Nursing Process Critical Thinking
2024 Actual Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
Which of the following statements made by a new graduate nurse regarding a client's care needs
requires follow-up by the mentor? - Answer-"All post surgery clients are reluctant to ambulate."
A client expresses concern over a scheduled intravenous pyelogram by stating, "I don't know
what to expect." Which of the following nursing diagnoses is most appropriate for this client
need? - Answer-Anxiety related to lack of knowledge concerning intravenous pyelogram
Which of the following interventions is the best example of an indirect intervention directed
towards client safety? - Answer-Turning on a night light to illuminate the path to the bathroom
Which of the following statements made by a nursing student regarding the cultural
characteristics of pain requires immediate follow-up by the clinical instructor? - Answer-"All
clients will tell you when they need pain medication."
Which of the following nursing actions best reflects the consequence stage of the decision-
making process? - Answer-The nurse explains to the client the risks of leaving the hospital
against medical advice.
The nurse caring for an immobile client with a pressure ulcer implements an intervention that
requires repositioning the client every 2 hours. Which of the following represents the best
evaluation method for this intervention? - Answer-The client's pressure ulcer shows a decrease
in size over a 1-week period.
Which of the following responses best reflects an understanding of the purpose of the "related to"
phrase attached to the diagnostic label deficient knowledge regarding postoperative routines? -
Answer-.
"To provide for individualization of the nursing interventions"
, Nursing Process Critical Thinking
2024 Actual Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
Which of the following statements best reflects the nurse's understanding of the function of client
reassessment? - Answer-"Since the client has been ambulating to the bedroom without difficulty,
I'll walk with him to the dayroom after dinner."
Which of the following statements best reflects a goal based on a clinical standard of practice? -
Answer-Client's peripheral intravenous site will be free of redness.
When developing appropriate nurse-initiated interventions for a client admitted to an acute care
facility for abdominal pain, the nurse must first consider: - Answer-The state's defined scope of
nursing practice
A client shares with the nurse that they have, "almost reached the goal of smoking only one-half
pack of cigarettes a day." The best example of a nursing intervention to correct this unmet
outcome is: - Answer-.
Suggest that the strength of the prescribed nicotine patches be increased to 21 mg
Which of the following statements made by a nurse regarding personal reflection related to client
care requires follow-up by the unit's nurse manager? - Answer-"I always wean my orthopedic
surgery clients onto oral pain medication on postoperative day 4."
The nurse recognizes that a client's hearing deficits impact the development of the nurse-client
relationship. Which of the following has the greatest impact on minimizing this obstacle? -
Answer-Using various forms of nonverbal communication
The expected outcome that best evaluates the presurgical goal of, "Client will understand
purpose of coughing and deep breathing within 4 hours of returning to room" is - Answer-Client
will cough and deep breathe every 1 hour while awake without staff prompting
2024 Actual Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
Which of the following statements made by a new graduate nurse regarding a client's care needs
requires follow-up by the mentor? - Answer-"All post surgery clients are reluctant to ambulate."
A client expresses concern over a scheduled intravenous pyelogram by stating, "I don't know
what to expect." Which of the following nursing diagnoses is most appropriate for this client
need? - Answer-Anxiety related to lack of knowledge concerning intravenous pyelogram
Which of the following interventions is the best example of an indirect intervention directed
towards client safety? - Answer-Turning on a night light to illuminate the path to the bathroom
Which of the following statements made by a nursing student regarding the cultural
characteristics of pain requires immediate follow-up by the clinical instructor? - Answer-"All
clients will tell you when they need pain medication."
Which of the following nursing actions best reflects the consequence stage of the decision-
making process? - Answer-The nurse explains to the client the risks of leaving the hospital
against medical advice.
The nurse caring for an immobile client with a pressure ulcer implements an intervention that
requires repositioning the client every 2 hours. Which of the following represents the best
evaluation method for this intervention? - Answer-The client's pressure ulcer shows a decrease
in size over a 1-week period.
Which of the following responses best reflects an understanding of the purpose of the "related to"
phrase attached to the diagnostic label deficient knowledge regarding postoperative routines? -
Answer-.
"To provide for individualization of the nursing interventions"
, Nursing Process Critical Thinking
2024 Actual Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
Which of the following statements best reflects the nurse's understanding of the function of client
reassessment? - Answer-"Since the client has been ambulating to the bedroom without difficulty,
I'll walk with him to the dayroom after dinner."
Which of the following statements best reflects a goal based on a clinical standard of practice? -
Answer-Client's peripheral intravenous site will be free of redness.
When developing appropriate nurse-initiated interventions for a client admitted to an acute care
facility for abdominal pain, the nurse must first consider: - Answer-The state's defined scope of
nursing practice
A client shares with the nurse that they have, "almost reached the goal of smoking only one-half
pack of cigarettes a day." The best example of a nursing intervention to correct this unmet
outcome is: - Answer-.
Suggest that the strength of the prescribed nicotine patches be increased to 21 mg
Which of the following statements made by a nurse regarding personal reflection related to client
care requires follow-up by the unit's nurse manager? - Answer-"I always wean my orthopedic
surgery clients onto oral pain medication on postoperative day 4."
The nurse recognizes that a client's hearing deficits impact the development of the nurse-client
relationship. Which of the following has the greatest impact on minimizing this obstacle? -
Answer-Using various forms of nonverbal communication
The expected outcome that best evaluates the presurgical goal of, "Client will understand
purpose of coughing and deep breathing within 4 hours of returning to room" is - Answer-Client
will cough and deep breathe every 1 hour while awake without staff prompting
