Questions and 100% Verified Correct Answers
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A "possible" patient problem statement is utilized when: - CORRECT ANSWER: a
problem is feasible
A care plan is a document that outlines the _____________. - CORRECT ANSWER:
methods used to meet the patient's needs by the health care team
A Chief complaint refers to: - CORRECT ANSWER: the reason for seeking health care.
A dysrhythmia is a(n): - CORRECT ANSWER: abnormal heart rate.
A health care provider documents that a patient has a scleral icterus. How does the
nurse describe the color of the patient's sclera? - CORRECT ANSWER: Yellow
A health care provider needs to assess extension of a patient's hip joint. In what position
should the nurse place the patient? - CORRECT ANSWER: Prone
A Kardex or Rand system is a: - CORRECT ANSWER: card system that contains
patient orders and care needs.
A nurse assesses a neonate's temperature by using a temporal artery scanner. What
intervention should the nurse implement if the neonate's temperature is 96°F (35.5°C)?
- CORRECT ANSWER: Record the findings.
,A nurse assesses a patient's dorsalis pedis pulse. The pulse feels full and springlike
even under moderate pressure. How should the nurse document this finding? -
CORRECT ANSWER: Bounding pulse
A nurse assesses a patient's dorsalis pedis pulse. The pulse is easily felt but not
palpable when moderate pressure is applied. How should the nurse document this
finding? - CORRECT ANSWER: Normal pulse
A nurse assesses a patient's dorsalis pedis pulse. The pulse is not palpable when light
pressure is applied. How should the nurse document this finding? - CORRECT
ANSWER: Weak pulse
A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This
nurse could be found guilty of: - CORRECT ANSWER: malpractice.
A nurse is admitting a patient to an acute care facility. During the admission procedure,
what nursing intervention would best help reduce patient anxiety? - CORRECT
ANSWER: Greet the patient by name.
A nurse is caring for a diabetic patient whose serum glucose level is 520 mg/dL prior to
lunch. Insulin sliding scale coverage has been ordered by the health care provider with
instructions to call her for any glucose level over 400 mg/dL. The nurse does not call the
provider and goes to lunch. The patient develops ketoacidosis and is not stable. This
nurse is liable for ___________. - CORRECT ANSWER: malpractice
A nurse is caring for a Haitian American patient. How might the nurse demonstrate
cultural sensitivity? - CORRECT ANSWER: Allowing the patient to walk out of the
hospital when discharged
A nurse is formulating a patient problem. What is an example of an appropriately written
patient problem? - CORRECT ANSWER: Risk for impaired skin related
, A nurse is using the data, action, response, education (DARE) system of charting, and
is completing the data portion. What data are the nurse's focus? - CORRECT ANSWER:
Assessment
A nurse-patient relationship is a __________ relationship. - CORRECT ANSWER: legal
A patient is admitted to the surgery center for an endoscopic procedure. The nurse has
a consent form for the endoscopic procedure that the patient is required to sign if he/she
wishes to have the procedure. The patient states that the surgeon has discussed the
procedure and the possible risks associated with the procedure. The nurse explains the
procedure to the patient, along with the pre-procedure and postprocedure care. This
type of consent is an _________________ consent. - CORRECT ANSWER: informed
A patient is suspected of having a cardiac arrhythmia. The nurse is concerned with the
findings of an apical rate of 88 and a radial rate of 80. What is the term for the difference
between these two rates? - CORRECT ANSWER: Pulse deficit
An incident report is a form required for: - CORRECT ANSWER: any event that is not
consistent with routine patient care.
Apnea meCORRECT ANSWER: - CORRECT ANSWER: lack of respirations.
Before the actual discharge occurs, what must the nurse ensure? - CORRECT
ANSWER: The patient understands the discharge instructions.
Case management is the assignment of a health care provider to a patient so the care
of that patient is overseen by one individual. This individual typically is a(n): -
CORRECT ANSWER: nurse.
Clinical pathways are a _____________ plan that schedules clinical interventions over
an anticipated time frame. - CORRECT ANSWER: multidisciplinary