Medical, Pharmaceutical & Health Sciences
NursingNursing PracticePractical Vocational NursingPractice Set 33
NursingNursing PracticePractical Vocational NursingPractice Set 33The Nursing Process: Your Role
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- Personal Resources of an Adult LearnerAcademic Resources (Study Skills and Test Strategies)Community ResourcesHow Practical/Vocational Nursing Evolved: 1836 to the PresentCritical Thinking: A Lifelong JourneyEthics Applied to Nursing: Personal Versus Professional EthicsNursing and the Law: What Are the Rules?Effective Communication: Health Care Team, Patients, Faculty, and PeersAssertiveness: Your ResponsibilityCultural Uniqueness, Sensitivity, and CompetenceSpiritual Needs, Spiritual Caring, and Religious DifferencesThe Nursing Process: Your RoleNursing Theory, Research, and Evidence-Based PracticeThe Interdisciplinary Health Care Team: The Role of the Practical/Vocational NurseHealth Care Settings: Continuum of CareThe Health Care System: Financing, Issues, and TrendsCollaboration: Leading and ManagingWork Force Trends: How to Find a First Job You Will LoveLicensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act
Question 1
Free
Multiple Choice
A student nurse asks, "If RNs use a five-step nursing process and LPN/LVNs use a four-step process, what phase is missing?" The best response would be, "The phase of the nursing process that is the sole responsibility of the registered nurse is
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assessment.
nursing diagnosis.
planning.
implementation.
evaluation.
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Question 2
Free
Multiple Choice
The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that
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a nursing diagnosis identifies the patient's problems.
it permits the practical nurse to go beyond the scope of practice.
this step makes the practical nurse equal to the medical doctor.
knowledge of the nursing diagnosis ensures a cure for the patient.
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Question 3
Free
Multiple Choice
Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?
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To diagnose disease
To provide reimbursement
To resolve patient problems
To communicate with health team members
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Question 4
Free
Multiple Choice
During the assessment phase of the nursing process, the LPN/LVN is expected to
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establish goals and outcome criteria.
collect data about the patient.
determine whether established goals have been met.
plan interventions to implement for the patient.
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Question 5
Free
Multiple Choice
The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is
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assessment.
planning.
implementation.
evaluation.
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Question 6
Multiple Choice
An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called
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assessment.
nursing diagnosis.
planning.
implementation.
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Question 7
Multiple Choice
When the LPN/LVN participates in the evaluation phase of the nursing process, she or he compares the patient's responses with the
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nursing orders.
outcome criteria.
nursing diagnosis.
data collection.
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Question 8
Multiple Choice
Which of the following are considered subjective data?
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The patient tells the nurse that he has a headache.
The nursing assistant tells the nurse that the patient vomited.
The patient's mother tells the nurse that the patient needs a ride to the clinic for follow-up.
The physician tells the nurse that the patient needs a chest x-ray.
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Question 9
Multiple Choice
"I feel like I can't catch my breath" is an example of
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effective data.
objective data.
subjective data.
evaluative data.
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Question 10
Multiple Choice
A blood pressure of 110/70 at 8 PM is most accurately described as an example of
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planning data.
subjective data.
objective data.
reassessment data.
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Question 11
Multiple Choice
When a nurse uses Maslow's Hierarchy of Needs to prioritize patient problems, which problem would be considered the highest priority?
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The patient is unsteady and may become injured.
The patient is experiencing marital difficulties.
The patient has deficient knowledge about the condition.
The patient is acutely short of breath.
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Question 12
Multiple Choice
Which of the following statements regarding short-term goals is accurate?
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Short-term goals are broad rather than specific.
Short-term goals can be accomplished within days or hours.
Short-term goals must be accomplished while the patient is hospitalized.
Short-term goals are less realistic than long-term goals.
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Question 13
Multiple Choice
The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is
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the patient will ingest 1500 mL of oral fluids during each 24-hour period.
the patient will request fluids when thirsty.
the nurse will encourage fluid intake by the patient.
the nurse will provide the patient with 100 mL of fluid hourly.
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Question 14
Multiple Choice
A student nurse asks, "What's the primary purpose of the evaluation phase of the nursing process?" The best response is
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to establish a time frame for completion of goals.
to determine whether the nurse completed all nursing interventions.
to determine which nurses are eligible for raises or promotion.
to compare actual patient outcomes with desired outcomes.
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Question 15
Multiple Choice
How does the LPN/LVN use nursing diagnosis in patient care?
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To set patient-centered goals
To convert nursing diagnoses to patient problems
To implement independent nursing interventions
To justify participation in data collection
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Question 16
Multiple Choice
The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are
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goal setting and evaluation.
planning and implementation.
data collection and implementation.
evaluation and data collection.
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Question 17
Multiple Choice
The RN head nurse is having a busy day. When the LPN/LVN reports data she has collected, the RN states, "Incorporate that into the nursing care plan and write down the intervention you'd use. I'll cosign the entry." The LPN/LVN should
Choose correct answer/s
do as requested.
ask the advice of the shift supervisor later in the shift.
tell the RN that this action is not within the LPN/LVN scope of practice.
write a letter to the state board of nursing to report the RN's unprofessional conduct.
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Question 18
Multiple Choice
The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on
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the priorities given at the report.
the patient's identified strengths.
the patient's changing status.
information obtained from the Nursing Outcomes Classification (NOC) project.
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Question 19
Multiple Choice
Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.
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The patient will be stronger by (date).
The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day.
The nurse will help the patient ambulate the length of the hall twice daily.
The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.
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Question 20
Multiple Choice
A nurse expresses difficulty deciding which nursing interventions to suggest for a patient with arthritic pain during an upcoming patient-centered conference. A peer suggests referring to the Nursing Interventions Classification (NIC) taxonomy. This would provide the nurse with information on
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how to provide basic care to patients.
identification of nursing measures to help patients progress toward goals.
a language for measuring patients' response to nursing interventions.
how to translate nursing diagnoses into nursing problems.
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