Question 1

Which of the following best describes the cyclical nature of the nursing process?

Accepted Answer

It is a continuous process where each step informs and modifies the others as needed.

Question 2

A nurse is caring for a patient with a new wound infection. Which step of the nursing process involves collecting both subjective and objective data about the wound?

Accepted Answer

Assessment

Question 3

Which of the following is an example of a measurable goal/outcome statement according to the guidelines provided?

Accepted Answer

The patient will walk the length of the hall without a cane by date of discharge.

Question 4

A nurse identifies that a patient is at risk for developing pressure ulcers due to immobility. Which type of nursing diagnosis does this represent?

Accepted Answer

Risk

Question 5

During which phase of the nursing process does the nurse determine whether to continue, modify, or terminate the plan of care?

Accepted Answer

Evaluation

Question 6

Which of the following is a correct sequence for donning personal protective equipment (PPE) according to infection prevention protocols?

Accepted Answer

Perform hand hygiene, put on gown, mask/N95 respirator, eye protection, then gloves

Question 7

A patient is diagnosed with Clostridium difficile (C. Diff). Which infection control precaution is most appropriate?

Accepted Answer

Contact precautions with gown and gloves

Question 8

Which of the following statements about hand hygiene is correct?

Accepted Answer

Hand hygiene should be performed before donning gloves and after glove removal.

Question 9

A nurse is planning care for a patient with MRSA pneumonia. Which PPE is required to enter the patient’s room?

Accepted Answer

Gown, gloves, surgical mask, and eye protection

Question 10

Which of the following best describes a collaborative nursing intervention?

Accepted Answer

An intervention performed in conjunction with other healthcare professionals

Question 11

A nurse is evaluating a patient’s progress toward the goal: 'Patient will consume 2500 mL of fluid daily.' Which component of evaluation is the nurse performing when comparing the patient’s actual intake to the goal?

Accepted Answer

Comparing the data with outcomes

Question 12

Which of the following is NOT a standard precaution for all clients?

Accepted Answer

Wearing a surgical mask for every patient encounter

Question 13

A nurse is preparing to care for a patient with vancomycin-resistant enterococcus (VRE). Which of the following is the most important action to prevent transmission?

Accepted Answer

Performing hand hygiene before and after patient contact

Question 14

Which of the following is an example of a risk nursing diagnosis?

Accepted Answer

Risk for infection due to compromised immune system

Question 15

A nurse is teaching a patient about the hazards of smoking after reading literature. Which component of a goal statement does this represent?

Accepted Answer

Condition/Modifier

Question 16

Which of the following is the gold standard for hand hygiene when hands are NOT visibly soiled?

Accepted Answer

Using alcohol-based hand rub

Question 17

A nurse is caring for a patient with a suspected airborne infection. Which PPE is essential before entering the room?

Accepted Answer

N95 respirator

Question 18

Which of the following is a correct statement about gloves in infection prevention?

Accepted Answer

Gloves should be removed immediately after use and before exiting the patient environment.

Question 19

A nurse is documenting a patient’s response to an intervention. Which step of the nursing process is this?

Accepted Answer

Evaluation

Question 20

Which of the following is a key component of writing a goal/outcome statement?

Accepted Answer

State the goal in terms of the client’s responses

Nursing Process & Infection Prevention and Control: Structured Study Notes

Guida di studio - Domande di pratica

Study guide - Flashcard