Nursing Process NCLEX practice Quizs

Nursing Process NCLEX practice Quizs With Correct Answers Graded A+

Once a nurse assesses a client's condition and identifies appropriate nursing diagnoses, a:

• Plan is developed for nursing care.
• Physical assessment begins
• List of priorities is determined.
• Review of the assessment is conducted with other team members. - ANSWER A. Plan is

developed for nursing care.

Planning is a category of nursing behaviors in which:

• The nurse determines the health care needed for the client.
• The Physician determines the plan of care for the client.
• Client-centered goals and expected outcomes are established.
• The client determines the care needed. - ANSWER C. Client-centered goals and

expected outcomes are established.

Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. Priorities are determined by the

client's:

• Physician
• Non Emergent, non-life threatening needs
• Future well-being.
• Urgency of problems - ANSWER D. Urgency of problems

A client centered goal is a specific and measurable behavior or response that reflects a

client's:

• Desire for specific health care interventions
• Highest possible level of wellness and independence in function.
• Physician's goal for the specific client.
• Response when compared to another client with a like problem. - ANSWER B. Highest

possible level of wellness and independence in function

For clients to participate in goal setting, they should be:

• Alert and have some degree of independence.
• Ambulatory and mobile.
• Able to speak and write.
• Able to read and write. - ANSWER A. Alert and have some degree of independence.

The nurse writes an expected outcome statement in measurable terms. An example is:

• Client will have less pain.
• Client will be pain free.
• Client will report pain acuity less than 4 on a scale of 0-10.
• Client will take pain medication every 4 hours around the clock. - ANSWER C. Client

will report pain acuity less than 4 on a scale of 0-10.

As goals, outcomes, and interventions are developed, the nurse must:

• Be in charge of all care and planning for the client.
• Be aware of and committed to accepted standards of practice from nursing and other

disciplines.

• Not change the plan of care for the client.

• Be in control of all interventions for the client. - ANSWER B. Be aware of and

committed to accepted standards of practice from nursing and other disciplines.

When establishing realistic goals, the nurse:

• Bases the goals on the nurse's personal knowledge.
• Knows the resources of the health care facility, family, and the client.
• Must have a client who is physically and emotionally stable.
• Must have the client's cooperation. - ANSWER B. Knows the resources of the health

care facility, family, and the client.

To initiate an intervention the nurse must be competent in three areas, which include:

• Knowledge, function, and specific skills
• Experience, advanced education, and skills.
• Skills, finances, and leadership.
• Leadership, autonomy, and skills. - ANSWER A. Knowledge, function, and specific

skills

Collaborative interventions are therapies that require:

• Physician and nurse interventions.
• Nurse and client interventions.
• Client and Physician intervention.
• Multiple health care professionals. - ANSWER D. Multiple health care professionals.

Well formulated, client-centered goals should:

• Meet immediate client needs.
• Include preventative health care.
• Include rehabilitation needs.
• All of the above. - ANSWER D. All of the above.

The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This

statement is an example of a (an):

• Nursing diagnosis
• Short-term goal
• Long-term goal
• Expected outcome - ANSWER B. Short-term goal

The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at incision site;

and client remains afebrile. These statements are examples of:

• Nursing interventions
• Short-term goals
• Long-term goals
• Expected outcomes. - ANSWER D. Expected outcomes.

The planning step of the nursing process includes which of the following activities?