#1
Which of the following is not a component of the nursing assessment?
Nursing intervention
ExplanationNursing intervention is not a component of the nursing assessment; assessment focuses on gathering information.
#2
What is the first step in the nursing process?
Assessment
ExplanationAssessment is the initial step in the nursing process, involving data collection and analysis.
#3
Which of the following is a subjective data in nursing assessment?
Patient's pain level
ExplanationPatient's pain level is subjective data, relying on the patient's experience and perception.
#4
Which of the following is a component of the Glasgow Coma Scale?
Eye opening response
ExplanationEye opening response is a component of the Glasgow Coma Scale, assessing a patient's level of consciousness.
#5
What is the purpose of a head-to-toe assessment in nursing?
To assess the overall health status of the patient
ExplanationThe purpose of a head-to-toe assessment in nursing is to assess the overall health status of the patient, covering all body systems.
#6
Which of the following is a crucial aspect of nursing intervention?
Providing emotional support
ExplanationProviding emotional support is a crucial aspect of nursing intervention, addressing the patient's emotional well-being.
#7
Which assessment technique involves tapping the body surface to produce sound?
Percussion
ExplanationPercussion is an assessment technique involving tapping to produce sound and assess underlying structures.
#8
What is the acronym used for documenting the nursing assessment?
SBAR
ExplanationSBAR is the acronym used for documenting the nursing assessment, providing a structured communication format.
#9
Which nursing intervention is an example of tertiary prevention?
Assisting a stroke survivor with rehabilitation
ExplanationAssisting a stroke survivor with rehabilitation is an example of tertiary prevention, focusing on rehabilitation and reducing disability.
#10
What does the acronym ABCDE stand for in nursing assessment?
Airway, Breathing, Circulation, Disability, Exposure
ExplanationThe acronym ABCDE in nursing assessment stands for Airway, Breathing, Circulation, Disability, and Exposure, guiding priority assessment areas.
#11
What is the purpose of a nursing diagnosis?
To describe patient's response to health problems
ExplanationThe purpose of a nursing diagnosis is to describe the patient's response to health problems, guiding care planning.
#12
What is the primary goal of the planning phase in nursing care?
Setting achievable goals
ExplanationThe primary goal of the planning phase is to set achievable goals, guiding the direction of patient care.
#13
Which of the following is an example of a psychosocial assessment?
Evaluating coping mechanisms
ExplanationEvaluating coping mechanisms is an example of a psychosocial assessment, exploring the patient's emotional and social well-being.
#14
What is the purpose of a nursing care plan?
To outline nursing interventions and expected outcomes
ExplanationThe purpose of a nursing care plan is to outline nursing interventions and expected outcomes, providing a roadmap for patient care.
#15
Which nursing intervention is aimed at preventing pressure ulcers?
Encouraging mobility and repositioning
ExplanationEncouraging mobility and repositioning is a nursing intervention aimed at preventing pressure ulcers, addressing skin integrity.