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