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 Ask a fellow nurse to double-check your pulse rate assessment.
D Call the health care provider to get orders.
Question #2
A nursing assessment
B collaborative problems
C planning
D evaluation
Question #3
A Reflection
B Clarification
C Suggesting
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 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 #6
A Assessing the degree of lower leg edema in a patient on bed rest
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 Measuring the circumference of a patient’s calf for edema
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 Reviewing the health record, documenting client goals, identifying the etiology of the nursing problem, and evaluating treatment outcomes
D Prioritizing client goals, documenting all health records precisely, conducting the health history, and documenting the nursing diagnosis
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 once upon arrival and every 2 hours afterward
B twice per shift
C once upon arrival and 1hour later
D as often as needed
Question #10
A Evaluation
B Assessment
C Analysis
D Data collection
Question #11
A Order a heparin bolus.
B Monitor intake and output every 4 hours.
C Assess the respiratory status every 4 hours.
D Consider discharge placement.
Question #12
A Monitoring the platelet count
B Instructing the client to add low-dose aspirin to daily medication regimen
C Increasing the patient’s injections for pain control
D Instructing the client to use a soft toothbrush
E Monitoring for signs of abnormal bleeding
Question #13
A Assess client for dependent edema
B Instructing the client to use an electric razor
C Organize activities to provide frequent rest periods
D Weigh client daily at the same time
E Assess oxygen saturation level
Question #14
A Power of attorney
B Living will
C Durable power of attorney (DPOA) for healthcare
D Do-not-resuscitate order (DNR)
Question #15
A ethics
B civil law
C common law
D administrative law
Question #16
A assessment
B documentation
C monitoring
D intervention
Question #17
A carrying out the steps in the written plan of care
B careful observation and evaluation of a client’s health status
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 Determining nurse-specific outcomes
C Using bias to achieve goals
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 is achieved, the problem is solved, and the nursing orders are discontinued.
D The outcome will be reassessed in 2 more days.
Question #21
A It is based on the medical model.
B It considers only the client’s needs.
C It is guided by professional standards and codes of ethics.
D It makes judgments based on conjecture.
Question #22
A concern the treatment of others.
B are well thought out.
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 Data collection
B Assessment
C Evaluation
D Analysis
Question #25
A “You sound concerned about what the physicians will tell you.”
B “Your physician can tell you more about it.”
C “We don’t know for sure until you undergo more tests.”
D “Most women your age have some kind of cancer.”
Question #26
A Long-term goal
B Intermediate goal
C Immediate goal
D Independent goal
Question #27
A Informing
B Silence
C Reflection
D Humor
Question #28
A Turn the client every 2 hours.
B A 6 cm x 4 cm wound with malodorous, yellow exudate
C The client’s wound will heal by 1 cm by the end of 5 days.
D The client’s wound has healed by 0.5 cm on day 3 of wound care.
Question #29
A Data collection
B Evaluation
C Assessment
D Analysis
Question #30
A requires a physician’s order.
B is an independent function of nursing practice.
C must be approved by the physician.
D must focus on wellness issues.
Question #31
A The healt care provider’s office nurse
B The health care provider
C The nurse
D The nurse manager
Question #32
A Evaluation of the patient’s response to a medication
B Interviewing and obtaining a nursing history
C Observing for altered symptomatology
D Collecting and analyzing data
E Developing outcome criteria
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 Nonmaleficence
C Beneficence
D Fidelity
Question #35
A Fidelity
B Nonmaleficence
C Beneficence
D Autonomy
Question #36
A Assessment
B Evaluation
C Planning
D Implementation
Question #37
A Analysis
B Data collection
C Assessment
D Evaluation
Question #38
A The client will demonstrate an ability to feed himself with a spoon at the morning meal.
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 have a staff member open all packages prior to all meals.
Question #39
A Inference
B Analysis
C Interpretation
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 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 fifth: self-actualization needs
C second: safety and security needs
D third: love and belonging needs
Question #43
A informing about 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 demonstrating the proper injection technique
Question #44
A Rationalism
B Utilitarianism
C Critical thinking
D Moral 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 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 Risk for falls
B Fever of unknown origin
C Sleep-pattern disturbances
D Fluid volume excess
Question #47
A Paternalism
B Fidelity
C Beneficence
D Autonomy
Question #48
A schedule a family meeting
B coordinate with resources for client support
C offer nutritional counseling
D administer immunosuppressant
Question #49
A Fidelity
B Ethics
C Veracity
D Morality
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 Do-not-resuscitate order (DNR)
B Durable power of attorney (DPOA) for healthcare
C Power of attorney
D Living will
Question #52
A Esteem and self-esteem
B Love and belonging
C Physiologic
D Self-actualization
Question #53
A health promotion
B problem-focused
C risk
D syndrome
Question #54
A Trust
B Beneficence
C Justice
D Autonomy
Question #55
A Assessment
B Planning
C Diagnosis
D Implementation
Question #56
A Identify collaborative problems
B Identify measurable outcomes
C Complete health history
D Carry out the nursing orders