Evaluation Practice Exam

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Text version of the exam.

1. The client is able to ambulate without signs or symptoms of shortness of breath. Which statement by the nurse is the best example of an objective evaluation of the client’s goal attainment?

  1. “Client has no pain after ambulating.”
  2. “Client has no manifestations of nausea while up in hall.”
  3. “Client walked well and did not have any problem when up.”
  4. “Client has no evidence of respiratory distress when ambulating.”

2. When modifying a care plan to meet a client whose status has changed significantly over the past few days, the nurse should:

  1. Redevelop the entire client care plan
  2. Focus on changing the nursing diagnoses and goals
  3. Perform a complete reassessment of all client factors
  4. Add more nursing interventions from a standardized plan of care

3. Based on the following outcome criterion determined by the nurse: “Client will independently complete necessary assessments prior to administration of digoxin (cardiotonic)” the nurse will evaluate the client’s ability to:

  1. Assess the respiratory rate
  2. Palpate the radial pulse
  3. Review dietary habits
  4. Inspect color of the skin

4. The nurse has determined the following outcome for a client with a skin impairment: “Erythema will be reduced in 3 days.” Evaluation will specifically focus on:

  1. Selection of appropriate wound care
  2. Notation of the odor and color of drainage
  3. Inspection of the color and condition of the area
  4. Measurement of the diameter of the ulceration daily

5. The client has a nursing diagnosis of impaired gas exchange as a result of excessive secretions. An outcome for the client is that the airways will be free of secretions. A positive evaluation will focus upon the client’s:

  1. Respiratory rate
  2. Complaint of chest pain
  3. Lungs clear bilaterally on auscultation
  4. Ability to perform incentive spirometry

6. A client shares with the nurse that they have, “almost reached the goal of smoking only one-half pack of cigarettes a day.” The best example of a nursing intervention to correct this unmet outcome is:

  1. Discuss with the client the desire to comply with the ordered therapy
  2. Suggest that the client use another smoking cessation tool to achieve the goal
  3. Reevaluate the time frame originally decided upon for achievement of the goal
  4. Suggest that the strength of the prescribed nicotine patches be increased to 21 mg

7. The primary purpose of the nursing evaluation process is to:

  1. Determine the effectiveness of the nursing care provided
  2. Identify interventions that are ineffective in achieving client goals
  3. Establish the progress the client is making towards health and wellness
  4. Critique the nurse’s ability to implement appropriate nursing interventions

8. Which of the following statements best reflects a goal based on a clinical standard of practice?

  1. Client will lose 10 pounds in 90 days.
  2. Client will walk 30 feet with minimal assistance.
  3. Client’s peripheral intravenous site will be free of redness.
  4. Client’s chronic pain will be managed with oral medication by discharge.

9. Which of the following outcomes best reflects a nurse-sensitive client outcome?

  1. Client will consume 75% of all meals.
  2. Client will perform personal hygiene daily.
  3. Client will experience no falls during hospitalization.
  4. Client will report lessened anxiety regarding surgical procedure.

10. The nurse has identified a nursing diagnosis of knowledge deficit regarding the need to monitor blood glucose levels daily. Which of the following statements best reflects the client’s understanding of the need for therapy?

  1. Client agrees to test blood glucose levels 4 times a day.
  2. Client records blood glucose levels for a 3-week period.
  3. Client is observed testing his blood glucose level before breakfast.
  4. Client is able to demonstrate the proper technique for performing a finger stick.
Answers
  1. D. “Client has no evidence of respiratory distress when ambulating.”
  2. C. Perform a complete reassessment of all client factors
  3. B. Palpate the radial pulse
  4. C. Inspection of the color and condition of the area
  5. C. Lungs clear bilaterally on auscultation
  6. B. Suggest that the strength of the prescribed nicotine patches be increased to 21 mg
  7. A. Determine the effectiveness of the nursing care provided
  8. C. Client’s peripheral intravenous site will be free of redness.
  9. C. Client will experience no falls during hospitalization.
  10. B. Client records blood glucose levels for a 3-week period.
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