COMPREHENSIVE STUDY GUIDE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+
⩥ When the nurse realizes that the patients short term goals have not
been met, the nurse should carry out which task?
A. Revise or adapt the plan of care
B. Assume the patient did not want to change his goals
C. Understand that a plan of care is almost never changed.
D. Reassess plans of care only after major nurse-patient interactions.
Answer: A. Revise or adapt the plan of care
⩥ The nurse identifies that the nursing process is an attempt to meet
patient needs, including which concept?
A. Nursing process is linear in nature
B. Nursing process is dynamic and cyclic
C. Nursing process requires occasional care plan reevaluation
D. Nursing process does not allow care plan modification.
Answer: B. nursing process is dynamic and cyclic
,⩥ A nurse notes a patient has abnormal vital signs. What action by the
nurse is best?
A. Document the findings
B. Notify the provider
C. Compare with prior readings
D. Retake the vital signs.
Answer: C. Compare with prior readings
⩥ A patient returned from a procedure and has vital signs measurements
ordered every hour. The patients blood pressure has dropped from
132/82 mm Hg an hour ago to 90/66 mm Hg. What priority action by the
nurse is most appropriate?
A. Take the vital signs again in another hour
B. Document the findings in the patients chart
C. Have another nurse recheck the vital signs
D. Plan to take the vital signs more often.
Answer: D. Plan to take the vital signs more often.
⩥ The nurse is ordering for a medication to be given TID. Which times
will the nurse plan to administer the medication to the patient?
A. 9am, 1pm, 5pm, 10pm
B. 9am, 9pm
C. 9am, 1pm, 5pm
,D. Nightly before the patient falls asleep.
Answer: C. 9am, 1pm, 5pm
⩥ QSEN cultural competency focuses on which of the following areas
for the nurse to overcome (select all that apply).
A. Prejudice
B. Personal Attitudes
C. lifelong learning
D. feeling of superiority.
Answer: A, B, D
⩥ The nurse makes a medication error. Which action will the nurse take
first?
A. Prepare an incident report
B. Explain to the patient that a medication error has occurred
C. Assess the patient for any adverse reactions
D. Document the medication given, the response, and corrective actions
taken.
Answer: C. Assess the patient for any adverse reactions
⩥ The nurse is caring for a patient who is admitted to the hospital with
dehydration and gastroenteritis. The patient attempted to walk to the
bathroom and fainted right after getting out of bed. The nurse knows
which condition to be the most likely cause of...?
, A. Orthostatic hypotension
B. Circulatory overload
C. Hemolytic reaction
D. Catheter embolism.
Answer: A. Orthostatic Hypotension
⩥ A 40yo patient presents to her provider for a yearly physical. The
provider notes family history of breast cancer in the patients mother. The
provider schedules the patient for a mammogram. The nurse recognizes
this as what level of prevention?
A. Tertiary
B. Primary
C. Secondary
D. Holistic.
Answer: C. Secondary
⩥ When teaching a patient with a family history of hypertension about
health promotion, the nurse describes blood pressure screening as which
type of prevention?
A. Illness
B. Primary
C. Secondary
D. Tertiary.