A client has been diagnosed with impaired physical mobility. Which SMART goal is correct for this client?

The client will sit in the chair for each meal by end of day two of admission.

The client will transfer to the chair with assist of one person.

The nurse will reposition the client every hour while the client is awake.

The nurse will assist the client to ambulate in the hall by the second day.

Answer and Explanation

The Correct Answer is A

A. The client will sit in the chair for each meal by end of day two of admission: This statement is client-centered, specific (sit in chair for meals), measurable (each meal), achievable/relevant to mobility, and time-bound (by end of day two), matching SMART criteria.

B. The client will transfer to the chair with assist of one person: This describes an outcome but lacks a time frame and measurable deadline, so it does not fully meet SMART criteria as written.

C. The nurse will reposition the client every hour while the client is awake: This sentence describes a nursing action/intervention rather than a client-focused outcome goal; SMART goals should state the client outcome, not only the nurse’s tasks.

D. The nurse will assist the client to ambulate in the hall by the second day: This is phrased as a nursing action rather than a client outcome; converting it to a client-centered SMART goal (e.g., “The client will ambulate 20 feet in the hall with one-person assist by day two”) would make it meet SMART criteria.

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Correct Answer is C

Explanation

A. As needed for pain: Refers to PRN, not AC HS.

B. Two times a day: Refers to BID, not AC HS.

C. Before meals and at bedtime: AC = before meals, HS = at bedtime. This tells when blood glucose should be checked.

D. Once in the morning: Refers to QD AM, not AC HS.

A. 50-unit syringe, 25-gauge, 5/8 inch needle, administered at a 90-degree angle B. 3mL syringe, 18-gauge, 2inch needle, administer at a 90-degree angle C. 50-unit syringe, 20-gauge, 1.5-inch needle, administered at a 45-degree angle D. 1mL syringe, 25-gauge, 5/8 inch needle, administered at a 45-degree angle

Correct Answer is A

Explanation

A. 50-unit syringe, 25-gauge, 5/8 inch needle, administered at a 90-degree angle: Insulin is given subcutaneously with an insulin syringe (calibrated for units), a fine gauge (25–30), and 45–90° angle depending on client’s body habitus.

B. 3mL syringe, 18-gauge, 2-inch needle, administer at a 90-degree angle: This describes an IM injection (large bore needle, deep penetration), not appropriate for insulin.

C. 50-unit syringe, 20-gauge, 1.5-inch needle, administered at a 45-degree angle: Gauge and length are far too large for SQ insulin.

D. 1mL syringe, 25-gauge, 5/8 inch needle, administered at a 45-degree angle: A TB syringe, not calibrated for insulin units. Risk of wrong dose.

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A client has been diagnosed with impaired physical mobility. Which SMART goal is correct for this client?

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Naxlex Comprehensive Predictor Exams

There are terms a nurse will need to know as they work in the clinical arena. When receiving shift report, the off-going nurse mentions that the client is having their blood glucose checked AC HS. The nurse knows that AC HS refers to:

Correct Answer is C

Explanation

A 22-year-old client was newly diagnosed with type 1 diabetes. The nurse will instruct the client to utilize the following methods to administer the subcutaneous insulin injection of 20 units NPH once daily.

Correct Answer is A

Explanation

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