N220 FINAL PRACTICE QUESTIONS
AND VERIFIED ANSWERS BY EXPERTS
)The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group
activities that are of interest to the patient. The nurse is ensuring which patient need is met?
A) Love and belonging
B) Self-actualization
C) Safety and security
D) Self-esteem - Correct answer.Ans: A
Feedback:
The nurse is responsible for making sure the needs of the patient are met based on Maslows hierarchy
of needs. Attending a group activity helps meet the needs of love and belonging (need to feel that one
belongs and is loved to avoid loneliness and isolation). Self-actualization is the highest need and refers to
realizing fully all of ones abilities and qualities. Safety and security refers to physical and psychological
protection issues. Self-esteem indicates a feeling of self-worth.
2) The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on
a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
A) Physician-prescribed intervention
B) Collaborative intervention
C) Patient advocacy intervention
D) Nurse-prescribed intervention - Correct answer.Ans: B
Feedback:
Nurse initiated interventions, such as turning and repositioning a patient, are described as nurse-
prescribed interventions. Physician-directed actions are described as physician-prescribed interventions.
The administration of a prn medication requires a physician-prescribed intervention (the medication
order) as well as a nurse-prescribed intervention (determining when the order should be carried out and
proper administration of the medication); therefore, this action would be considered a collaborative
intervention. Patient advocacy refers to communicating the needs and protecting the safety of the
patient.
,CH 2 Health, Wellness, and Integrative Healthcare
1) A woman over the age of 40 years has an annual mammogram. What level of prevention does this
represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Medical prevention - Correct answer.Ans: B
Feedback:
Secondary prevention includes screening for those at risk to develop illness or those who could be
diagnosed early in the process for prompt treatment.
^^Should be primary because she is going in for early identification and prevention which falls under
primary prevention???
2) A patient inquires about the use of herbal therapy. Which statement by the nurse is most accurate?
A) All herbs are equal in purity, so purchase the cheapest brand.
B) Herbs can have side effects and can interact with prescription medications.
C) Be sure to pay attention to the packagings therapeutic and prevention information.
D) It is best if you select a licensed herbalist as a practitioner. - Correct answer.Ans: B
Feedback:
It is important for patients to understand that herbs can have side effects and can interact with
prescription medications. Standardization of the herbs constituents is useful, but also limited because
not all the compounds or the required levels are known, so the purity and dosage contents may not be
equal between herbs. Herbal products cannot make therapeutic and prevention claims. There is no
current licensing body for herbalists.
3) A patient is asking for the nurse to explain acupuncture. What would you tell the patient?
A) Acupuncture is only done in Eastern countries
,B) Acupuncture is a dangerous option for the treatment of disease
C) Acupuncture is beneficial to creating a mood of distraction
D) Acupuncture is used to correct disharmony - Correct answer.Ans: D
Feedback:
Acupuncture can be used to correct disharmony or prevent disharmony from developing.
4) Which of the following questions or statements to a patient convey acceptance?
A) You know supplements can be harmful. Do you take any supplements?
B) Have you ever discussed taking vitamins and supplements with your doctor?
C) Will you please share with me the prescription medicines and vitamins you take?
D) What helpful herbal supplements are you taking? - Correct answer.Ans: C
Feedback:
Starting with the initial contact with a patient, the nurse includes a basic assessment of his or her use of
CAM in any intake interview. The nurse asks about vitamins and supplements as well as any healing
practices.
5) An 80-year-old woman has had a cerebrovascular accident. She has flaccidity of her right side with
aphasia. For this patient, which of the following activities constitutes tertiary prevention?
A) Assessment of her blood pressure
B) Daily bleeding and clotting times
C) Gait training and speech therapy
D) Education on the symptoms of a CVA - Correct answer.Ans: C
Feedback:
Tertiary prevention occurs when a person already has been diagnosed with a long-term disease or
disability.
6) What level of prevention is noted when the nurse educates a group of women who have school-age
children on self breast examinations?
A) Educational prevention
B) Primary prevention
, C) Secondary prevention
D) Tertiary prevention - Correct answer.Ans: B
Feedback:
Primary prevention focuses on the health of a person with the goal of preventing disease or illness. Self -
breast examination education is primary prevention.
7) When admitting an adolescent to the hospital, the nurse anticipates that the patient will respond to
questions about his health beliefs based on his
A) Age and developmental state
B) Gender and medical history
C) Peer influence and education
D) Health promotion activities - Correct answer.Ans: A
Feedback:
Age and developmental stage are important considerations in the health belief model.
8) A patient has had a total knee replacement and is receiving care that includes learning to walk with a
walker. What level of prevention is most applicable to this patient?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Residual prevention - Correct answer.Ans: C
Feedback:
Tertiary prevention and healthcare deals with rehabilitation of the patient. Teaching the patient to walk
with a walker is tertiary prevention.
1) In the provision of nursing care, it is most important to perform which of the following actions?
A) Administration of prescribed medications
B) Implementation of physicians orders
C) Evaluation of patients responses
D) Coordination of care with the healthcare team - Correct answer.Ans: D
AND VERIFIED ANSWERS BY EXPERTS
)The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group
activities that are of interest to the patient. The nurse is ensuring which patient need is met?
A) Love and belonging
B) Self-actualization
C) Safety and security
D) Self-esteem - Correct answer.Ans: A
Feedback:
The nurse is responsible for making sure the needs of the patient are met based on Maslows hierarchy
of needs. Attending a group activity helps meet the needs of love and belonging (need to feel that one
belongs and is loved to avoid loneliness and isolation). Self-actualization is the highest need and refers to
realizing fully all of ones abilities and qualities. Safety and security refers to physical and psychological
protection issues. Self-esteem indicates a feeling of self-worth.
2) The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on
a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
A) Physician-prescribed intervention
B) Collaborative intervention
C) Patient advocacy intervention
D) Nurse-prescribed intervention - Correct answer.Ans: B
Feedback:
Nurse initiated interventions, such as turning and repositioning a patient, are described as nurse-
prescribed interventions. Physician-directed actions are described as physician-prescribed interventions.
The administration of a prn medication requires a physician-prescribed intervention (the medication
order) as well as a nurse-prescribed intervention (determining when the order should be carried out and
proper administration of the medication); therefore, this action would be considered a collaborative
intervention. Patient advocacy refers to communicating the needs and protecting the safety of the
patient.
,CH 2 Health, Wellness, and Integrative Healthcare
1) A woman over the age of 40 years has an annual mammogram. What level of prevention does this
represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Medical prevention - Correct answer.Ans: B
Feedback:
Secondary prevention includes screening for those at risk to develop illness or those who could be
diagnosed early in the process for prompt treatment.
^^Should be primary because she is going in for early identification and prevention which falls under
primary prevention???
2) A patient inquires about the use of herbal therapy. Which statement by the nurse is most accurate?
A) All herbs are equal in purity, so purchase the cheapest brand.
B) Herbs can have side effects and can interact with prescription medications.
C) Be sure to pay attention to the packagings therapeutic and prevention information.
D) It is best if you select a licensed herbalist as a practitioner. - Correct answer.Ans: B
Feedback:
It is important for patients to understand that herbs can have side effects and can interact with
prescription medications. Standardization of the herbs constituents is useful, but also limited because
not all the compounds or the required levels are known, so the purity and dosage contents may not be
equal between herbs. Herbal products cannot make therapeutic and prevention claims. There is no
current licensing body for herbalists.
3) A patient is asking for the nurse to explain acupuncture. What would you tell the patient?
A) Acupuncture is only done in Eastern countries
,B) Acupuncture is a dangerous option for the treatment of disease
C) Acupuncture is beneficial to creating a mood of distraction
D) Acupuncture is used to correct disharmony - Correct answer.Ans: D
Feedback:
Acupuncture can be used to correct disharmony or prevent disharmony from developing.
4) Which of the following questions or statements to a patient convey acceptance?
A) You know supplements can be harmful. Do you take any supplements?
B) Have you ever discussed taking vitamins and supplements with your doctor?
C) Will you please share with me the prescription medicines and vitamins you take?
D) What helpful herbal supplements are you taking? - Correct answer.Ans: C
Feedback:
Starting with the initial contact with a patient, the nurse includes a basic assessment of his or her use of
CAM in any intake interview. The nurse asks about vitamins and supplements as well as any healing
practices.
5) An 80-year-old woman has had a cerebrovascular accident. She has flaccidity of her right side with
aphasia. For this patient, which of the following activities constitutes tertiary prevention?
A) Assessment of her blood pressure
B) Daily bleeding and clotting times
C) Gait training and speech therapy
D) Education on the symptoms of a CVA - Correct answer.Ans: C
Feedback:
Tertiary prevention occurs when a person already has been diagnosed with a long-term disease or
disability.
6) What level of prevention is noted when the nurse educates a group of women who have school-age
children on self breast examinations?
A) Educational prevention
B) Primary prevention
, C) Secondary prevention
D) Tertiary prevention - Correct answer.Ans: B
Feedback:
Primary prevention focuses on the health of a person with the goal of preventing disease or illness. Self -
breast examination education is primary prevention.
7) When admitting an adolescent to the hospital, the nurse anticipates that the patient will respond to
questions about his health beliefs based on his
A) Age and developmental state
B) Gender and medical history
C) Peer influence and education
D) Health promotion activities - Correct answer.Ans: A
Feedback:
Age and developmental stage are important considerations in the health belief model.
8) A patient has had a total knee replacement and is receiving care that includes learning to walk with a
walker. What level of prevention is most applicable to this patient?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Residual prevention - Correct answer.Ans: C
Feedback:
Tertiary prevention and healthcare deals with rehabilitation of the patient. Teaching the patient to walk
with a walker is tertiary prevention.
1) In the provision of nursing care, it is most important to perform which of the following actions?
A) Administration of prescribed medications
B) Implementation of physicians orders
C) Evaluation of patients responses
D) Coordination of care with the healthcare team - Correct answer.Ans: D
