Nclex Masters Planning Skills Nursing Process 25 Question

PLANNING SKILLS QUIZ 25 QUESTIONS THIS EXAM IS AVAILABLE FREE ONLINE AT www.Nclex-Masters.net 1. A patient is admitted to the health care facility with active tuberculosis(TB). The nurse should include which intervention in the plan of care? a) Putting on a mask when entering the patient's room b) Instructing the patient to wear a mask at all times c) Wearing a gown and gloves when providing direct care d) Keeping the door to the patient's room open to observe the patient 2. The nurse is developing a drug therapy regimen that will not interfere withthe patient's lifestyle. When doing this, the nurse must consider the drug's: a) adverse effects b) route of excretion c) peak concentration time d) steady-state duration of action 3. The doctor orders heparin, 7,500 units, to be administered subcutaneouslyevery 6 hours. The vial reads 10,000 units per milliliter. The nurse shouldanticipate giving how much heparin for each dose? a) 1/4 ml b) 1/2 ml c) 3/4 ml d) 1 1/4 ml 4. The following statement appears on a patient's care plan: "Patient will ambulate in the hall without assistance within 4 days." This statement is an example of: a) a nursing diagnosis b) a patient outcome c) subjective data d) a nursing intervention 5. What is a common goal of discharge planning in all care settings? a) Prolonging hospitalization until the patient can function independently b) Teaching the patient how to perform self-care activities c) Providing the financial resources needed to ensure proper care d) Preventing the need for medical follow-up care 6. Which component of an outcome criterion must the nurse consider when setting goals for a patient? a) A place b) A family member c) A focal point d) A time frame 7. Which clinical characteristic affects patient compliance? a) Drug knowledge b) Psychosocial factors c) The nurse-patient relationship d) Disease duration and severity 8. When developing a postoperative plan of care for an infant scheduled for cleft lip repair, the nurse should assign highest priority to which intervention? a) Comforting the child as quickly as possible b) Maintaining the child in a prone position c) Restraining the child's arms at all times, using elbow restraints d) Avoiding disturbing any crusts that form on the suture line 9. After an infant undergoes surgical repair of a cleft lip, the doctor orders elbow restraints. For this infant, the postoperative plan of care should include which nursing action? a) Removing the restraints every 2 hours b) Removing the restraints while the infant is asleep c) Keeping the restraints on both arms only while the child is awake d) Using the restraints until the infant recovers fully from anesthesia THIS EXAM IS AVAILABLE FREE ONLINE AT www.Nclex-Masters.net 10. The nurse is developing a teaching plan for a child with acutepost streptococcal glomerulonephritis. What is the most important point to address in this plan? a) Infection control b) Nutritional planning c) Prevention of streptococcal pharyngitis d) Blood pressure monitoring 11. A child is admitted to the pediatric unit with a fracture of the hip. The doctor orders Russell traction. This type of traction is: a) skin traction to a lower extremity, extremity suspended above the bed b) skeletal traction applied to a lower extremity c) skin traction applied to an extended lower extremity d) skin traction applied bilaterally to the lower extremities 12. A professional artist is admitted to the psychiatric unit for treatment ofbipolar disorder. During the past 2 weeks, the patient has created 154 paintings, slept only 2 to 3 hours every 36 to 48 hours, and lost 18 lb (8kg). Based on Maslow's hierarchy of needs, what should the nurse provide this patient with first? a) The opportunity to explore family dynamics b) Help with reestablishing a normal sleep pattern c) Experiences that build self-esteem d) Artist's materials and equipment 13. The nurse is assigned to care for a recently admitted patient who has attempted suicide. What should the nurse do? a) Search belongings and room for items that could be used to attempt suicide. b) Trust that the patient will not cause self-harm while in the facility. c) Respect the patient's privacy by not searching any belongings. d) Remind all staff members to check on the patient frequently. 14. The nurse is assigned to a patient with catatonic schizophrenia. Which intervention should the nurse include in the patient's plan of care? a) Meeting all of the patient's physical needs b) Giving the patient an opportunity to express concerns c) Administering lithium (Lithonate), as prescribed d) Providing a quiet environment where the patient can be alone 15. After developing severe hydramnios, a primagravid patient exhibits dyspnea,along with edema of the legs and vulva. Which procedure should the nurse expect her to undergo, and why? a) Artificial rupture of the membranes, to reduce uterine pressure b) Amniocentesis, to relieve discomfort temporarily c) I.V. oxytocin administration, to induce labor d) Cesarean delivery, to prevent further fetal damage 16. The nurse is preparing to provide contraceptive counseling for a young patient. What should the nurse plan to do first? a) Obtain a thorough health history from the patient. b) Explore the nurse's personal beliefs and feelings about contraception. c) Help determine the most appropriate contraceptive method for the patient. d) Perform a complete physical assessment of the patient. 17. A patient is admitted for treatment of Prinzmetal's angina. When developingthe plan of care, the nurse keeps in mind that this type of angina is triggered by: a) activities that increase myocardial oxygen demand b) an unpredictable amount of activity c) coronary artery spasm d) the same type of activity that caused previous angina episodes 18. For a patient who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care? a) Measuring and documenting the drainage in the collection bottle b) Maintaining continuous bubbling in the water-seal compartment c) Keeping the collection chamber at chest level d) Stripping the chest tube every hour THIS EXAM IS AVAILABLE FREE ONLINE AT www.Nclex-Masters.net 19. A patient is receiving methotrexate (Mexate), 12 g/m2 I.V., to treat osteogenic carcinoma. During methotrexate therapy, the nurse expects the patient to receive which other drug? a) Probenecid (Benemid) b) Cytarabine (ARA-C, cytosine arabinoside [Cytosar-U]) c) Thioguanine (6-thioguanine, 6-TG) d) Leucovorin (citrovorum factor or folinic acid [Wellcovorin]) 20. The nurse is caring for a patient with bronchiogenic carcinoma. Which nursing diagnosis takes highest priority? a) Body image disturbance related to changes in body functions b) Ineffective airway clearance obstruction by a tumor or secretions c) Anxiety related to thealth status and changes in family dynamics d) Altered nutrition from anorexia and vomiting secondary to chemotherapy 21. When planning care for a patient with burns on the upper torso, which nursing diagnosis should take the highest priority? a) Ineffective airway clearance related to edema of the respiratory passages b) Impaired physical mobility related to the disease process c) Sleep pattern disturbance related to facility environment d) Risk for infection related to breaks in the skin 22. A patient who is receiving cyclosporine (Sandimmune) must practice good oralhygiene, including regular brushing and flossing of the teeth, to minimize gingival hyperplasia. Good oral hygiene also is essential to minimize gingivalhyperplasia during long-term therapy with certain drugs. Which of thefollowing drugs falls into this category? a) Procainamide (Pronestyl) b) Azathioprine (Imuran) c) Phenytoin (Dilantin) d) Allopurinol (Zyloprim) 23. A patient has a Fiberglas cast on the right arm. Which action should the nurse include in the plan of care? a) Keeping the casted arm warm by covering it with a light blanket b) Avoiding handling the cast for 24 hours or until it is dry c) Evaluating pedal and posterior tibial pulses every 2 hours d) Assessing movement and sensation in the fingers of the right hand 24. A patient is suspected of having amyotrophic lateral sclerosis. To help confirm this disorder, the nurse prepares the patient for various diagnostic tests. The nurse expects the doctor to order: a) electromyography (EMG) b) Doppler scanning c) Doppler ultrasonography d) quantitative spectral phonoangiography 25. A patient with pneumonia caused by group A streptococci is admitted to an acute care facility for I.V. penicillin G therapy. Because the patient can receive penicillin G only by the I.V. route, the nurse expects to administer: a) penicillin G aqueous b) penicillin G benzathine c) penicillin G potassium d) penicillin G procaine