hondros 195 exam 1 Questions With Complete Solutions

hondros 195 exam 1 Questions With Complete Solutions
 Course
 Nur 195

Question 1:

What is the primary focus of nursing care in the acute care setting?

 A. Health promotion
 B. Preventative care
 C. Disease management
 D. Holistic care

Answer: C. Disease management

Rationale: In an acute care setting, the primary focus is on the management of disease
processes and providing immediate care to stabilize patients, especially during acute illness
or exacerbations of chronic conditions.



Question 2:

Which assessment finding is most concerning for a patient with chronic obstructive
pulmonary disease (COPD)?

 A. Increased respiratory rate
 B. Peripheral edema
 C. Use of accessory muscles for breathing
 D. Mild wheezing

Answer: C. Use of accessory muscles for breathing

Rationale: The use of accessory muscles indicates increased work of breathing and can
signal respiratory distress, which is critical in patients with COPD and may require
immediate intervention.



Question 3:

What is the best nursing intervention to promote effective communication with a
patient who has a language barrier?

 A. Speak loudly and slowly
 B. Use medical jargon to explain procedures
 C. Utilize a professional interpreter
 D. Rely on family members to translate

,Answer: C. Utilize a professional interpreter

Rationale: Using a professional interpreter ensures accurate and clear communication,
maintains patient confidentiality, and helps build trust, which is crucial for effective nursing
care.



Question 4:

Which of the following is an expected finding during a physical assessment of an elderly
patient?

 A. Increased muscle mass
 B. Decreased skin elasticity
 C. Increased respiratory rate
 D. Improved vision

Answer: B. Decreased skin elasticity

Rationale: As individuals age, skin elasticity typically decreases due to reduced collagen
production, leading to sagging and increased fragility of the skin.



Question 5:

What is the priority nursing action for a patient experiencing chest pain?

 A. Administering nitroglycerin
 B. Taking a detailed patient history
 C. Assessing vital signs
 D. Positioning the patient comfortably

Answer: C. Assessing vital signs

Rationale: Assessing vital signs is critical to determine the severity of the patient's condition
and identify any immediate life-threatening changes before further interventions can be
implemented.



Question 6:

In which of the following situations should a nurse implement strict hand hygiene?

 A. Before entering a patient's room
 B. Before and after patient contact
 C. After using the restroom
 D. All of the above

,Answer: D. All of the above

Rationale: Strict hand hygiene should be practiced in all these situations to reduce the risk of
infection transmission, protect both patients and healthcare workers, and ensure a safe
healthcare environment.



Question 7:

What is the most appropriate nursing action for a patient who is refusing medication?

 A. Document the refusal and inform the physician
 B. Force the medication upon the patient
 C. Assume the patient will take the medication later
 D. Ignore the patient’s wishes

Answer: A. Document the refusal and inform the physician

Rationale: It is essential to document the patient's refusal to take medication, as well as
inform the physician to address any underlying concerns the patient may have and to consider
alternative treatment options.



Question 8:

What is the primary purpose of using a nursing care plan?

 A. To document medical history
 B. To guide nursing interventions
 C. To fulfill legal requirements
 D. To communicate with other healthcare providers

Answer: B. To guide nursing interventions

Rationale: A nursing care plan outlines specific nursing diagnoses and interventions tailored
to the patient's needs, ensuring organized, systematic, and individualized care.



Question 9:

Which dietary modification is most appropriate for a patient with hypertension?

 A. Increase sodium intake
 B. Decrease potassium intake
 C. Adopt a low-sodium diet
 D. Eliminate all carbohydrates

, Answer: C. Adopt a low-sodium diet

Rationale: A low-sodium diet helps manage hypertension by reducing blood pressure and
decreasing fluid retention, which is critical for cardiovascular health.



Question 10:

What is the main purpose of patient education in nursing?

 A. To reduce the workload of nursing staff
 B. To inform patients about hospital policies
 C. To promote self-management and improve health outcomes
 D. To prepare patients for discharge only

Answer: C. To promote self-management and improve health outcomes

Rationale: Patient education empowers individuals with knowledge about their health
conditions, treatment options, and self-care practices, leading to better adherence to treatment
and improved health outcomes.

Question 11:

Which laboratory value would be most important to monitor in a patient taking
warfarin?

 A. Hemoglobin
 B. Prothrombin time (PT) / International normalized ratio (INR)
 C. White blood cell count
 D. Blood glucose level

Answer: B. Prothrombin time (PT) / International normalized ratio (INR)

Rationale: Warfarin is an anticoagulant that requires monitoring of PT/INR to ensure the
effectiveness of the medication and to prevent excessive bleeding.



Question 12:

What is the most important nursing intervention for a patient who has just undergone a
knee replacement?

 A. Instructing the patient to remain in bed for 48 hours
 B. Encouraging the patient to perform deep breathing exercises
 C. Assisting the patient with early ambulation
 D. Applying a heating pad to the surgical site