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