STUDY GUIDE FOR UNDERSTANDING MEDICAL SURGICAL NURSING, 6th Edition
REVIEW QUESTIONS—TEST PREPARATION
The correct answers are in boldface.
6. (4) is correct. Evaluation determines whether goals are
achieved and interventions effective. (2) is the role of the
physician. (1, 3) encompass data collection and implementation,
which are earlier steps in the nursing process.
7. (1) is correct. The licensed practical nurse/licensed vocational
nurse can collect data, which includes taking vital signs; assessment is the first step in the nursing process.
(2, 3, 4) are all steps in the nursing process, for which
the registered nurse is responsible; the licensed practical
nurse/licensed vocational nurse may assist the registered
nurse with these.
8. (1, 4, 5) can be observed through use of the five senses.
(2, 3) are subjective data that the patient must report.
9. (2) indicates that the patient is concerned about freedom
from injury and harm. (1) relates to basic needs such as
air, oxygen, and water. (3) relates to feeling loved. (4) is
related to having positive self-esteem.
10. (4) is objective, realistic, and measurable with a time
frame. (1, 2, 3) are all good outcomes, but they relate to
airway clearance, nutrition, and strength, not directly to
swallowing.
11. (2) is correct. The three parts of a diagnosis include the
problem (from the NANDA International [NANDA-I]
list), etiology (“related to”), and symptoms (“as evidenced
by”). (1) does not include symptoms. (3) is a
medical
diagnosis. (4) is not a NANDA-I
diagnosis,
and
the evidence
is not related to dyspnea.