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