DIF: Cognitive MLevel: MAnalyze M(Analysis)
TOP: M Nursing MProcess: MImplementation MSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
2. Which Mstatement Mby Mthe Mnurse Maccurately Mdescribes Mthe Muse Mof Mevidence-based Mpractice
M(EBP)?
a. “Patient Mcare Mis Mbased Mon Mclinical Mjudgment, Mexperience, Mand Mtraditions.”
b. “Data Mare Manalyzed Mlater Mto Mshow Mthat Mthe Mpatient Moutcomes Mare Mconsistently Mmet.”
c. “Research Mfrom Mall Mpublished Marticles Mare Mused Mas Ma Mguide Mfor Mplanning Mpatient Mcare.”
d. “Recommendations Mare Mbased Mon Mresearch, Mclinical Mexpertise, Mand
Mpatient Mpreferences.”
ANS: M D
Evidence-based Mpractice M(EBP) Mis Mthe Muse Mof Mthe Mbest Mresearch-based Mevidence
Mcombined Mwith Mclinician Mexpertise Mand Mconsideration Mof Mpatient Mpreferences. MClinical
DIF: Cognitive MLevel: MUnderstand M(Comprehension) TOP: MNursing MProcess:
MPlanning MMSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
3. Which Mstatement Mby Mthe Mnurse Mprovides Ma Mclear Mexplanation Mof Mthe Mnursing Mprocess?
a. “The Mnursing Mprocess Mis Ma Mresearch Mmethod Mof Mdiagnosing Mthe Mpatient‘s
M health Mcare Mproblems.”
b. “The Mnursing Mprocess Mis Mused Mprimarily Mto Mexplain Mnursing Minterventions Mto
M other Mhealth Mcare Mprofessionals.”
c. “The Mnursing Mprocess Mis Ma Mproblem-solving Mtool Mused Mto Midentify Mand Mmanage Mthe
, patients‘ Mhealth Mcare Mneeds.”
d. “The Mnursing Mprocess Mis Mbased Mon Mnursing Mtheory Mthat
incorporates Mthe Mbiopsychosocial Mnature Mof Mhumans.”
M
ANS: M C
The Mnursing Mprocess Mis Ma Mproblem-solving Mapproach Mto Mthe Midentification Mand
Mtreatment Mof Mpatients‘ Mproblems. MNursing Mprocess Mdoes Mnot Mrequire Mresearch Mmethods
Mfor Mdiagnosis. MThe Mprimary Muse Mof Mthe Mnursing Mprocess Mis Min Mpatient Mcare, Mnot Mto
Mestablish Mnursing Mtheory Mor Mexplain Mnursing Minterventions Mto Mother Mhealth Mcare
Mprofessionals.
DIF: Cognitive MLevel: MUnderstand M(Comprehension) TOP: MNursing MProcess:
MEvaluation MMSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
4. A Mpatient Madmitted Mto Mthe Mhospital Mfor Msurgery Mtells Mthe Mnurse, M“I Mdo Mnot Mfeel
Mcomfortable Mleaving Mmy Mchildren Mwith Mmy Mparents.” MWhich Maction Mwould Mthe
Mnurse Mtake Mnext?
a. Reassure Mthe Mpatient Mthat Mthese Mfeelings Mare Mcommon Mfor Mparents.
b. Have Mthe Mpatient Mcall Mthe Mchildren Mto Mensure Mthat Mthey Mare Mdoing Mwell.
c. Gather Minformation Mon Mthe Mpatient‘s Mconcerns Mabout Mthe Mchild Mcare Marrangements.
d. Call Mthe Mpatient‘s Mparents Mto Mdetermine Mwhether Madequate Mchild Mcare
Mis Mbeing Mprovided.
ANS: M C
Because Ma Mcomplete Massessment Mis Mnecessary Min Morder Mto Midentify Ma Mproblem Mand
Mchoose Man Mappropriate Mintervention, Mthe Mnurse‘s Mfirst Maction Mshould Mbe Mto Mobtain
DIF: Cognitive MLevel: MAnalyze M(Analysis)
TOP: M Nursing MProcess: MAssessment MSC: M NCLEX: MPsychosocial MIntegrity
5. A Mpatient Mwith Ma Mbacterial Minfection Mis Mhypovolemic Mdue Mto Ma Mfever Mand Mexcessive
Mdiaphoresis. MWhich Mexpected Moutcome Mwould Mthe Mnurse Mselect Mfor Mthis Mpatient?
a. Patient Mhas Ma Mbalanced Mintake Mand Moutput.
b. Patient‘s Mbedding Mis Mkept Mclean Mand Mfree Mof Mmoisture.
c. Patient Munderstands Mthe Mneed Mfor Mincreased Mfluid Mintake.
d. Patient‘s Mskin Mremains Mcool Mand Mdry Mthroughout Mhospitalization.
ANS: M A
Balanced Mintake Mand Moutput Mgives Mmeasurable Mdata Mshowing Mresolution Mof Mthe Mproblem
Mof Mdeficient Mfluid Mvolume. MThe Mother Mstatements Mwould Mnot Mindicate Mthat Mthe
DIF: Cognitive MLevel: MUnderstand M(Comprehension) TOP: MNursing MProcess:
MEvaluation MMSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
7. Which Mstatement Mdescribes Mthe Mpurpose Mof Mthe Massessment Mphase Mof Mthe Mnursing Mprocess?
a. To Mteach Minterventions Mthat Mrelieve Mhealth Mproblems
b. To Muse Mpatient Mdata Mto Mevaluate Mpatient Mcare Moutcomes
c. To Mobtain Mdata Mto Mdiagnose Mpatient Mstrengths Mand Mproblems
d. To Mhelp Mthe Mpatient Midentify Mrealistic Moutcomes Mfor Mhealth Mproblems
ANS: M C
During Mthe Massessment Mphase, Mthe Mnurse Mgathers Minformation Mabout Mthe Mpatient Mto
Mdiagnose Mpatient Mstrengths Mand Mproblems. MThe Mother Mresponses Mare Mexamples Mof
Mthe Mplanning, Mintervention, Mand Mevaluation Mphases Mof Mthe Mnursing Mprocess.
DIF: Cognitive MLevel: MUnderstand M(Comprehension)
TOP: M Nursing MProcess: MAssessment MSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
8. When Mdeveloping Mthe Mplan Mof Mcare, Mwhich Mcomponents Mwould Mthe Mnurse Minclude Min
Mthe Mclinical Mproblem Mstatement?
a. The Mproblem Mand Mthe Msuggested Mpatient Mgoals Mor Moutcomes
b. The Mproblem, Mits Mcauses, Mand Mthe Msigns Mand Msymptoms Mof Mthe Mproblem
c. The Mproblem Mwith Mthe Mpossible Metiology Mand Mthe Mplanned Minterventions
d. The Mproblem, Mits Mpathophysiology, Mand Mthe Mexpected Moutcome
ANS: M B
When Mwriting Mclinical Mproblems Mor Mnursing Mdiagnoses, Mthe Msubjective Mas Mwell Mas
Mobjective Mdata Mto Msupport Mthe Mproblem‘s Mexistence Mshould Mbe Mincluded. MGoals,
Moutcomes, Mand Minterventions Mare Mnot Mincluded Min Mthe Mproblem Mstatement.
DIF: Cognitive MLevel: MUnderstand M(Comprehension) TOP: MNursing MProcess:
MDiagnosis MMSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
9. Which Mpatient Mcare Mtask Mwould Mthe Mnurse Mdelegate Mto Mexperienced Massistive Mpersonnel M(AP)?
a. Instruct Mthe Mpatient Mabout Mthe Mneed Mto Malternate Mactivity Mand Mrest.
b. Monitor Mlevel Mof Mshortness Mof Mbreath Mor Mfatigue Mafter Mambulation.
c. Obtain Mthe Mpatient‘s Mblood Mpressure Mand Mpulse Mrate Mafter Mambulation.
d. Determine Mwhether Mthe Mpatient Mis Mready Mto Mincrease Mthe Mactivity Mlevel.
ANS: M C
AP Meducation Mincludes Maccurate Mvital Msign Mmeasurement. MAssessment Mand Mpatient
Mteaching Mrequire Mregistered Mnurse Meducation Mand Mscope Mof Mpractice Mand Mcannot Mbe
Mdelegated.
DIF: Cognitive MLevel: MApply M(Application) TOP: MNursing MProcess:
MPlanning MMSC: M NCLEX: MSafe Mand MEffective MCare MEnvironment
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