NCLEX Style Questions Flashcards
Which expected client outcome is an example of a psychomotor outcome? Select all that apply.
A) Rating pain as a 2 on a 10-point scale.
B) Safely ambulating using a walker.
C) Reporting increased confidence in testing blood sugar.
D) Accurately drawing up insulin.
E) Identifying signs and symptoms of infection.
B) Safely ambulating using a walker
D) Accurately drawing up insulin
A nurse manager notes an increase in the frequency of client falls during the last month. To promote a positive working environment, how would the nurse manager most effectively deal with this problem?
A) Institute a new policy on the prevention of client falls on the unit.
B) Reprimand the nursing personnel responsible for the clients when the falls occurred.
C) Investigate the circumstances that contributed to client falls.
D) Determine if client falls have increased on other nursing units in the hospital.
C) Investigate the circumstances that contributed to client falls
Which of the following is the most important indicator of quality nursing care?
A) The nurse takes measures to ensure accurate medication administration.
B) The nurse follows the policies and procedures of the institution.
C) The nurse considers the individual needs of clients.
D) The nurse is organized and efficient in client care.
C) The nurse considers the individual needs of clients
A nurse is evaluating the outcome of the plan of care after teaching a client how to prepare and administer an insulin pen. Which of the following types of outcome is the nurse addressing?
A) Psychomotor
B) Affective
C) Cognitive
D) Physiological
A) Psychomotor
Which of the following actions should the nurse take during the evaluation phase of the nursing process?
A) Have client give input into plan of care upon admission
B) Document improved pain after pain medication administered
C) Provide client with follow-up appointment after discharge
D) Discontinue indwelling urinary catheter per provider’s order
B) Document improved pain after pain medication administered
A nurse has been doing discharge teaching to a client with diabetes mellitus type 1. Which of the following outcomes indicates that the teaching has been effective?
A) By a certain date, client will talk to a dietitian regarding information for a diabetic diet.
B) Before discharge, client will understand proper foot care and eye care.
C) Before discharge, client will attempt to administer a subcutaneous injection.
D) By a certain date, client will verbalize signs and symptoms of hypoglycemia.
D) By a certain date, client will verbalize signs and symptoms of hypoglycemia
Nurses are involved in many types of evaluation. All of the following are activities that are related to evaluation, but which of the following is the priority concern for nurses?
A) Helping targeted groups of patients to achieve their specific outcomes
B) Measuring patient outcome achievement
C) Measuring the competence of individual nurses
D) Patients and their care
D) Patients and their care
Once a nurse has collected and interpreted the data on a client’s outcome achievement, the nurse will then make a judgment and document a statement summarizing those findings. This is called which of the following?
A) Standard
B) Criteria
C) Evidence-based practice
D) Evaluative statement
D) Evaluative statement
A client is about to leave the hospital after having surgery for a fractured left femur. It is now in a plaster cast. The client asks how long before the cast will be dry. The nurse notes on his plan of care a learning outcome stating “Client will verbalize appropriate cast care upon discharge.” This represents what type of outcome?
A) Psychomotor
B) Cognitive
C) Physical change
D) Affective
B) Cognitive
Which purpose of the evaluation phase of the nursing process is a priority during client care?
A) Monitor the quality and effects of the nursing care.
B) Examine the client’s behavioral response to the care received.
C) Appraise collaboration of the client and family.
D) Provide basis for the revision of plan of care.
B) Examine the client’s behavioral response to the care received
Nurse Mayweather is auscultating lung sounds. She notes crackles in the LLL ( Left Lower Lobe) which were not present at the start of the shift. Nurse Mayweather is engaged in which type of nursing intervention?
A) Maintenance intervention
B) Surveillance intervention
C) Psychomotor intervention
D) Educational intervention
B) Surveillance intervention
A client is administered an anxiolytic. Which nursing action demonstrates the nurse evaluating the client?
A) devising a plan for the client to practice anti-anxiety exercises at home
B) collecting data about the client’s history with anxiety
C) asking if the client feels less anxious 30 minutes after administering the medicine
D) assigning the client a new nursing diagnosis based on the client’s controlled anxiety
C) asking if the client feels less anxious 30 minutes after administering the medicine
Which of the following nursing actions reflects evaluation?
A) The nurse sets a tolerable pain rating with the client.
B) The nurse assesses urine output following administration of a diuretic.
C) The nurse auscultates the client’s lungs and abdomen.
D) The nurse identifies that the client does not tolerate activity.
B) The nurse assesses urine output following administration of a diuretic
Which client outcome is an example of a cognitive outcome?
A) The client’s finger stick blood sugar is greater than 70 and less than 110.
B) The client demonstrates how to take a radial pulse.
C) The client identifies three strategies for minimizing leakage of an ileostomy bag.
D) The client’s pulse ranges from 60 to 100 beats per minute
C) The client identifies three strategies for minimizing leakage of an ileostomy bag
The nurse manager observes one of the unit nurses failing to wash her hands upon entering a client room. Hospital protocol is washing hands before and after entering a client room. The nurse manager knows that this is an example of:
A) Quality by initiative
B) Quality by perception
C) Quality by inspection
D) Quality by opportunity
C) Quality by inspection
A nurse is evaluating nursing care and patient outcomes by using a retrospective evaluation. Which action would the nurse perform in this approach?
A) The nurse interviews the patient while he or she is receiving the care.
B) The nurse directly observes the nursing care being provided.
C) The nurse devises a post-discharge questionnaire to evaluate patient satisfaction.
D) The nurse reviews the patient chart while the patient is being cared for
C) the nurse devises a post-discharge questionnaire to evaluate patient satisfaction
Which action is appropriate when evaluating a client’s responses to a plan of care?
A) Reinforce the plan of care when each expected outcome is achieved.
B) Terminate the plan if there are difficulties achieving the goals/outcomes.
C) Continue the plan of care if more time is needed to achieve the goals/outcomes.
D) Terminate the plan of care upon client discharge.
C) Continue the plan of care if more time is needed to achieve the goals/outcomes
The nurse participates in a quality assurance program and reviewing evaluation data from the previous year. Which of the following does the nurse recognize as an example of outcome evaluation?
A) A 4% increase in the number of baccalaureate prepared nurses are employed in the facility.
B) A 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery.
98% of all hospital admissions had a nursing history completed within 24 hours of admission
C) A 97% bed occupancy rate in the critical care areas; C) 92% bed occupancy rate in the non-critical care areas.
B) A 2% reduction in the number of repeat admissions for clients who underwent hip replacement surgery
The terms “criteria” and “standard” are often used interchangeably but actually have distinct, separate definitions. “The levels of performance accepted by, and expected of, nursing staff or other health team members” is known as:
A) evaluation.
B) criteria.
C) evidence-based practice.
D) Standards.
D) Standards
For a client with self-care deficit, the long-term goal is that the client will be able to dress himself by the end of the 6-week therapy. For best results, when should the nurse evaluate the client’s progress toward this goal?
A) at the end of the 6-week therapy
B) only when the client shows some progress
C) as soon as possible
D) when the client is discharged
C) As soon as possible
Which client outcome is an example of a physiologic outcome?
A) The client’s pulse oximetry reading is 97% on room air 30 minutes after removal of a nasal cannula.
B) The client demonstrates active range of motion exercises with left upper extremity.
C) The client reports walking for 30 minutes each day.
D) The client explains how to administer a vaginal cream.
A) The client’s pulse oximetry reading is 97% on room air 30 minutes after removal of a nasal cannula
Which client outcome is a psychomotor outcome? Select all that apply.
A) The client reports imagery is effective in controlling anxiety.
B) The client describes how to empty a Jackson-Pratt drain.
C) The client catheterizes self, using clean technique.
D) The client identifies five low sodium foods.
E) The client measures capillary blood sugar level.
C) The client catheterizes self, using clean technique
E) The client measures capillary blood sugar level
The nurse is caring for Mr. H., a 35-year-old man who is hospitalized following a motorcycle accident. He has a traumatic brain injury. The nurse is working with Mr. H. on self-care behaviors. The following would help the nurse to assess the success of the nursing interventions except which of the following?
A) Ask client to discuss his goals for the day at the start of the shift.
B) Model self-care behaviors for the client.
C) Check with the client to ensure personal goals are met.
D) Collect data on the number of self-care activities performed that day.
B) Model self-care behaviors for the client
A client has come into the clinic for a postoperative visit. The client states that the postoperative pain continues to be 6 on a 0 to 10 rating scale. The nurse evaluates the client and the current plan of care. Based on the information provided by the client, the nurse should:
A) modify the plan of care.
B) terminate the plan of care.
C) call the pharmacy to determine if the client is taking pain medication.
D) continue with the current plan of care
A) Modify the plan of care
