{NGN} PN PHARMACOLOGY PROC
n n n
TORED LATEST EXAM QUESTIONSn n n n
WITH COMPLETE &VERIFIED RATI
n n n n
ONALES AND ANSWERS 2023/2024 n n n
An nursen isn providingn nursingn caren ton patientsn aftern completingn an carenplann fromn nursingn diagnoses.n Inn
whichnstepnofnthennursingnprocessnisnthennurse?
AssessmentnPl
anningnImplem
entationnEvaluat
ion
ANS:nC
Implementation,nthenfourthnstepnofnthennursingnprocess,nformallynbeginsnafternannursendevelopsnanplannofncare.n
Withnancarenplannbasednonnclearnandnrelevantnnursingndiagnoses,nannurseninitiatesninterventionsnthatnarendesi
gnedntonassistnthenpatientninnachievingnthengoalsnandnexpectednoutcomesnneededntonsupportnornimproventhenp
atient’snhealthnstatus.nThennursengathersndatanduringnthenassessmentnphasenandnmutuallynsetsn goalsnandnpri
oritizesncarenduringnthenplanningnphase.nDuringnthenevaluationnphase,nthennursendeterminesnthenachievementn
ofngoalsnandneffectivenessnofninterventions.
Thennursenisnteachingnannewnnursenaboutnprotocols.nWhich
informationnfromnthennewnnursenindicatesnancorrectnunderstandingnofntheteaching?
Protocolsnarenguidelinesntonfollownthatnreplacenthennursingncarenplan.
Protocolsnassistnthenclinicianninnmakingndecisionsnandnchoosingnint
erventionsnfornspecificnhealthncarenproblemsnornconditions.
Protocolsnarenpoliciesndesignatingneachnnurse’sndutynaccordingnton
standardsnofncarenandnancodenofnethics.
Protocolsnarenprescriptivenordernformsnthatnhelpnindividualizenthenplannofn
care.
ANS:nB
Anclinicalnpracticenguidelinenornprotocolnisnansystematicallyndevelopednsetnofnstatementsnthatnhelpsnnurses,nph
ysicians,nandnothernhealthncarenprovidersnmakendecisionsnaboutnappropriatenhealthncarenfornspecificnclinicalnsit
uations.nThisnguidelinenestablishesninterventionsnfornspecificnhealthncarenproblemsnornconditions.nThenprotocol
ndoesnnotnreplacenthennursingncarenplan.nEvidence-
nbasednguidelinesnfrom nprotocolsncannbenincorporatedn inton ann individualizedn plann ofn care.n An clinicaln guidelin
en isn notn then samen asn an hospitaln policy.
Standing
1
ordersncontainnordersnfornthencarenofnanspecificngroupnofnpatients.nAnprotocolnisnnnnn
notnanprescriptivenordernformnlikenanstandingnorder.
, Then standingn ordersn forn anpatientn includen acetaminophenn 650n mgn everyn4n hoursnprnn fornheadache.nAfterna
ssessingnthenpatient,nthennursenidentifiesnthe
neednfornheadachenreliefnandndeterminesnthatnthenpatientnhasnnotnhadnacetaminophenninnthenpastn4nhours.nW
hichnactionnwillnthennursentakennext?
Administernthenacetaminophen.
Notifynthenhealthncarenproviderntonobtainnanverbalnorder.
Directnthennursingnassistivenpersonnelnton giventhen acetaminophen.nPerformnanpainn assessmentnonlynafternad
ministeringthe
acetaminophen.
ANS:nA
Anstandingnordernisnanpreprintedndocumentncontainingnordersnfornthenconductnofnroutinentherapies,nmonitoringn
guidelines,nand/orndiagnosticnproceduresnfornspecificnpatientsnwithnidentifiednclinicalnproblems.nThennursenwilln
administernthenmedication.nNotifyingnthenhealthncarenprovidernisnnotnnecessarynifnanstandingnordernexists.nThen
nursingnassistivenpersonnelnarennotnlicensedntonadministernmedications;ntherefore,nmedicationnadministrationn
shouldnnotnbendelegatedntonthisnperson.nAnpainnassessmentnshouldnbenperformednbeforenandafternpainnmedic
ationnadministrationntonassessnthenneednfornandneffectivenessofnthenmedication.
Whichnactionnindicatesnannursenisnusingncriticalnthinkingnforimplementationnofnnursingncarentonpatients?
Determinesnwhethernanninterventionnisncorrectnandnappropriatenfornthe
a.n givennsituation
Rean dnsnovernthenstepsnandnperformsnanprocedurendespitenlacknofnclinicalcompetency
bn .
c.n Establishesngoalsnfornanparticularnpatientnwithoutnassessment
d.n Evaluatesntheneffectivenessnofninterventions
ANS:nA
Asnyounimplementninterventions,nusencriticalnthinkingntonconfirmnwhetherntheninterventionsnarencorrectnandnstilln
appropriatenfornanpatient’snclinicalnsituation.nYounarenresponsiblenfornhavingnthennecessarynknowledgenandnclin
icalncompetencyntonperformninterventionsnfornyournpatientsnsafelynandneffectively.nThennursenneedsntonrecogni
zenthensafetynhazardsnofnperformingnanninterventionnwithoutnclinicalncompetencynandnseeknassistancenfromnan
othernnurse.nThe
nursencannotnevaluateninterventionsnuntilntheynarenimplemented.nPatientsnneedn2no
ngoingnassessmentnbeforenestablishingngoalsnbecausenpatientnconditionsncan
, changenverynrapidly.
Annursenisnreviewingnanpatient’sncarenplan.nWhichninformation
willnthennursenidentifynasnannursingnintervention?
Thenpatientnwillnambulateninnthenhallwayntwicenthisnshiftnusingncrutchesn
correctly.
Impairednphysicalnmobilitynrelatedntoninabilityntonbearnweightnonnrightnleg.
Providenassistancenwhilenthenpatientnwalksninnthenhallwayntwicenthisnshiftn
withncrutches.
Thenpatientnisnunablentonbearnweightnonnrightnlowernextremity.
ANS:nC
Providingnassistancentonanpatientnwhonisnambulatingnisnannursingnintervention.nThenstatement,n“Thenpatientnwilln
ambulateninnthenhallwayntwicenthisnshiftnusingncrutchesncorrectly”nisnanpatientnoutcome.nImpairednphysicalnmob
ilityisnannursingndiagnosis.nThenstatementnthatnthenpatientnisnunablentonbearnweightnandnambulatencannbeninclu
dednwithnassessmentndatanandnisnandefiningncharacteristicnfornthendiagnosisnofnImpairedn physicalnmobility.
Anpatientnrecoveringnfromnanlegnfracturenafternanfallnreportsnhavingndullnpainninnthenaffectednlegnandnratesnitn
asnan7nonnan0nton10nscale.nThenpatientnisnnot
ablen ton walkn aroundn inn then roomn withn crutchesn becausen ofn legn discomfort.nWhichn nursingn interventionn is
priority?
Assistnthenpatientntonwalkninnthenroomnwithncrutches.
Obtainnanwalkernfornthenpatient.n
Consultnphysicalntherapy.
Administernpainnmedication.
ANS:nD
Thenpatient’snpainnisnan7,nindicatingnthenprioritynisnpainnreliefn(administernpainnmedication).nAcutenpainnisnthenpr
ioritynbecausenthennursencannaddressnthenproblemnofnimmobilitynafternthenpatientnreceivesnadequatenpainnrelie
f.nAssistingnthenpatientntonwalknornobtainingnanwalkernwillnnotnaddressnthenpainnthenpatientnisnexperiencing.
Thennursenisncaringnfornanpatientnwhonrequiresnancomplexndressing
change.nWhileninnthenpatient’snroom,nthennursendecidesntonchangenthedressing.nWhichnactionnwillnthennursenta
kenjustnbeforenchangingnthendressing?
Gathersnandnorganizesnneedednsupplies
3
Decidesnonngoalsnandnoutcomesnfornthenpatient
n n n
TORED LATEST EXAM QUESTIONSn n n n
WITH COMPLETE &VERIFIED RATI
n n n n
ONALES AND ANSWERS 2023/2024 n n n
An nursen isn providingn nursingn caren ton patientsn aftern completingn an carenplann fromn nursingn diagnoses.n Inn
whichnstepnofnthennursingnprocessnisnthennurse?
AssessmentnPl
anningnImplem
entationnEvaluat
ion
ANS:nC
Implementation,nthenfourthnstepnofnthennursingnprocess,nformallynbeginsnafternannursendevelopsnanplannofncare.n
Withnancarenplannbasednonnclearnandnrelevantnnursingndiagnoses,nannurseninitiatesninterventionsnthatnarendesi
gnedntonassistnthenpatientninnachievingnthengoalsnandnexpectednoutcomesnneededntonsupportnornimproventhenp
atient’snhealthnstatus.nThennursengathersndatanduringnthenassessmentnphasenandnmutuallynsetsn goalsnandnpri
oritizesncarenduringnthenplanningnphase.nDuringnthenevaluationnphase,nthennursendeterminesnthenachievementn
ofngoalsnandneffectivenessnofninterventions.
Thennursenisnteachingnannewnnursenaboutnprotocols.nWhich
informationnfromnthennewnnursenindicatesnancorrectnunderstandingnofntheteaching?
Protocolsnarenguidelinesntonfollownthatnreplacenthennursingncarenplan.
Protocolsnassistnthenclinicianninnmakingndecisionsnandnchoosingnint
erventionsnfornspecificnhealthncarenproblemsnornconditions.
Protocolsnarenpoliciesndesignatingneachnnurse’sndutynaccordingnton
standardsnofncarenandnancodenofnethics.
Protocolsnarenprescriptivenordernformsnthatnhelpnindividualizenthenplannofn
care.
ANS:nB
Anclinicalnpracticenguidelinenornprotocolnisnansystematicallyndevelopednsetnofnstatementsnthatnhelpsnnurses,nph
ysicians,nandnothernhealthncarenprovidersnmakendecisionsnaboutnappropriatenhealthncarenfornspecificnclinicalnsit
uations.nThisnguidelinenestablishesninterventionsnfornspecificnhealthncarenproblemsnornconditions.nThenprotocol
ndoesnnotnreplacenthennursingncarenplan.nEvidence-
nbasednguidelinesnfrom nprotocolsncannbenincorporatedn inton ann individualizedn plann ofn care.n An clinicaln guidelin
en isn notn then samen asn an hospitaln policy.
Standing
1
ordersncontainnordersnfornthencarenofnanspecificngroupnofnpatients.nAnprotocolnisnnnnn
notnanprescriptivenordernformnlikenanstandingnorder.
, Then standingn ordersn forn anpatientn includen acetaminophenn 650n mgn everyn4n hoursnprnn fornheadache.nAfterna
ssessingnthenpatient,nthennursenidentifiesnthe
neednfornheadachenreliefnandndeterminesnthatnthenpatientnhasnnotnhadnacetaminophenninnthenpastn4nhours.nW
hichnactionnwillnthennursentakennext?
Administernthenacetaminophen.
Notifynthenhealthncarenproviderntonobtainnanverbalnorder.
Directnthennursingnassistivenpersonnelnton giventhen acetaminophen.nPerformnanpainn assessmentnonlynafternad
ministeringthe
acetaminophen.
ANS:nA
Anstandingnordernisnanpreprintedndocumentncontainingnordersnfornthenconductnofnroutinentherapies,nmonitoringn
guidelines,nand/orndiagnosticnproceduresnfornspecificnpatientsnwithnidentifiednclinicalnproblems.nThennursenwilln
administernthenmedication.nNotifyingnthenhealthncarenprovidernisnnotnnecessarynifnanstandingnordernexists.nThen
nursingnassistivenpersonnelnarennotnlicensedntonadministernmedications;ntherefore,nmedicationnadministrationn
shouldnnotnbendelegatedntonthisnperson.nAnpainnassessmentnshouldnbenperformednbeforenandafternpainnmedic
ationnadministrationntonassessnthenneednfornandneffectivenessofnthenmedication.
Whichnactionnindicatesnannursenisnusingncriticalnthinkingnforimplementationnofnnursingncarentonpatients?
Determinesnwhethernanninterventionnisncorrectnandnappropriatenfornthe
a.n givennsituation
Rean dnsnovernthenstepsnandnperformsnanprocedurendespitenlacknofnclinicalcompetency
bn .
c.n Establishesngoalsnfornanparticularnpatientnwithoutnassessment
d.n Evaluatesntheneffectivenessnofninterventions
ANS:nA
Asnyounimplementninterventions,nusencriticalnthinkingntonconfirmnwhetherntheninterventionsnarencorrectnandnstilln
appropriatenfornanpatient’snclinicalnsituation.nYounarenresponsiblenfornhavingnthennecessarynknowledgenandnclin
icalncompetencyntonperformninterventionsnfornyournpatientsnsafelynandneffectively.nThennursenneedsntonrecogni
zenthensafetynhazardsnofnperformingnanninterventionnwithoutnclinicalncompetencynandnseeknassistancenfromnan
othernnurse.nThe
nursencannotnevaluateninterventionsnuntilntheynarenimplemented.nPatientsnneedn2no
ngoingnassessmentnbeforenestablishingngoalsnbecausenpatientnconditionsncan
, changenverynrapidly.
Annursenisnreviewingnanpatient’sncarenplan.nWhichninformation
willnthennursenidentifynasnannursingnintervention?
Thenpatientnwillnambulateninnthenhallwayntwicenthisnshiftnusingncrutchesn
correctly.
Impairednphysicalnmobilitynrelatedntoninabilityntonbearnweightnonnrightnleg.
Providenassistancenwhilenthenpatientnwalksninnthenhallwayntwicenthisnshiftn
withncrutches.
Thenpatientnisnunablentonbearnweightnonnrightnlowernextremity.
ANS:nC
Providingnassistancentonanpatientnwhonisnambulatingnisnannursingnintervention.nThenstatement,n“Thenpatientnwilln
ambulateninnthenhallwayntwicenthisnshiftnusingncrutchesncorrectly”nisnanpatientnoutcome.nImpairednphysicalnmob
ilityisnannursingndiagnosis.nThenstatementnthatnthenpatientnisnunablentonbearnweightnandnambulatencannbeninclu
dednwithnassessmentndatanandnisnandefiningncharacteristicnfornthendiagnosisnofnImpairedn physicalnmobility.
Anpatientnrecoveringnfromnanlegnfracturenafternanfallnreportsnhavingndullnpainninnthenaffectednlegnandnratesnitn
asnan7nonnan0nton10nscale.nThenpatientnisnnot
ablen ton walkn aroundn inn then roomn withn crutchesn becausen ofn legn discomfort.nWhichn nursingn interventionn is
priority?
Assistnthenpatientntonwalkninnthenroomnwithncrutches.
Obtainnanwalkernfornthenpatient.n
Consultnphysicalntherapy.
Administernpainnmedication.
ANS:nD
Thenpatient’snpainnisnan7,nindicatingnthenprioritynisnpainnreliefn(administernpainnmedication).nAcutenpainnisnthenpr
ioritynbecausenthennursencannaddressnthenproblemnofnimmobilitynafternthenpatientnreceivesnadequatenpainnrelie
f.nAssistingnthenpatientntonwalknornobtainingnanwalkernwillnnotnaddressnthenpainnthenpatientnisnexperiencing.
Thennursenisncaringnfornanpatientnwhonrequiresnancomplexndressing
change.nWhileninnthenpatient’snroom,nthennursendecidesntonchangenthedressing.nWhichnactionnwillnthennursenta
kenjustnbeforenchangingnthendressing?
Gathersnandnorganizesnneedednsupplies
3
Decidesnonngoalsnandnoutcomesnfornthenpatient
