EXAM 1- NURS 180 QUESTIONS WITH COMPLETE
SOLUTIONS
A client diagnosed with advanced lung cancer has a nursing
concern of insufficient coping. What assessment data provide
evidence to the nurse for this diagnosis?
The client asks about hospice services.
The client makes funeral plans.
The client states, "I am sure the doctors have misdiagnosed me."
The client states, "I hope that I am able to attend my child's
wedding." Correct Answers The client states, "I am sure the
doctors have misdiagnosed me."
A client is postoperative day 1 and the nurse's assessment
reveals signs of pain, such as grimacing and guarding. Which is
the most reliable method for assessing the client's pain?
Assess and document the client's behaviors over a period of
hours.
Compare the client's presentation to expected outcomes at this
point in recovery.
Ask the client to describe and rate their pain.
Correlate the client's vital signs with their symptoms. Correct
Answers Ask the client to describe and rate their pain.
, A client presents to the emergency department with a
temperature of 100.6°F (38.1°C) and blood pressure of 108/60
mm Hg. What intervention does the nurse anticipate providing?
acetaminophen
oral fluids
ibuprofen
cooling blanket Correct Answers oral fluids
A client with diabetes mellitus has been admitted to the hospital
in diabetic ketoacidosis. During the admission assessment of the
client, the nurse learns that the client is not following the
prescribed therapeutic regimen. The client states, "I do not really
have diabetes. My health care provider overreacts." What is the
most appropriate concern to plan care for this client's health
problem?
unstable blood glucose risk associated with client's reluctance to
manage the diabetes regimen
insufficient health maintenance associated with client's denial of
illness
injury risk associated with client's mismanagement of disease
insufficient coping associated with client's inability to manage
the diabetes regimen Correct Answers insufficient health
maintenance associated with client's denial of illness
SOLUTIONS
A client diagnosed with advanced lung cancer has a nursing
concern of insufficient coping. What assessment data provide
evidence to the nurse for this diagnosis?
The client asks about hospice services.
The client makes funeral plans.
The client states, "I am sure the doctors have misdiagnosed me."
The client states, "I hope that I am able to attend my child's
wedding." Correct Answers The client states, "I am sure the
doctors have misdiagnosed me."
A client is postoperative day 1 and the nurse's assessment
reveals signs of pain, such as grimacing and guarding. Which is
the most reliable method for assessing the client's pain?
Assess and document the client's behaviors over a period of
hours.
Compare the client's presentation to expected outcomes at this
point in recovery.
Ask the client to describe and rate their pain.
Correlate the client's vital signs with their symptoms. Correct
Answers Ask the client to describe and rate their pain.
, A client presents to the emergency department with a
temperature of 100.6°F (38.1°C) and blood pressure of 108/60
mm Hg. What intervention does the nurse anticipate providing?
acetaminophen
oral fluids
ibuprofen
cooling blanket Correct Answers oral fluids
A client with diabetes mellitus has been admitted to the hospital
in diabetic ketoacidosis. During the admission assessment of the
client, the nurse learns that the client is not following the
prescribed therapeutic regimen. The client states, "I do not really
have diabetes. My health care provider overreacts." What is the
most appropriate concern to plan care for this client's health
problem?
unstable blood glucose risk associated with client's reluctance to
manage the diabetes regimen
insufficient health maintenance associated with client's denial of
illness
injury risk associated with client's mismanagement of disease
insufficient coping associated with client's inability to manage
the diabetes regimen Correct Answers insufficient health
maintenance associated with client's denial of illness
