PNC Mid-term Exam Questions And
Verified Answers
A nurse is responsible for four patients who are to receive medication. Which
patient should receive medication first?
A patient with labored respirations receiving a stat dose of IV Lasix
A client with CHF is having difficulty breathing. Before leaving the room, the
nurse ensures the client has an overbed table to lean on when awake if needed
to ease breathing. Which technique did the nurse use to make this decision?
Critical thinking
A post-op client prescribed pain meds every 4 to 6 hours is requesting
medication every 6 hours. At every 4 hours the client's pain level is 8 on a rating
scale of 1 to 10. The nurse decides to give the pain medication now. What does
the nurse's action exemplify?
Responding to a change in the client's condition
A client with aspiration pneumonia is diaphoretic, pale, and taking gasping
breaths. Which is the priority nursing action?
Complete a thorough cardiopulmonary assessment
The nurse is taking the time to reflect on a care situation in which a client
sustained cardiac arrest and died. On which areas should the nurse focus when
performing this reflection? Select all that apply.
Things that could have been done differently.
Things that were done well.
, Resources that were used at the time.
Resources that were needed but not available.
During a health history, the client becomes upset because the nurse is asking
many questions. Which response by the nurse is the most appropriate in this
situation?
"I use the answers to determine your current health needs"
The nurse is conducting a class for a group of expectant mothers regarding basic
infant care and techniques. Which goal will allow the nurse to best evaluate the
mothers' learning?
The mothers will be able to provide a return demonstration of a bath on a
newborn doll.
Which statements accurately reflect the distinction between nursing diagnoses
and medical diagnoses? Select all that apply
- A nursing diagnosis changes as the client's responses to an illness or health
situation change, a medical diagnosis remains the same as long as the disease
process persists.
-A nursing diagnosis describes a client's physical, sociocultural, psychological, and
spiritual responses to an illness or health conditions; a medical diagnosis refers to
disease processes
A nurse enters a client's room to evaluate the response to IV pain medication
administered by request 20 minutes earlier. The nurse finds the client in the
same position as when the medication was administered. The client states "I do
not want to move." The nurse asks the client to rate the current level of pain.
Which aspects of the nursing process do these actions represent? Select all that
apply.
-assessment
-implementation
-evaluation
Verified Answers
A nurse is responsible for four patients who are to receive medication. Which
patient should receive medication first?
A patient with labored respirations receiving a stat dose of IV Lasix
A client with CHF is having difficulty breathing. Before leaving the room, the
nurse ensures the client has an overbed table to lean on when awake if needed
to ease breathing. Which technique did the nurse use to make this decision?
Critical thinking
A post-op client prescribed pain meds every 4 to 6 hours is requesting
medication every 6 hours. At every 4 hours the client's pain level is 8 on a rating
scale of 1 to 10. The nurse decides to give the pain medication now. What does
the nurse's action exemplify?
Responding to a change in the client's condition
A client with aspiration pneumonia is diaphoretic, pale, and taking gasping
breaths. Which is the priority nursing action?
Complete a thorough cardiopulmonary assessment
The nurse is taking the time to reflect on a care situation in which a client
sustained cardiac arrest and died. On which areas should the nurse focus when
performing this reflection? Select all that apply.
Things that could have been done differently.
Things that were done well.
, Resources that were used at the time.
Resources that were needed but not available.
During a health history, the client becomes upset because the nurse is asking
many questions. Which response by the nurse is the most appropriate in this
situation?
"I use the answers to determine your current health needs"
The nurse is conducting a class for a group of expectant mothers regarding basic
infant care and techniques. Which goal will allow the nurse to best evaluate the
mothers' learning?
The mothers will be able to provide a return demonstration of a bath on a
newborn doll.
Which statements accurately reflect the distinction between nursing diagnoses
and medical diagnoses? Select all that apply
- A nursing diagnosis changes as the client's responses to an illness or health
situation change, a medical diagnosis remains the same as long as the disease
process persists.
-A nursing diagnosis describes a client's physical, sociocultural, psychological, and
spiritual responses to an illness or health conditions; a medical diagnosis refers to
disease processes
A nurse enters a client's room to evaluate the response to IV pain medication
administered by request 20 minutes earlier. The nurse finds the client in the
same position as when the medication was administered. The client states "I do
not want to move." The nurse asks the client to rate the current level of pain.
Which aspects of the nursing process do these actions represent? Select all that
apply.
-assessment
-implementation
-evaluation
