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NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Evaluation
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- Nursing TodayThe Health Care Delivery SystemCommunity-Based Nursing PracticeTheoretical Foundations of Nursing PracticeEvidence-Based PracticeHealth and WellnessCaring in Nursing PracticeCaring for the Cancer SurvivorCultural AwarenessCaring for FamiliesDevelopmental TheoriesConception Through AdolescenceYoung and Middle AdultsOlder AdultCritical Thinking in Nursing PracticeNursing AssessmentNursing DiagnosisPlanning Nursing CareImplementing Nursing CareEvaluationManaging Patient CareEthics and ValuesLegal Implications in Nursing PracticeCommunicationPatient EducationDocumentation and InformaticsPatient Safety and QualityImmobilityInfection Prevention and ControlVital SignsHealth Assessment and Physical ExaminationMedication AdministrationComplementary and Alternative TherapiesSelf-ConceptSexualitySpiritual HealthThe Experience of Loss, Death, and GriefStress and CopingActivity and ExerciseHygieneOxygenationFluid, Electrolyte, and Acid-Base BalanceSleepPain ManagementNutritionUrinary EliminationBowel EliminationSkin Integrity and Wound CareSensory AlterationsCare of Surgical Patients
Question 1
Free
Multiple Choice
A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?
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Assessment
Planning
Implementation
Evaluation
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Question 2
Free
Multiple Choice
A nurse completes a thorough database and carries out nursing interventions based on priority diagnoses. Which action will the nurse take next?
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Assessment
Planning
Implementation
Evaluation
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Question 3
Free
Multiple Choice
A new nurse asks the preceptor to describe the primary purpose of evaluation. Which statement made by the nursing preceptor is most accurate?
Choose correct answer/s
"An evaluation helps you determine whether all nursing interventions were completed."
"During evaluation, you determine when to downsize staffing on nursing units."
"Nurses use evaluation to determine the effectiveness of nursing care."
"Evaluation eliminates unnecessary paperwork and care planning."
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Question 4
Free
Multiple Choice
After assessing the patient and identifying the need for headache relief, the nurse administers acetaminophen for the patient's headache. Which action by the nurse is priority for this patient?
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Eliminate headache from the nursing care plan.
Direct the nursing assistive personnel to ask if the headache is relieved.
Reassess the patient's pain level in 30 minutes.
Revise the plan of care.
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Question 5
Free
Multiple Choice
A nurse is getting ready to discharge a patient who has a problem with physical mobility. What does the nurse need to do before discontinuing the patient's plan of care?
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Determine whether the patient has transportation to get home.
Evaluate whether patient goals and outcomes have been met.
Establish whether the patient has a follow-up appointment scheduled.
Ensure that the patient's prescriptions have been filled to take home.
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Question 6
Multiple Choice
The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?
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The nurse provides assistance while the patient is walking in the hallways.
The patient is able to ambulate in the hallway with crutches.
The patient will deny pain while walking in the hallway.
The patient's level of mobility will improve.
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Question 7
Multiple Choice
The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers. Which finding indicates success of the turning schedule?
Choose correct answer/s
Staff documentation of turning the patient every 2 hours
Presence of redness only on the heels of the patient
Patient's eating 100% of all meals
Absence of skin breakdown
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Question 8
Multiple Choice
A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take next?
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Reassess the patient and situation.
Revise the turning schedule to increase the frequency.
Delegate turning to the nursing assistive personnel.
Apply medication to the area of skin that is broken down.
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Question 9
Multiple Choice
A new nurse is confused about using evaluative measures when caring for patients and asks the charge nurse for an explanation. Which response by the charge nurse is most accurate?
Choose correct answer/s
"Evaluative measures are multiple-page documents used to evaluate nurse performance."
"Evaluative measures include assessment data used to determine whether patients have met their expected outcomes and goals."
"Evaluative measures are used by quality assurance nurses to determine the progress a nurse is making from novice to expert nurse."
"Evaluative measures are objective views for completion of nursing interventions."
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Question 10
Multiple Choice
The nurse is caring for a patient who has an open wound and is evaluating the progress of wound healing. Which priority action will the nurse take?
Choose correct answer/s
Ask the nursing assistive personnel if the wound looks better.
Document the progress of wound healing as "better" in the chart.
Measure the wound and observe for redness, swelling, or drainage.
Leave the dressing off the wound for easier access and more frequent assessments.
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Question 11
Multiple Choice
The nurse is caring for a patient who has an order to change a dressing twice a day, at 0600 and 1800. At 1400, the nurse notices that the dressing is saturated and leaking. What is the nurse's next action?
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Wait and change the dressing at 1800 as ordered.
Revise the plan of care and change the dressing now.
Reassess the dressing and the wound in 2 hours.
Discontinue the plan of care for wound care.
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Question 12
Multiple Choice
A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient behavior will indicate to the nurse achievement of this outcome?
Choose correct answer/s
States feels better after talking with family and friends
Consumes high-carbohydrate foods when stressed
Dislikes the support group meetings
Spends most of the day in bed
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Question 13
Multiple Choice
A nurse is providing education to a patient about self-administering subcutaneous injections. The patient demonstrates the self-injection. Which type of indicator did the nurse evaluate?
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Health status
Health behavior
Psychological self-control
Health service utilization
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Question 14
Multiple Choice
A nurse is evaluating the goal of acceptance of body image in a young teenage girl. Which statement made by the patient is the best indicator of progress toward the goal?
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"I'm worried about what those other girls will think of me."
"I can't wear that color. It makes my hips stick out."
"I'll wear the blue dress. It matches my eyes."
"I will go to the pool next summer."
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Question 15
Multiple Choice
A nurse is evaluating goals and expected outcomes for a confused patient. Which finding indicates positive progress toward resolving the confusion?
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Patient wanders halls at night.
Patient's side rails are up with bed alarm activated.
Patient denies pain while ambulating with assistance.
Patient correctly states names of family members in the room.
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Question 16
Multiple Choice
A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change. Which action is the nurse's priority when evaluating the patient?
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Identify factors interfering with goal achievement.
Counsel the nursing assistive personnel on duty when the patient fell.
Remove the fall risk sign from the patient's door because the patient has suffered a fall.
Request that the more experienced charge nurse complete the documentation about the fall.
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Question 17
Multiple Choice
A patient was recently diagnosed with pneumonia. The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours. Which evaluative measure will the nurse use to demonstrate progress toward this goal?
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No sputum or cough present in 4 days
Congestion throughout all lung fields in 2 days
Shallow, fast respirations 30 breaths per minute in 1 day
Lungs clear to auscultation following use of inhaler
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Question 18
Multiple Choice
A nurse is evaluating an expected outcome for a patient that states heart rate will be less than 80 beats/min by 12/3. Which finding will alert the nurse that the goal has been met?
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Heart rate 78 beats/min on 12/3
Heart rate 78 beats/min on 12/4
Heart rate 80 beats/min on 12/3
Heart rate 80 beats/min on 12/4
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Question 19
Multiple Choice
A nurse is caring for a group of patients. Which evaluative measures will the nurse use to determine a patient's responses to nursing care? (Select all that apply.)
Choose correct answer/s
Observations of wound healing
Daily blood pressure measurements
Findings of respiratory rate and depth
Completion of nursing interventions
Patient's subjective report of feelings about a new diagnosis of cancer
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Question 20
Multiple Choice
Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all that apply.)
Choose correct answer/s
Set priorities for patient care.
Determine whether outcomes or standards are met.
Ambulate patient 25 feet in the hallway.
Document results of goal achievement.
Use self-reflection and correct errors.
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