Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 3 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Check the client’s previous pulse rates to validate the findings.
B Ask a fellow nurse to double-check your pulse rate assessment.
C Assess blood pressure with the client lying supine.
D Call the health care provider to get orders.
Question #2
A collaborative problems
B planning
C evaluation
D nursing assessment
Question #3
A Reflection
B Suggesting
C Clarification
D Focusing
Question #4
A Limit visitors and encourage a quiet environment.
B Keep the head of the bed elevated 30°.
C Check all nasal drainage for glucose.
D Encourage the client to turn, deep breathe, and cough every 2 hours.
Question #5
A Assessing the degree of lower leg edema in a patient on bed rest
B Recording the size and appearance of a decubitus ulcer
C Measuring the circumference of a patient’s calf for edema
D Obtaining vital signs for a patient that has been hospitalized for 3 days
Question #6
A Measuring the circumference of a patient’s calf for edema
B Obtaining vital signs for a patient that has been hospitalized for 3 days
C Recording the size and appearance of a decubitus ulcer
D Assessing the degree of lower leg edema in a patient on bed rest
Question #7
A Obtaining vital signs and pain scale rating,,documenting the nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level
B Prioritizing client goals, documenting all health records precisely, conducting the health history, and documenting the nursing diagnosis
C Assessing for allergies, administering analgesic, obtaining baseline vital signs, and documenting the nursing diagnosis as acute pain
D Reviewing the health record, documenting client goals, identifying the etiology of the nursing problem, and evaluating treatment outcomes
Question #8
A Evaluate the decision in terms of effects and results.
B Follow through on the decision that has been made
C Survey other healthcare professionals to see if they agree with the decision.
D Keep detailed documentation of the entire decision-making process.
Question #9
A twice per shift
B once upon arrival and 1hour later
C once upon arrival and every 2 hours afterward
D as often as needed
Question #10
A Data collection
B Assessment
C Evaluation
D Analysis
Question #11
A Order a heparin bolus.
B Monitor intake and output every 4 hours.
C Consider discharge placement.
D Assess the respiratory status every 4 hours.
Question #12
A Monitoring the platelet count
B Monitoring for signs of abnormal bleeding
C Increasing the patient’s injections for pain control
D Instructing the client to use a soft toothbrush
E Instructing the client to add low-dose aspirin to daily medication regimen
Question #13
A Weigh client daily at the same time
B Assess oxygen saturation level
C Organize activities to provide frequent rest periods
D Assess client for dependent edema
E Instructing the client to use an electric razor
Question #14
A Power of attorney
B Durable power of attorney (DPOA) for healthcare
C Living will
D Do-not-resuscitate order (DNR)
Question #15
A civil law
B ethics
C administrative law
D common law
Question #16
A monitoring
B documentation
C assessment
D intervention
Question #17
A careful observation and evaluation of a client’s health status
B carrying out the steps in the written plan of care
C step-by-step planning of client care
D identification and definition of the client’s health problem(s)
Question #18
A reading the client’s records and doing research on the client’s conditions before deciding on a course of action
B consulting with other nurses to determine the first step of care
C contacting the physician before performing any tasks
D using a systematic method to plan and implement care to reach desired outcomes
Question #19
A Setting priorities with broad time constraints
B Drawing on past clinical experiences and knowledge to explain what is happening
C Determining nurse-specific outcomes
D Using bias to achieve goals
Question #20
A The outcome will be reassessed in 2 more days.
B The outcome is not met, but progress is being made, and the plan of care is continued .
C The outcome is achieved, the problem is solved, and the nursing orders are discontinued.
D The outcome is not achieved, and the plan requires critical reevaluation and revision.
Question #21
A It makes judgments based on conjecture.
B It considers only the client’s needs.
C It is guided by professional standards and codes of ethics.
D It is based on the medical model.
Question #22
A are consistent.
B take priority over other values.
C concern the treatment of others.
D are well thought out.
Question #23
A do-not-resuscitate order
B advance directive
C durable power of attorney
D consent form
Question #24
A Analysis
B Data collection
C Assessment
D Evaluation
Question #25
A “Most women your age have some kind of cancer.”
B “We don’t know for sure until you undergo more tests.”
C “Your physician can tell you more about it.”
D “You sound concerned about what the physicians will tell you.”
Question #26
A Independent goal
B Long-term goal
C Immediate goal
D Intermediate goal
Question #27
A Informing
B Silence
C Reflection
D Humor
Question #28
A A 6 cm x 4 cm wound with malodorous, yellow exudate
B The client’s wound will heal by 1 cm by the end of 5 days.
C Turn the client every 2 hours.
D The client’s wound has healed by 0.5 cm on day 3 of wound care.
Question #29
A Assessment
B Data collection
C Analysis
D Evaluation
Question #30
A must be approved by the physician.
B is an independent function of nursing practice.
C must focus on wellness issues.
D requires a physician’s order.
Question #31
A The nurse
B The healt care provider’s office nurse
C The health care provider
D The nurse manager
Question #32
A Observing for altered symptomatology
B Developing outcome criteria
C Collecting and analyzing data
D Interviewing and obtaining a nursing history
E Evaluation of the patient’s response to a medication
Question #33
A Providing family counseling to a same-sex couple that just adopted a 5-year-old with attention deficit hyperactivity disorder (ADHD)
B Providing fertility counseling to a young family with a 2-year-old child with cystic fibrosis
C Providing education related to lead poisoning to a single parent of a 4-year-old child
D Providing education related to growth and development to a blended family with children of different ages
Question #34
A Beneficence
B Fidelity
C Autonomy
D Nonmaleficence
Question #35
A Beneficence
B Autonomy
C Fidelity
D Nonmaleficence
Question #36
A Implementation
B Evaluation
C Assessment
D Planning
Question #37
A Data collection
B Assessment
C Analysis
D Evaluation
Question #38
A The client will have a staff member open all packages prior to all meals.
B The client will not lose any weight throughout the hospital stay.
C The client will demonstrate an interest in eating during the evening snack.
D The client will demonstrate an ability to feed himself with a spoon at the morning meal.
Question #39
A Inference
B Analysis
C Interpretation
D Explanation
Question #40
A Keep detailed documentation of the entire decision-making process.
B Evaluate the decision in terms of effects and results.
C Follow through on the decision that has been made.
D Survey other healthcare professionals to see if they agree with the decision.
Question #41
A delegate tasks to other ER staff, thereby freeing up more time to care for clients presenting with true emergencies.
B consider all factors, interpret the information, and make decisions relevant to each client’s care.
C communicate each client’s status more efficiently to the attending physician.
D minimize the time spent with each client, so the overall operations of the ER will be more efficient.
Question #42
A fourth: esteem and self-esteem needs
B third: love and belonging needs
C fifth: self-actualization needs
D second: safety and security needs
Question #43
A informing about the proper injection technique
B reflecting the client’s feelings about his question
C demonstrating the proper injection technique
D providing a URL for a website that demonstrates proper injection technique
Question #44
A Critical thinking
B Moral thinking
C Rationalism
D Utilitarianism
Question #45
A Help a client walk to the shower because the shower area is vacant at this time.
B Administer pain medication to a client before transportation to physical therapy for crutch-walking exercises.
C Discourage a terminally ill client from participating in a plan of care, to minimize fears about death.
D Interrupt a family’s visit with client with depression to assess blood pressure measurement.
Question #46
A Sleep-pattern disturbances
B Risk for falls
C Fever of unknown origin
D Fluid volume excess
Question #47
A Fidelity
B Beneficence
C Paternalism
D Autonomy
Question #48
A schedule a family meeting
B coordinate with resources for client support
C administer immunosuppressant
D offer nutritional counseling
Question #49
A Veracity
B Fidelity
C Ethics
D Morality
Question #50
A “The previous shift should have notified the physician that the client was suicidal.”
B “The client must have been depressed and wanted to commit suicide.”
C “Client observed standing on the window ledge; asked client to come down and proceeded to enter the room, and client jumped through the glass.”
D “I saw the client get ready to jump and was unable to get to him fast enough.”
Question #51
A Living will
B Do-not-resuscitate order (DNR)
C Durable power of attorney (DPOA) for healthcare
D Power of attorney
Question #52
A Physiologic
B Self-actualization
C Love and belonging
D Esteem and self-esteem
Question #53
A syndrome
B health promotion
C risk
D problem-focused
Question #54
A Autonomy
B Beneficence
C Justice
D Trust
Question #55
A Assessment
B Diagnosis
C Implementation
D Planning
Question #56
A Identify collaborative problems
B Carry out the nursing orders
C Complete health history
D Identify measurable outcomes