Chaptern01:nProfessionalnNursing
Harding:n Lewis’sn Medical-Surgicaln Nursing,n 12thn Edition
MULTIPLEnCHOICE
1. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargeng
oalsnwillnbendevelopednwithnthenpatient‘sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwh
atnthenphysicianndoes?”nWhichnresponsenwouldnthennursenprovide?
a. “Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednb
ynyournphysician.”
b. “Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplannton
maintainnyournhealth.”
c. “Thennurse‘snjobnisntoncollectninformationnandncommunicatenanynproblemsnthatno
ccurntonthenphysician.”
d. “Nursesnperformnmanynofnthensamenproceduresnasnthenphysician,nbutnnursesnaren
withnthenpatientsnfornanlongerntimenthannthenphysician.”
ANS:n B
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnp
romotingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennu
rsingnrolenbutndonnotnaccuratelyndescribenthennurse‘snuniquenroleninnthenhealthncarensystem.
DIF:n CognitivenLevel:nAnalyzen(Analysis)
TOP:n NursingnProcess:nImplementationnnnnn MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
2. Whichnstatementnbynthennursenaccuratelyndescribesnthenusenofnevidence-basednpracticen(EBP)?
a. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
b. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
c. “Researchnfromnallnpublishednarticlesnarenusednasnanguidenfornplanningnpatientncare.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientn
preferences.”
ANS:n D
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nCli
nicalnjudgmentnbasednonnthennurse‘snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnma
kingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednt
onusenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbas
ednonncrediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjec
ts.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
3. Whichnstatementnbynthennursenprovidesnanclearnexplanationnofnthennursingnprocess?
a. “Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient‘snhealthncarenp
roblems.”
b. “Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernh
ealthncarenprofessionals.”
c. “Thennursingnprocessnisnanproblem-solvingntoolnusedntonidentifynandnmanagenthe
, patients‘nhealthncarenneeds.”
d. “Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenb
iopsychosocialnnaturenofnhumans.”
ANS:n C
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients‘nproblems.nNursingnprocessndo
esnnotnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpatie
ntncare,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenprof
essionals.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nEvaluationnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
4. Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenle
avingnmynchildrennwithnmynparents.”nWhichnactionnwouldnthennursentakennext?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient‘snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient‘snparentsntondeterminenwhethernadequatenchildncarenisnbeingnp
rovided.
ANS:n C
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappr
opriatenintervention,nthennurse‘snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernac
tionsnmaynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbencho
sen.
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nPsychosocialnIntegrity
5. Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresis.n
Whichnexpectednoutcomenwouldnthennursenselectnfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
b. Patient‘snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient‘snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:n A
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficie
ntnfluidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasn
resolved.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nPhysiologicaln Integrity
6. Whichnstatementndescribesnthenpurposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
b. Tondeterminenifninterventionsnhavenbeenneffectiveninnmeetingnpatientnoutcomes
c. Tondecidenwhethernthenpatient‘snhealthnproblemsnhavenbeenncompletelynresolved
d. Tonestablishnifnthenpatientnagreesnthatnthennursingncarenprovidednwasnsatisfactory
ANS:n B
, Evaluationnconsistsnofndeterminingnwhethernthendesirednpatientnoutcomesnhavenbeennmetnandn
whethernthennursingninterventionsnwerenappropriate.nThenothernresponsesndonnotndescribenthene
valuationnphase.
DIF:nnn CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nEvaluati
onnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
7. Whichnstatementndescribesnthenpurposenofnthenassessmentnphasenofnthennursingnprocess?
a. Tonteachninterventionsnthatnrelievenhealthnproblems
b. Tonusenpatientndatantonevaluatenpatientncarenoutcomes
c. Tonobtainndatantondiagnosenpatientnstrengthsnandnproblems
d. Tonhelpnthenpatientnidentifynrealisticnoutcomesnfornhealthnproblems
ANS:n C
Duringnthenassessmentnphase,nthennursengathersninformationnaboutnthenpatientntondiagnosenpatient
nstrengthsnandnproblems.nThenothernresponsesnarenexamplesnofnthenplanning,nintervention,nandne
valuationnphasesnofnthennursingnprocess.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
8. Whenndevelopingnthenplannofncare,nwhichncomponentsnwouldnthennursenincludeninnthenclinicalnp
roblemnstatement?
a. Thenproblemnandnthensuggestednpatientngoalsnornoutcomes
b. Thenproblem,nitsncauses,nandnthensignsnandnsymptomsnofnthenproblem
c. Thenproblemnwithnthenpossiblenetiologynandnthenplannedninterventions
d. Thenproblem,nitsnpathophysiology,nandnthenexpectednoutcome
ANS:n B
Whennwritingnclinicalnproblemsnornnursingndiagnoses,nthensubjectivenasnwellnasnobjectivendatant
onsupportnthenproblem‘snexistencenshouldnbenincluded.nGoals,noutcomes,nandninterventionsnarenn
otnincludedninnthenproblemnstatement.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nDiagnosisnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
9. Whichnpatientncarentasknwouldnthennursendelegatentonexperiencednassistivenpersonneln(AP)?
a. Instructnthenpatientnaboutnthenneedntonalternatenactivitynandnrest.
b. Monitornlevelnofnshortnessnofnbreathnornfatiguenafternambulation.
c. Obtainnthenpatient‘snbloodnpressurenandnpulsenratenafternambulation.
d. Determinenwhethernthenpatientnisnreadyntonincreasenthenactivitynlevel.
ANS:n C
APneducationnincludesnaccuratenvitalnsignnmeasurement.nAssessmentnandnpatientnteachingnrequir
enregisterednnurseneducationnandnscopenofnpracticenandncannotnbendelegated.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
, 10. Annursenisncaringnfornangroupnofnpatientsnonnthenmedical-
surgicalnunitnwithnthenhelpnofnonenfloatnregisterednnursen(RN),nonenassistivenpersonneln(AP),nandn
onenlicensednpractical/vocationalnnursen(LPN/VN).nWhichnassignment,nifndelegatednbynthennurs
e,nwouldnbenoutsidenthatnindividual‘snscopenofnpractice?
a. ChecknfornthenpresencenofnbowelnsoundsnbynAP
b. AdministrationnofnoralnmedicationsnbynLPN/VN
c. InsulinnadministrationnbynfloatnRNnfromnthenpediatricnunit
d. Measurementnofnanpatient‘snurinaryncatheternoutputnbynAP
ANS:n A
AssessmentnrequiresnRNneducationnandnscopenofnpracticensonitncannotnbendelegatedntonannLPN/
VNnornAP.nThenothernassignmentsnmadenbynthenRNnarenappropriatenfornthenrolenofnthenteamnmemb
er.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
11. Whichntasknisnappropriatenfornthennursentondelegatentonanlicensednpractical/vocationalnnursen(
LPN/VN)?
a. Completentheninitialnadmissionnassessmentnandnplannofncare.
b. Measurenbedsidenbloodnglucosenbeforenadministeringninsulin.
c. Documentnteachingncompletednbeforenandiagnosticnprocedure.
d. Instructnanpatientnaboutnlow-fat,nreducednsodiumndietarynrestrictions.
ANS:n B
TheneducationnandnscopenofnpracticenofnthenLPN/LVNnincludenactivitiesnsuchnasnobtainingngluc
osentestingnusingnanfingernsticknandnadministeringninsulin.nPatientnteachingnandntheninitialnassess
mentnandndevelopmentnofnthenplannofncarenarennursingnactionsnthatnrequirenregisterednnurseneduc
ationnandnscopenofnpractice.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
12. Annursenisnassignednasnancasenmanagernfornanhospitalizednpatientnwhonhasnanspinalncordninjury.n
Whichnactivityncannthenpatientnexpectnthennurseninnthisnrolentonperform?
a. Carenfornthenpatientnduringnhospitalizationnforntheninjuries.
b. Assistnthenpatientnwithnhomencarenactivitiesnduringnrecovery.
c. Coordinatenthenservicesnthenpatientnreceivesninnthenhospitalnandnatnhome.
d. Determinenwhatnmedicalncarenthenpatientnneedsnfornoptimalnrehabilitation.
ANS:n C
Thenrolenofnthencasenmanagernisntoncoordinatenthenpatient‘sncarenthroughnmultiplensettingsnandnle
velsnofncarentonallownthenmaximalnpatientnbenefitnatnthenleastncost.nThencasenmanagerndoesnnotnpro
videndirectncareninnthenacutenornhomensetting.nThencasenmanagerncoordinatesnandnadvocatesnfornc
are.nThenHCPndeterminesnwhatnmedicalncarenisnneeded.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nImplementation MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
13. Thennursenisncaringnfornannoldernadultnpatientnwhonneedsncontinuednnursingncarenandnphysicalnt
herapyntonimprovenmobilitynafternsurgeryntonrepairnanfracturednhip.nThennursenwouldnhelpntonar
rangenforntransfernofnthenpatientntonwhichntypenofnfacility?
Harding:n Lewis’sn Medical-Surgicaln Nursing,n 12thn Edition
MULTIPLEnCHOICE
1. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargeng
oalsnwillnbendevelopednwithnthenpatient‘sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwh
atnthenphysicianndoes?”nWhichnresponsenwouldnthennursenprovide?
a. “Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednb
ynyournphysician.”
b. “Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplannton
maintainnyournhealth.”
c. “Thennurse‘snjobnisntoncollectninformationnandncommunicatenanynproblemsnthatno
ccurntonthenphysician.”
d. “Nursesnperformnmanynofnthensamenproceduresnasnthenphysician,nbutnnursesnaren
withnthenpatientsnfornanlongerntimenthannthenphysician.”
ANS:n B
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnp
romotingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennu
rsingnrolenbutndonnotnaccuratelyndescribenthennurse‘snuniquenroleninnthenhealthncarensystem.
DIF:n CognitivenLevel:nAnalyzen(Analysis)
TOP:n NursingnProcess:nImplementationnnnnn MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
2. Whichnstatementnbynthennursenaccuratelyndescribesnthenusenofnevidence-basednpracticen(EBP)?
a. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
b. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
c. “Researchnfromnallnpublishednarticlesnarenusednasnanguidenfornplanningnpatientncare.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientn
preferences.”
ANS:n D
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nCli
nicalnjudgmentnbasednonnthennurse‘snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnma
kingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednt
onusenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbas
ednonncrediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjec
ts.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
3. Whichnstatementnbynthennursenprovidesnanclearnexplanationnofnthennursingnprocess?
a. “Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient‘snhealthncarenp
roblems.”
b. “Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernh
ealthncarenprofessionals.”
c. “Thennursingnprocessnisnanproblem-solvingntoolnusedntonidentifynandnmanagenthe
, patients‘nhealthncarenneeds.”
d. “Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenb
iopsychosocialnnaturenofnhumans.”
ANS:n C
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients‘nproblems.nNursingnprocessndo
esnnotnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpatie
ntncare,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenprof
essionals.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nEvaluationnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
4. Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenle
avingnmynchildrennwithnmynparents.”nWhichnactionnwouldnthennursentakennext?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient‘snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient‘snparentsntondeterminenwhethernadequatenchildncarenisnbeingnp
rovided.
ANS:n C
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappr
opriatenintervention,nthennurse‘snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernac
tionsnmaynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbencho
sen.
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nPsychosocialnIntegrity
5. Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresis.n
Whichnexpectednoutcomenwouldnthennursenselectnfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
b. Patient‘snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient‘snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:n A
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficie
ntnfluidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasn
resolved.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nPhysiologicaln Integrity
6. Whichnstatementndescribesnthenpurposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
b. Tondeterminenifninterventionsnhavenbeenneffectiveninnmeetingnpatientnoutcomes
c. Tondecidenwhethernthenpatient‘snhealthnproblemsnhavenbeenncompletelynresolved
d. Tonestablishnifnthenpatientnagreesnthatnthennursingncarenprovidednwasnsatisfactory
ANS:n B
, Evaluationnconsistsnofndeterminingnwhethernthendesirednpatientnoutcomesnhavenbeennmetnandn
whethernthennursingninterventionsnwerenappropriate.nThenothernresponsesndonnotndescribenthene
valuationnphase.
DIF:nnn CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nEvaluati
onnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
7. Whichnstatementndescribesnthenpurposenofnthenassessmentnphasenofnthennursingnprocess?
a. Tonteachninterventionsnthatnrelievenhealthnproblems
b. Tonusenpatientndatantonevaluatenpatientncarenoutcomes
c. Tonobtainndatantondiagnosenpatientnstrengthsnandnproblems
d. Tonhelpnthenpatientnidentifynrealisticnoutcomesnfornhealthnproblems
ANS:n C
Duringnthenassessmentnphase,nthennursengathersninformationnaboutnthenpatientntondiagnosenpatient
nstrengthsnandnproblems.nThenothernresponsesnarenexamplesnofnthenplanning,nintervention,nandne
valuationnphasesnofnthennursingnprocess.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nAssessment MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
8. Whenndevelopingnthenplannofncare,nwhichncomponentsnwouldnthennursenincludeninnthenclinicalnp
roblemnstatement?
a. Thenproblemnandnthensuggestednpatientngoalsnornoutcomes
b. Thenproblem,nitsncauses,nandnthensignsnandnsymptomsnofnthenproblem
c. Thenproblemnwithnthenpossiblenetiologynandnthenplannedninterventions
d. Thenproblem,nitsnpathophysiology,nandnthenexpectednoutcome
ANS:n B
Whennwritingnclinicalnproblemsnornnursingndiagnoses,nthensubjectivenasnwellnasnobjectivendatant
onsupportnthenproblem‘snexistencenshouldnbenincluded.nGoals,noutcomes,nandninterventionsnarenn
otnincludedninnthenproblemnstatement.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:n NursingnProcess:nDiagnosisnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
9. Whichnpatientncarentasknwouldnthennursendelegatentonexperiencednassistivenpersonneln(AP)?
a. Instructnthenpatientnaboutnthenneedntonalternatenactivitynandnrest.
b. Monitornlevelnofnshortnessnofnbreathnornfatiguenafternambulation.
c. Obtainnthenpatient‘snbloodnpressurenandnpulsenratenafternambulation.
d. Determinenwhethernthenpatientnisnreadyntonincreasenthenactivitynlevel.
ANS:n C
APneducationnincludesnaccuratenvitalnsignnmeasurement.nAssessmentnandnpatientnteachingnrequir
enregisterednnurseneducationnandnscopenofnpracticenandncannotnbendelegated.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
, 10. Annursenisncaringnfornangroupnofnpatientsnonnthenmedical-
surgicalnunitnwithnthenhelpnofnonenfloatnregisterednnursen(RN),nonenassistivenpersonneln(AP),nandn
onenlicensednpractical/vocationalnnursen(LPN/VN).nWhichnassignment,nifndelegatednbynthennurs
e,nwouldnbenoutsidenthatnindividual‘snscopenofnpractice?
a. ChecknfornthenpresencenofnbowelnsoundsnbynAP
b. AdministrationnofnoralnmedicationsnbynLPN/VN
c. InsulinnadministrationnbynfloatnRNnfromnthenpediatricnunit
d. Measurementnofnanpatient‘snurinaryncatheternoutputnbynAP
ANS:n A
AssessmentnrequiresnRNneducationnandnscopenofnpracticensonitncannotnbendelegatedntonannLPN/
VNnornAP.nThenothernassignmentsnmadenbynthenRNnarenappropriatenfornthenrolenofnthenteamnmemb
er.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
11. Whichntasknisnappropriatenfornthennursentondelegatentonanlicensednpractical/vocationalnnursen(
LPN/VN)?
a. Completentheninitialnadmissionnassessmentnandnplannofncare.
b. Measurenbedsidenbloodnglucosenbeforenadministeringninsulin.
c. Documentnteachingncompletednbeforenandiagnosticnprocedure.
d. Instructnanpatientnaboutnlow-fat,nreducednsodiumndietarynrestrictions.
ANS:n B
TheneducationnandnscopenofnpracticenofnthenLPN/LVNnincludenactivitiesnsuchnasnobtainingngluc
osentestingnusingnanfingernsticknandnadministeringninsulin.nPatientnteachingnandntheninitialnassess
mentnandndevelopmentnofnthenplannofncarenarennursingnactionsnthatnrequirenregisterednnurseneduc
ationnandnscopenofnpractice.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nPlanningnMSC:n NCLEX:nSafenandnEffectivenCarenEnvironme
nt
12. Annursenisnassignednasnancasenmanagernfornanhospitalizednpatientnwhonhasnanspinalncordninjury.n
Whichnactivityncannthenpatientnexpectnthennurseninnthisnrolentonperform?
a. Carenfornthenpatientnduringnhospitalizationnforntheninjuries.
b. Assistnthenpatientnwithnhomencarenactivitiesnduringnrecovery.
c. Coordinatenthenservicesnthenpatientnreceivesninnthenhospitalnandnatnhome.
d. Determinenwhatnmedicalncarenthenpatientnneedsnfornoptimalnrehabilitation.
ANS:n C
Thenrolenofnthencasenmanagernisntoncoordinatenthenpatient‘sncarenthroughnmultiplensettingsnandnle
velsnofncarentonallownthenmaximalnpatientnbenefitnatnthenleastncost.nThencasenmanagerndoesnnotnpro
videndirectncareninnthenacutenornhomensetting.nThencasenmanagerncoordinatesnandnadvocatesnfornc
are.nThenHCPndeterminesnwhatnmedicalncarenisnneeded.
DIF: CognitivenLevel:nApplyn(Application)
TOP:n NursingnProcess:nImplementation MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment
13. Thennursenisncaringnfornannoldernadultnpatientnwhonneedsncontinuednnursingncarenandnphysicalnt
herapyntonimprovenmobilitynafternsurgeryntonrepairnanfracturednhip.nThennursenwouldnhelpntonar
rangenforntransfernofnthenpatientntonwhichntypenofnfacility?
