Online Practice Test 14

Your Results for: "NCLEX® Review"

Print this page

Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 14 > NCLEX® Review Date/Time Submitted: July 8, 2012 at 3:13 PM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		Which statement best describes the relationship between implementation and assessment? Your Answer: Data obtained during assessment helps the nurse to plan the individualized care provided during the implementation phase.
		Objective: Explain how implementing relates to other phases of the nursing process. Rationale: Care must be tailored to meet the individual patient's unique needs. Assessment is necessary before the implementation phase can begin. Implementation and assessment are performed during different phases of the nurse-patient relationship. Assessment is performed by a wide variety of health care providers, and is not limited to physicians. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		A nurse receives an order to insert an indwelling catheter in a client if he is unable to void. The previous shift reports that the client has not voided in 12 hours. What should the nurse do before inserting the catheter? Your Answer: Gather supplies to perform the catheterization Correct Answer: Reassess the client for a change in his condition
		Describe three categories of skills used to implement nursing interventions. Rationale: The nurse first must validate that the client needs to be catheterized before preparing to do the procedure. Asking family members to leave the room would be indicated only after the nurse had validated that the client still needed to be catheterized. Determine if help will be needed during the procedure would be indicated only after the nurse had validated the client's need for a catheter. Gather supplies to perform the catheterization would be indicated only after the nurse had validated the client's need for a catheter. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		The nurse notes that a client's urine appears dark and concentrated, and has a strong odor. Based on this assessment, what step of the nursing process should be performed next? Your Answer: Diagnosing
		Objective: Explain how implementing relates to other phases of the nursing process. Rationale: Using assessment data, the nurse will then establish one or more diagnoses for the client. The nurse first must identify potential causes of the abnormal assessment finding. Interventions must be carried out before the evaluating phase can take place. Planning cannot take place until diagnoses have been established. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		A client who has been unable to void for 12 hours tells the nurse, "I just urinated in the bathroom without any problem." Which of the following nursing orders should be implemented next? Your Answer: Assess character and quantity of urine.
		Objective: Explain how evaluating relates to other phases of the nursing process. Rationale: Assessing character and quantity of time will allow the nurse to determine if further interventions are needed. Checking for bladder distention would be performed only if the urine had been discarded, or was of insufficient quantity for the client's size and physical condition. Offer urinal q 4 h is not the most important nursing order. This decision cannot be made without further assessment. Nursing Process: Analysis Client Need: Physiological Integrity Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
5.		The nursing assistant assigned to a client forgets to measure his urinary output, and discards the urine. Who is directly responsible for the nursing assistant's actions? Your Answer: Nursing assistant Correct Answer: Registered nurse caring for the client
		Describe three components of quality evaluation: structure, process, and outcomes. Rationale: Registered nurses are responsible for the activities of unlicensed personnel providing care under their supervision. As an unlicensed caregiver, a licensed caregiver who is responsible supervises the nursing assistant. The physician and nursing supervisor are not directly responsible. Nursing Process: Evaluation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		Which of the following actions is an example of an outcome evaluation? Your Answer: An audit to determine the number of postoperative infections
		Describe five components of the evaluation process. Rationale: An outcome evaluation focuses on changes in health status as a result of care. Reviewing nursing documentation for compliance with hospital standards is an example of a process evaluation. A nurse checking a client's blood pressure before administering a new antihypertensive medication is an example of ongoing evaluation, not outcome evaluation. Conducting a survey to analyze patterns of staffing is an example of a structure evaluation. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		Which of the following is a benefit of the evaluation process? Your Answer: It promotes modifications and improvements in care.
		Describe three components of quality evaluation: structure, process, and outcomes. Rationale: A process of ongoing evaluation permits optimization of care delivered to the client. Assessment enhances accurate diagnosis. Accurate assessment, not evaluation, facilitates the selection of client-centered outcomes. Facilitating collaboration between members of the health care team is not a direct benefit of evaluation. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		Which of the following is not part of the evaluation process? Your Answer: Admitting a new client and establishing initial goals
		Describe three components of quality evaluation: structure, process, and outcomes. Rationale: The initial evaluation and establishment of goals are part of the assessment process. Collecting data related to client outcomes, comparing the client's progress with the desired outcomes, and modifying a client's care plan are part of the evaluation process. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		A committee in a residential nursing facility evaluates the quality of staffing patterns during weekends and holidays. What type of quality assurance program is this?  Your Answer: Process evaluation Correct Answer: Structure evaluation
		Differentiate quality improvement from quality assurance. Rationale: Structural standards describe characteristics that influence care, such as staffing. Outcome evaluation focuses on demonstrable changes in a client's health status as a result of nursing care. Quality improvement follows client care, rather than organizational structure. A process evaluation focuses on how care is given. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		The quality assurance staff of a hospital is conducting a study to determine infection rates in postoperative clients. What type of quality assurance program is this? Your Answer: Structure evaluation Correct Answer: Outcome evaluation
		Differentiate quality improvement from quality assurance. Rationale: This program is an example of outcome evaluation. A process evaluation focuses on how care is given. A structure evaluation focuses on the setting in which care is given. Quality improvement focuses on a process, rather than on individual clients. Nursing Process: Analysis Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.