Chapter 6: Nursing Process Planning Interventions (NCLEX QUESTIONS)

Chapter 6: Nursing Process Planning Interventions (NCLEX

QUESTIONS)

Leave the first rating Students also studied Terms in this set (30) Science MedicineNursing Save Nursing Process NCLEX questions 16 terms jacquie_goggin Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview

Chapter 7: Implementation and Eval...

35 terms ceciliaponce26 Preview Nursing 85 terms loli Which of the following nursing interventions is an indirect-care intervention?1) Emotional support 2) Teaching 3) Consulting 4) Physical care

ANS: 3

Which nursing intervention is considered an independent intervention?1) Administering 1 L of dextrose 5% in normal saline solution at 100 mL/hour 2) Encouraging the postoperative client to perform coughing and deep breathing exercises 3) Explaining his diet to the client; then communicating the teaching with the dietitian 4) Administering morphine sulfate 2 mg IV to the client with postoperative pain

ANS: 2

A nurse makes a nursing diagnosis of Acute Pain related to the postoperative abdominal incision. She writes a nursing order to reposition the client in a comfortable position using pillows to splint or support the painful areas. What type of nursing intervention did the nurse write?1) Collaborative 2) Interdependent 3) Dependent 4) Independent

ANS: 4

The nurse is performing preoperative teaching for a client who is scheduled for surgery in the morning. The client does not currently have any respiratory problems. The nurse's teaching plan includes coughing and deep breathing exercises. Which type of nursing intervention is the nurse performing?1) Health promotion 2) Treatment 3) Prevention 4) Assessment

ANS: 3

Which standardized intervention vocabulary was designed specifically for community health nurses?1) Omaha System 2) Clinical Care Classification 3) Nursing Interventions Classification 4) International Classification for Nursing Practice

ANS: 1

A 55-year-old patient returned to the medical-surgical unit after undergoing a right hemicolectomy (abdominal surgery) for colon cancer. Which of the following is an appropriate, correctly written nursing order for this patient?1) 7/12/13 Encourage use of the incentive spirometer every hour while the client is awake—D. Goodman, RN 2) By 7/12/13, uses incentive spirometer 10 times every hour while awake to 1000 mL 3) Incentive spirometer hourly while awake 4) Offer incentive spirometer to the client—J. Smith, RN

ANS: 1

A client newly diagnosed with diabetes is admitted to the hospital because her diabetes is out of control. Which of the following is an appropriate direct-care intervention for this client during her stay?1) Consulting the diabetic nurse educator for help with a teaching plan 2) Making arrangements for the client to join a diabetic support group 3) Demonstrating blood glucose monitoring and insulin administration to the client 4) Consulting with the dietician about the client's dietary concerns

ANS: 3

Which definition best describes a critical pathway?1) Standardized plan of care for frequently occurring conditions 2) Systematically developed statement to assist practitioners and patients in making decisions 3) Systematic review of clinical evidence for an intervention 4) Set of interrelated concepts that describes or explains something

ANS: 1

A client is admitted to the hospital with an acute respiratory problem resulting from lung disease. The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations. Which nursing intervention should be listed first on the care plan?1) Determine airway adequacy hourly and as needed.2) Administer oxygen as needed.3) Monitor arterial blood gas values.4) Place the client in a high Fowler's position.

ANS: 1

Who is the primary decision maker when caring for healthy adult clients?1) Physician 2) Family 3) Client 4) Nurse

ANS: 3

A client is admitted to the hospital with an acute episode of chronic obstructive pulmonary (lung) disease. The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations and has recorded the diagnosis and appropriate goals on the care plan. When selecting nursing interventions, what should the nurse do first?1) Identify several interventions likely to achieve the desired outcomes.2) Review the problem and etiology of the nursing diagnosis.3) Choose the best interventions for the patient.4) Review the goals she has written.

ANS: 2