Adult Nursing 1 Exam 1 Questions With Complete Solutions
A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which
measure is most important?
1. Instruct the client to empty his bladder and save this voiding
to start the collection.
2. Instruct the client to use sterile individual containers to collect
the urine
3. Post a sign stating "Save All Urine" in the bathroom
4. Keep the urine specimen in the refrigerator Correct Answers
3. Post a sign stating "Save All Urine" in the bathroom
A client complains of shortness of breath. During assessment the
nurse observes that the client has edema of the left leg only. The
nurse reviews evidence-based practice literature and reflects on
a previous client with the same clinical manifestations. What do
these actions represent?
1. Clinical judgement
2. Clinical reasoning
3. Reflection
4. Intuition Correct Answers 2. Clinical reasoning
A client is admitted for heart failure. The nurse assesses that the
client's blood pressure is below normal range and the apical
pulse is 110 beats/min. The nurse knows that the increase in the
client's pulse illustrates which aspect of the client's homeostatic
mechanism?
1. Compensation
2. Decompensation
3. Self-regulation
,4. Equilibrium Correct Answers 1. Compensation
A client reports feeling hungry, but does not eat when food is
served. Using clinical reasoning skills, the nurse should perform
which of the following?
1. Assess why the client is not ingesting the food provided.
2. Continue to leave the food at the beside until the client is
hungry enough to eat.
3. Notify the primary care provider that tube feeding may be
indicated soon.
4. Believe the client is not really hungry. Correct Answers 1.
Assess why the client is not ingesting the food provided.
A client tells the nurse, "This pill is a different color than the
one that I usually take at home." Which is the best response by
the nurse?
1. "Go ahead and take your medicine."
2. "I will recheck your medication orders."
3. "Maybe the doctor ordered a different medication."
4. "I'll leave the pill here while I check with the doctor." Correct
Answers 2. "I will recheck your medication orders."
A client who is 46 pounds overweight tells you, "I was just born
to be fat. I don't have the willpower." Although weight loss
occurred while attending two previous programs that
"guaranteed" weight loss, the weight returned along with extra
pounds after each program. According to the health promotion
model, the nurse is most likely to focus on which behavior-
specific cognition and affect variable for this client?
1. Perceived barriers to action
2. Perceived self-efficacy
,3. Interpersonal influences
4. Situational influences Correct Answers 2. Perceived self-
efficacy
A client with diarrhea also has a primary care provider's order
for a bulk laxative daily. The nurse, not realizing that bulk
laxatives can help solidify certain types of diarrhea, concludes,
"The primary care provider does not know the client has
diarrhea." What type of statement is this?
1. A fact
2. An inference
3. A judgement
4. An opinion Correct Answers 3. A judgement
A collaborative (multidisciplinary) problems is indicated instead
of a nursing or medical diagnosis
1. If both medical and nursing interventions are required to treat
the problem
2. When independent nursing actions can be utilized to treat the
problem
3. In cases where nursing interventions are the primary actions
required to treat the problem
4. When no medical diagnosis (disease) can be determined
Correct Answers 1. If both medical and nursing interventions
are required to treat the problem
A leader is most likely to be effective when acting which way?
Select all that apply.
1. Adopts the leadership style of the leader who had the position
before him or her
, 2. Gives equal consideration to group members who are in favor
of and opposed to a desired change
3. Plans and organizes group activities
4. Modifies his or her own behaviors based on the needs of
individual members of the group
5. Asks members for opinion of the leader's effectiveness
Correct Answers 2. Gives equal consideration to group
members who are in favor of and opposed to a desired change
3. Plans and organizes group activities
5. Asks members for opinion of the leader's effectiveness
A major characteristic of the nursing process is which of the
following?
1. A focus on client needs
2. Its static nature
3. An emphasis on physiology and illness
4. Its exclusive use by and with nurses Correct Answers 1. A
focus on client needs
A management function of bedside direct-care nurses includes
determining whether the client has reached the intended
outcomes designated in the care plan. This is an example of
which of the four management functions?
1. Planning
2. Organizing
3. Directing
4. Coordinating Correct Answers 4. Coordinating
A nurse and a primary care provider inform a client that
chemotherapy is recommended for a diagnosis of cancer. Which
nursing action is most representative of the concept of holism?
A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which
measure is most important?
1. Instruct the client to empty his bladder and save this voiding
to start the collection.
2. Instruct the client to use sterile individual containers to collect
the urine
3. Post a sign stating "Save All Urine" in the bathroom
4. Keep the urine specimen in the refrigerator Correct Answers
3. Post a sign stating "Save All Urine" in the bathroom
A client complains of shortness of breath. During assessment the
nurse observes that the client has edema of the left leg only. The
nurse reviews evidence-based practice literature and reflects on
a previous client with the same clinical manifestations. What do
these actions represent?
1. Clinical judgement
2. Clinical reasoning
3. Reflection
4. Intuition Correct Answers 2. Clinical reasoning
A client is admitted for heart failure. The nurse assesses that the
client's blood pressure is below normal range and the apical
pulse is 110 beats/min. The nurse knows that the increase in the
client's pulse illustrates which aspect of the client's homeostatic
mechanism?
1. Compensation
2. Decompensation
3. Self-regulation
,4. Equilibrium Correct Answers 1. Compensation
A client reports feeling hungry, but does not eat when food is
served. Using clinical reasoning skills, the nurse should perform
which of the following?
1. Assess why the client is not ingesting the food provided.
2. Continue to leave the food at the beside until the client is
hungry enough to eat.
3. Notify the primary care provider that tube feeding may be
indicated soon.
4. Believe the client is not really hungry. Correct Answers 1.
Assess why the client is not ingesting the food provided.
A client tells the nurse, "This pill is a different color than the
one that I usually take at home." Which is the best response by
the nurse?
1. "Go ahead and take your medicine."
2. "I will recheck your medication orders."
3. "Maybe the doctor ordered a different medication."
4. "I'll leave the pill here while I check with the doctor." Correct
Answers 2. "I will recheck your medication orders."
A client who is 46 pounds overweight tells you, "I was just born
to be fat. I don't have the willpower." Although weight loss
occurred while attending two previous programs that
"guaranteed" weight loss, the weight returned along with extra
pounds after each program. According to the health promotion
model, the nurse is most likely to focus on which behavior-
specific cognition and affect variable for this client?
1. Perceived barriers to action
2. Perceived self-efficacy
,3. Interpersonal influences
4. Situational influences Correct Answers 2. Perceived self-
efficacy
A client with diarrhea also has a primary care provider's order
for a bulk laxative daily. The nurse, not realizing that bulk
laxatives can help solidify certain types of diarrhea, concludes,
"The primary care provider does not know the client has
diarrhea." What type of statement is this?
1. A fact
2. An inference
3. A judgement
4. An opinion Correct Answers 3. A judgement
A collaborative (multidisciplinary) problems is indicated instead
of a nursing or medical diagnosis
1. If both medical and nursing interventions are required to treat
the problem
2. When independent nursing actions can be utilized to treat the
problem
3. In cases where nursing interventions are the primary actions
required to treat the problem
4. When no medical diagnosis (disease) can be determined
Correct Answers 1. If both medical and nursing interventions
are required to treat the problem
A leader is most likely to be effective when acting which way?
Select all that apply.
1. Adopts the leadership style of the leader who had the position
before him or her
, 2. Gives equal consideration to group members who are in favor
of and opposed to a desired change
3. Plans and organizes group activities
4. Modifies his or her own behaviors based on the needs of
individual members of the group
5. Asks members for opinion of the leader's effectiveness
Correct Answers 2. Gives equal consideration to group
members who are in favor of and opposed to a desired change
3. Plans and organizes group activities
5. Asks members for opinion of the leader's effectiveness
A major characteristic of the nursing process is which of the
following?
1. A focus on client needs
2. Its static nature
3. An emphasis on physiology and illness
4. Its exclusive use by and with nurses Correct Answers 1. A
focus on client needs
A management function of bedside direct-care nurses includes
determining whether the client has reached the intended
outcomes designated in the care plan. This is an example of
which of the four management functions?
1. Planning
2. Organizing
3. Directing
4. Coordinating Correct Answers 4. Coordinating
A nurse and a primary care provider inform a client that
chemotherapy is recommended for a diagnosis of cancer. Which
nursing action is most representative of the concept of holism?
