Professional Nursing
The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring for patients. Which statement by the nurse accurately describes the use of EBP?
Recommendations are based on research, clinical expertise, and patient preferences.”
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
Thinning of the affected skin
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse’s most important action?
Consult with the health care provider about the need for further diagnostic testing.
Which abnormality on the skin of an older patient is the priority for the nurse to discuss with the health care provider?
Petechiae on the chest and abdomen
A patient is extremely anxious a few minutes before having a biopsy on a femoral lymph node. Which technique should the nurse recommend that the patient use during the procedure?
Relaxation breathing
The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement by the student nurse indicates that teaching was successful?
“The nursing process is a problem-solving tool used to identify and treat the patients’ health care needs.”
A patient who has had good control for chronic pain using a fentanyl (Duragesic) patch reports rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work quickly.” How will the nurse document the type of pain reported by this patient?
Breakthrough Pain
The nurse is assessing a patient with osteoarthritis who uses naproxen (Naproxyn) for pain management. Which assessment finding should the nurse recognize as likely to require a change in medication?
The patient has dark-colored stools.
When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. What is the nurse’s most important action?
Risk for aspiration
A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse plans to try providing music to help the patient relax. Which action is best for the nurse to take?
Ask the patient about music preferences.
A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. Which expected outcome would the nurse recognize as appropriate for this patient?
Patient has a balanced intake and output.
During an admission assessment, the nurse notices that the patient pauses before answering questions about the health history. Which action by the nurse is appropriate?
Wait for the patient to answer the questions.
Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient?
Inspect teeth and oral mucosa.
A female staff nurse is assessing a male patient of Arab descent who is admitted with complaints of severe headaches. It is important for the charge nurse to intervene if the nurse takes which action?
The nurse approaches the bedside and closes the privacy curtain.
A hospitalized patient with diabetes tells the nurse, “I don’t understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up. This is so frustrating.” Which response by the nurse is accurate?
“The stress of illness causes release of hormones that increase blood glucose.”
The nurse interviews a patient while completing the health history and physical examination. What is the purpose of the assessment phase of the nursing process?
To obtain data with which to diagnose patient strengths and problems
Which strategy should the nurse prioritize when planning care for a patient with diabetes who is uninsured?
Follow evidence-based practice guidelines.
The nurse is caring for an Asian patient who is being admitted to the hospital. Which action would be most appropriate for the nurse to take when interviewing this patient?
Observe the patient’s use of eye contact.
Which action should the nurse include in the plan of care for a hospitalized patient who uses culturally based treatments
Coordinate the use of requested treatments with prescribed medical therapies.
An appropriate nursing intervention for a hospitalized patient who says she cannot cope with her illness is
asking the patient to describe previous stressful situations and how she managed to resolve them.
The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse include in the patient problem statement?
The problem, its causes, and the signs and symptoms of the problem
The nurse asks an older adult patient with rectal bleeding, “Have you ever had a colonoscopy?” The nurse is performing what type of assessment?
Focused assessment
Which action should the nurse take first to assess for a possible blood clot in a patient’s lower leg
Visually inspect the leg.
The nurse is caring for a newly admitted patient. Which intervention is considered appropriate across most cultures
Ask permission before touching a patient during the physical assessment.
How do you relieve stress
ocean air:)