The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?

The patient reports increased pain and limited range of motion

The patient experiences frequent falls and difficulty maintaining balance

The patient is able to independently walk with a walker

The patient has difficulty ambulating without assistance

Answer and Explanation

The Correct Answer is C

A. Increased pain and frequent falls indicate unmet outcomes.
B. Frequent falls indicate unmet outcomes.
C. This demonstrates progress toward independence in mobility.
D. Difficulty ambulating shows ongoing impairment.

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Correct Answer is D

Explanation

A. This patient is newly admitted and potentially unstable, requiring nursing assessment before delegation.

B. Active bleeding indicates a complication requiring nursing intervention, making this patient inappropriate for delegation.

C. A patient with pneumonia on oxygen requires close monitoring of their respiratory status, which falls under nursing responsibilities.

D. This patient is stable and only needs assistance, making them appropriate for NAP delegation.

A. Patient will be offered laxatives or stool softeners this shift. B. Patient will have one soft, formed bowel movement by end of shift. C. Patient will not take any pain medications this shift. D. Patient will walk unassisted to bathroom by the end of shift. E. Answer: B

Correct Answer is B

Explanation

A. Patient will be offered laxatives or stool softeners this shift. This is incorrect because offering a medication is an intervention rather than an outcome. Outcomes should focus on the patient’s response to nursing care.

B. Patient will have one soft, formed bowel movement by the end of shift. This is correct because it is a specific, measurable, achievable, realistic, and time-bound (SMART) goal. The outcome directly addresses the problem of constipation and provides a clear indicator of improvement.

C. Patient will not take any pain medications this shift. This is incorrect because withholding pain medication is not an appropriate strategy for managing constipation. Instead, interventions such as increasing fiber, fluids, activity, or stool softeners should be considered.

D. Patient will walk unassisted to the bathroom by the end of the shift. This is incorrect because, although mobility can help improve bowel function, it does not directly measure the resolution of constipation. The outcome should focus on bowel movement frequency and consistency.

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The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving change of shift report, the nurse delegates hygiene care for the caseload of patients. Which patient should the nurse delegate to the nursing assistive personnel (NAP)?

Correct Answer is D

Explanation

A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

Correct Answer is B

Explanation

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