WITH DETAILED, VERIFIED ANSWERS
"A set of shared understandings and assumptions about reality
and the world" is a definition for which of the following?
a. A concept.
b. A conceptual framework.
c. A practice discipline.
d. A paradigm. - correct answer- D
A 14-year-old is scheduled to have surgical repair of a spinal
curvature (scoliosis). The adolescent will be hospitalized for
about 2 weeks. Which nursing intervention will be most helpful
during the hospital stay?
a. Have peers visit frequently during the day.
b. Instruct parents to room-in with her.
c. Encourage her to go to the recreation room.
d. Encourage her to arrange for her teachers to provide her with
homework. - correct answer- D
A 40-year-old client who comes to the clinic for a routine
physical exam asks the nurse how much exercise is
,recommended for a healthy lifestyle. Which answer is most
appropriate?
a. Moderate activity for 10 minutes daily.
b. Moderate activity for 20 minutes two to three times a week.
c. Vigorous activity for 20 minutes on three days a week.
d. Vigorous activity for 30 minutes daily. - correct
answer- C
A 65-year-old man who recently retired from 40 years of work as
an independent contractor is scheduled for a physical
examination. The nurse should be concerned about which
comment?
a. "My wife and I are planning to drive to Nebraska in June to
visit our grandkids."
b. "Every day, when I wake up, it's hard to find a reason to get
out of bed."
c. "I often take ibuprofen for the pain in my knees."
d. "People still call me for advice on building projects. I may
never get to retire!" - correct answer- B
A 74-year-old client who takes multiple medications tells the
nurse, "I have no idea what that little yellow pill is for." What is
the best nursing diagnosis for this client?
,a. Knowledge Deficiency
b. Health-Seeking Behavior
c. Deficient Knowledge (Medication Information)
d. Noncompliance - correct answer- C
A 74-year-old female is brought to the emergency department
c/o right hip pain. The right leg is shorter than the left and is
externally rotated. During inspection, the nurse observes what
appears to be cigarette burns on the client's inner thighs. Which
of the following is the most appropriate documentation?
a. Six round skin lesions partially healed, on the inner thighs
bilaterally.
b. Several burned areas on both of the client's inner thighs.
c. Multiple lesions on inner thighs possibly related to elder
abuse.
d. Several lesions on inner thighs similar to cigarette burns. -
correct answer- A
A 75-year-old client, hospitalized with a stroke, becomes
disoriented at times and tries to get out of bed, but is unable to
ambulate without help. What is the most appropriate safety
measure?
a. Restrain the client in bed.
, b. Ask a family member to stay with the client.
c. Check the client every 15 minutes.
d. Use a bed exit safety monitoring device. - correct
answer- D
A client has a history of sleep apnea. Which is the most
appropriate question for the nurse to ask?
a. Do you have a history of cardiac irregularities?
b. Do you have a history of any kind of nasal obstruction?
c. Have you had chest pain with or without activity?
d. Do you have difficulty with daytime sleepiness? - correct
answer- D
A client has a learning outcome of "Select foods that are low in
fat content." Which statement reflects that the client has met
this learning outcome?
a. "I understand the importance of maintaining a low-fat diet."
b. "I feel better about myself now."
c. "See how I revised my favorite recipe to be lower in fat."
d. "Since changing my diet, my husband is also losing weight." -
correct answer- C