NU 136 EXAM 1 | ALL QUESTIONS AND
CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION | JUST
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The nurse has assisted with the development of care plan for a newly
admitted client. Which of the following nursing diagnoses should the nurse
suggest as the priority? ---------CORRECT ANSWER-----------------Fluid
volume deficit related to vomiting
The nurse is participating in the nursing and care planning process. Which
of the following steps in the process does the nurse recognize as the sole
responsibility of the registered nurse (RN) ---------CORRECT ANSWER------
-----------Diagnosis
The nurse is assisting with development of nursing intervention on
assigned client's plan of care. The nurse understands that the interventions
are? ---------CORRECT ANSWER-----------------Focused on what the nurse
will do to assist with reaching client goals
The nurse assists with the evaluation of a client's plan of care. it is
determined that the client has not met their goals. Which of the following
should the nurse expect to happen next? ---------CORRECT ANSWER-------
----------The care plan will be reviewed and revised as needed
The nurse is caring for a client who states, "I'm burning up and think I might
have a fever." the nurse proceeds with checking the client's temperature.
,The nurse is preforming which of the following steps of the nursing
process? ---------CORRECT ANSWER-----------------Data collection
The nurse is preparing to implement nursing intervention for an assigned
client. The nurse should remember to ---------CORRECT ANSWER-----------
------Maintain client safety when performing intervention
The nurse is assisting with the development of care plan. which of the
following should the nurse recognize as a correctly written goals regarding
pain management ---------CORRECT ANSWER-----------------The client will
have a pain level of 3 or less by the end of the shift as evidenced by the
client's rating of pain
The nurse demonstrated to a new mother how to safely bathe their
newborn baby. which of the following steps of the nursing process is the
nurse performing? ---------CORRECT ANSWER-----------------
Implementation
The nurse preceptor is discussing with a newly hired nurse about the best
time to perform data collection on a client. The nurse preceptor should
include to preform this ---------CORRECT ANSWER-----------------With each
client encounter
The nurse has received the change of shift report and is preparing to start
their day. which of the following situations requires the nurse to follow up
first ---------CORRECT ANSWER-----------------Obtaining further information
from a client who is reporting crushing chest pain
, The nurse is caring for a client who has been admitted for an elective
surgery. While preparing the client for surgery, the nurse notices that the
client's oxygen saturation (sa02) has fallen below the normal level and is at
84%. Using critical thinking, the best action by the nurse is to ---------
CORRECT ANSWER-----------------Hold the client form surgery and notify
the surgeon
The student nurse has learned about the steps in the nursing process.
which of the following describes data collection ---------CORRECT
ANSWER-----------------Gathering and reviewing client information
The student nurse ask "How does knowing the nursing diagnosis assist the
LPN/LVN the best response is based on understanding that ---------
CORRECT ANSWER-----------------Nursing diagnosis
which step of the nursing process is it when an LPN/LVN is assisting the
RN in the development of goals and intervention for a patient's plan of care
---------CORRECT ANSWER-----------------Planning
The student nurse ask "How does knowing the nurse diagnosis assist the
LPN/LVN" The best response is based on understanding that ---------
CORRECT ANSWER-----------------Nursing diagnosis identifies the patient's
problems
During the assessment the phase of the nursing process, the LPN/LVN is
expected to ---------CORRECT ANSWER-----------------Collect data about
the patient
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