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 Call the health care provider to get orders.
D Assess blood pressure with the client lying supine.
Question #2
A planning
B evaluation
C collaborative problems
D nursing assessment
Question #3
A Suggesting
B Clarification
C Reflection
D Focusing
Question #4
A Encourage the client to turn, deep breathe, and cough every 2 hours.
B Check all nasal drainage for glucose.
C Limit visitors and encourage a quiet environment.
D Keep the head of the bed elevated 30°.
Question #5
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 Recording the size and appearance of a decubitus ulcer
D Measuring the circumference of a patient’s calf for edema
Question #6
A Assessing the degree of lower leg edema in a patient on bed rest
B Measuring the circumference of a patient’s calf for edema
C Recording the size and appearance of a decubitus ulcer
D Obtaining vital signs for a patient that has been hospitalized for 3 days
Question #7
A Reviewing the health record, documenting client goals, identifying the etiology of the nursing problem, and evaluating treatment outcomes
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 Obtaining vital signs and pain scale rating,,documenting the nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level
Question #8
A Evaluate the decision in terms of effects and results.
B Follow through on the decision that has been made
C Keep detailed documentation of the entire decision-making process.
D Survey other healthcare professionals to see if they agree with the decision.
Question #9
A twice per shift
B once upon arrival and every 2 hours afterward
C once upon arrival and 1hour later
D as often as needed
Question #10
A Data collection
B Assessment
C Evaluation
D Analysis
Question #11
A Monitor intake and output every 4 hours.
B Order a heparin bolus.
C Consider discharge placement.
D Assess the respiratory status every 4 hours.
Question #12
A Instructing the client to add low-dose aspirin to daily medication regimen
B Monitoring the platelet count
C Increasing the patient’s injections for pain control
D Monitoring for signs of abnormal bleeding
E Instructing the client to use a soft toothbrush
Question #13
A Assess oxygen saturation level
B Assess client for dependent edema
C Organize activities to provide frequent rest periods
D Instructing the client to use an electric razor
E Weigh client daily at the same time
Question #14
A Living will
B Durable power of attorney (DPOA) for healthcare
C Do-not-resuscitate order (DNR)
D Power of attorney
Question #15
A civil law
B common law
C ethics
D administrative law
Question #16
A intervention
B assessment
C monitoring
D documentation
Question #17
A step-by-step planning of client care
B identification and definition of the client’s health problem(s)
C carrying out the steps in the written plan of care
D careful observation and evaluation of a client’s health status
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 Using bias to achieve goals
B Determining nurse-specific outcomes
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 achieved, the problem is solved, and the nursing orders are discontinued.
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 not achieved, and the plan requires critical reevaluation and revision.
Question #21
A It considers only the client’s needs.
B It makes judgments based on conjecture.
C It is guided by professional standards and codes of ethics.
D It is based on the medical model.
Question #22
A are well thought out.
B concern the treatment of others.
C take priority over other values.
D are consistent.
Question #23
A advance directive
B consent form
C do-not-resuscitate order
D durable power of attorney
Question #24
A Assessment
B Data collection
C Analysis
D Evaluation
Question #25
A “Most women your age have some kind of cancer.”
B “Your physician can tell you more about it.”
C “You sound concerned about what the physicians will tell you.”
D “We don’t know for sure until you undergo more tests.”
Question #26
A Immediate goal
B Long-term goal
C Independent goal
D Intermediate 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 must focus on wellness issues.
B requires a physician’s order.
C must be approved by the physician.
D is an independent function of nursing practice.
Question #31
A The health care provider
B The healt care provider’s office nurse
C The nurse
D The nurse manager
Question #32
A Interviewing and obtaining a nursing history
B Collecting and analyzing data
C Developing outcome criteria
D Evaluation of the patient’s response to a medication
E Observing for altered symptomatology
Question #33
A Providing education related to growth and development to a blended family with children of different ages
B Providing education related to lead poisoning to a single parent of a 4-year-old child
C Providing fertility counseling to a young family with a 2-year-old child with cystic fibrosis
D Providing family counseling to a same-sex couple that just adopted a 5-year-old with attention deficit hyperactivity disorder (ADHD)
Question #34
A Autonomy
B Fidelity
C Nonmaleficence
D Beneficence
Question #35
A Fidelity
B Beneficence
C Nonmaleficence
D Autonomy
Question #36
A Evaluation
B Assessment
C Implementation
D Planning
Question #37
A Analysis
B Evaluation
C Data collection
D Assessment
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 Interpretation
B Analysis
C Inference
D Explanation
Question #40
A Keep detailed documentation of the entire decision-making process.
B Survey other healthcare professionals to see if they agree with the decision.
C Evaluate the decision in terms of effects and results.
D Follow through on the decision that has been made.
Question #41
A minimize the time spent with each client, so the overall operations of the ER will be more efficient.
B communicate each client’s status more efficiently to the attending physician.
C consider all factors, interpret the information, and make decisions relevant to each client’s care.
D delegate tasks to other ER staff, thereby freeing up more time to care for clients presenting with true emergencies.
Question #42
A third: love and belonging needs
B fourth: esteem and self-esteem needs
C second: safety and security needs
D fifth: self-actualization needs
Question #43
A informing about the proper injection technique
B reflecting the client’s feelings about his question
C providing a URL for a website that demonstrates proper injection technique
D demonstrating the proper injection technique
Question #44
A Utilitarianism
B Moral thinking
C Rationalism
D Critical thinking
Question #45
A Administer pain medication to a client before transportation to physical therapy for crutch-walking exercises.
B Help a client walk to the shower because the shower area is vacant at this time.
C Interrupt a family’s visit with client with depression to assess blood pressure measurement.
D Discourage a terminally ill client from participating in a plan of care, to minimize fears about death.
Question #46
A Sleep-pattern disturbances
B Fluid volume excess
C Fever of unknown origin
D Risk for falls
Question #47
A Autonomy
B Paternalism
C Beneficence
D Fidelity
Question #48
A coordinate with resources for client support
B offer nutritional counseling
C schedule a family meeting
D administer immunosuppressant
Question #49
A Veracity
B Fidelity
C Morality
D Ethics
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 client must have been depressed and wanted to commit suicide.”
D “The previous shift should have notified the physician that the client was suicidal.”
Question #51
A Living will
B Durable power of attorney (DPOA) for healthcare
C Do-not-resuscitate order (DNR)
D Power of attorney
Question #52
A Self-actualization
B Physiologic
C Love and belonging
D Esteem and self-esteem
Question #53
A risk
B problem-focused
C syndrome
D health promotion
Question #54
A Beneficence
B Trust
C Autonomy
D Justice
Question #55
A Diagnosis
B Planning
C Assessment
D Implementation
Question #56
A Identify measurable outcomes
B Carry out the nursing orders
C Complete health history
D Identify collaborative problems