Med C
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,Med C
v
, hapter 01: Professional NursingTest Bank
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MULTIPLE CHOICE v
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
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care. Which statement, if made by the student nurse, indicates that teaching was
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vsuccessful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
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problems.
v
b. The nursing process is a problem-solving tool used to identify and treat patients health care
v v v v v v v v v v v v v v
needs.
v
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
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nature of humans.
v v v
d. The nursing process is used primarily to explain nursing interventions to other health
v v v v v v v v v v v v
care professionals.
v v
ANS: B v
The nursing process is a problem-solving approach to the identification and treatment of patients
v v v v v v v v v v v v v
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
v v v v v v v v v v v v v v v v v v
vin patient care, not to establish nursing theory or explain nursing interventions to other health care
v v v v v v v v v v v v v v v
professionals.
v
DIF: Cognitive Level: Understand (comprehension)
v v v v
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
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caring for patients. Which statement, if made by the nurse, would be the most accurate?
v v v v v v v v v v v v v v v
a. Inferences from clinical research studies are used as a guide.
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b. Patient care is based on clinical judgment, experience, and traditions.
v v v v v v v v v
c. Data are evaluated to show that the patient outcomes are consistently met.
v v v v v v v v v v v
d. Recommendations are based on research, clinical expertise, and patient preferences. v v v v v v v v v
ANS: D v
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
v v v v v v v v v v v v
vclinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but
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clinical decision making should also incorporate current research and research-based guidelines.
v v v v v v v v v v v
Evaluation of patient outcomes is important, but interventions should be based on research from
v v v v v v v v v v v v v v
vrandomized control studies with a large number of subjects.
v v v v v v v v
DIF: Cognitive Level: Remember (knowledge)
v v v v
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
Med C v
, 3. The nurse completes an admission database and explains that the plan of care and discharge goals
v v v v v v v v v v v v v v v
vwill be developed with the patients input. The patient states, How is this different from what the
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doctor does? Which response would be most appropriate for the nurse to make?
v v v v v v v v v v v v v
a. The role of the nurse is to administer medications and other treatments prescribed by your
v v v v v v v v v v v v v v
doctor.
v
b. The nurses job is to help the doctor by collecting information and communicating any
v v v v v v v v v v v v v
problems that occur.
v v v
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
v v v v v v v v v v v v v v v
for a longer time than the doctor.
v v v v v v v
d. In addition to caring for you while you are sick, the nurses will assist you to
v v v v v v v v v v v v v v v
vdevelop an individualized plan to maintain your health.
v v v v v v v
ANS: D v
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
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describes the role of nurses in promoting health. The other responses describe some of the dependent and
v v v v v v v v v v v v v v v v v
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
v v v v v v v v v v v v v v v v v v
system.
v
DIF: Cognitive Level: Understand (comprehension)
v v v v
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
v v v v v v v v v v v v v v v v v v v v
left hipWhich nursing diagnosis is most appropriate?
v v v v v v v
a. Impaired physical mobility related to left-sided paralysis v v v v v v
b. Risk for impaired tissue integrity related to left-sided weakness
v v v v v v v v
c. Impaired skin integrity related to altered circulation and pressure v v v v v v v v
d. Ineffective tissue perfusion related to inability to move v v v v v v v
vindependentlyANS: C v
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
v v v v v v v v v v v v v v v v
ulcer.The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
v v v v v v v v v v v v v v v v
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat
v v v v v v v v v v v v v v v
vthe weakness. The risk fordiagnosis is not appropriate for this patient, who already has impaired tissue
v v v v v v v v v v v v v v v
integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity
v v v v v v v v v v v v v
vdiagnosis indicates more clearly what the healthproblem is.
v v v v v v v
DIF: Cognitive Level: Apply (application)
v v v v
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
v v v v v v v
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
v v v v v v v v v v v v v v v v v v
leavingmy children with my parents. Which action should the nurse take next?
v v v v v v v v v v v v
Med C v
v
,Med C
v
, hapter 01: Professional NursingTest Bank
v v v v
MULTIPLE CHOICE v
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
v v v v v v v v v v v v v v v
care. Which statement, if made by the student nurse, indicates that teaching was
v v v v v v v v v v v v v
vsuccessful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
v v v v v v v v v v v v
problems.
v
b. The nursing process is a problem-solving tool used to identify and treat patients health care
v v v v v v v v v v v v v v
needs.
v
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
v v v v v v v v v v v
nature of humans.
v v v
d. The nursing process is used primarily to explain nursing interventions to other health
v v v v v v v v v v v v
care professionals.
v v
ANS: B v
The nursing process is a problem-solving approach to the identification and treatment of patients
v v v v v v v v v v v v v
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
v v v v v v v v v v v v v v v v v v
vin patient care, not to establish nursing theory or explain nursing interventions to other health care
v v v v v v v v v v v v v v v
professionals.
v
DIF: Cognitive Level: Understand (comprehension)
v v v v
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
v v v v v v v v v v v v v
caring for patients. Which statement, if made by the nurse, would be the most accurate?
v v v v v v v v v v v v v v v
a. Inferences from clinical research studies are used as a guide.
v v v v v v v v v
b. Patient care is based on clinical judgment, experience, and traditions.
v v v v v v v v v
c. Data are evaluated to show that the patient outcomes are consistently met.
v v v v v v v v v v v
d. Recommendations are based on research, clinical expertise, and patient preferences. v v v v v v v v v
ANS: D v
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
v v v v v v v v v v v v
vclinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but
v v v v v v v v v v v v v v
clinical decision making should also incorporate current research and research-based guidelines.
v v v v v v v v v v v
Evaluation of patient outcomes is important, but interventions should be based on research from
v v v v v v v v v v v v v v
vrandomized control studies with a large number of subjects.
v v v v v v v v
DIF: Cognitive Level: Remember (knowledge)
v v v v
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
Med C v
, 3. The nurse completes an admission database and explains that the plan of care and discharge goals
v v v v v v v v v v v v v v v
vwill be developed with the patients input. The patient states, How is this different from what the
v v v v v v v v v v v v v v v v
doctor does? Which response would be most appropriate for the nurse to make?
v v v v v v v v v v v v v
a. The role of the nurse is to administer medications and other treatments prescribed by your
v v v v v v v v v v v v v v
doctor.
v
b. The nurses job is to help the doctor by collecting information and communicating any
v v v v v v v v v v v v v
problems that occur.
v v v
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
v v v v v v v v v v v v v v v
for a longer time than the doctor.
v v v v v v v
d. In addition to caring for you while you are sick, the nurses will assist you to
v v v v v v v v v v v v v v v
vdevelop an individualized plan to maintain your health.
v v v v v v v
ANS: D v
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
v v v v v v v v v v v v v
describes the role of nurses in promoting health. The other responses describe some of the dependent and
v v v v v v v v v v v v v v v v v
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
v v v v v v v v v v v v v v v v v v
system.
v
DIF: Cognitive Level: Understand (comprehension)
v v v v
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
v v v v v v v v v v
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
v v v v v v v v v v v v v v v v v v v v
left hipWhich nursing diagnosis is most appropriate?
v v v v v v v
a. Impaired physical mobility related to left-sided paralysis v v v v v v
b. Risk for impaired tissue integrity related to left-sided weakness
v v v v v v v v
c. Impaired skin integrity related to altered circulation and pressure v v v v v v v v
d. Ineffective tissue perfusion related to inability to move v v v v v v v
vindependentlyANS: C v
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
v v v v v v v v v v v v v v v v
ulcer.The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
v v v v v v v v v v v v v v v v
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat
v v v v v v v v v v v v v v v
vthe weakness. The risk fordiagnosis is not appropriate for this patient, who already has impaired tissue
v v v v v v v v v v v v v v v
integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity
v v v v v v v v v v v v v
vdiagnosis indicates more clearly what the healthproblem is.
v v v v v v v
DIF: Cognitive Level: Apply (application)
v v v v
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
v v v v v v v
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
v v v v v v v v v v v v v v v v v v
leavingmy children with my parents. Which action should the nurse take next?
v v v v v v v v v v v v
Med C v
