mask and eye shield on.
Which of the following is in the correct order?
a. Mask then goggles
b. Gown then gloves
c. Mask then gloves
d. Goggles then gown - correct answer ✔✔A
You are caring for a patient who underwent surgery 48 hours ago. On physical assessment, you
notice that the wound looks red and
swollen. The patient's WBCs are elevated. You should:
A. start antibiotics.
B. notify the provider.
C. document the findings and reassess in 2 hours.
D. place the patient on isolation precautions. - correct answer ✔✔B