Nokea
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 may also like to solve these questions
Implementation means putting the plan into action and performing the interventions.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Implementation involves executing the planned nursing interventions to achieve patient goals.
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.
In which step of the nursing process would you look at outcomes?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: E
Rationale: Evaluation is the step where nurses assess whether the patient has achieved the expected outcomes, determining the effectiveness of the care plan.
Your patient has severe peripheral vascular disease (poor circulation) in both lower extremities. You document that the patient's pedal pulses are absent. Which assessment technique did you use to obtain these data?
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: B
Rationale: Palpation is used to feel for pedal pulses, determining their presence or absence.
In which step of the nursing process do you label problems?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: B
Rationale: Diagnosis is the step where nurses analyze assessment data to identify and label patient problems as nursing diagnoses.