NUR 218 Exam 2 PQs Questions With Complete Solutions
A 56-year-old man who has been staying at a cabin while
hunting arrives at the emergency department with complaints of
dizziness, light-headedness, and nausea. What does the nurse
initially suspect?
a. Lead poisoning
b. Radon exposure
c. Food poisoning
d. Carbon monoxide poinsoning Correct Answers d
A 57-year-old male patient who was hospitalized with an
admitting blood pressure of 240/120 asked the nurse if his
family could bring in some meat and vegetable dishes from
home. He explained that he cannot eat the foods on the hospital
menu, because it is summer and the hospital is only offering
chicken and fish, which in his culture are "hot" foods that will
interfere with his healing. Which response by the nurse would
best demonstrate an application of Leininger's theory?
a. Discourage the family from bringing in food, explaining that
the idea of "hot" and "cold" foods is a superstition without
scientific basis.
b. Negotiate home-prepared food options with the patient and
his family to ensure that treatment for the patient's blood
pressure is supported.
c. Explain that the patient will need to have home-prepared
foods evaluated by the dietary staff to ensure that they are
acceptable options.
d. Tell the family Correct Answers b
,A hospital has just implemented the use of electronic health
records (EHRs). While learning to use this new system, the
nurse realizes that EHRs may do which of the following?
a. Limit access to the patient record to one person at a time
b. Improve access to patient information at the point of care
c. Negate the use of nursing documentation
d. Increase the potential for medication errors Correct Answers
b
A hospitalized patient experiences a sharp, stabbing pain while
visiting with his spouse. Both the patient and his wife become
very concerned, and the patient's call light is activated. What
referent initiated communication between the patient and the
nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light Correct Answers c
A new graduate nurse learns that the facility controls access to
electronic health records by which of the following?
a. Assignment of individual passwords
b. Job designation and duties
c. Human Resources as part of employment
d. Signed documents by the patient or family Correct Answers a
A new nurse is about to insert a nasogastric (NG) tube for the
first time but is not sure what equipment to gather or how to
begin the procedure. The patient is an 80-year-old woman who
is frightened and slightly confused. Which actions by the nurse
would best demonstrate caring? (Select all that apply.)
, a. Offer the patient pain medication to help her calm down.
b. Hold the patient's hand while inserting the nasogastric tube.
c. Speak calmly while explaining the procedure to the patient
beforehand.
d. Ask another, more experienced nurse for assistance before
initiating care.
e. Delay inserting the nasogastric tube until the patient's
husband comes to visit. Correct Answers c, d
A new nurse is caring for a patient who is restrained. Which
action shows a good understanding of caring for this patient?
a. Remove restraints q1h and inspect the skin.
b. Check on the patient every 30 minutes and ensure needs are
met.
c. Renew restraint orders every shift.
d. Remove restraints as soon as patient's condition allows.
Correct Answers d
A nurse has graduated from a nursing school and is participating
in a new graduate program at a local hospital as a continuing
socialization to the role of the nurse. At what level is the nurse
functioning at this point in the nurse's career?
a. Expert
b. Competent
c. Novice
d. Advanced beginner Correct Answers d
A nurse has just admitted a patient with a medical diagnosis of
congestive heart failure. When completing the admission paper
work, the nurse needs to record:
a.) An interpretation of patient behavior
, b.) Objective data that are observed
c.) Lengthy entry using lay terminology
d.) Abbreviations familiar to the nurse Correct Answers b
A nurse has performed a physical examination of the patient and
reviewed the laboratory results and diagnostics on the patient's
chart. The nurse is performing which specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy Correct Answers b
A nurse is assessing a patient who recently emigrated from
Japan and is a Buddhist. The patient told the nurse that normally
daily meditation and walking are part of a daily routine. Which
questions would be important for the nurse to ask before
planning and implementing nursing care? (Select all that apply.)
a. What have you done to cope with your health problem?
b. What do you call your health problem?
c. What concerns you most about the recommended treatment
plan?
d. What do you think caused your health problem?
e. What is the significance of walking daily? Correct Answers
a, b, c, d
A nurse is caring for a patient who is admitted to the ER with a
BP of 266/147. The patient reports a headache and states that
she is seeing double. The patient states that she ran out of her
Cardizem 3 days ago, and she has not been able to purchase
more. Which of the following nursing interventions should the
nurse expect to perform first?
A 56-year-old man who has been staying at a cabin while
hunting arrives at the emergency department with complaints of
dizziness, light-headedness, and nausea. What does the nurse
initially suspect?
a. Lead poisoning
b. Radon exposure
c. Food poisoning
d. Carbon monoxide poinsoning Correct Answers d
A 57-year-old male patient who was hospitalized with an
admitting blood pressure of 240/120 asked the nurse if his
family could bring in some meat and vegetable dishes from
home. He explained that he cannot eat the foods on the hospital
menu, because it is summer and the hospital is only offering
chicken and fish, which in his culture are "hot" foods that will
interfere with his healing. Which response by the nurse would
best demonstrate an application of Leininger's theory?
a. Discourage the family from bringing in food, explaining that
the idea of "hot" and "cold" foods is a superstition without
scientific basis.
b. Negotiate home-prepared food options with the patient and
his family to ensure that treatment for the patient's blood
pressure is supported.
c. Explain that the patient will need to have home-prepared
foods evaluated by the dietary staff to ensure that they are
acceptable options.
d. Tell the family Correct Answers b
,A hospital has just implemented the use of electronic health
records (EHRs). While learning to use this new system, the
nurse realizes that EHRs may do which of the following?
a. Limit access to the patient record to one person at a time
b. Improve access to patient information at the point of care
c. Negate the use of nursing documentation
d. Increase the potential for medication errors Correct Answers
b
A hospitalized patient experiences a sharp, stabbing pain while
visiting with his spouse. Both the patient and his wife become
very concerned, and the patient's call light is activated. What
referent initiated communication between the patient and the
nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light Correct Answers c
A new graduate nurse learns that the facility controls access to
electronic health records by which of the following?
a. Assignment of individual passwords
b. Job designation and duties
c. Human Resources as part of employment
d. Signed documents by the patient or family Correct Answers a
A new nurse is about to insert a nasogastric (NG) tube for the
first time but is not sure what equipment to gather or how to
begin the procedure. The patient is an 80-year-old woman who
is frightened and slightly confused. Which actions by the nurse
would best demonstrate caring? (Select all that apply.)
, a. Offer the patient pain medication to help her calm down.
b. Hold the patient's hand while inserting the nasogastric tube.
c. Speak calmly while explaining the procedure to the patient
beforehand.
d. Ask another, more experienced nurse for assistance before
initiating care.
e. Delay inserting the nasogastric tube until the patient's
husband comes to visit. Correct Answers c, d
A new nurse is caring for a patient who is restrained. Which
action shows a good understanding of caring for this patient?
a. Remove restraints q1h and inspect the skin.
b. Check on the patient every 30 minutes and ensure needs are
met.
c. Renew restraint orders every shift.
d. Remove restraints as soon as patient's condition allows.
Correct Answers d
A nurse has graduated from a nursing school and is participating
in a new graduate program at a local hospital as a continuing
socialization to the role of the nurse. At what level is the nurse
functioning at this point in the nurse's career?
a. Expert
b. Competent
c. Novice
d. Advanced beginner Correct Answers d
A nurse has just admitted a patient with a medical diagnosis of
congestive heart failure. When completing the admission paper
work, the nurse needs to record:
a.) An interpretation of patient behavior
, b.) Objective data that are observed
c.) Lengthy entry using lay terminology
d.) Abbreviations familiar to the nurse Correct Answers b
A nurse has performed a physical examination of the patient and
reviewed the laboratory results and diagnostics on the patient's
chart. The nurse is performing which specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy Correct Answers b
A nurse is assessing a patient who recently emigrated from
Japan and is a Buddhist. The patient told the nurse that normally
daily meditation and walking are part of a daily routine. Which
questions would be important for the nurse to ask before
planning and implementing nursing care? (Select all that apply.)
a. What have you done to cope with your health problem?
b. What do you call your health problem?
c. What concerns you most about the recommended treatment
plan?
d. What do you think caused your health problem?
e. What is the significance of walking daily? Correct Answers
a, b, c, d
A nurse is caring for a patient who is admitted to the ER with a
BP of 266/147. The patient reports a headache and states that
she is seeing double. The patient states that she ran out of her
Cardizem 3 days ago, and she has not been able to purchase
more. Which of the following nursing interventions should the
nurse expect to perform first?
