{NGN} PN PHARMACOLOGY PROCTORED LATEST EXAM
QUESTIONS WITH COMPLETE G VERIFIED RATIONALES
AND ANSWERS 2024 A+
A nurse is providing nursing care to patients after completing a care plan from nursing
diagnoses. Inwhich step of the nursing process is the nurse?
Assessment Planning Implementation Evaluation
ANS: C
Implementation, the fourth step of the nursing process, formally begins after a nurse develops a
plan of care. With a care plan based on clear and relevant nursing diagnoses, a nurse initiates
interventions that are designed to assist the patient in achieving the goals and expected outcomes
needed to support or improve the patient’s health status. The nurse gathers data during the
assessment phase and mutually sets goals and prioritizes care during the planning phase. During
the evaluation phase, the nurse determines the achievement of goals and effectiveness of
interventions.
The nurse is teaching a new nurse about protocols. Which information from the new nurse
indicates a correct understanding of theteaching?
, Protocols are guidelines to follow that replace the nursing care plan.
Protocols assist the clinician in making decisions and choosing interventions for specific health
care problems or conditions.
Protocols are policies designating each nurse’s duty according to
standards of care and a code of ethics.
Protocols are prescriptive order forms that help individualize the plan ofcare. ANS: B
A clinical practice guideline or protocol is a systematically developed set of statements that helps
nurses, physicians, and other health care providers make decisions about appropriate health care
for specific clinical situations. This guideline establishes interventions for specific health care
problems or conditions. The protocol does not replace the nursing care plan. Evidence- based
guidelines from protocols can be incorporated into an individualized plan of care. A clinical
guideline is not the same as a hospital policy.
Standing
orders contain orders for the care of a specific group of patients. A protocol is 1 not a
prescriptive order form like a standing order.
need for headache relief and determines that the patient has not had acetaminophen in the past 4
hours. Which action will the nurse take next?
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