Questions and CORRECT Answers
Expected outcomes - CORRECT ANSWER - Measurable patient-centered results used to evaluate effectiveness of
care
Goals - CORRECT ANSWER - Broad statements describing desired patient outcomes
Priority nursing diagnosis - CORRECT ANSWER - Airway, breathing, circulation (ABC) always first priority
Critical thinking (interventions) - CORRECT ANSWER - Determines if intervention correctly addresses nursing
diagnosis
Appropriate outcome statements - CORRECT ANSWER - Specific, measurable, achievable, relevant, and time-
bound (SMART)
Cultural competence - CORRECT ANSWER - Ask patient about cultural or religious beliefs before providing care
Environmental hazards (Alzheimer's) - CORRECT ANSWER - Remove hazards and keep bed in lowest position
to prevent falls
Hand hygiene - CORRECT ANSWER - Most effective method to prevent infection
HIV transmission - CORRECT ANSWER - Unprotected sex with an HIV-positive individual
Contact precautions - CORRECT ANSWER - Used for VRE and C. diff; requires gloves and gown
Droplet precautions - CORRECT ANSWER - Used for flu; requires mask
Airborne precautions - CORRECT ANSWER - Used for TB; requires N95 mask and negative pressure room
Visitor infection control - CORRECT ANSWER - Must perform proper hand hygiene
Risk for pressure injury - CORRECT ANSWER - Increased with immobility
Impaired mobility assessment - CORRECT ANSWER - Decreased muscle strength and limited range of motion
Mobility interventions - CORRECT ANSWER - Assist with ambulation and measure distance walked
Fall risk priority - CORRECT ANSWER - Prevent injury and maintain safety
Pressure injury prevention - CORRECT ANSWER - Frequent repositioning and proper skin care
Importance of hygiene - CORRECT ANSWER - Prevents spread of infection
Ibuprofen administration - CORRECT ANSWER - Give with meals or immediately after
Medication allergy check - CORRECT ANSWER - Assess for allergies before administration
Inhaler with spacer - CORRECT ANSWER - Improves medication delivery to lungs
Acetaminophen administration - CORRECT ANSWER - Can be given every 4 hours
Patient-controlled analgesia (PCA) - CORRECT ANSWER - Allows patient to self-administer pain medication
Pain scale for children - CORRECT ANSWER - Faces scale