FNP Domain 4: Implementation Welcome to your FNP Domain 4: Implementation 1. FNP: Implementation A 55-year-old male with a history of heart failure is prescribed furosemide. What is the most important instruction the nurse should give regarding medication adherence? Take the medication with meals Take the medication at night Weigh yourself daily at the same time Increase potassium intake daily None 2. FNP: Implementation When implementing a care plan for a patient with COPD, which intervention should be prioritized to enhance oxygenation? Administering bronchodilators regularly Monitoring oxygen saturation hourly Encouraging fluid intake of at least 2 liters per day Positioning the patient in a high Fowler's position None 3. FNP: Implementation A patient with type 2 diabetes is prescribed a new medication regimen. What is the best strategy to ensure adherence? Providing written instructions only Scheduling weekly follow-ups Using pill organizers and setting reminders Adjusting dosages based on symptoms None 4. FNP: Implementation In administering intravenous antibiotics to a patient with sepsis, what is an essential action to prevent complications? Rotating the IV site every 24 hours Using a larger gauge needle Checking drug compatibility Administering a test dose first None 5. FNP: Implementation When teaching a patient with asthma about the correct use of a peak flow meter, which of the following is the most important to emphasize? Use the meter after taking bronchodilators Record the highest of three readings Use the meter before breakfast Rinse the mouth after using the meter None 6. FNP: Implementation For a patient starting anticoagulation therapy with warfarin, what is an essential dietary education point? Increase intake of green leafy vegetables Maintain a consistent intake of Vitamin K Avoid foods high in vitamin D Increase fluid intake None 7. FNP: Implementation A nurse is implementing a fall prevention protocol in a geriatric ward. What strategy is most effective? Install bed alarms for all patients Conduct hourly rounds Provide non-slip socks to all patients Place all high-risk patients close to the nursing station None 8. FNP: Implementation In managing a diabetic foot ulcer, what is a critical component of the treatment plan? Daily hydrocolloid dressing change Weekly debridement by a specialist Biweekly glucose monitoring Monthly vascular assessments None 9. FNP: Implementation When educating a patient with hypertension about lifestyle modifications, which recommendation is most likely to impact blood pressure control? Limit sodium intake to less than 2,300 mg per day Exercise for 30 minutes five days a week Limit alcohol intake to one drink per day Achieve and maintain a healthy weight None 10. FNP: Implementation For a patient receiving chemotherapy, what is a crucial nursing intervention to manage side effects? Administer antiemetics before chemotherapy Increase the rate of infusion to decrease time of exposure Monitor white blood cell count once per month Encourage intake of raw vegetables for nutrition None 11. FNP: Implementation For a patient with severe rheumatoid arthritis, what is the most effective nursing intervention to enhance mobility and reduce pain? Administer NSAIDs only when pain is severe Recommend total bed rest during flare-ups Apply hot and cold treatments periodically Encourage gentle, regular physical therapy None 12. FNP: Implementation A nurse is caring for a patient who is post-operative day one following a colectomy. What is the most important intervention to prevent post-operative complications? Encourage the patient to remain in bed Administer pain medication intravenously Encourage deep breathing and use of an incentive spirometer Monitor blood pressure every four hours None 13. FNP: Implementation In managing care for a patient with acute renal failure, what is the priority nursing intervention? Increase protein intake to support renal function Monitor fluid intake and output carefully Encourage high potassium foods Schedule dialysis bi-weekly None 14. FNP: Implementation For a patient with a history of myocardial infarction who is experiencing emotional stress, which intervention should a nurse prioritize? Schedule more frequent cardiac evaluations Teach stress reduction techniques, such as deep breathing and meditation Increase the dosage of beta-blockers Recommend limiting physical activity None 15. FNP: Implementation In preparing a patient for radiation therapy for breast cancer, what is an essential nursing intervention? Advise the patient to avoid using deodorant on the affected area Recommend a high-fat diet to increase energy Encourage the patient to wear tight-fitting clothes over the area Increase fluid intake only post-treatment None 16. FNP: Implementation A nurse is implementing dietary adjustments for a patient with hyperlipidemia. Which advice is most effective in lowering LDL cholesterol? Increase intake of saturated fats Incorporate more soluble fiber into the diet Focus on a diet high in protein Eliminate all fats from the diet None 17. FNP: Implementation When planning care for a patient with bipolar disorder during a manic episode, which intervention is crucial? Decrease stimulation in the environment Encourage frequent social interactions Provide detailed and complex instructions Offer choices for every decision None 18. FNP: Implementation For a pediatric patient with asthma, what is a critical aspect of the education plan to ensure safety at school? Teach how to use a metered-dose inhaler with a spacer Instruct on avoiding all physical activity Suggest keeping windows closed at all times Recommend transferring to a school with a full-time nurse None 19. FNP: Implementation For a patient with chronic kidney disease, what dietary advice should the nurse emphasize to manage electrolyte imbalances? Increase consumption of bananas and oranges Limit intake of high-potassium foods Encourage high-protein diets Increase intake of fluid None 20. FNP: Implementation A nurse is planning care for an elderly patient with urinary incontinence. Which intervention should be included to minimize episodes of incontinence? Decrease fluid intake during the evening hours Encourage caffeine consumption to increase diuresis Prescribe diuretics to be taken at bedtime Limit bathroom visits to specific times None 21. FNP: Implementation When teaching a patient how to manage a new stoma post-colostomy, what is the most important information to provide? How to apply and remove the ostomy bag The schedule for routine colonoscopy screenings Recommendations for dietary changes Techniques for abdominal muscle strengthening None 22. FNP: Implementation For a patient with severe anxiety, which nursing action is most effective in managing acute anxiety attacks? Teach the patient to recognize triggers and use cognitive-behavioral techniques Encourage the patient to avoid situations that provoke anxiety Administer sedatives regularly, regardless of symptoms Recommend complete social isolation until anxiety is under control None 23. FNP: Implementation A nurse is implementing a plan of care for a patient recovering from a myocardial infarction. Which activity level should be recommended initially? Bed rest with bathroom privileges only Light exercise such as walking, starting with short distances Immediate return to regular exercise to strengthen the heart High-intensity interval training to quickly regain stamina None 24. FNP: Implementation In educating a patient about the administration of subcutaneous insulin, what is the most important technique to demonstrate? Rotating the injection sites Using the same injection site to reduce discomfort Injecting directly into muscle to increase absorption Applying pressure after injection to prevent bleeding None 25. FNP: Implementation When planning care for a patient with dementia, what intervention is key to minimizing disorientation? Keeping the environment brightly lit at all times Frequently rearranging the furniture Maintaining a consistent routine and environment Encouraging visits from unfamiliar people None 26. FNP: Implementation For a patient undergoing chemotherapy, what is a crucial intervention for managing mucositis? Encourage the consumption of spicy foods to stimulate healing Use a hard-bristled toothbrush for dental hygiene Rinse the mouth with a saline solution frequently Avoid oral hydration to reduce discomfort None 27. FNP: Implementation What is the most effective strategy for preventing deep vein thrombosis (DVT) in a postoperative patient confined to bed? Keep the patient on strict bed rest Administer anticoagulant medication as prescribed Perform lower leg exercises once per week Apply heat packs to the legs daily None 28. FNP: Implementation In preparing a diabetic patient for self-management at home, which educational point is critical? Checking blood sugar once a week Recognizing signs of hyperglycemia and hypoglycemia Eliminating carbohydrates entirely from the diet Using the same site for insulin injections None 29. FNP: Implementation A nurse is instructing a patient with congestive heart failure on fluid restriction. Which statement by the nurse is most appropriate? "Drink at least 3 liters of water daily to stay hydrated." "Limit fluid intake to less than 2 liters per day as prescribed." "Only drink fluids when you feel thirsty." "Fluid restriction is not necessary unless you experience swelling." None 30. FNP: Implementation For a patient with severe burns, what is the priority nursing intervention? Applying topical antibiotics once per day Encouraging ambulation within the first 24 hours Ensuring adequate nutrition and hydration Using alcohol-based cleansers on the burn area None 31. FNP: Implementation When managing a patient with severe depression who refuses to eat, which intervention should be prioritized? Enforce a strict meal schedule Initiate total parenteral nutrition immediately Offer high-calorie, nutrient-dense foods Provide a detailed lecture on the importance of nutrition None 32. FNP: Implementation For a patient with a terminal illness, what is the most appropriate nursing action to support quality of life? Discourage discussions about death Focus solely on physical symptoms Implement comprehensive palliative care Limit family visits to reduce stress None 33. FNP: Implementation In teaching a patient with hypertension about necessary lifestyle changes, which recommendation is the most effective? Increase sodium intake to improve flavor in diet Engage in aerobic exercise for 150 minutes per week Sleep no more than 6 hours per night Avoid all forms of stress None 34. FNP: Implementation When planning post-operative care for a patient after hip replacement surgery, what is an essential nursing intervention? Encourage immediate weight-bearing on the affected leg Keep the legs in a dependent position to promote blood flow Teach the patient to perform leg exercises to prevent blood clots Instruct the patient to stay in bed for several days post-surgery None 35. FNP: Implementation When educating a patient on managing chronic pain with opioid medications, what is the most important safety information to provide? Increase dosage at will when pain escalates Avoid driving or operating heavy machinery Take medication with alcohol for enhanced effect Store medication in visible areas for easy access None 36. FNP: Implementation For a patient with acute otitis media, what is an essential intervention to relieve pain and facilitate drainage? Prescribe antibiotics as a first-line treatment Apply a warm compress to the affected ear Encourage the insertion of cotton swabs into the ear canal Recommend total silence in the environment None 37. FNP: Implementation A nurse is implementing a smoking cessation plan for a patient with chronic bronchitis. What is the most effective strategy to enhance long-term cessation success? Recommend quitting "cold turkey" Prescribe a nicotine replacement therapy Advise reducing the number of cigarettes gradually Suggest smoking only low-tar cigarettes None 38. FNP: Implementation In managing a patient with postpartum depression, what is the priority nursing intervention? Encourage complete rest and isolation until symptoms improve Initiate antidepressant therapy and regular psychiatric follow-ups Recommend the cessation of breastfeeding to alleviate hormonal influences Suggest frequent visits from large groups to improve social interaction None 39. FNP: Implementation For a patient with advanced liver disease, what dietary recommendation is crucial to prevent further complications? High protein diet to repair liver cells Low sodium diet to prevent fluid accumulation Increased fat intake for energy High carbohydrate diet to increase glycogen stores None 40. FNP: Implementation In teaching a patient about the management of systemic lupus erythematosus (SLE), which advice should the nurse prioritize to minimize flare-ups? Exposure to sunlight for vitamin D synthesis Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs) Adherence to prescribed immunosuppressive medications High-intensity exercise to boost energy levels None 1 out of 40 Time is Up! Time's up
