,Chapter 01: Professional Nursing
KL KL KL
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
KL KL bj KL KL
MULTIPLEKLCHOICE
1. TheKLnurseK L completesKLanK L admissionK L databaseKLandK L explainsKLthatK L theK L planK L ofKLcareKLan
dK L dischargeKLgoalsKLwillKLbeKLdevelopedKLwithKLtheKLpatient‗sKLinput.KLTheKLpatientKLasks,KL―Ho
wKLisKLthisKLdifferentK L fromKLwhatK L theK L physicianK L does?‖K L WhichK L responseK L wouldK L theK L
nurseK L provide?
a. ―TheKLroleKLofKLtheKLnurseKLisKLtoKLadministerKLmedicationsKLandKLotherKLtreatmentsKLpr
escribedKLbyKLyourKLphysician.‖
b. ―InKLadditionKLto caringKLforKLyouKLwhileKLyou areKLsick,KLtheKLnursesKLwillKLhelpKLyo
bj bj
uKLplanKLtoKLmaintainKLyourKLhealth.‖
c. ―TheKLnurse‗sKLjobKLisKLtoKLcollectKLinformationKLandKLcommunicateKLanyKLproble
msKLthatKLoccurKLtoKLtheKLphysician.‖
d. ―NursesKLperformKLmanyKLofKLtheKLsameKLproceduresKLasKLtheKLphysician,KLbut nur bj
sesKLareKLwithK L theK L patientsK L forK L aK L longerK L timeK L thanK L theK L physician.‖
ANS:K L B
TheKLAmericanKLNursesKLAssociationK L (ANA)KLdefinitionK L ofKLnursingKLdescribesKLtheKLroleKLofKLnurse
sKLinKLpromotingK L health.KLTheK L otherK L responsesK L describeK L dependentK L andK L collaborativeK L functi
onsKLofKLtheKLnursingK L roleKL butK L doK L notK L accuratelyK L describeK L theK L nurse‗sK L uniqueK L roleK L inK L theKL
healthK L careK L system.
DIF: CognitiveKLLevel:KLAnalyzeKL(Analysis)
TOP: Nursing Process:KL Implementation
bj MSC:K L NCLEX:KLSafeKLandKLEffective CareKLEnvironment
bj
2. WhichK L statementK L byK L theK L nurseK L accuratelyK L describesK L theK L useK L ofK L evidence-
basedK L practiceK L (EBP)?
a. ―PatientK L careKLisK L basedKLonKLclinicalKLjudgment,KL experience,KL andKLtraditions.‖
b. ―DataK L areKLanalyzedKL laterK L toK L showKLthatK L theKL patientK L outcomesKLareK L consistentlyK L met.‖
c. ―ResearchK L fromKLallK L publishedKL articlesK L areKLusedK L asK L aK L guideK L forK L planningKLpatientK L care
.‖
d. ―RecommendationsKLareKLbasedKLonKLresearch,KLclinicalKLexpertise,KLandKLp
atientKLpreferences.‖
ANS:K L D
Evidence-basedK L practiceKL (EBP)K L isK L theKLuseK L ofKLtheK L bestKL research-
basedK L evidenceK L combinedK L withK L clinicianK L expertiseK L andK L considerationK L ofK L patientK L pr
eferences.KLClinicalK L judgmentK L basedK L onK L theK L nurse‗sK L clinicalK L experienceK L isK L partK L ofK L E
BP,K L butK L clinicalK L decisiKLonK L makingK L shouldK L alsoK L incorporateKLcurrentKLresearchKLandKLrese
arch-
basedKLguidelines.KLEvaluationK L ofKLpatientK L outcomesKLisK L important,K L butK L dataK L analysisK L isK L notK L
require
dK L toK L useK L EBP.K L AllK L publishedK L articlesK L doK L notK L provideK L researchKLevidence;KLinterventionsKLs
houldK L b
eKLbasedKLonKLcredibleKLresearch,K L preferablyKLrandomizedK L controlledK L studiesK L withK L aK L largeK L nu
mberK L ofKLsubjects.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
bj
3. WhichKLstatementKL byKLtheK L nurseKLprovidesKLaK L clearK L explanationK L ofKLtheKL nursingKLprocess?
a. ―TheKLnursingKLprocessKLisKLaKLresearchKLmethodKLofKLdiagnosingKLtheKLpatient‗sKLhea
lthKLcareKLproblems.‖
b. ―TheKLnursingKLprocessKLisKLusedKLprimarilyKLtoKLexplainKLnursingKLinterventionsKLt
oKLotherKLhealthKLcareKLprofessionals.‖
c. ―TheKL nursingK L processKLisKLaK L problem-solvingKLtoolK L usedK L toK L identifyKLandK L manageK L the
, patients‗KLhealthKLcareKLneeds.‖
d. ―TheKLnursingKLprocessKLisKLbasedKLonKLnursingKLtheoryKLthatKLincorpora
tesKLtheKLbiopsychosocialK L natureKLofKLhumans.‖
ANS:K L C
TheK L nursingK L processK L isK L aK L problem-
solvingK L approachK L toK L theKLidentificationK L andK L treatmentK L ofK L patients‗K L problems.K L Nursin
gK L processKLdoesK L notK L requireK L researchK L methodsK L forK L diagnosis.K L TheK L primaryKLuseKLofKLt
heKLnursingKLprocessKLisKLinKLpatientK L care,KLnotK L toK L establishK L nursingK L theoryKLorKLexplainK L nursi
ngK L interventionsK L toK L otherK L healthK L caKLreKLprofessionals.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLEvaluationKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
4. AKLpatientKLadmittedKLtoKLtheKLhospitalKLforKLsurgerytellsKLtheKLnurse,KL―I doKLnot feelKLcomf
bj bj
ortableK L lKLeavingK L myK L childrenK L withK L myK L parents.‖K L WhichK L actionK L wouldK L the
K L nurseK L takeK L next?
a. ReassureKLtheKLpatientKLthatK L theseKLfeelingsKLareKL commonK L forKLparents.
b. HaveKLthe patientK L callKL theKL childrenK L toKL ensureKLthatK L theyKLareKLdoingK L well.
bj
c. GatherK L informationK L onK L theK L patient‗sK L concernsK L aboutK L theK L childK L careKL arrangements.
d. CallKLtheKLpatient‗sKLparentsKLtoKLdetermineKLwhetherKLadequateKLchildKLcareKLi
sKLbeingKLprovided.
ANS:K L C
BecauseKLaKLcompleteKLassessmentKLisKLnecessaryKLinKLorderKLtoKLidentifyKLaKLproblemKLandKLchooseK
LanKLapKLpropriateK L intervention,K L theK L nurse‗sK L firstK L actionK L shouldK L beK L toK L obtainK L moreK L i
nformation.K L TheK L othKLerKLactionsK L mayKLbeKLappropriate,K L butKLmoreKLassessmentK L isKLneededK L
beforeKLtheKLbestKLinterventionK L canK L bKLeKLchosen.
DIF: CognitiveKLLevel:KLAnalyzeKL(Analysis)
TOP: Nursing Process:KLAssessment
bj MSC:K L NCLEX:KLPsychosocialKLIntegrity
5. AKLpatientKLwithKLaKLbacterialK L infectionKLisKLhypovolemicK L dueKLtoKLaK L feverKLandKLexcessiveKL
diaphoresis.KLWhichK L expectedK L outcomeK L wouldK L theK L nurseK L selectK L forK L thisK L patient?
a. PatientKLhasKLaKLbalancedK L intakeKLandKL output.
b. Patient‗sKLbeddingKLisKLkeptK L cleanKLandKL freeKLofKLmoisture.
c. PatientK L understandsK L theK L needK L forK L increasedK L fluidK L intake.
d. Patient‗sK L skinK L remainsK L coolK L andK L dryKLthroughoutK L hospitalization.
ANS:K L A
BalancedKLintakeKLandKLoutputK L givesK L measurableKLdataK L showingKLresolutionKLofKLtheKLproblemK L
ofK L deficieKLntK L fluidK L volume.K L TheK L otherK L statementsK L wouldK L notK L indicateK L thatK L theK L p
roblemK L ofK L hypovolemiaKLwasKLresolved.
DIF: CognitiveKLLevel:KLApplyKL(Application)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLPhysiologicalKLIntegrity
bj
6. WhichKLstatementK L describesK L theKL purposeK L ofKLtheKLevaluationKL phaseK L ofKLtheKLnursingKLprocess?
a. ToKLdocumentKLtheKL nursingK L careK L planKL inK L theKLprogressK L notesKLofKLtheKLhealthK L record
b. ToK L determineK L ifK L interventionsK L haveK L beenK L effectiveK L inK L meetingK L patientK L outcomes
c. ToK L decideK L whetherK L theK L patient‗sK L healthK L problemsK L haveK L beenK L completelyK L resolved
d. ToKLestablishKLifKLtheKLpatientKL agreesKLthatKL theKLnursingK L careKLprovidedK L wasKL satisfactory
ANS:K L B
, EvaluationKLconsistsKLofKLdeterminingKLwhetherKLtheKLdesiredKLpatientKLoutcomesKLhaveKLbeenKLm
etKLandKLwhetherKLtheKLnursingKLinterventionsKLwereKLappropriate.KLTheKLotherKLresponsesKLdoKLno
tKLdescribeKLtheKLevaluationKLphase.
DIF:K L K L CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLEvaluationKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
7. WhichK L statementK L describesK L theK L purposeK L ofKLtheK L assessmentK L phaseK L ofK L theK L nursingK L pro
cess?
a. ToK L teachK L interventionsK L thatK L relieveK L healthK L problems
b. ToKLuseKLpatientK L dataKLtoKLevaluateKL patientK L careKLoutcomes
c. ToKLobtainKLdataKLtoKL diagnoseKL patientKLstrengthsKLandKLproblems
d. ToKL helpK L theK L patientK L identifyK L realisticK L outcomesK L forK L healthK L problems
ANS:K L C
DuringKLtheKLassessmentK L phase,KLtheKLnurseKLgathersKLinformationK L aboutKLtheKLpatient toKLdiagno bj
seK L patieKLntK L strengthsK L andK L problems.K L TheK L otherK L responsesK L areK L examplesK L ofKLtheK L pl
anning,K L intervention,K L aKLndK L evaluationK L phasesK L ofK L theK L nursingK L process.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP: Nursing Process:KLAssessment
bj MSC:K L NCLEX:KLSafeKLandKLEffectiveKLCare Environment bj
8. WhenKLdevelopingKLtheKLplanKLofKLcare,KLwhichKLcomponentsKLwouldKLtheKLnurseKLincludeKLinKLth
eKLclinicalKLproblemKLstatement?
a. TheKLproblemKLandKLtheKL suggestedK L patientK L goalsKLorK L outcomes
b. TheKLproblem,KLitsKLcauses,KL andKLtheKL signsKL andKLsymptomsK L ofKLtheKL problem
c. TheK L problemK L withK L theK L possibleK L etiologyK L andK L theK L plannedK L interventions
d. TheK L problem,K L itsK L pathophysiology,K L andK L theK L expectedK L outcome
ANS:K L B
WhenK L writingK L clinicalK L problemsK L orK L nursingK L diagnoses,K L theK L subjectiveKLasK L wellK L asK L o
bjectiveK L dataKLtoKLsupportKLtheKLproblem‗sKLexistenceKLshouldKLbeKLincluded.KLGoals,KLoutcomes,K
LandKLinterventionsKLareKLnotKLincludedKLinKLtheKLproblemKLstatement.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLDiagnosisKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
9. WhichKLpatientKLcareKLtaskK L wouldKLtheKLnurseKLdelegateKL toK L experiencedKLassistiveK L personnelKL (AP)?
a. InstructKLtheKLpatientKLaboutK L theK L needKLtoKLalternateKLactivityKLandK L rest.
b. MonitorKLlevelK L ofKLshortnessKL ofKLbreathK L orKLfatigueKLafterKLambulation.
c. ObtainKL theK L patient‗sK L bloodK L pressureKL andK L pulseK L rateK L afterK L ambulation.
d. DetermineK L whetherK L theK L patientK L isKLreadyK L toK L increaseK L theK L activityK L level.
ANS:K L C
APKLeducationKLincludesKLaccurateKLvitalKLsignKLmeasurement.K L AssessmentKLandKLpatient teachin bj
gK L requiKLreK L registeredK L nurseK L educationK L andK L scopeK L ofK L practiceK L andK L cannotK L beK L de
legated.
DIF:K L K L CognitiveKLLevel:KLApplyKL(Application)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
bj
KL KL KL
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
KL KL bj KL KL
MULTIPLEKLCHOICE
1. TheKLnurseK L completesKLanK L admissionK L databaseKLandK L explainsKLthatK L theK L planK L ofKLcareKLan
dK L dischargeKLgoalsKLwillKLbeKLdevelopedKLwithKLtheKLpatient‗sKLinput.KLTheKLpatientKLasks,KL―Ho
wKLisKLthisKLdifferentK L fromKLwhatK L theK L physicianK L does?‖K L WhichK L responseK L wouldK L theK L
nurseK L provide?
a. ―TheKLroleKLofKLtheKLnurseKLisKLtoKLadministerKLmedicationsKLandKLotherKLtreatmentsKLpr
escribedKLbyKLyourKLphysician.‖
b. ―InKLadditionKLto caringKLforKLyouKLwhileKLyou areKLsick,KLtheKLnursesKLwillKLhelpKLyo
bj bj
uKLplanKLtoKLmaintainKLyourKLhealth.‖
c. ―TheKLnurse‗sKLjobKLisKLtoKLcollectKLinformationKLandKLcommunicateKLanyKLproble
msKLthatKLoccurKLtoKLtheKLphysician.‖
d. ―NursesKLperformKLmanyKLofKLtheKLsameKLproceduresKLasKLtheKLphysician,KLbut nur bj
sesKLareKLwithK L theK L patientsK L forK L aK L longerK L timeK L thanK L theK L physician.‖
ANS:K L B
TheKLAmericanKLNursesKLAssociationK L (ANA)KLdefinitionK L ofKLnursingKLdescribesKLtheKLroleKLofKLnurse
sKLinKLpromotingK L health.KLTheK L otherK L responsesK L describeK L dependentK L andK L collaborativeK L functi
onsKLofKLtheKLnursingK L roleKL butK L doK L notK L accuratelyK L describeK L theK L nurse‗sK L uniqueK L roleK L inK L theKL
healthK L careK L system.
DIF: CognitiveKLLevel:KLAnalyzeKL(Analysis)
TOP: Nursing Process:KL Implementation
bj MSC:K L NCLEX:KLSafeKLandKLEffective CareKLEnvironment
bj
2. WhichK L statementK L byK L theK L nurseK L accuratelyK L describesK L theK L useK L ofK L evidence-
basedK L practiceK L (EBP)?
a. ―PatientK L careKLisK L basedKLonKLclinicalKLjudgment,KL experience,KL andKLtraditions.‖
b. ―DataK L areKLanalyzedKL laterK L toK L showKLthatK L theKL patientK L outcomesKLareK L consistentlyK L met.‖
c. ―ResearchK L fromKLallK L publishedKL articlesK L areKLusedK L asK L aK L guideK L forK L planningKLpatientK L care
.‖
d. ―RecommendationsKLareKLbasedKLonKLresearch,KLclinicalKLexpertise,KLandKLp
atientKLpreferences.‖
ANS:K L D
Evidence-basedK L practiceKL (EBP)K L isK L theKLuseK L ofKLtheK L bestKL research-
basedK L evidenceK L combinedK L withK L clinicianK L expertiseK L andK L considerationK L ofK L patientK L pr
eferences.KLClinicalK L judgmentK L basedK L onK L theK L nurse‗sK L clinicalK L experienceK L isK L partK L ofK L E
BP,K L butK L clinicalK L decisiKLonK L makingK L shouldK L alsoK L incorporateKLcurrentKLresearchKLandKLrese
arch-
basedKLguidelines.KLEvaluationK L ofKLpatientK L outcomesKLisK L important,K L butK L dataK L analysisK L isK L notK L
require
dK L toK L useK L EBP.K L AllK L publishedK L articlesK L doK L notK L provideK L researchKLevidence;KLinterventionsKLs
houldK L b
eKLbasedKLonKLcredibleKLresearch,K L preferablyKLrandomizedK L controlledK L studiesK L withK L aK L largeK L nu
mberK L ofKLsubjects.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
bj
3. WhichKLstatementKL byKLtheK L nurseKLprovidesKLaK L clearK L explanationK L ofKLtheKL nursingKLprocess?
a. ―TheKLnursingKLprocessKLisKLaKLresearchKLmethodKLofKLdiagnosingKLtheKLpatient‗sKLhea
lthKLcareKLproblems.‖
b. ―TheKLnursingKLprocessKLisKLusedKLprimarilyKLtoKLexplainKLnursingKLinterventionsKLt
oKLotherKLhealthKLcareKLprofessionals.‖
c. ―TheKL nursingK L processKLisKLaK L problem-solvingKLtoolK L usedK L toK L identifyKLandK L manageK L the
, patients‗KLhealthKLcareKLneeds.‖
d. ―TheKLnursingKLprocessKLisKLbasedKLonKLnursingKLtheoryKLthatKLincorpora
tesKLtheKLbiopsychosocialK L natureKLofKLhumans.‖
ANS:K L C
TheK L nursingK L processK L isK L aK L problem-
solvingK L approachK L toK L theKLidentificationK L andK L treatmentK L ofK L patients‗K L problems.K L Nursin
gK L processKLdoesK L notK L requireK L researchK L methodsK L forK L diagnosis.K L TheK L primaryKLuseKLofKLt
heKLnursingKLprocessKLisKLinKLpatientK L care,KLnotK L toK L establishK L nursingK L theoryKLorKLexplainK L nursi
ngK L interventionsK L toK L otherK L healthK L caKLreKLprofessionals.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLEvaluationKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
4. AKLpatientKLadmittedKLtoKLtheKLhospitalKLforKLsurgerytellsKLtheKLnurse,KL―I doKLnot feelKLcomf
bj bj
ortableK L lKLeavingK L myK L childrenK L withK L myK L parents.‖K L WhichK L actionK L wouldK L the
K L nurseK L takeK L next?
a. ReassureKLtheKLpatientKLthatK L theseKLfeelingsKLareKL commonK L forKLparents.
b. HaveKLthe patientK L callKL theKL childrenK L toKL ensureKLthatK L theyKLareKLdoingK L well.
bj
c. GatherK L informationK L onK L theK L patient‗sK L concernsK L aboutK L theK L childK L careKL arrangements.
d. CallKLtheKLpatient‗sKLparentsKLtoKLdetermineKLwhetherKLadequateKLchildKLcareKLi
sKLbeingKLprovided.
ANS:K L C
BecauseKLaKLcompleteKLassessmentKLisKLnecessaryKLinKLorderKLtoKLidentifyKLaKLproblemKLandKLchooseK
LanKLapKLpropriateK L intervention,K L theK L nurse‗sK L firstK L actionK L shouldK L beK L toK L obtainK L moreK L i
nformation.K L TheK L othKLerKLactionsK L mayKLbeKLappropriate,K L butKLmoreKLassessmentK L isKLneededK L
beforeKLtheKLbestKLinterventionK L canK L bKLeKLchosen.
DIF: CognitiveKLLevel:KLAnalyzeKL(Analysis)
TOP: Nursing Process:KLAssessment
bj MSC:K L NCLEX:KLPsychosocialKLIntegrity
5. AKLpatientKLwithKLaKLbacterialK L infectionKLisKLhypovolemicK L dueKLtoKLaK L feverKLandKLexcessiveKL
diaphoresis.KLWhichK L expectedK L outcomeK L wouldK L theK L nurseK L selectK L forK L thisK L patient?
a. PatientKLhasKLaKLbalancedK L intakeKLandKL output.
b. Patient‗sKLbeddingKLisKLkeptK L cleanKLandKL freeKLofKLmoisture.
c. PatientK L understandsK L theK L needK L forK L increasedK L fluidK L intake.
d. Patient‗sK L skinK L remainsK L coolK L andK L dryKLthroughoutK L hospitalization.
ANS:K L A
BalancedKLintakeKLandKLoutputK L givesK L measurableKLdataK L showingKLresolutionKLofKLtheKLproblemK L
ofK L deficieKLntK L fluidK L volume.K L TheK L otherK L statementsK L wouldK L notK L indicateK L thatK L theK L p
roblemK L ofK L hypovolemiaKLwasKLresolved.
DIF: CognitiveKLLevel:KLApplyKL(Application)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLPhysiologicalKLIntegrity
bj
6. WhichKLstatementK L describesK L theKL purposeK L ofKLtheKLevaluationKL phaseK L ofKLtheKLnursingKLprocess?
a. ToKLdocumentKLtheKL nursingK L careK L planKL inK L theKLprogressK L notesKLofKLtheKLhealthK L record
b. ToK L determineK L ifK L interventionsK L haveK L beenK L effectiveK L inK L meetingK L patientK L outcomes
c. ToK L decideK L whetherK L theK L patient‗sK L healthK L problemsK L haveK L beenK L completelyK L resolved
d. ToKLestablishKLifKLtheKLpatientKL agreesKLthatKL theKLnursingK L careKLprovidedK L wasKL satisfactory
ANS:K L B
, EvaluationKLconsistsKLofKLdeterminingKLwhetherKLtheKLdesiredKLpatientKLoutcomesKLhaveKLbeenKLm
etKLandKLwhetherKLtheKLnursingKLinterventionsKLwereKLappropriate.KLTheKLotherKLresponsesKLdoKLno
tKLdescribeKLtheKLevaluationKLphase.
DIF:K L K L CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLEvaluationKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
7. WhichK L statementK L describesK L theK L purposeK L ofKLtheK L assessmentK L phaseK L ofK L theK L nursingK L pro
cess?
a. ToK L teachK L interventionsK L thatK L relieveK L healthK L problems
b. ToKLuseKLpatientK L dataKLtoKLevaluateKL patientK L careKLoutcomes
c. ToKLobtainKLdataKLtoKL diagnoseKL patientKLstrengthsKLandKLproblems
d. ToKL helpK L theK L patientK L identifyK L realisticK L outcomesK L forK L healthK L problems
ANS:K L C
DuringKLtheKLassessmentK L phase,KLtheKLnurseKLgathersKLinformationK L aboutKLtheKLpatient toKLdiagno bj
seK L patieKLntK L strengthsK L andK L problems.K L TheK L otherK L responsesK L areK L examplesK L ofKLtheK L pl
anning,K L intervention,K L aKLndK L evaluationK L phasesK L ofK L theK L nursingK L process.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP: Nursing Process:KLAssessment
bj MSC:K L NCLEX:KLSafeKLandKLEffectiveKLCare Environment bj
8. WhenKLdevelopingKLtheKLplanKLofKLcare,KLwhichKLcomponentsKLwouldKLtheKLnurseKLincludeKLinKLth
eKLclinicalKLproblemKLstatement?
a. TheKLproblemKLandKLtheKL suggestedK L patientK L goalsKLorK L outcomes
b. TheKLproblem,KLitsKLcauses,KL andKLtheKL signsKL andKLsymptomsK L ofKLtheKL problem
c. TheK L problemK L withK L theK L possibleK L etiologyK L andK L theK L plannedK L interventions
d. TheK L problem,K L itsK L pathophysiology,K L andK L theK L expectedK L outcome
ANS:K L B
WhenK L writingK L clinicalK L problemsK L orK L nursingK L diagnoses,K L theK L subjectiveKLasK L wellK L asK L o
bjectiveK L dataKLtoKLsupportKLtheKLproblem‗sKLexistenceKLshouldKLbeKLincluded.KLGoals,KLoutcomes,K
LandKLinterventionsKLareKLnotKLincludedKLinKLtheKLproblemKLstatement.
DIF: CognitiveKLLevel:KLUnderstandKL(Comprehension)
TOP:KLNursingKLProcess:KLDiagnosisKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
9. WhichKLpatientKLcareKLtaskK L wouldKLtheKLnurseKLdelegateKL toK L experiencedKLassistiveK L personnelKL (AP)?
a. InstructKLtheKLpatientKLaboutK L theK L needKLtoKLalternateKLactivityKLandK L rest.
b. MonitorKLlevelK L ofKLshortnessKL ofKLbreathK L orKLfatigueKLafterKLambulation.
c. ObtainKL theK L patient‗sK L bloodK L pressureKL andK L pulseK L rateK L afterK L ambulation.
d. DetermineK L whetherK L theK L patientK L isKLreadyK L toK L increaseK L theK L activityK L level.
ANS:K L C
APKLeducationKLincludesKLaccurateKLvitalKLsignKLmeasurement.K L AssessmentKLandKLpatient teachin bj
gK L requiKLreK L registeredK L nurseK L educationK L andK L scopeK L ofK L practiceK L andK L cannotK L beK L de
legated.
DIF:K L K L CognitiveKLLevel:KLApplyKL(Application)
TOP:KLNursing Process:KLPlanningKLMSC:K L NCLEX:KLSafeKLandKLEffectiveKLCareKLEnvironment
bj
