Question 1

Which is a symptom?&#10;A)Reddened area&#10;B)Bruise&#10;C)Itching&#10;D)Eye drainage

Accepted Answer

Symptoms are subjective experiences reported by the patient, and itching is a sensation only the person experiencing it can describe.

Question 2

With every patient or resident contact&#10;A)New information is collected&#10;B)The care plan changes&#10;C)Nurses diagnoses change&#10;D)Implementation changes

Accepted Answer

With every patient or resident contact, new information is collected, such as changes in their health status, preferences, and concerns. This information is important for healthcare providers to update the care plan accordingly and provide the best care possible. The diagnoses and implementation may not necessarily change with every contact, but the collection of new information remains crucial.

Question 3

The planning step of the nursing process involves the following except&#10;A)Making nursing diagnoses&#10;B)Setting priorities&#10;C)Setting goals&#10;D)Identifying nursing measures

Accepted Answer

Making nursing diagnoses is part of the assessment and diagnosis steps, not the planning step. The planning step involves setting priorities, setting goals, and identifying nursing measures.

Question 4

Which is the first step of the nursing process?&#10;A)Nursing diagnosis&#10;B)Planning&#10;C)Assessment&#10;D)Evaluation

Accepted Answer

Assessment is the first step of the nursing process, which involves gathering information about the patient's health status, including their physical, psychological, social, and spiritual dimensions. This information is then used to identify the patient's needs, problems, and strengths, which are the basis for the nursing diagnosis and subsequent planning, implementation, and evaluation phases.

Question 5

If the nursing process is used correctly&#10;A)The person's care is organized and consistent&#10;B)The doctor's orders are part of the care plan&#10;C)The care plan does not change&#10;D)Assessment information does not change

Accepted Answer

The nursing process involves a systematic approach to organizing and providing care, which leads to consistent care delivery for the person. The care plan is continuously reviewed and revised, as assessment information changes or new information is obtained. The doctor's orders may be included in the care plan, but they are not the only component. Therefore, options B, C, and D are incorrect.

Question 6

You use your senses to&#10;A)Collect information about the person&#10;B)Record&#10;C)Report&#10;D)See,feel,hear,or touch symptoms

Accepted Answer

The answer of You use your senses to&#10;A)Collect information about...

Question 7

Which is required by OBRA?&#10;A)The Kardex&#10;B)The Minimum Data Set MDS)&#10;C)Computer records&#10;D)E-mail and electronic messages

Accepted Answer

The Minimum Data Set (MDS) is required by OBRA (Omnibus Budget Reconciliation Act) for all residents in long-term care facilities to assess their health status and inform their individualized care plan. The Kardex, computer records, e-mail, and electronic messages may be used for documentation purposes but are not specifically mandated by OBRA.

Question 8

Which is a sign?&#10;A)Dizziness&#10;B)Nausea&#10;C)Fever&#10;D)Headache

Accepted Answer

Fever is a sign that indicates a rise in body temperature due to an underlying condition such as an infection or inflammation. Dizziness, nausea, and headache are symptoms that a person may experience and may be caused by various factors, making them less specific than fever as a sign.

Question 9

A nursing intervention&#10;A)Requires a doctor's order&#10;B)Is a nursing action or a nursing measure&#10;C)Is the same as a nursing diagnosis&#10;D)Is the same as the comprehensive care plan

Accepted Answer

A nursing intervention is a nursing action or nursing measure taken to address a specific patient need or problem. It does not necessarily require a doctor's order, as it falls under the scope of nursing practice. A nursing diagnosis is a clinical judgment about a patient's actual or potential health problems, which may guide nursing interventions but is not the same thing as an intervention. A comprehensive care plan may include nursing interventions but is a larger, more comprehensive plan of care for the patient.

Question 10

A measure is taken by the nursing team.It helps a person reach a goal.The measure is&#10;A)A nursing diagnosis&#10;B)A nursing intervention&#10;C)An implementation&#10;D)The nursing process

Accepted Answer

A nursing intervention is a specific action taken by the nursing team to help a person reach a goal. A nursing diagnosis is a clinical judgment about a person's health problems and needs. Implementation is the actual carrying out of the nursing interventions. The nursing process is a systematic framework that includes assessment, diagnosis, planning, implementation, and evaluation.

Question 11

A written guide about the person's care is the&#10;A)Medical diagnosis&#10;B)Nursing care plan&#10;C)Nursing diagnosis&#10;D)Nursing process

Accepted Answer

The answer of A written guide about the person's care...

Question 12

Symptoms are&#10;A)Objective data&#10;B)Subjective data&#10;C)Seen,felt,touched,or heard&#10;D)Observed

Accepted Answer

The answer of Symptoms are&#10;A)Objective data&#10;B)Subjective data&#10;C)Seen,felt,touched,or heard&#10;D)Observed...

Question 13

The nursing process is focused on&#10;A)The person's needs&#10;B)The doctor's orders&#10;C)Agency policies&#10;D)The medical record

Accepted Answer

The answer of The nursing process is focused on&#10;A)The person's...

Question 14

Information that you can see,hear,feel,or smell is&#10;A)Assessment&#10;B)Symptoms&#10;C)Objective data&#10;D)Subjective data

Accepted Answer

The answer of Information that you can see,hear,feel,or smell is&#10;A)Assessment&#10;B)Symptoms&#10;C)Objective...

Question 15

Which is a symptom?&#10;A)Noisy respirations&#10;B)Pulse rate of 78&#10;C)Cough&#10;D)Tingling

Accepted Answer

The answer of Which is a symptom?&#10;A)Noisy respirations&#10;B)Pulse rate of...

Question 16

Which is a sign?&#10;A)Yellow urine&#10;B)Chest pain&#10;C)Stomachache&#10;D)Blurred vision

Accepted Answer

The answer of Which is a sign?&#10;A)Yellow urine&#10;B)Chest pain&#10;C)Stomachache&#10;D)Blurred vision...

Question 17

Nursing diagnoses and medical diagnoses are the same.

Accepted Answer

The answer of Nursing diagnoses and medical diagnoses are the...

Question 18

Collecting information about a person is&#10;A)Assessment&#10;B)Gossip&#10;C)Implementation&#10;D)Evaluation

Accepted Answer

The answer of Collecting information about a person is&#10;A)Assessment&#10;B)Gossip&#10;C)Implementation&#10;D)Evaluation...

Question 19

The MDS is&#10;A)Completed by the doctor&#10;B)Used to make a medical diagnosis&#10;C)Completed for all persons admitted to hospitals and nursing centers&#10;D)An assessment and screening tool used in nursing centers

Accepted Answer

The answer of The MDS is&#10;A)Completed by the doctor&#10;B)Used to...

Question 20

The method nurses use to plan and deliver nursing care is the&#10;A)Nursing process&#10;B)Nursing care plan&#10;C)Nursing diagnosis&#10;D)Nursing intervention

Accepted Answer

The answer of The method nurses use to plan and...

Question 21

Which statement is correct?&#10;A)Nursing assistants do not have a role in the nursing process.&#10;B)Nursing process steps can be done in any order.&#10;C)The nursing process is the same as the care planning process&#10;D)The nursing process is ongoing.It never ends.

Accepted Answer

The answer of Which statement is correct?&#10;A)Nursing assistants do not...

Question 22

The nursing care plan contains the following except&#10;A)The doctor's orders&#10;B)The person's problems&#10;C)Goals for care&#10;D)Action to help the person solve problems

Accepted Answer

The answer of The nursing care plan contains the following...

Question 23

Nursing assistants can attend&#10;A)The nursing process&#10;B)Care conferences&#10;C)Resident assessment protocols RAPs&#10;D)The comprehensive care plan

Accepted Answer

The answer of Nursing assistants can attend&#10;A)The nursing process&#10;B)Care conferences&#10;C)Resident...

Question 24

These statements are about nursing process.Which is correct?&#10;A)It changes as the person's needs change.&#10;B)It never changes.&#10;C)It requires a doctor's order.&#10;D)You are responsible for it

Accepted Answer

The answer of These statements are about nursing process.Which is...

Question 25

Care is given during the&#10;A)Assessment step of the nursing process&#10;B)Planning step of the nursing process&#10;C)Implementation step of the nursing process&#10;D)Evaluation step of the nursing process

Accepted Answer

The answer of Care is given during the&#10;A)Assessment step of...

Question 26

Care planning helps to ensure the nursing team members&#10;A)Follow the doctor's orders&#10;B)Do assessments&#10;C)Complete the required paper work&#10;D)Are consistent,giving the same care

Accepted Answer

The answer of Care planning helps to ensure the nursing...

Question 27

The nurse communicates delegated tasks to you by using&#10;A)The nursing process&#10;B)The minimum date set MDS.&#10;C)Resident assessment protocols RAPs.&#10;D)An assignment sheet

Accepted Answer

The answer of The nurse communicates delegated tasks to you...

Question 28

Which is not a nursing diagnosis?&#10;A)Anxiety&#10;B)Constipation&#10;C)Impaired bed mobility&#10;D)Heart attack

Accepted Answer

The answer of Which is not a nursing diagnosis?&#10;A)Anxiety&#10;B)Constipation&#10;C)Impaired bed...

Question 29

Goals are set during the planning step of the nursing process.Which is incorrect?&#10;A)A goal is that which is desired for or by the health team as a result of nursing care.&#10;B)Goal are aimed at the person's highest level of well-being and function.&#10;C)Goals promote health and prevent health problems.&#10;D)Goals promote rehabilitation

Accepted Answer

The answer of Goals are set during the planning step...

Question 30

Which step in the nursing process involves measuring if the goals set in the planning step were met?&#10;A)Assessment&#10;B)Planning&#10;C)Implementation&#10;D)Evaluation

Accepted Answer

The answer of Which step in the nursing process involves...

Deck 7: Assisting With the Nursing Process