WITH COMPLETE QUESTIONS AND ANSWERS
◉ What part of the nursing process is the PN involved in? Answer:
Assessment: assist RN by collecting data, reviewing information about
the client, and communicating it to the appropriate health care team
members, notify RN of unexpected findings
Analysis: this step is outside of the PN scope of practice
Planning: participate by assisting the RN in the development of expected
outcomes and interventions and use their problem solving and decision-
making skills
Implementation: provide planned nursing care to accomplish expected
outcomes, reinforces client teaching and provide educational material
Evaluation: can compare the actual outcome with the expected
outcomes. Assist in updating nursing interventions and maintains
communication with the RN regarding revision
◉ Therapeutic communication involves which of the following? (select
all that apply)
A. touch
B. open-ended questions
C. sharing you own personal experiences with the client
D. if the client speaks a different language than the nurse, finding
someone in the facility that speaks their language. Answer: A
,B
◉ Which of the following tolls used with auscultation? (select all that
apply)
A. dorsal sides of hands
B. stethoscope
C. penlight
D. doppler
E. tape measure. Answer: B
D
(dorsal sides of hands are used with precision)
◉ What assessment tools are used for feet? Answer: inspect
palpate
doppler
◉ What assessment tools are used for the chest? Answer: inspect
auscultate
stethoscope
◉ What assessment tools are used for abdomen? Answer: inspect
auscultation
, palpate
tape measure
stethoscope
◉ What assessment tools are used for the eyes? Answer: inspect
penlight
palpate
◉ Diaphragm of stethoscope is used for? Answer: (larger side)
high-pitched noises (breath sounds, bowel sounds, and normal heart
sounds
◉ bell side of stethoscope is used for? Answer: (smaller side)
soft, low-pitched sounds (extra heart sounds, murmurs
◉ ________ is a toll to have clear communication for effective client
care. Answer: ISBARR
◉ What does ISBARR stand for? Answer: introduction, situation,
background, assessment, recommendation, read back
◉ What are some therapeutic communication techniques? Answer: 1.
redirect the client as needed