Nursing Process Practice Questions Quizlet

Correct Answer: D

Rationale: The correct answer is D because an MRI is a noninvasive imaging test that uses magnetic energy to produce detailed images of internal body parts. This explanation is accurate and informative, reassuring the patient. A is incorrect because it describes electromyography (EMG), not MRI. B is incorrect as it describes electroencephalography (EEG), not MRI. C is incorrect because it describes a nuclear medicine test, not MRI. In summary, only option D provides a correct and relevant description of what to expect during an MRI.

Correct Answer: A

Rationale: The correct answer is A: Universal blood and body fluid precautions. This is recommended by the CDC to prevent the spread of HIV because the virus can be present in blood and certain body fluids. Universal precautions involve treating all blood and body fluids as potentially infectious. Incorrect choices: B: Body systems isolation - This is not specific to preventing the spread of HIV and is not recommended by the CDC. C: Laminar flow room during active infection - This is not a standard recommendation for preventing the spread of HIV. D: Needle and syringe precautions - While important in preventing needlestick injuries, it is not the primary method recommended by the CDC for preventing the spread of HIV.

Correct Answer: A

Rationale: The correct answer is A: Assessment. In the scenario, the nurse failed to assess the patient's condition promptly after the patient complained of feeling dizzy and light-headed. Assessment is the first phase of the nursing process and involves collecting data to identify the patient's health status. By not reassessing the patient's vital signs and symptoms, the nurse missed an opportunity to detect the worsening condition. The other choices are incorrect because the error occurred before diagnosis (B), implementation (C), and evaluation (D) phases. In diagnosis, the nurse identifies the patient's problems; in implementation, the nurse carries out the care plan; and in evaluation, the nurse assesses the effectiveness of interventions.

Correct Answer: B

Rationale: The correct answer is B: To provide a means for further comparison and evaluation. By recording the color of drainage from each tube and catheter, the nurse can monitor changes over time, assess for any abnormalities, and evaluate the effectiveness of treatment. This helps in detecting complications early and making informed decisions. Rationale for other choices: A: To restore and maintain intravascular volume - Monitoring drainage color does not directly relate to intravascular volume status. C: To avoid interference with wound drainage - Monitoring drainage color does not prevent interference with wound drainage. D: To prevent pain related to obstruction - Monitoring drainage color does not directly prevent pain related to obstruction.

Correct Answer: A

Rationale: The correct answer is A: Assessment. In this scenario, the nurse failed to complete a thorough assessment by not informing the nurse about the patient's condition. Assessment is the first step in the nursing process where data is collected and analyzed to identify the patient's problems. By not communicating the patient's symptoms to the nurse, the nurse missed crucial information that could have led to timely intervention. Explanation of other choices: B: Diagnosis - The nurse did not have the opportunity to make a diagnosis because the assessment phase was incomplete. C: Implementation - The nurse did not reach the implementation phase yet as the assessment phase was not properly conducted. D: Evaluation - The nurse cannot evaluate the effectiveness of interventions as the assessment and subsequent phases were not properly carried out.