Essentials Exam 1 Practice Questions/Evolve
Essentials Exam 1 Practice
Questions/Evolve
A client experiences dyspnea and reports feeling tired after
completing her morning care. Which of the following should the
nurse include in the client's plan of care for the next day?
a. Plan for several rest periods during the morning care.
b. Perform all of the client's care as quickly as possible.
c. Do not offer morning care.
✅✅
d. Ask a family member to come in to give the client a bath. -
-a. Plan for several rest periods during the morning care.
A client has admission blood glucose reading of 350 mg/dL. The
client has no history of elevated blood glucose. and there is an
insulin order. Which of the following actions should the nurse take
first?
a. Check the client's level of consciousness.
b. Check the client's dietary orders.
✅✅
c. Review the client's recent nutritional intake.
d. Notify the provider. - -a. Check the client's level of
consciousness.
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
a. Patient-centered care
b. Safety
✅✅
c. Teamwork and collaboration
d. Informatics - -d. Informatics
,A family member is providing care to a loved one who has an
infected leg wound. What would you instruct the family member to
do after providing care and handling contaminated equipment or
organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the health care provider
about need for immunization.
✅✅
d. Perform hand hygiene after care and/or handling contaminated
equipment or material. - -d. Perform hand hygiene after care
and/or handling contaminated equipment or material.
A nurse ensures that each patient's room is clean, well ventilated,
and free from clutter, excessive noise, and extremes in
temperature. Which theorist's work is the nurse practicing in this
example?
a. Henderson
b. Orem
✅✅-d. Nightingale
c. King
d. Nightingale -
Rationale:
Nightingale's environmental theory directs the nurse to manipulate
the environment to promote rest and healing.
A nurse is caring for a client receiving continuous enteral feedings.
Which of the following nursing interventions is the highest priority
if aspiration of tube feeding is suspected?
a. Auscultate breath sounds.
b. Obtain a chest x-ray.
✅✅
c. Provide oxygen.
d. Stop the feeding. - -d. Stop the feeding.
, A nurse is caring for a client who is at high risk for aspiration.
Which of the following is an appropriate nursing intervention?
a. Give the client thin liquids.
b. Instruct the client to tuck the chin when swallowing.
✅✅-b.
c. Have the client use a straw.
d. Encourage the client to lie down and rest after meals. -
Instruct the client to tuck the chin when swallowing.
A nurse is caring for a patient who recently lost a leg in a motor
vehicle accident. The nurse best assists the patient to cope with
this situation by applying which of the following theories?
a. Roy
b. Levine
✅✅-a. Roy
c. Watson
d. Johnson -
Rationale:
When applying Roy's adaptation model, the nurse helps the patient
cope with/adapting to changes in physiological, self-concept, role
function, and interdependence domains.
A nurse is caring for a patient with end-stage lung disease. The
patient wants to go home on oxygen and be comfortable. The
family wants the patient to have a new surgical procedure. The
nurse explains the risk and benefits of the surgery to the family and
discusses the patient's wishes with them. The nurse is acting as
the patient's:
a. Educator
b. Advocate
✅✅-b. Advocate
c. Caregiver
d. Case manager -
A nurse is caring for an older adult who has had a fractured hip
repaired. In the first few postoperative days, which of the following
Essentials Exam 1 Practice
Questions/Evolve
A client experiences dyspnea and reports feeling tired after
completing her morning care. Which of the following should the
nurse include in the client's plan of care for the next day?
a. Plan for several rest periods during the morning care.
b. Perform all of the client's care as quickly as possible.
c. Do not offer morning care.
✅✅
d. Ask a family member to come in to give the client a bath. -
-a. Plan for several rest periods during the morning care.
A client has admission blood glucose reading of 350 mg/dL. The
client has no history of elevated blood glucose. and there is an
insulin order. Which of the following actions should the nurse take
first?
a. Check the client's level of consciousness.
b. Check the client's dietary orders.
✅✅
c. Review the client's recent nutritional intake.
d. Notify the provider. - -a. Check the client's level of
consciousness.
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
a. Patient-centered care
b. Safety
✅✅
c. Teamwork and collaboration
d. Informatics - -d. Informatics
,A family member is providing care to a loved one who has an
infected leg wound. What would you instruct the family member to
do after providing care and handling contaminated equipment or
organic material?
a. Wear gloves before eating or handling food.
b. Place any soiled materials into a bag and double bag it.
c. Have the family member check with the health care provider
about need for immunization.
✅✅
d. Perform hand hygiene after care and/or handling contaminated
equipment or material. - -d. Perform hand hygiene after care
and/or handling contaminated equipment or material.
A nurse ensures that each patient's room is clean, well ventilated,
and free from clutter, excessive noise, and extremes in
temperature. Which theorist's work is the nurse practicing in this
example?
a. Henderson
b. Orem
✅✅-d. Nightingale
c. King
d. Nightingale -
Rationale:
Nightingale's environmental theory directs the nurse to manipulate
the environment to promote rest and healing.
A nurse is caring for a client receiving continuous enteral feedings.
Which of the following nursing interventions is the highest priority
if aspiration of tube feeding is suspected?
a. Auscultate breath sounds.
b. Obtain a chest x-ray.
✅✅
c. Provide oxygen.
d. Stop the feeding. - -d. Stop the feeding.
, A nurse is caring for a client who is at high risk for aspiration.
Which of the following is an appropriate nursing intervention?
a. Give the client thin liquids.
b. Instruct the client to tuck the chin when swallowing.
✅✅-b.
c. Have the client use a straw.
d. Encourage the client to lie down and rest after meals. -
Instruct the client to tuck the chin when swallowing.
A nurse is caring for a patient who recently lost a leg in a motor
vehicle accident. The nurse best assists the patient to cope with
this situation by applying which of the following theories?
a. Roy
b. Levine
✅✅-a. Roy
c. Watson
d. Johnson -
Rationale:
When applying Roy's adaptation model, the nurse helps the patient
cope with/adapting to changes in physiological, self-concept, role
function, and interdependence domains.
A nurse is caring for a patient with end-stage lung disease. The
patient wants to go home on oxygen and be comfortable. The
family wants the patient to have a new surgical procedure. The
nurse explains the risk and benefits of the surgery to the family and
discusses the patient's wishes with them. The nurse is acting as
the patient's:
a. Educator
b. Advocate
✅✅-b. Advocate
c. Caregiver
d. Case manager -
A nurse is caring for an older adult who has had a fractured hip
repaired. In the first few postoperative days, which of the following