Test Bank for LPN to RN Transitions 5th Edition by Lora Claywell NEWEST VERSION
Which statement by the nurse illustrates how a RN's patient assessment differs from the LPNs patient assessment?
A. The RN gathers basic date for interpretation by the LPN.
B. The RN function is to provide assistance with dressing and bathing.
C. The RN assesses the patient as a whole and interprets the findings.
D. The RN reports abnormal findings to the physician. - ANSWER ANS: C. The RN assesses the patient as a whole and interprets the findings .
The nurse is using Gordon's 11 categories for data collection in performing a health assessment. Which of the following represents assessment of cognition?
A. How educated is the patient?
B. How does the patient describe his or her health?
C. Is the patient well nourished?
D. Has the patient had treatment for emotional problems? - ANSWER ANS: A. How educated is the patient?
The nurse is charting on the patient who is status post-surgery for an abdominal abscess and notes: "Pt's temperature has not exceeded 37°C this shift." This is an example of a(n)
A. intervention.
B. outcome.
C. plan.
D. diagnosis or analysis. - ANSWER ANS: B. outcome.
Which outcome statement is a properly written goal?
A. The patient will be free of pain.
B. The patient will verbalize the importance of lifestyle changes.
C. The patient will get up into the chair one time daily for 1 hour.
D. The patient will demonstrate breathing techniques by the end of shift. - ANSWER ANS: C. The patient will get up into the chair one time daily for 1 hour .
The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?
A. The patient will state two lifestyle modifications for weight management by (date certain).
B. The patient will be compliant with the treatment regimen by (date certain).
C. The patient will understand the disease process by (date certain).
D. The patient's blood pressure will never increase. - ANSWER ANS: A. The patient will state two lifestyle modifications for weight management by (date certain).
A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which nursing diagnosis is a priority?
A. Dehydration related to fluid loss
B. Inadequate nutrition related to anorexia
C. Excessive fluid related to reduced urine output
D. Reduced skin integrity related to lower fluid intake - ANSWER ANS: A. Dehydration related to fluid loss
An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?
A. Right lower lobectomy, 1 day postoperative, whose temperature went
from 37.1°C to 38.3°C during the last shift.
B. 72-year-old right hip replacement, 2 days post operatively, complaining of leg and chest pain.
C. 48-year-old female patient who had a laparoscopic appendectomy 8 hours ago: urine output 165 mL, Hgb 7 g/dL, and Hct 21%.
D. Post cerebral vascular accident 1 week ago who had a Dobhoff feeding tube inserted and is now on continuous feedings at 45 mL/hour. - ANSWER ANS: D. Post cerebral vascular accident 1 week ago who had a Dobhoff feeding tube inserted and is now on continuous feedings at 45 mL/hour.
Which of these strategies should be a priority when the nurse is planning care for a patient with hypertension?
A. Obtain less expensive antihypertensive medications.
B. Assist with dietary changes as the first action.
C. Follow evidence-based guidelines for appropriate interventions.
D. Teach about the impact of exercise on hypertension. - ANSWER ANS: C. Follow evidence-based guidelines for appropriate interventions.
Which statement by the nurse illustrates how a RN's patient assessment differs from the LPNs patient assessment?
A. The RN gathers basic date for interpretation by the LPN.
B. The RN function is to provide assistance with dressing and bathing.
C. The RN assesses the patient as a whole and interprets the findings.
D. The RN reports abnormal findings to the physician. - ANSWER ANS: C. The RN assesses the patient as a whole and interprets the findings .
The nurse is using Gordon's 11 categories for data collection in performing a health assessment. Which of the following represents assessment of cognition?
A. How educated is the patient?
B. How does the patient describe his or her health?
C. Is the patient well nourished?
D. Has the patient had treatment for emotional problems? - ANSWER ANS: A. How educated is the patient?
The nurse is charting on the patient who is status post-surgery for an abdominal abscess and notes: "Pt's temperature has not exceeded 37°C this shift." This is an example of a(n)
A. intervention.
B. outcome.
C. plan.
D. diagnosis or analysis. - ANSWER ANS: B. outcome.
Which outcome statement is a properly written goal?
A. The patient will be free of pain.
B. The patient will verbalize the importance of lifestyle changes.
C. The patient will get up into the chair one time daily for 1 hour.
D. The patient will demonstrate breathing techniques by the end of shift. - ANSWER ANS: C. The patient will get up into the chair one time daily for 1 hour .
The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?
A. The patient will state two lifestyle modifications for weight management by (date certain).
B. The patient will be compliant with the treatment regimen by (date certain).
C. The patient will understand the disease process by (date certain).
D. The patient's blood pressure will never increase. - ANSWER ANS: A. The patient will state two lifestyle modifications for weight management by (date certain).
A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which nursing diagnosis is a priority?
A. Dehydration related to fluid loss
B. Inadequate nutrition related to anorexia
C. Excessive fluid related to reduced urine output
D. Reduced skin integrity related to lower fluid intake - ANSWER ANS: A. Dehydration related to fluid loss
An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?
A. Right lower lobectomy, 1 day postoperative, whose temperature went
from 37.1°C to 38.3°C during the last shift.
B. 72-year-old right hip replacement, 2 days post operatively, complaining of leg and chest pain.
C. 48-year-old female patient who had a laparoscopic appendectomy 8 hours ago: urine output 165 mL, Hgb 7 g/dL, and Hct 21%.
D. Post cerebral vascular accident 1 week ago who had a Dobhoff feeding tube inserted and is now on continuous feedings at 45 mL/hour. - ANSWER ANS: D. Post cerebral vascular accident 1 week ago who had a Dobhoff feeding tube inserted and is now on continuous feedings at 45 mL/hour.
Which of these strategies should be a priority when the nurse is planning care for a patient with hypertension?
A. Obtain less expensive antihypertensive medications.
B. Assist with dietary changes as the first action.
C. Follow evidence-based guidelines for appropriate interventions.
D. Teach about the impact of exercise on hypertension. - ANSWER ANS: C. Follow evidence-based guidelines for appropriate interventions.
