Sample Questions and Answers
What is the first step in implementing nursing care?
Documenting the care provided
B. Evaluating the outcomes
C. Reviewing the care plan
D. Performing hand hygiene
Answer: C. Reviewing the care plan
A nurse is about to administer medication to a patient. What is the best way to ensure patient safety?
Verify the medication with another nurse
B. Follow the six rights of medication administration
C. Ask the patient if the medication is correct
D. Administer the medication quickly
Answer: B. Follow the six rights of medication administration
During the implementation phase, which activity is a priority?
Formulating nursing diagnoses
B. Developing goals and outcomes
C. Delegating tasks appropriately
D. Reassessing the patient’s condition
Answer: D. Reassessing the patient’s condition
A nurse delegates a task to a nursing assistant. Which of the following tasks is appropriate to delegate?
Administering oral medications
B. Assessing a patient’s vital signs
C. Turning a patient to prevent pressure ulcers
D. Performing a sterile dressing change
Answer: C. Turning a patient to prevent pressure ulcers
Which action demonstrates the nurse’s role in implementing independent nursing interventions?
Administering prescribed antibiotics
B. Providing emotional support to the patient
C. Performing a surgical dressing change
D. Monitoring blood glucose levels
Answer: B. Providing emotional support to the patient
When implementing care, what must the nurse ensure?
Adherence to the medical model of care
B. Collaboration with the patient and family
C. Direct supervision of all tasks
D. Strict focus on the care plan without adjustment
Answer: B. Collaboration with the patient and family
Which action is NOT a part of the implementation phase?
Teaching the patient about their diagnosis
B. Reviewing laboratory results
C. Administering a prescribed medication
D. Developing a nursing care plan
Answer: D. Developing a nursing care plan
Which nursing skill is most crucial during implementation?
Time management
B. Planning
C. Critical thinking
D. Communication
Answer: D. Communication
A nurse is using evidence-based practice during implementation. Which action is an example of this?
Administering medication as prescribed without review
B. Applying research-based guidelines to dressing a wound
C. Asking a colleague for advice without consulting literature
D. Using personal experience to decide care
Answer: B. Applying research-based guidelines to dressing a wound
How should a nurse respond when a patient refuses treatment?
Insist on providing care for the patient’s benefit
B. Inform the physician immediately
C. Document the refusal and respect the patient’s decision
D. Leave the patient without explanation
Answer: C. Document the refusal and respect the patient’s decision
When teaching a patient about a new medication, which is most important?
The cost of the medication
B. The patient’s understanding of side effects
C. The color of the pills
D. The manufacturer
Answer: B. The patient’s understanding of side effects
Which documentation reflects effective implementation?
“Patient seems fine after intervention.”
B. “Administered 500 mg of acetaminophen at 8:00 AM for fever.”
C. “Care provided as per protocol.”
D. “Patient’s vital signs are okay now.”
Answer: B. “Administered 500 mg of acetaminophen at 8:00 AM for fever.”
A nurse implements care but does not record it. What risk is created?
Reduced patient satisfaction
B. Incomplete legal documentation
C. Enhanced continuity of care
D. Increased patient outcomes
Answer: B. Incomplete legal documentation
Which intervention demonstrates collaborative care?
Helping a patient with ambulation
B. Administering oxygen as prescribed
C. Consulting with a dietitian about meal planning
D. Teaching the patient how to manage their condition
Answer: C. Consulting with a dietitian about meal planning
What should the nurse prioritize when performing a sterile dressing change?
Patient’s comfort during the procedure
B. Quick completion of the dressing change
C. Preventing contamination of the sterile field
D. Documentation of the procedure
Answer: C. Preventing contamination of the sterile field
Which of the following tasks requires the RN’s direct attention and cannot be delegated?
Feeding a stable patient
B. Assessing a patient’s postoperative pain
C. Changing a patient’s bed linens
D. Assisting a patient with toileting
Answer: B. Assessing a patient’s postoperative pain
A patient has a wound that needs daily dressing changes. What is the best nursing action?
Delegate the task to a nursing assistant
B. Teach the patient to change the dressing independently
C. Change the dressing and document the findings
D. Wait for the physician to change the dressing
Answer: C. Change the dressing and document the findings
Before implementing a care intervention, the nurse should:
Inform the patient of the plan
B. Seek approval from the family
C. Ensure the intervention is evidence-based
D. Confirm the patient’s identity
Answer: D. Confirm the patient’s identity
What is the priority nursing action when a patient complains of sudden chest pain?
Administer pain medication
B. Notify the healthcare provider
C. Assess vital signs immediately
D. Document the complaint
Answer: C. Assess vital signs immediately
Which of the following is an example of dependent nursing intervention?
Teaching a patient about medication
B. Starting an intravenous line for hydration
C. Repositioning a patient to reduce pressure
D. Administering prescribed antibiotics
Answer: D. Administering prescribed antibiotics
Which nursing action best demonstrates patient-centered care during implementation?
Explaining the procedure thoroughly before starting
B. Documenting the procedure immediately after completion
C. Following hospital protocol strictly without deviation
D. Delegating care to a nursing assistant
Answer: A. Explaining the procedure thoroughly before starting
A nurse is performing a postural drainage procedure. What should the nurse do first?
Ensure the patient has an empty stomach
B. Position the patient for optimal lung drainage
C. Encourage the patient to take deep breaths
D. Suction secretions after the procedure
Answer: B. Position the patient for optimal lung drainage
A patient with diabetes is being taught how to self-administer insulin. Which teaching strategy is most effective?
Providing a written instruction manual
B. Demonstrating the procedure and asking for return demonstration
C. Telling the patient to watch an instructional video
D. Allowing the patient to administer insulin without guidance
Answer: B. Demonstrating the procedure and asking for return demonstration
During a code situation, what is the nurse’s priority?
Call the patient’s family
B. Perform post-event documentation
C. Follow the advanced cardiac life support (ACLS) protocol
D. Assign tasks to team members
Answer: C. Follow the advanced cardiac life support (ACLS) protocol
What is the primary goal of nursing care implementation?
Ensuring the nurse’s convenience
B. Achieving patient-centered outcomes
C. Following physician’s orders without question
D. Completing nursing tasks promptly
Answer: B. Achieving patient-centered outcomes
A nurse is preparing to implement a care plan for a patient. Which resource is most useful in guiding interventions?
Nursing textbooks
B. The patient’s care plan
C. A colleague’s advice
D. The patient’s family
Answer: B. The patient’s care plan
A nurse performs a skin assessment and finds redness on the patient’s back. What is the most appropriate nursing action?
Notify the healthcare provider immediately
B. Apply a topical antibiotic
C. Reposition the patient and document the findings
D. Leave the redness and continue other tasks
Answer: C. Reposition the patient and document the findings
When delegating a task, the nurse is accountable for:
The outcomes of the task
B. Supervising the task
C. Performing the task personally
D. The qualifications of the delegatee
Answer: A. The outcomes of the task
A nurse finds that a patient is not adhering to the prescribed exercise plan. What should the nurse do first?
Notify the physician
B. Assess the patient’s barriers to adherence
C. Reprimand the patient for noncompliance
D. Stop the exercise plan
Answer: B. Assess the patient’s barriers to adherence
Which action should a nurse prioritize when implementing care for a patient in pain?
Administering pain medication as prescribed
B. Reassessing pain levels after intervention
C. Explaining pain management options to the patient
D. Ensuring a quiet and comfortable environment
Answer: A. Administering pain medication as prescribed
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