Nurs 226 FINAL EXAM UPDATED ACTUAL Questions and
CORRECT Answers
=
CHAPTER 10 b. Objective data
Family of a client demonstrating confusion states that this
is not the client's usual behavior. How should the nurse
document this data?
a. Inference
b. Subjective data
c. Objective data
d. Secondary subjective data
A newly admitted client is angry because nursing staff b. "You're right. Let me know if there's anything you need right now."
continue to ask the same questions. What should the
nurse respond to this client?
a. "In order to make sure all of your information is
complete, I need to ask these questions."
b. "You're right. Let me know if there's anything you need
right now."
c. "I'll be done shortly, just give me a few more minutes."
d. "You shouldn't be upset. We're only doing our jobs."
During an initial interview, the client says, "I don't b. "What kind of questions do you have about your surgery?"
understand why I have to have surgery; I'm really not that
sick or in pain right now." How should the nurse respond
to the client?
a. "It's OK to be worried. Surgery is a big step."
b. "What kind of questions do you have about your
surgery?"
c. "I think these are things you should be asking your
doctor."
d. "Have you had surgery before?"
During an assessment interview, the client states that an d. Value/belief pattern
elective surgical procedure will not be done because it
does not fit into the client's life goals. Into which of
Gordon's functional health patterns should the nurse
identify this client's comment?
a. Cognitive/perceptual pattern
b. Coping/stress-tolerance pattern
c. Health-perception/health-management pattern
d. Value/belief pattern
The nurse suspects that a client with a history of injuries is c. Inference
a victim of abuse. What did the nurse use to come to this
conclusion?
a. Observation of cues
b. Validation
c. Inference
d.Judgment
,The nurse is reviewing the nursing process with a first- a. Develop a list of problems.
year nursing student. What should the nurse explain as b. Identify client strengths.
being the purpose of the diagnosis phase? (Select all that e. Identify problems that can be prevented.
apply.)
a. Develop a list of problems.
b. Identify client strengths.
c. Develop a plan.
d. Specify goals and outcomes.
e. Identify problems that can be prevented.
The nurse decides to seek wound care alternatives for a d. Assessment
client's stasis ulcer that is not healing after treatment for 2
weeks. In which phase of the nursing process is the nurse
functioning?
a. Diagnosis
b. Implementation
c. Evaluation
d. Assessment
While preparing a client for a procedure, the nurse notes c. Emergency assessment
that the client has become unresponsive and respirations
have become shallow. What type of assessment should
the nurse complete at this time?
a. Initial assessment
b. Problem-focused assessment
c. Emergency assessment
d.Time-lapsed assessment
, A nurse is performing an initial assessment on a new a. Reports from physical therapy the client received as an outpatient
admission. What information should the nurse consider as b. Documentation of the nurse's physical assessment
being a part of the database? (Select all that apply.) d. A list of current medications
a. Reports from physical therapy the client received as an e. Information about the client's cultural preferences
outpatient
b. Documentation of the nurse's physical assessment
c. Physician's orders
d. A list of current medications
e. Information about the client's cultural preferences
f. Discharge instructions
The nurse manager observes a staff nurse perform a. Notifying the surgeon that a postoperative client is experiencing an increase in
actions within the nursing process. Which activities did temperature
the manager observe the nurse perform? (Select all that b. Advocating for a client who is mentally incapable of expressing her needs
apply.) c. Deciding to increase a client's nasal oxygen based on his current pulse
a. Notifying the surgeon that a postoperative client is oxygenation levels
experiencing an increase in temperature d. Documenting all clients' pain level responses after the administration of pain
b. Advocating for a client who is mentally incapable of medication
expressing her needs
c. Deciding to increase a client's nasal oxygen based on
his current pulse oxygenation levels
d. Documenting all clients' pain level responses after
administering pain medication
e. Attending in-services on a new hydraulic lift to be used
to support safe client care
CHAPTER 9 b. "What other ways of studying could you implement?"
The nurse educator assigns students an activity to
implement Socratic questioning in their daily lives. Which
question provided by a student demonstrates this
reasoning technique?
a. "What makes you think cramming for a test is an
ineffective way to study?"
b. "What other ways of studying could you implement?"
c. "If you didn't study for your test, what is the probability
you will fail?
d. "If you study all the unit outcomes, what effect will that
have?"
A client is experiencing a productive cough, audible b. Inductive reasoning
coarse crackles, elevated temperature of 102.3°F, chills,
and body aches. What did the nurse use to determine
that this patient is experiencing respiratory compromise?
a. Deductive reasoning
b. Inductive reasoning
c. Socratic questioning
d. Critical analysis
CORRECT Answers
=
CHAPTER 10 b. Objective data
Family of a client demonstrating confusion states that this
is not the client's usual behavior. How should the nurse
document this data?
a. Inference
b. Subjective data
c. Objective data
d. Secondary subjective data
A newly admitted client is angry because nursing staff b. "You're right. Let me know if there's anything you need right now."
continue to ask the same questions. What should the
nurse respond to this client?
a. "In order to make sure all of your information is
complete, I need to ask these questions."
b. "You're right. Let me know if there's anything you need
right now."
c. "I'll be done shortly, just give me a few more minutes."
d. "You shouldn't be upset. We're only doing our jobs."
During an initial interview, the client says, "I don't b. "What kind of questions do you have about your surgery?"
understand why I have to have surgery; I'm really not that
sick or in pain right now." How should the nurse respond
to the client?
a. "It's OK to be worried. Surgery is a big step."
b. "What kind of questions do you have about your
surgery?"
c. "I think these are things you should be asking your
doctor."
d. "Have you had surgery before?"
During an assessment interview, the client states that an d. Value/belief pattern
elective surgical procedure will not be done because it
does not fit into the client's life goals. Into which of
Gordon's functional health patterns should the nurse
identify this client's comment?
a. Cognitive/perceptual pattern
b. Coping/stress-tolerance pattern
c. Health-perception/health-management pattern
d. Value/belief pattern
The nurse suspects that a client with a history of injuries is c. Inference
a victim of abuse. What did the nurse use to come to this
conclusion?
a. Observation of cues
b. Validation
c. Inference
d.Judgment
,The nurse is reviewing the nursing process with a first- a. Develop a list of problems.
year nursing student. What should the nurse explain as b. Identify client strengths.
being the purpose of the diagnosis phase? (Select all that e. Identify problems that can be prevented.
apply.)
a. Develop a list of problems.
b. Identify client strengths.
c. Develop a plan.
d. Specify goals and outcomes.
e. Identify problems that can be prevented.
The nurse decides to seek wound care alternatives for a d. Assessment
client's stasis ulcer that is not healing after treatment for 2
weeks. In which phase of the nursing process is the nurse
functioning?
a. Diagnosis
b. Implementation
c. Evaluation
d. Assessment
While preparing a client for a procedure, the nurse notes c. Emergency assessment
that the client has become unresponsive and respirations
have become shallow. What type of assessment should
the nurse complete at this time?
a. Initial assessment
b. Problem-focused assessment
c. Emergency assessment
d.Time-lapsed assessment
, A nurse is performing an initial assessment on a new a. Reports from physical therapy the client received as an outpatient
admission. What information should the nurse consider as b. Documentation of the nurse's physical assessment
being a part of the database? (Select all that apply.) d. A list of current medications
a. Reports from physical therapy the client received as an e. Information about the client's cultural preferences
outpatient
b. Documentation of the nurse's physical assessment
c. Physician's orders
d. A list of current medications
e. Information about the client's cultural preferences
f. Discharge instructions
The nurse manager observes a staff nurse perform a. Notifying the surgeon that a postoperative client is experiencing an increase in
actions within the nursing process. Which activities did temperature
the manager observe the nurse perform? (Select all that b. Advocating for a client who is mentally incapable of expressing her needs
apply.) c. Deciding to increase a client's nasal oxygen based on his current pulse
a. Notifying the surgeon that a postoperative client is oxygenation levels
experiencing an increase in temperature d. Documenting all clients' pain level responses after the administration of pain
b. Advocating for a client who is mentally incapable of medication
expressing her needs
c. Deciding to increase a client's nasal oxygen based on
his current pulse oxygenation levels
d. Documenting all clients' pain level responses after
administering pain medication
e. Attending in-services on a new hydraulic lift to be used
to support safe client care
CHAPTER 9 b. "What other ways of studying could you implement?"
The nurse educator assigns students an activity to
implement Socratic questioning in their daily lives. Which
question provided by a student demonstrates this
reasoning technique?
a. "What makes you think cramming for a test is an
ineffective way to study?"
b. "What other ways of studying could you implement?"
c. "If you didn't study for your test, what is the probability
you will fail?
d. "If you study all the unit outcomes, what effect will that
have?"
A client is experiencing a productive cough, audible b. Inductive reasoning
coarse crackles, elevated temperature of 102.3°F, chills,
and body aches. What did the nurse use to determine
that this patient is experiencing respiratory compromise?
a. Deductive reasoning
b. Inductive reasoning
c. Socratic questioning
d. Critical analysis
