Fundamentals Of Nursing NCLEX Quiz 20

10 Questions | Total Attempts: 4379

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Fundamentals Of Nursing NCLEX Quiz 20

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    Well formulated. client-centered goals should:
    • A. 

      Meet immediate client needs.

    • B. 

      Include preventative health care.

    • C. 

      Include rehabilitation needs.

    • D. 

      All of the above.

  • 2. 
    The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an):
    • A. 

      Nursing diagnosis

    • B. 

      Short-term goal

    • C. 

      Long-term goal

    • D. 

      Expected outcome

  • 3. 
     The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at incision site; and client remains afebrile. These statements are examples of:
    • A. 

      Nursing interventions

    • B. 

      Short-term goals

    • C. 

      Long-term goals

    • D. 

      Expected outcomes.

  • 4. 
    The planning step of the nursing process includes which of the following activities?
    • A. 

      Assessing and diagnosing

    • B. 

      Evaluating goal achievement.

    • C. 

      Performing nursing actions and documenting them.

    • D. 

      Setting goals and selecting interventions.

  • 5. 
    The nursing care plan is:
    • A. 

      A written guideline for implementation and evaluation.

    • B. 

      A documentation of client care.

    • C. 

      A projection of potential alterations in client behaviors

    • D. 

      A tool to set goals and project outcomes.

  • 6. 
    After determining a nursing diagnosis of acute pain. the nurse develops the following appropriate client-centered goal:
    • A. 

      Encourage client to implement guided imagery when pain begins.

    • B. 

      Determine effect of pain intensity on client function.

    • C. 

      Administer analgesic 30 minutes before physical therapy treatment.

    • D. 

      Pain intensity reported as a 3 or less during hospital stay.

  • 7. 
    When developing a nursing care plan for a client with a fractured right tibia. the nurse includes in the plan of care independent nursing interventions. including:
    • A. 

      Apply a cold pack to the tibia.

    • B. 

      Elevate the leg 5 inches above the heart.

    • C. 

      Perform range of motion to right leg every 4 hours.

    • D. 

      Administer aspirin 325 mg every 4 hours as needed.

  • 8. 
    Which of the following nursing interventions are written correctly? Select all that apply.
    • A. 

      Apply continuous passive motion machine during day.

    • B. 

      Perform neurovascular checks.

    • C. 

      Elevate head of bed 30 degrees before meals.

    • D. 

      Change dressing once a shift.

  • 9. 
    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.

  • 10. 
    When calling the nurse consultant about a difficult client-centered problem. the primary nurse is sure to report the following:
    • A. 

      Length of time the current treatment has been in place.

    • B. 

      The spouse’s reaction to the client’s dressing change.

    • C. 

      Client’s concern about the current treatment.

    • D. 

      Physician’s reluctance to change the current treatment plan.

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