Nokea
An in-depth history and physical builds the
- A. Plan of care
- B. Future interventions
- C. Database
- D. Secondary source
Correct Answer: C
Rationale: A history and physical create the initial patient database for care planning.
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The term nursing process is synonymous with the
- A. Identification of health problems
- B. Verification of wellness issues
- C. Application of nursing diagnosis
- D. Problem-solving approach
Correct Answer: D
Rationale: The nursing process is a systematic problem-solving method for addressing patient care needs.
When the nurse is administering Lasix 20 mg to a patient in congestive heart failure, what phase of the nursing process does this represent?
- A. Assessment
- B. Planning
- C. Implementation
- D. Evaluation
Correct Answer: C
Rationale: Giving Lasix is implementation, carrying out a planned intervention.
A client’s wound is not healing and appears to be worsening with the current treatment. The nurse first considers:
- A. Notifying the physician.
- B. Calling the wound care nurse.
- C. Changing the wound care treatment.
- D. Consulting with another nurse.
Correct Answer: B
Rationale: Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist who can provide expert advice on managing a worsening wound, making this the most effective first step.
A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing?
- A. promoting health
- B. preventing illness
- C. restoring health
- D. facilitating coping
Correct Answer: D
Rationale: Referring to a support group helps the patient cope with the emotional and practical challenges of a new colostomy.
After determining that a two-and-half-year-old patient has a lead level of 16 $\mathrm{mcg} / \mathrm{dL}$, the family nurse practitioner:
- A. advises the parent to avoid giving the patient bottles of whole milk.
- B. consults with a physical therapist for muscle strengthening.
- C. orders an increase of iron supplements to $6 \mathrm{mg} / \mathrm{kg}$ per day divided in two doses.
- D. repeats a blood test within one week to one month.
Correct Answer: D
Rationale: A lead level of 16 mcg/dL requires monitoring; repeating the blood test within 1 week to 1 month is standard to assess trends, per CDC guidelines.