VCE- 3.
1) A nurse is preparing to start her shift on a medical-surgical unit. Which of the following factors
concerning the change-of-shift report (hand-off report) will be most important for the nurse to
consider?
- Next anticipated dressing change
2) Indicate whether the following statement is true or false. Physiologic diagnoses have a higher
priority than psychologic diagnoses.
- True
3) Indicate whether the following statement is true or false. The Kardex provides a filing system
for recording the physician's orders.
- False
4) When providing care to the patient, it is important for the nurse to be able to exercise
, which allow the practitioner to shift attention to differing concerns during a period
of care. = Collaborative Interventions
5) The statement that outlines the desired change in the patient's condition or behavior is
termed the - Goal
6) You are assigned to provide care to a patient who has recently had abdominal surgery.
When you are updating the nursing care plan, which of the following patient outcomes
would be appropriate to include? Select all that apply.
The patient will demonstrate an increased level of comfort.
The patient will initiate turning and deep breathing within 2 hours.
The patient will report lessened pain using the pain scale within 3 hours.
7.A review of the care planned for a patient during a given shift reveals the interventions
listed below. Which of these interventions is classified as an independent nursing
intervention? Select all that apply.
--Inserting an indwelling Foley catheter.
--Recording intake and output.
8) List the seven domains that may be used to classify nursing interventions.
The 7 domains are: Physiological: Basic, Physiological: Complex, Behavioral, Safety, Family, Health
System, and Community.
9) The nurse is assisting a newly graduated nurse in completing a care plan. Which of the nursing
interventions planned by the graduate and listed below indicate the need for further instruction?
Select all that apply.
, Monitor blood pressure.
Call physician for elevated temperature.
1) A nurse is preparing to start her shift on a medical-surgical unit. Which of the following factors
concerning the change-of-shift report (hand-off report) will be most important for the nurse to
consider?
- Next anticipated dressing change
2) Indicate whether the following statement is true or false. Physiologic diagnoses have a higher
priority than psychologic diagnoses.
- True
3) Indicate whether the following statement is true or false. The Kardex provides a filing system
for recording the physician's orders.
- False
4) When providing care to the patient, it is important for the nurse to be able to exercise
, which allow the practitioner to shift attention to differing concerns during a period
of care. = Collaborative Interventions
5) The statement that outlines the desired change in the patient's condition or behavior is
termed the - Goal
6) You are assigned to provide care to a patient who has recently had abdominal surgery.
When you are updating the nursing care plan, which of the following patient outcomes
would be appropriate to include? Select all that apply.
The patient will demonstrate an increased level of comfort.
The patient will initiate turning and deep breathing within 2 hours.
The patient will report lessened pain using the pain scale within 3 hours.
7.A review of the care planned for a patient during a given shift reveals the interventions
listed below. Which of these interventions is classified as an independent nursing
intervention? Select all that apply.
--Inserting an indwelling Foley catheter.
--Recording intake and output.
8) List the seven domains that may be used to classify nursing interventions.
The 7 domains are: Physiological: Basic, Physiological: Complex, Behavioral, Safety, Family, Health
System, and Community.
9) The nurse is assisting a newly graduated nurse in completing a care plan. Which of the nursing
interventions planned by the graduate and listed below indicate the need for further instruction?
Select all that apply.
, Monitor blood pressure.
Call physician for elevated temperature.
