Sample Questions and Answers
- Which is the most important component of the nursing care plan?
- A) Patient’s history
- B) Patient’s needs and goals
- C) Medical diagnosis
- D) Nursing interventions
- Answer: B) Patient’s needs and goals
- When writing a goal for a nursing care plan, the nurse should ensure that the goal is:
- A) Short-term and easily achievable
- B) Long-term and challenging
- C) Specific, measurable, achievable, relevant, and time-bound (SMART)
- D) General and flexible
- Answer: C) Specific, measurable, achievable, relevant, and time-bound (SMART)
- Which of the following is the most important consideration when setting priorities for a patient’s care?
- A) The patient’s preference
- B) The severity of the patient’s condition
- C) The nurse’s availability
- D) The physician’s orders
- Answer: B) The severity of the patient’s condition
- A nurse is caring for a postoperative patient who is at risk for infection. What should the nurse prioritize in the care plan?
- A) Promoting mobility
- B) Preventing infection
- C) Assessing nutritional status
- D) Managing pain
- Answer: B) Preventing infection
- The nurse plans care for a patient based on:
- A) Doctor’s orders only
- B) The patient’s needs and goals
- C) A standard care protocol
- D) The nurse’s assessment findings alone
- Answer: B) The patient’s needs and goals
- A nurse uses the nursing diagnosis “Impaired physical mobility” for a patient. Which goal is appropriate for this diagnosis?
- A) Patient will ambulate 10 feet without assistance by discharge.
- B) Patient will express no pain during ambulation.
- C) Patient will understand the importance of mobility.
- D) Patient will be able to explain exercises to improve mobility.
- Answer: A) Patient will ambulate 10 feet without assistance by discharge.
- The nurse has identified that a patient is at risk for falls. Which intervention is most appropriate to include in the care plan?
- A) Place the call light within reach
- B) Encourage the patient to walk independently
- C) Restrict the patient’s mobility to the bed
- D) Avoid offering fluids to reduce the need for bathroom visits
- Answer: A) Place the call light within reach
- When developing a care plan for a patient with chronic pain, the nurse should include:
- A) Nonpharmacological interventions
- B) Only medication administration
- C) A focus on invasive treatments
- D) Strict bed rest
- Answer: A) Nonpharmacological interventions
- A nurse is evaluating a patient’s response to pain management. Which of the following is the best evaluation method?
- A) Assessing vital signs
- B) Observing facial expressions
- C) Asking the patient to rate pain on a scale of 1 to 10
- D) Checking the patient’s level of activity
- Answer: C) Asking the patient to rate pain on a scale of 1 to 10
- The nurse is planning care for a patient with hypertension. What is the most important aspect of the care plan?
- A) Providing education about lifestyle modifications
- B) Administering antihypertensive medications
- C) Monitoring blood pressure regularly
- D) Encouraging the patient to rest
- Answer: A) Providing education about lifestyle modifications
- Which intervention is the priority for a patient who has an impaired airway?
- A) Administer oxygen as ordered
- B) Assist with coughing and deep breathing
- C) Monitor respiratory rate and effort
- D) Position the patient with the head elevated
- Answer: A) Administer oxygen as ordered
- In formulating a care plan for a patient with anxiety, which goal should the nurse prioritize?
- A) Patient will decrease anxiety to a manageable level.
- B) Patient will engage in regular exercise.
- C) Patient will understand the cause of their anxiety.
- D) Patient will learn relaxation techniques.
- Answer: A) Patient will decrease anxiety to a manageable level.
- Which action would best help the nurse evaluate the effectiveness of the care plan for a patient with congestive heart failure?
- A) Assessing the patient’s weight daily
- B) Checking for edema
- C) Monitoring oxygen saturation levels
- D) All of the above
- Answer: D) All of the above
- A patient is at risk for impaired skin integrity. Which of the following interventions should the nurse include in the care plan?
- A) Repositioning the patient every two hours
- B) Limiting oral fluid intake to reduce urinary frequency
- C) Applying a heating pad to the skin to improve circulation
- D) Encouraging the patient to remain in bed to avoid falls
- Answer: A) Repositioning the patient every two hours
- What is the priority intervention when caring for a patient who is confused and disoriented?
- A) Provide a calm and quiet environment
- B) Administer sedatives as prescribed
- C) Provide frequent orientation cues
- D) Limit family visits to reduce stimulation
- Answer: C) Provide frequent orientation cues
- A nurse is caring for a patient with a history of stroke who is unable to communicate verbally. What is the priority nursing intervention?
- A) Provide a communication board
- B) Encourage the use of a writing pad
- C) Use simple, yes-or-no questions
- D) Increase the use of gestures and non-verbal cues
- Answer: A) Provide a communication board
- A nurse is planning care for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should be included?
- A) Encourage the patient to quit smoking
- B) Restrict the patient’s fluid intake
- C) Encourage the patient to exercise vigorously
- D) Administer high-flow oxygen as needed
- Answer: A) Encourage the patient to quit smoking
- When creating a care plan for a patient with diabetes mellitus, which priority nursing diagnosis should be addressed first?
- A) Risk for infection
- B) Imbalanced nutrition: More than body requirements
- C) Ineffective health maintenance
- D) Risk for impaired skin integrity
- Answer: C) Ineffective health maintenance
- Which statement by the nurse is most appropriate when planning care for a patient with a terminal illness?
- A) “We will focus on curative treatments.”
- B) “Comfort and quality of life are our priority.”
- C) “We should prepare for immediate recovery.”
- D) “We will monitor lab results closely to guide interventions.”
- Answer: B) “Comfort and quality of life are our priority.”
- A patient has a nursing diagnosis of Acute Pain related to surgical incision. What is an appropriate short-term goal for this patient?
- A) Patient will ambulate 10 feet by the end of the day.
- B) Patient will report pain of 4 or less on a 0–10 scale within 2 hours.
- C) Patient will have no signs of infection postoperatively.
- D) Patient will verbalize an understanding of pain management techniques.
- Answer: B) Patient will report pain of 4 or less on a 0–10 scale within 2 hours.
- Which of the following is the most effective method to evaluate the success of a nursing intervention for a patient with anxiety?
- A) Checking vital signs
- B) Observing the patient’s behavior and responses
- C) Asking the family members to assess the patient’s progress
- D) Administering sedatives as prescribed
- Answer: B) Observing the patient’s behavior and responses
- Which of the following interventions should the nurse include in the care plan for a patient with a respiratory infection?
- A) Provide frequent position changes to prevent atelectasis
- B) Encourage the patient to increase physical activity
- C) Administer broad-spectrum antibiotics
- D) Restrict fluid intake to avoid fluid overload
- Answer: A) Provide frequent position changes to prevent atelectasis
- A nurse is caring for a postoperative patient. What is the first priority when planning care for this patient?
- A) Prevent infection
- B) Control pain
- C) Monitor for complications
- D) Promote mobility
- Answer: B) Control pain
- Which of the following is the primary goal when caring for a patient with a fractured leg?
- A) Prevent infection
- B) Promote mobility
- C) Encourage independence
- D) Ensure comfort and pain relief
- Answer: D) Ensure comfort and pain relief
- Which of the following is a priority intervention for a patient with a nursing diagnosis of Deficient Fluid Volume?
- A) Increase oral intake of fluids
- B) Administer intravenous fluids as prescribed
- C) Encourage high-sodium foods
- D) Limit fluid intake to prevent fluid overload
- Answer: B) Administer intravenous fluids as prescribed
- What is the most appropriate intervention for a patient experiencing difficulty breathing?
- A) Position the patient in an upright position
- B) Encourage the patient to lie flat
- C) Administer pain medications as prescribed
- D) Reassure the patient that difficulty breathing is common
- Answer: A) Position the patient in an upright position
- Which of the following should the nurse include in a care plan for a patient with a pressure ulcer?
- A) Provide frequent repositioning and pressure relief
- B) Apply warm compresses to the ulcer
- C) Increase the patient’s caloric intake
- D) Limit the patient’s fluid intake
- Answer: A) Provide frequent repositioning and pressure relief
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