NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
3. A patientis diagnosed with heart failure after being admitted to the hospital for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be
effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
ANS: B
4. Apatient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is the priority action for the nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
,NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
5. A patient states,
“I told my husband I wouldn’t buy as much prepared food snacks, so I will go
the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the
Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in
which stage of change?
a. Preparation
b. Termination
c. Maintenance
d. Contemplation
ANS: A
6. While admitting a patient to the medical unit, the nurse determines that the patient is hard
of hearing. How should the nurse use this information to plan teaching and learning
strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions.
ANS: D
7. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve
decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse,
is the best initial response?
,NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
a. “Although those are important, it is essential that you make other changes, too.”
b. “Are you having any difficulty in maintaining the changes you have already made?”
c. “Which additional changes in your lifestyle would you like to implement at this time?”
d. “You have already accomplished changes that are important for the health of your heart.”
ANS: D
8. Thenurse is planning a teaching session with a patient newly diagnosed with migraine
headaches. To assess a patient’s readiness to learn, which question should the nurse ask?
a. “What kind of work and leisure activities do you do?”
b. “What information do you think you need right now?”
c. “Can you describe the types of activities that help you learn new information?”
d. “Do you have any religious beliefs that are inconsistent with the planned treatment?”
ANS: B
10. A patient
with diabetic neuropathy requires teaching about foot care. Which learning goal
should the nurse include in the teaching plan?
a. The nurse will demonstrate the proper technique for trimming toenails.
, NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
b. The patient will list three ways to protect the feet from injury by discharge.
c. The nurse will instruct the patient on appropriate foot care before discharge.
d. The patient will understand the rationale for proper foot care after instruction.
ANS: B
12. The nurse and the patient who is diagnosed with hypertension develop this goal: “The patient
will select a 2-gram sodium diet from the hospital menu for the next 3 days.” Which evaluation
method will be best for the nurse to use when determining whether teaching was effective?
a. Have the patient list substitutes for favorite foods that are high in sodium.
b. Check the sodium content of the patient’s menu choices over the next 3 days.
c. Ask the patient to identify which foods on the hospital menus are high in sodium.
d. Compare the patient’s sodium intake before and after the teaching was implemented.
ANS: B
14. The hospital nurse implements a teaching plan to assist an older patient who lives alone to
independently accomplish daily activities. How would the nurse best evaluate the patient’s
long- term response to the teaching?
a. Make a referral to the home health nursing department for home visits.
b. Have the patient demonstrate the learned skills at the end of the teaching session.
3. A patientis diagnosed with heart failure after being admitted to the hospital for shortness of
breath and fatigue. Which teaching strategy, if implemented by the nurse, is most likely to be
effective?
a. Assure the patient that the nurse is an expert on management of heart failure.
b. Teach the patient at each meal about the amounts of sodium in various foods.
c. Discuss the importance of medication control in maintenance of long-term health.
d. Refer the patient to a home health nurse for instructions on diet and fluid restrictions.
ANS: B
4. Apatient who was admitted to the hospital with hyperglycemia and newly diagnosed diabetes
mellitus is scheduled for discharge the second day after admission. When implementing patient
teaching, what is the priority action for the nurse?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
ANS: C
,NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
5. A patient states,
“I told my husband I wouldn’t buy as much prepared food snacks, so I will go
the grocery store to buy fresh fruit, vegetables, and whole grains.” When using the
Transtheoretical Model of Health Behavior Change, the nurse identifies that this patient is in
which stage of change?
a. Preparation
b. Termination
c. Maintenance
d. Contemplation
ANS: A
6. While admitting a patient to the medical unit, the nurse determines that the patient is hard
of hearing. How should the nurse use this information to plan teaching and learning
strategies?
a. Motivation and readiness to learn will be affected.
b. The family must be included in the teaching process.
c. The patient will have problems understanding information.
d. Written materials should be provided with verbal instructions.
ANS: D
7. A patient who is morbidly obese states, “I’ve recently made some changes in my life. I’ve
decreased my fat intake and I’ve stopped smoking.” Which statement, if made by the nurse,
is the best initial response?
,NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
a. “Although those are important, it is essential that you make other changes, too.”
b. “Are you having any difficulty in maintaining the changes you have already made?”
c. “Which additional changes in your lifestyle would you like to implement at this time?”
d. “You have already accomplished changes that are important for the health of your heart.”
ANS: D
8. Thenurse is planning a teaching session with a patient newly diagnosed with migraine
headaches. To assess a patient’s readiness to learn, which question should the nurse ask?
a. “What kind of work and leisure activities do you do?”
b. “What information do you think you need right now?”
c. “Can you describe the types of activities that help you learn new information?”
d. “Do you have any religious beliefs that are inconsistent with the planned treatment?”
ANS: B
10. A patient
with diabetic neuropathy requires teaching about foot care. Which learning goal
should the nurse include in the teaching plan?
a. The nurse will demonstrate the proper technique for trimming toenails.
, NU 216 FINAL POSSIBLE FINAL QUESTIONS WITH ANSWERS
b. The patient will list three ways to protect the feet from injury by discharge.
c. The nurse will instruct the patient on appropriate foot care before discharge.
d. The patient will understand the rationale for proper foot care after instruction.
ANS: B
12. The nurse and the patient who is diagnosed with hypertension develop this goal: “The patient
will select a 2-gram sodium diet from the hospital menu for the next 3 days.” Which evaluation
method will be best for the nurse to use when determining whether teaching was effective?
a. Have the patient list substitutes for favorite foods that are high in sodium.
b. Check the sodium content of the patient’s menu choices over the next 3 days.
c. Ask the patient to identify which foods on the hospital menus are high in sodium.
d. Compare the patient’s sodium intake before and after the teaching was implemented.
ANS: B
14. The hospital nurse implements a teaching plan to assist an older patient who lives alone to
independently accomplish daily activities. How would the nurse best evaluate the patient’s
long- term response to the teaching?
a. Make a referral to the home health nursing department for home visits.
b. Have the patient demonstrate the learned skills at the end of the teaching session.
