Ch. 12: The Nursing Process

Question 1

At which stage of the nursing process are SMART goals created?

Accepted Answer

Planning

Question 2

Identify the SMART goal for a patient who’s undergone total knee replacement.

Accepted Answer

The pt will transfer from bed to chair with a walker by the 3rd postop day

Question 3

When participating in the evaluation phase of the nursing process, the LPN compares the patient’s responses with

Accepted Answer

Outcome criteria

Question 4

When using Maslow’s hierarchy of needs, which problem would be considered the highest priority?

Accepted Answer

The patient is acutely short of breath

Question 5

How does knowing the nursing diagnosis assist the LPN?

Accepted Answer

a nursing diagnosis identifies the patient’s problem

Question 6

Which statement provides the best description for when a nurse should collect patient centered data?

Accepted Answer

During each patient contact

Question 7

Which step of the nursing process is the sole responsibility of the RN?

Accepted Answer

Nursing diagnosis

Question 8

The pt’s nursing diagnosis is pain associated with walking r/t knee injury. The LPN should identify the pt problem as:

Accepted Answer

Knee pain

Question 9

A blood pressure of 110/70 at 8pm is most accurately described as an example of:

Accepted Answer

Objective data

Question 10

What is the primary reason that LPNs are taught to use the nursing process?

Accepted Answer

To resolve patient problems

Question 11

Which of the following is considered subjective?

Accepted Answer

The patient tells the nurse he has a headache

Question 12

The patient ambulates twice daily according to the care plan. What phase of the nursing process is this?

Accepted Answer

Implementation

Question 13

During the assessment phase of the nursing process, the LPN is expected to…

Accepted Answer

Collect data about the patient

Question 14

When the LPN collects data, the RN states “put it into the care plan and write down the intervention”. The LPN should:

Accepted Answer

Tell the RN that’s not within your scope of practice

Question 15

What is the primary purpose of the evaluation phase of the nursing process?

Accepted Answer

Compare actual patient outcomes with desired outcomes

Question 16

The phase of the nursing process in which the LPN participates with the greatest degree of independence.

Accepted Answer

Data collection and implementation

Question 17

Which of the following could be possible barriers to data collection during an assessment?

Accepted Answer

Presence of distractions

Question 18

The nurse assists the patient to ambulate 3 times a day according to the care plan. Which step is this?

Accepted Answer

Implementation

Question 19

The patient’s heart rate is 108. This is an example of objective data.

Accepted Answer

True

Question 20

Which of the following is subjective data?

Accepted Answer

The patient expresses feeling anxious about upcoming surgery

Questions 20