Nursing Process

Question 1

What type of breath sound is normally heard over the periphery of the lung

Answer 1

vesicular

Question 2

Which type of nursing skill would be needed to help a patient deal with his feelings about his illness?

Answer 2

caring

Question 3

Care must be taken when providing oral care to an unconscious patient since there is a risk for

Answer 3

aspiration

Question 4

What is the first step in the nursing process

Answer 4

assesment

Question 5

Your patient is positioned on her left side with the chest slightly forward

Answer 5

sims

Question 6

Formation of generalizations from a set of facts or observations

Answer 6

inductive reasoning

Question 7

reasoning from the general to specific

Answer 7

deductive reasoning

Question 8

Collecting data

Answer 8

Assessments

Question 9

prioritize problems, formulate goals

Answer 9

planning

Question 10

reassess the patient - supervise delegated case

Answer 10

implementing

Question 11

collect data related to outcomes

modify care plan

Answer 11

evaluation

Question 12

subjective

Answer 12

patients feelings, values, beliefs, attitudes and perceptions

Question 13

objective

Answer 13

can be measured or tested

Question 14

2. A 95 year old male reports he isn’t feeling very well, but that he took all of his medications today. The nurse asks the patient when he took the medications and the patient is fuzzy on the details stating, “I don’t know if I took them this morning or at lunch.” The nurse notes that the patient takes a baby aspirin everyday and metoprolol. The nurse knows that if the patient took his metoprolol multiple times by accident today that the patient could possibly have overdosed on the medication. What is the next step the nurse should take?

A. Check vital signs
B. Check glucose
C. Assess mental status
D. Call patients caregiver and ask how much the patient took today.

Answer 14

A. check vital signs

Question 15

3. The nurse walks into a clients room and looks at the cardiac monitor. The nurse notices a few PVCs. The nurse starts to do an assessment when the monitor starts to alarm. The nurse looks up and sees the client is in Ventricular Tachycardia. What is the next step the nurse should do?

A. Check a pulse
B. Call the physician
C. Call a Code Blue
D. Call for help

Answer 15

D. call for help

Question 16

4. This step in the nursing process begins after the care plan has been made. This is the step where the nurse performs the interventions as a means of achieving goals

A. Planning

B. Assessment

C. Diagnosis

D. Implementation

Answer 16

D. implementation

Question 17

5. In this stage of the nursing process, the nurse determines if the patient has achieved the expected outcomes

A. Implementation

B. Evaluation

C. Assessment

D. Diagnosis

Answer 17

B. evaluation