Nursing 224 Final Questions With Complete Solutions
A child is starting school and is being screened for certain
developmental milestones. What is the nurse assessing when
determining how the child interacts with other children?
1. Temperament
2. Physical characteristics
3. Environment
4. Culture Correct Answers 1. Temperament
A client being discharged after a myocardial infarction has been
prescribed several new medications and a low-fat diet. The
client states: Im never going to understand what to do, when to
do it, and why I should be doing all these things. Which nursing
diagnosis should the nurse formulate for this client?
1. Health-Seeking Behavior related to desire to prevent heart
problems
2. Deficient Knowledge (diet and medication regimen) related to
inexperience
3. Noncompliance related to situational factors
4. Risk for Myocardial Infarction related to deficient knowledge
Correct Answers 2. Deficient Knowledge (diet and medication
regimen) related to inexperience
,A client complaining of shortness of breath has no pallor,
cyanosis, or use of accessory muscles with respirations. The
clients respiratory rate is 16 breaths per minute. The nurse is
concerned that the clients report and the physical findings
conflict. Which standard of critical thinking is the nurse using?
1. Clarity
2. Accuracy
3. Logical reasoning
4. Significance Correct Answers 3. Logical Reasoning
A client diagnosed with tuberculosis is being admitted to a care
area. Which nursing action prevents the transmission of the
disease?
1. Have the client wear a mask when coming from admission.
2. Stock the supply cart at the beginning of each shift.
3. Wash the hands only after leaving the room.
4. Wear a mask when exiting the room. Correct Answers 1.
Have the client wear a mask when coming from admission.
A client exhibits confusion, decreased capillary refill time, low
oxygen saturation readings, and decreased renal output. What
,NANDA nursing diagnosis problem statement should the nurse
choose for this client?
1. Ineffective Tissue Perfusion
2. Decreased Cardiac Output
3. Activity Intolerance
4. Risk for Injury Correct Answers 1. Ineffective Tissue
Perfusion
A client has a heart rate of 170 beats per minute. For what will
the nurse assess next in this client?
1. Increased cardiac output
2. Increased preload
3. Decreased afterload
4. Decreased cardiac output Correct Answers 4. Decreased
cardiac output
A client has been admitted for acute dehydration, secondary to
nausea and diarrhea. When is the best time for the nurse to
conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
, 3. When the family is available to help
4. After the client has been medicated Correct Answers 2. After
the client has settled in and been oriented to the room
A client has been diagnosed with dementia. The family wants to
know how to plan for the future. What is the best response by
the nurse?
1. Your family members symptoms will get worse, but there are
medications to stop the progress.
2. You should plan right now on which long-term care facility
you will want to utilize when the time comes.
3. Dementia is a progressive deterioration. Its important for you
to clearly understand what to look for in symptoms.
4. Dementia can be treated once the cause is known. Correct
Answers 3. Dementia is a progressive deterioration. Its
important for you to clearly understand what to look for in
symptoms.
A client has been having pain without any clear pathology for
cause. Which nursing diagnosis should the nurse identify as
being the most appropriate for this client?
1. Pain due to unknown factors
2. Pain related to unknown etiology
A child is starting school and is being screened for certain
developmental milestones. What is the nurse assessing when
determining how the child interacts with other children?
1. Temperament
2. Physical characteristics
3. Environment
4. Culture Correct Answers 1. Temperament
A client being discharged after a myocardial infarction has been
prescribed several new medications and a low-fat diet. The
client states: Im never going to understand what to do, when to
do it, and why I should be doing all these things. Which nursing
diagnosis should the nurse formulate for this client?
1. Health-Seeking Behavior related to desire to prevent heart
problems
2. Deficient Knowledge (diet and medication regimen) related to
inexperience
3. Noncompliance related to situational factors
4. Risk for Myocardial Infarction related to deficient knowledge
Correct Answers 2. Deficient Knowledge (diet and medication
regimen) related to inexperience
,A client complaining of shortness of breath has no pallor,
cyanosis, or use of accessory muscles with respirations. The
clients respiratory rate is 16 breaths per minute. The nurse is
concerned that the clients report and the physical findings
conflict. Which standard of critical thinking is the nurse using?
1. Clarity
2. Accuracy
3. Logical reasoning
4. Significance Correct Answers 3. Logical Reasoning
A client diagnosed with tuberculosis is being admitted to a care
area. Which nursing action prevents the transmission of the
disease?
1. Have the client wear a mask when coming from admission.
2. Stock the supply cart at the beginning of each shift.
3. Wash the hands only after leaving the room.
4. Wear a mask when exiting the room. Correct Answers 1.
Have the client wear a mask when coming from admission.
A client exhibits confusion, decreased capillary refill time, low
oxygen saturation readings, and decreased renal output. What
,NANDA nursing diagnosis problem statement should the nurse
choose for this client?
1. Ineffective Tissue Perfusion
2. Decreased Cardiac Output
3. Activity Intolerance
4. Risk for Injury Correct Answers 1. Ineffective Tissue
Perfusion
A client has a heart rate of 170 beats per minute. For what will
the nurse assess next in this client?
1. Increased cardiac output
2. Increased preload
3. Decreased afterload
4. Decreased cardiac output Correct Answers 4. Decreased
cardiac output
A client has been admitted for acute dehydration, secondary to
nausea and diarrhea. When is the best time for the nurse to
conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
, 3. When the family is available to help
4. After the client has been medicated Correct Answers 2. After
the client has settled in and been oriented to the room
A client has been diagnosed with dementia. The family wants to
know how to plan for the future. What is the best response by
the nurse?
1. Your family members symptoms will get worse, but there are
medications to stop the progress.
2. You should plan right now on which long-term care facility
you will want to utilize when the time comes.
3. Dementia is a progressive deterioration. Its important for you
to clearly understand what to look for in symptoms.
4. Dementia can be treated once the cause is known. Correct
Answers 3. Dementia is a progressive deterioration. Its
important for you to clearly understand what to look for in
symptoms.
A client has been having pain without any clear pathology for
cause. Which nursing diagnosis should the nurse identify as
being the most appropriate for this client?
1. Pain due to unknown factors
2. Pain related to unknown etiology
