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NP exam 3 NP ASSESMENT Chamberlain College Nursing -Questions with complete solution
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NP exam 3 NP ASSESMENT Chamberlain College Nursing -Questions with complete solution A client centered goal is a specific and measurable behavior or response that reflects a client's: 1.Desire for specific health care interventions 2.Highest possible level of wellness and independence in function...

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  • August 16, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • np exam 3
  • np exam 3 np assesment chamberlain college nursing
  • np exam 3 np assesment chamberlain college nursing

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NP exam 3
A client centered goal is a specific and measurable behavior or response that
reflects a client's:
1.Desire for specific health care interventions
2.Highest possible level of wellness and independence in function.
3.Physician's goal for the specific client.
4.Response when compared to another client with a like problem. - correct
answer ✔2.Highest possible level of wellness and independence in function.


A client's wound is not healing and appears to be worsening with the current
treatment. The nurse first considers:
1.Notifying the physician.
2.Calling the wound care nurse
3.Changing the wound care treatment.
4.Consulting with another nurse. - correct answer ✔2.Calling the wound care
nurse


Calling in the wound care nurse as a consultant is appropriate because he or
she is a specialist in the area of wound management. Professional and
competent nurses recognize limitations and seek appropriate consultation. (a.
This might be appropriate after deciding on a plan of action with the wound
care nurse specialist. The nurse may need to obtain orders for special wound
care products.
c. Unless the nurse is knowledgeable in wound management, this could delay
wound healing. Also, the current wound management plan could have been
ordered by the physician. d. Another nurse most likely will not be
knowledgeable about wounds, and the primary nurse would know the history
of the wound management plan.)

,A female client who received general anesthesia returns from surgery.
Postoperatively, which nursing diagnosis takes highest priority for this client?


A. Acute pain R/T surgery
B. Deficient fluid volume R/T blood and fluid loss from surgery
C. Impaired physical mobility R/T surgery
D. Risk for aspiration R/T anesthesia - correct answer ✔Answer: D


Rationale- Risk for aspiration takes priority because general anesthesia may
impair gag and swallow reflexes. The other options, although important, are
secondary to this.


A female patient is diagnosed with deep-vein thrombosis. Which nursing
diagnosis should receive the highest priority at this time?


A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease
C. Risk for injury related to edema
D. Altered peripheral tissue perfusion related to venous congestion - correct
answer ✔Answer: D


Rationale: This answer takes highest priority because venous inflammation
and clot formation impede blood flow in a patient with deep-vein thrombosis.


Option A is incorrect because impaired gas exchange is related to decreased,
not increased, blood flow. Option B is inappropriate because no evidence
suggests that this patient has a fluid volume excess. Option C may be
warranted but is secondary to altered tissue perfusion

, A male client is admitted to the hospital with blunt chest trauma after a motor
vehicle accident. The first nursing priority for this client would be to:


A. Assess the client's airway
B. Provide pain relief
C. Encourage deep breathing and coughing
D. Splint the chest wall with a pillow - correct answer ✔Answer: A


Rationale- The first priority is to evaluate airway patency. Pain management
and splinting are important for client comfort, but come after an airway
assessment. Coughing and deep breathing may be contraindicated if the
client has internal bleeding and other injuries.


A nurse is revising a client's care plan. During which step of the nursing
process does such a revision take place?


A. Assessment
B. Planning
C. Implementation
D. Evaluation - correct answer ✔Answer: D


Rationale: During the evaluation step of the nursing process the nurse
determines whether the goals established have been achieved, and evaluates
the success of the plan. Answer A involves data collection. Answer B involves
setting priorities, and Answer C is the actual intervention.


After assessing the client, the nurse formulates the following diagnoses. Place
them in order of priority, with the most important (classified as high) listed first.
1.Constipation

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