NUR 337 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
What |is |Erin |Dodge's |"chief |complaint" |or |reason |why |she |came |to |the |hospital?
a. |weight |gain
b. |shortness |of |breath
c. |chest |pain
d. |heart |failure |- |CORRECT |ANSWER✔✔-shortness |of |breath
A |congestive |heart |failure |patient |has |gained |5 |pounds |in |2 |days. |Which |assessment |question |
by |the |nurse |is |most |appropriate?
a. |How |many |calories |a |day |do |you |consume?"
b. |"Are |you |having |difficulty |sleeping |at |night?"
c. |"How |many |times |a |day |do |you |urinate?"
d. |"Do |you |have |dry |mouth |or |feel |thirsty?" |- |CORRECT |ANSWER✔✔-c. |"how |many |times |a |
day |do |you |urinate?"
Which |of |the |following |is |an |effective |tactic |when |using |motivational |interviewing?
a. |Encourage |the |person |to |voice |both |reasons |why |not |to |change |as |well |as |why |change |
would |be |good.
b. |At |the |end |of |the |conversation |provide |a |summary |of |what |you |think |about |the |situation |
and |what |was |discussed.
c. |Encourage |person |to |just |push |through |ambivalence |and |move |to |the |next |step.
d. |Provide |a |list |of |possible |solutions |to |ensure |you |are |as |helpful |as |possible |- |CORRECT |
ANSWER✔✔-a. |encourage |the |person |to |voice |both |reasons |why |not |to |change |as |well |as |why
|change |would |be |good
,The |nurse |is |planning |to |implement |a |teaching |plan. |Which |one |of |the |following |factors |would
|be |considered |a |significant |barrier |to |patient |education |and |learning?
a. |High |school |education
b. |Poor |prognosis
c. |Pain |and |Anxiety
d. |Lack |of |a |caregiver |- |CORRECT |ANSWER✔✔-c. |pain |and |anxiety
Providing |patient |education |is |an |important |part |of |the |role |of |the |professional |nurse. |"Patient
|education" |as |a |term |fits |best |under |which |part |of |the |nursing |process?
| a. |Patient |outcome |
| b. |Evaluation |
| c. |Nursing |intervention |
| d. |Nursing |diagnosis |- |CORRECT |ANSWER✔✔-c. |Nursing |intervention
Before |your |shift |begins |you |read |through |Regina |Fields' |orders |and |surmise |that |an |important
|nursing |diagnosis |for |this |patient |will |be:
a. |Deficient |fluid |volume
b. |Excess |fluid |volume
c. |Impaired |physical |mobility
d. |Ineffective |airway |clearance |- |CORRECT |ANSWER✔✔-B. |excess |fluid |volume
Regina |was |in |a |car |accident |10 |days |ago |and |sustained |an |injury |to |her:
a. |Cervical |spinal |column
b. |Left |carotid |artery
c. |Left |femoral |artery
d. |Left |arm |- |CORRECT |ANSWER✔✔-c. |Left |femoral |artery
, A |young |adult |patient |scheduled |for |an |annual |physical |examination |arrives |in |the |clinic |
smelling |of |cigarette |smoke |and |carrying |a |pack |of |cigarettes. |Which |action |will |the |nurse |plan
|to |take |first?
a. |Avoid |confronting |the |patient |about |smoking |at |this |time, |making |a |separate |appointment |
to |go |over |smoking |cessation.
b. |Assess |the |patient's |readiness |for |change |by |listening |for |cues |such |as |contemplation |or |
discrepancy |between |actions |and |desires.
c. |Offer |multiple |options |and |resources |for |the |patient |to |choose |what |will |work |best |to |help |
them |stop |smoking.
d. |Wait |for |the |patient |to |start |the |discussion |about |quitting |smoking. |- |CORRECT |
ANSWER✔✔-b. |assess |the |patient's |readiness |for |change |by |listening |for |cues |such |as |
contemplation |or |discrepancy |between |actions |and |desires
The |nurse |is |having |difficulty |communicating |with |a |hospitalized |6-year-old |child. |What |
technique |may |be |most |helpful?
Suggest |that |the |parent |read |fairy |tales |to |the |child.
Ask |the |child |to |draw |a |picture.
Suggest |that |the |child |keep |a |diary.
Ask |the |parent |whether |the |child |is |always |uncommunicative. |- |CORRECT |ANSWER✔✔-Ask |the
|child |to |draw |a |picture
The |nurse |is |meeting |a |5-year-old |child |for |the |first |time |and |would |like |the |child |to |cooperate
|during |a |dressing |change.
The |nurse |decides |to |do |a |simple |magic |trick |using |gauze. |This |should |be |interpreted |as:
Acceptable, |if |there |is |adequate |time.
COMPLETE SOLUTIONS
What |is |Erin |Dodge's |"chief |complaint" |or |reason |why |she |came |to |the |hospital?
a. |weight |gain
b. |shortness |of |breath
c. |chest |pain
d. |heart |failure |- |CORRECT |ANSWER✔✔-shortness |of |breath
A |congestive |heart |failure |patient |has |gained |5 |pounds |in |2 |days. |Which |assessment |question |
by |the |nurse |is |most |appropriate?
a. |How |many |calories |a |day |do |you |consume?"
b. |"Are |you |having |difficulty |sleeping |at |night?"
c. |"How |many |times |a |day |do |you |urinate?"
d. |"Do |you |have |dry |mouth |or |feel |thirsty?" |- |CORRECT |ANSWER✔✔-c. |"how |many |times |a |
day |do |you |urinate?"
Which |of |the |following |is |an |effective |tactic |when |using |motivational |interviewing?
a. |Encourage |the |person |to |voice |both |reasons |why |not |to |change |as |well |as |why |change |
would |be |good.
b. |At |the |end |of |the |conversation |provide |a |summary |of |what |you |think |about |the |situation |
and |what |was |discussed.
c. |Encourage |person |to |just |push |through |ambivalence |and |move |to |the |next |step.
d. |Provide |a |list |of |possible |solutions |to |ensure |you |are |as |helpful |as |possible |- |CORRECT |
ANSWER✔✔-a. |encourage |the |person |to |voice |both |reasons |why |not |to |change |as |well |as |why
|change |would |be |good
,The |nurse |is |planning |to |implement |a |teaching |plan. |Which |one |of |the |following |factors |would
|be |considered |a |significant |barrier |to |patient |education |and |learning?
a. |High |school |education
b. |Poor |prognosis
c. |Pain |and |Anxiety
d. |Lack |of |a |caregiver |- |CORRECT |ANSWER✔✔-c. |pain |and |anxiety
Providing |patient |education |is |an |important |part |of |the |role |of |the |professional |nurse. |"Patient
|education" |as |a |term |fits |best |under |which |part |of |the |nursing |process?
| a. |Patient |outcome |
| b. |Evaluation |
| c. |Nursing |intervention |
| d. |Nursing |diagnosis |- |CORRECT |ANSWER✔✔-c. |Nursing |intervention
Before |your |shift |begins |you |read |through |Regina |Fields' |orders |and |surmise |that |an |important
|nursing |diagnosis |for |this |patient |will |be:
a. |Deficient |fluid |volume
b. |Excess |fluid |volume
c. |Impaired |physical |mobility
d. |Ineffective |airway |clearance |- |CORRECT |ANSWER✔✔-B. |excess |fluid |volume
Regina |was |in |a |car |accident |10 |days |ago |and |sustained |an |injury |to |her:
a. |Cervical |spinal |column
b. |Left |carotid |artery
c. |Left |femoral |artery
d. |Left |arm |- |CORRECT |ANSWER✔✔-c. |Left |femoral |artery
, A |young |adult |patient |scheduled |for |an |annual |physical |examination |arrives |in |the |clinic |
smelling |of |cigarette |smoke |and |carrying |a |pack |of |cigarettes. |Which |action |will |the |nurse |plan
|to |take |first?
a. |Avoid |confronting |the |patient |about |smoking |at |this |time, |making |a |separate |appointment |
to |go |over |smoking |cessation.
b. |Assess |the |patient's |readiness |for |change |by |listening |for |cues |such |as |contemplation |or |
discrepancy |between |actions |and |desires.
c. |Offer |multiple |options |and |resources |for |the |patient |to |choose |what |will |work |best |to |help |
them |stop |smoking.
d. |Wait |for |the |patient |to |start |the |discussion |about |quitting |smoking. |- |CORRECT |
ANSWER✔✔-b. |assess |the |patient's |readiness |for |change |by |listening |for |cues |such |as |
contemplation |or |discrepancy |between |actions |and |desires
The |nurse |is |having |difficulty |communicating |with |a |hospitalized |6-year-old |child. |What |
technique |may |be |most |helpful?
Suggest |that |the |parent |read |fairy |tales |to |the |child.
Ask |the |child |to |draw |a |picture.
Suggest |that |the |child |keep |a |diary.
Ask |the |parent |whether |the |child |is |always |uncommunicative. |- |CORRECT |ANSWER✔✔-Ask |the
|child |to |draw |a |picture
The |nurse |is |meeting |a |5-year-old |child |for |the |first |time |and |would |like |the |child |to |cooperate
|during |a |dressing |change.
The |nurse |decides |to |do |a |simple |magic |trick |using |gauze. |This |should |be |interpreted |as:
Acceptable, |if |there |is |adequate |time.
