Nokea
LPNs/LVNs do not have a role in determining nursing diagnoses for the care plan.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. LPNs/LVNs contribute to care planning by collecting data and providing input, though RNs typically finalize nursing diagnoses.
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Specified diagnoses are those that clearly apply to one defined patient need, so that any more description would only be redundant.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Specified diagnoses are concise and address a single, clear patient need without unnecessary elaboration.
The evaluation step of the nursing process is the step in which the plan of care is either changed or continued.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Evaluation determines whether the care plan is effective, leading to its continuation, modification, or termination.
To assess bowel sounds, which assessment technique will you use?
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: C
Rationale: Auscultation is used to listen to bowel sounds with a stethoscope, assessing gastrointestinal function.
You are assisting the nurse practitioner (NP) with her assessment of an elderly, confused woman. You watch as the NP places her hand on the woman's back and then taps her own middle finger with her other hand. This assessment technique is called
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: D
Rationale: Percussion involves tapping to assess underlying structures, as described in the NP's technique.
In which step of the nursing process are priorities set?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: C
Rationale: Planning involves setting priorities for nursing diagnoses and determining goals and interventions to address the patient's needs.