p p p
PROCTORED LATEST EXAM QUESTIO p p pp
NS WITH COMPLETE GVERIFIED RATIO
p p p p p
NALES AND ANSWERS 2023/2024
p pp p
Apnursepispprovidingpnursingpcareptoppatientspafterpcompletingpapcarepplanpfrompnursingpdiagnoses.pInwhichpsteppofpt
hepnursingpprocesspispthepnurse?
AssessmentpPlannin
gpImplementationpEva
luation
ANS:pC
Implementation,pthepfourthpsteppofpthepnursingpprocess,pformallypbeginspafterpapnursepdevelopspapplanpofpcare.pWithpapcareppla
npbasedponpclearpandprelevantpnursingpdiagnoses,papnursepinitiatespinterventionspthatparepdesignedptopassistptheppatientpinpa
chievingpthepgoalspandpexpectedpoutcomespneededptopsupportporpimproveptheppatient’sphealthpstatus.pThepnursepgat
herspdatapduringpthepassessmentpphasepandpmutuallypsetsp goalspandpprioritizespcarepduringpthepplanningpphase.pDuring
,thepevaluationpphase,pthepnursepdeterminespthepachievementpofpgoalspandpeffectivenesspofpinterventions.
Thepnursepispteachingpapnewpnursepaboutpprotocols.pWhich
informationpfrompthepnewpnursepindicatespapcorrectpunderstandingpofptheteaching?
Protocolsparepguidelinesptopfollowpthatpreplacepthepnursingpcarepplan.
Protocolspassistpthepclinicianpinpmakingpdecisionspandpchoosingpinterve
ntionspforpspecificphealthpcarepproblemsporpconditions.
Protocolsp arep policiesp designatingp eachp nurse’sp dutyp accordingp to
standardspofpcarepandpapcodepofpethics.
Protocolsparepprescriptiveporderpformspthatphelppindividualizepthepplanpofcare.pANS
:pB
Apclinicalppracticepguidelineporpprotocolpispapsystematicallypdevelopedpsetpofpstatementspthatphelpspnurses,p physicians,pandpoth
erphealthpcarepproviderspmakepdecisionspaboutpappropriatephealthpcarepforpspecificpclinicalpsituations.pThispguidelinepest
ablishespinterventionspforpspecificphealthpcarepproblemsporpconditions.pThepprotocolpdoespnotpreplacepthepnursingpcareppla
n.pEvidence-
basedpguidelinespfrompprotocolspcanpbepincorporatedpintopanpindividualizedpplanpofpcare.pApclinicalpguidelinepispnotp
p
thepsamepaspaphospitalppolicy.
Standing
orderspcontainporderspforpthepcarepofpapspecificpgrouppofppatients.pApprotocolpis
1
p
notpapprescriptiveporderpformplikepapstandingporder.
, Thepstandingporderspforpappatientpincludepacetaminophenp650pmgpeveryp4phourspprnpforpheadache.pAfterassessingptheppatie
nt,pthepnursepidentifiespthe
needpforpheadachepreliefpandpdeterminespthatptheppatientphaspnotphadpacetaminophenpinptheppastp4phours.pWhichpactionp
willpthepnurseptakepnext?
Administerpthepacetaminophen.
Notifypthephealthpcarepproviderptopobtainpapverbalporder.
Directpthepnursingpassistiveppersonnelptopgivepthepacetaminophen.pPerformpappainpassessmentponlypafteradministeringthepa
cetaminophen.
ANS:pA
Apstandingporderpispappreprintedpdocumentpcontainingporderspforpthepconductpofproutineptherapies,pmonitoringpguidelines,p
and/orpdiagnosticpprocedurespforpspecificppatientspwithpidentifiedpclinicalpproblems.pThepnursepwillpadministerpthep
medication.pNotifyingpthephealthpcarepproviderpispnotpnecessarypifpapstandingporderpexists.pThepnursingpassistiveppersonnelpa
repnotplicensedptopadministerpmedications;p therefore,pmedicationpadministrationp shouldpnotpbepdelegatedptopthispperson.p Ap
painpassessmentpshouldpbepperformedpbeforepandafterppainpmedicationpadministrationptopassesspthepneedpforpandpef
fectivenessofpthepmedication.
Whichpactionpindicatespapnursepispusingpcriticalpthinkingpforimplementationpofpnursingpcareptoppatients?
Determinespwhetherpanpinterventionpispcorrectpandpappropriatepforpthe
a.pgivenpsituation
Reap dpspoverpthepstepspandpperformspapprocedurepdespiteplackpofpclinicalcompetency
bp .
c.pEstablishespgoalspforpapparticularppatientpwithoutpassessment
d.p Evaluatespthepeffectivenesspofpinterventions
, ANS:pA
Aspyoupimplementpinterventions,pusepcriticalpthinkingptopconfirmpwhetherpthepinterventionsparepcorrectpandpstillpappropriatepfo
rpappatient’spclinicalpsituation.pYouparepresponsiblepforphavingpthepnecessarypknowledgepandpclinicalpcompetencyptopperf
ormpinterventionspforpyourppatientspsafelypandpeffectively.pThepnursepneedsptoprecognizepthepsafetyphazardspofpperf
ormingpanpinterventionpwithoutpclinicalpcompetencypandpseekpassistancepfrompanotherpnurse.pThe
nursepcannotpevaluatepinterventionspuntilptheyparepimplemented.pPatientspneedp2pongoingp
assessmentpbeforepestablishingpgoalspbecauseppatientpconditionspcan