Exam Questions With Correct
Answers
\.The registered nurse has an unlicensed assistant working with her for the shift.
When delegating tasks, the nurse understands that the unlicensed assistant:
A. interprets clinical data
B. collects clinical data
C. is trained in the nursing process
D. can function independently - ANSWERS-(B) Unlicensed personnel make
observations, collect clinical data, and report findings to the nurse. Option A is
incorrect because the registered nurse, who has learned critical thinking skills,
interprets the data. Option C is incorrect because although unlicensed assistants
are trained to perform skills, they don't learn the nursing process. Option D is
incorrect because unlicensed assistants don't function independently; they're
assigned tasks by a registered nurse who retains overall responsibility for the
patient.
\.When performing as assessment, the nurse identifies the following signs and
symptoms: impaired coordination, decreased muscle strength, limited range of
, motion, and reluctance to move. These signs and symptoms indicate which
nursing diagnosis?
A. Health-seeking behaviors
B. Impaired physical mobility
C. Disturbed sensory perception
D. Deficient knowledge - ANSWERS-(B) Impaired physical mobility is a limitation of
physical movement and is defined by the patient's signs and symptoms. Options A,
C, and D are nursing diagnoses with different defining signs and symptoms.
\.When prioritizing a patient's care plan based on Maslow's hierarchy of needs,
the nurse's first priority would be:
A. allowing the family to see a newly admitted patient
B. ambulating the patient in the hallway
C. administering pain medications
D. using two nurses to transfer the patient - ANSWERS-(C) In Maslow's hierarchy of
needs, pain relief is on the first layer. Activity (Option B) is on the second layer.