Answers 2025 Update A+ Scored
1. A nurse uses Maslow's hierarchy of basic human needs to direct care for patients on an intensive
care unit. For which nursing actives is this approach most useful?
a. Making accurate nursing diagnoses
b. Establishing priorities of care
c. Communicating concerns more concisely
d. Integrating science into nursing care - ANS ✔ - b
2. The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples off
nursing interventions help meet physiologic needs? Select al that apply.
a. Preventing falls in the facility
b. Changing a patient's oxygen tank
c. Providing materials for a patient who likes to draw
d. Helping a patient eat his dinner
e. Facilitating a visit from a spouse
f. Referring a patient to a cancer support group - ANS ✔ - b, d
3. The nurse caring for patients postoperatively uses careful hand hygiene and sterile techniques
when handling patients. Which of Maslow's basic human needs is being met by this nurse?
a. Physiologic
b. Safety and security
c. Self-esteem
d. love and belonging - ANS ✔ - b
4. The nurse caring for patients in long-term care facility uses available resources to help patient
achieve Maslow's highest level of needs: self-acutalization needs. Which statements accurately
describe these needs? Select all that apply.
a. Humans are born with a fully developed sense of self-actualization
,b. Self actualization needs are met by depending on others for help
c. The self-actualization process continues throughout life
d. Loneliness and isolation occurs when she-actualixation needs are unmet
e. A person achieves self-actualization by focusing on problems outside self
f. Self-actualization needs may be met by creatively solving problems - ANS ✔ - c, e, f
5. A nurse works with families in crisis at a community mental health care facility. What is the BEST
broad definition of a family?
a. A father, a mother, and children
b. A group whose members are biologically related
c. A unit that includes aunts, uncles, and cousins
d. A group of people who live together and depend on each other for support - ANS ✔ - d
6. A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two
children. Which interview questions directed to the single mother could the nurse use to assess the
affective and coping family function? Select all that apply.
a. Who is the person you depend on for emotional support?
b. Who is the breadwinner in your family?
c. Do you plan on having any more children?
d. Who keeps your family together during times of stress?
e. What family traditions do you pass on to your children?
f. Do you live in an environment that you consider safe? - ANS ✔ - a, d
7. The nurse caring for families in a free health care clinic identifies psychosocial risk factors for
altered family health Which example describes one of these risk factors?
a. The family does not have dental care insurance or resources to pay for it
b. Both parents work and leave a 12-year-old child to care for his younger brother
c. Both parents and their children are considerably overweight
d. The youngest member of the family has cerebral palsy and needs assistance from community
services - ANS ✔ - b
, 8. A nurse working in a "Aging in place" facility interviews a married couple in their late seventies.
Based on Duvall's Developmental Tasks of Families, which developmental task would the nurse
assess for this couple?
a. Maintenance of a supportive home base
b. Strength of the marital relationship
c. Ability to cope with loss of energy and privacy
d. Adjustment to retirement years - ANS ✔ - D
9. A visiting nurse working in a new community performs a community assessment. What assessment
finding is indicative of a healthy community?
a. It meets all the needs of its inhabitants
b. It has mixed residential and industrial areas
c. It offers access to health care services
d. It consists of modern housing and condominiums - ANS ✔ - c
11. A nurse who is caring for a patient diagnosed with HIV/AIDS incurs a needlestick injury when
administering the patient's medications. What would be the first action of the nurse following the
exposure?
a. Report the incident to the appropriate person and file an incident report
b. Wash the exposed area with warm water and soap
c. Consent to PEP at appropriate time
d. Set up counseling sessions regarding safe practice to protect self - ANS ✔ - b
12. The nurse assesses patients to determine their risk for HAIs. Which hospitalized patient would
the nurse consider most at risk for developing this type of infection?
a. A 60-year-old patient who smokes two packs of cigarettes daily
b. A 40-year-old patient who has a white blood cell count of 6,000/mm3
c. A 65-year-old patient who has an indwelling urinary catheter in place
d. A 60-year-old patient who is a vegetarian and slightly underweight - ANS ✔ - c