NSG 100 Exam #1 Review Questions With Complete
Solutions
A client with an upper respiratory infection is receiving
radiation treatments. What is the reason the nurse explains the
risk of infection to the client?
A.Radiation only kills the targeted cells.
B.Radiation is lethal to only cancerous cells.
C.Radiation is only destructive to tissue.
D.Radiation kills both cancerous and healthy cells. Correct
Answers ANS: D
Some medical therapies may predispose an individual to
infection. Radiation treatments for cancer destroy not only
cancerous cells but also some normal cells, thereby rendering
the client more vulnerable to infection.
A client with Parkinson disease is working to improve fine
motor skills, especially for completing activities of daily living.
Which intervention would be considered a collaborative
intervention?
A.Provide assistance as needed with dressing and grooming.
B.Reinforce education on the use of assistive devices provided
by physical therapy.
C.Make sure lighting and space are adequate for the client.
D.Administer medications to improve muscle tone. Correct
Answers ANS: B
Collaborative interventions are actions the nurse carries out with
other health team members such as physical therapists, social
workers, dietitians, and physicians. Collaborative nursing
,activities reflect the overlapping responsibilities of, and collegial
relationships among, healthcare personnel. Providing assistive
devices and educating the client on their proper use would fall
into the discipline of physical/occupational therapy, although the
nurse will have to assist with reinforcing the teaching and
information. Providing assistance and attending to the client's
space would be independent interventions. Administering
medications would be a dependent intervention.
A nurse completes an initial assessment of a client. The nurse
clusters related data, recognizes a pattern, signs and symptoms
and determines a diagnosis. The nurse is engaged in which step
of Tanner's clinical judgment model?
A.Noticing
B.Interpreting
C.Responding
D.Reflecting Correct Answers ANS: B
The step of interpreting in Tanner's clinal judgment model
includes: Comparing and contrasting data, clustering related
information, recognizing inconsistencies, checking accuracy and
reliability, distinguishing relevant from irrelevant information
and determining the importance of information
A nurse in a long-term care facility is interviewing a new
resident. Which question should the nurse ask to assess the
client's risk of infection?
A."How would you rate your level of stress?"
B."How long did you live in your previous home?"
C."Are you a high-school graduate?"
,D."How have your previous infections been treated?" Correct
Answers ANS: A,D
The nature, number, and duration of physical and emotional
stressors can influence susceptibility to infection. Asking about
previous infections and their treatment will give helpful
information to assess the client's risk of infection. The facts
about education, and residence are not relevant.
A nurse is admitting a client who reports increased thirst and
fatigue. Which of the following actions should the nurse include
in the assessment step of the nursing process?
A.Take action to restore the client's health.
B.Ask the client when the condition started.
C.Reach a conclusion about the client's health status.
D.Set goals for the client's recovery. Correct Answers ANS: B
Assessment is the first step of the nursing process, where the
nurse gathers subjective and objective information about the
client's condition.
A nurse is caring for a group of clients. Which of the following
actions by the nurse demonstrates the use of critical thinking
skills?
A.Administer an influenza vaccine after asking a client about
allergies.
B.Check a client's armband before dispensing daily thyroid
medication to a client who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning
dose of insulin after checking her blood glucose level.
, D.Intervene after reviewing arterial blood gas results for a client
who is on mechanical ventilation. Correct Answers ANS: D
The nurse is using critical thinking when analyzing a client's
critical issues and then planning to intervene with an appropriate
action.
A nurse is developing a nursing diagnosis for a client. Which
information should she include?
A.Actions to achieve goals
B.Expected outcomes
C.Factors influencing the client's problem
D.Nursing history Correct Answers ANS: C
A nursing diagnosis is a written statement describing a client's
actual or potential health problem. It includes a specified
diagnostic label, factors that influence the client's problem, and
any signs or symptoms that help define the diagnostic label.
Actions to achieve goals are nursing interventions. Expected
outcomes are measurable behavioral goals that the nurse
develops during the planning step of the nursing process. The
nurse obtains a nursing history during the assessment step of the
nursing process.
A patient is admitted to the hospital with pneumonia. The nurse
develops a plan of care with a nursing diagnosis of Impaired Gas
Exchange related to inadequate ventilation secondary to
atelectasis.
Which goal includes all elements of a goal statement?
Solutions
A client with an upper respiratory infection is receiving
radiation treatments. What is the reason the nurse explains the
risk of infection to the client?
A.Radiation only kills the targeted cells.
B.Radiation is lethal to only cancerous cells.
C.Radiation is only destructive to tissue.
D.Radiation kills both cancerous and healthy cells. Correct
Answers ANS: D
Some medical therapies may predispose an individual to
infection. Radiation treatments for cancer destroy not only
cancerous cells but also some normal cells, thereby rendering
the client more vulnerable to infection.
A client with Parkinson disease is working to improve fine
motor skills, especially for completing activities of daily living.
Which intervention would be considered a collaborative
intervention?
A.Provide assistance as needed with dressing and grooming.
B.Reinforce education on the use of assistive devices provided
by physical therapy.
C.Make sure lighting and space are adequate for the client.
D.Administer medications to improve muscle tone. Correct
Answers ANS: B
Collaborative interventions are actions the nurse carries out with
other health team members such as physical therapists, social
workers, dietitians, and physicians. Collaborative nursing
,activities reflect the overlapping responsibilities of, and collegial
relationships among, healthcare personnel. Providing assistive
devices and educating the client on their proper use would fall
into the discipline of physical/occupational therapy, although the
nurse will have to assist with reinforcing the teaching and
information. Providing assistance and attending to the client's
space would be independent interventions. Administering
medications would be a dependent intervention.
A nurse completes an initial assessment of a client. The nurse
clusters related data, recognizes a pattern, signs and symptoms
and determines a diagnosis. The nurse is engaged in which step
of Tanner's clinical judgment model?
A.Noticing
B.Interpreting
C.Responding
D.Reflecting Correct Answers ANS: B
The step of interpreting in Tanner's clinal judgment model
includes: Comparing and contrasting data, clustering related
information, recognizing inconsistencies, checking accuracy and
reliability, distinguishing relevant from irrelevant information
and determining the importance of information
A nurse in a long-term care facility is interviewing a new
resident. Which question should the nurse ask to assess the
client's risk of infection?
A."How would you rate your level of stress?"
B."How long did you live in your previous home?"
C."Are you a high-school graduate?"
,D."How have your previous infections been treated?" Correct
Answers ANS: A,D
The nature, number, and duration of physical and emotional
stressors can influence susceptibility to infection. Asking about
previous infections and their treatment will give helpful
information to assess the client's risk of infection. The facts
about education, and residence are not relevant.
A nurse is admitting a client who reports increased thirst and
fatigue. Which of the following actions should the nurse include
in the assessment step of the nursing process?
A.Take action to restore the client's health.
B.Ask the client when the condition started.
C.Reach a conclusion about the client's health status.
D.Set goals for the client's recovery. Correct Answers ANS: B
Assessment is the first step of the nursing process, where the
nurse gathers subjective and objective information about the
client's condition.
A nurse is caring for a group of clients. Which of the following
actions by the nurse demonstrates the use of critical thinking
skills?
A.Administer an influenza vaccine after asking a client about
allergies.
B.Check a client's armband before dispensing daily thyroid
medication to a client who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning
dose of insulin after checking her blood glucose level.
, D.Intervene after reviewing arterial blood gas results for a client
who is on mechanical ventilation. Correct Answers ANS: D
The nurse is using critical thinking when analyzing a client's
critical issues and then planning to intervene with an appropriate
action.
A nurse is developing a nursing diagnosis for a client. Which
information should she include?
A.Actions to achieve goals
B.Expected outcomes
C.Factors influencing the client's problem
D.Nursing history Correct Answers ANS: C
A nursing diagnosis is a written statement describing a client's
actual or potential health problem. It includes a specified
diagnostic label, factors that influence the client's problem, and
any signs or symptoms that help define the diagnostic label.
Actions to achieve goals are nursing interventions. Expected
outcomes are measurable behavioral goals that the nurse
develops during the planning step of the nursing process. The
nurse obtains a nursing history during the assessment step of the
nursing process.
A patient is admitted to the hospital with pneumonia. The nurse
develops a plan of care with a nursing diagnosis of Impaired Gas
Exchange related to inadequate ventilation secondary to
atelectasis.
Which goal includes all elements of a goal statement?
