N262 UNIT 1 PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A++
Which learning activity reflects Bloom's affective domain?
A. administering an injection
B. accepting the loss of a limb
C. inserting a catheter
D. choosing high protein foods to promote wound healing
B. accepting the loss of a limb
a client is scheduled to have a diagnostic procedure. which questions by the
nurse will most likely produce a "teachable moment"? SATA
1. have you ever had this procedure before?
2. what are your concerns about this procedure?
3. what would you like to know about the procedure?
4. are you prepared for this procedure?
5. what have you heard or read about the procedure?
2, 3, 5
***think about open ended questions, not ones that give yes/no responses
T/F: bedrest for treatment of certain medical conditions is associated with worse
outcomes than early mobilization.
True
The older patient tells the nurse that his teeth are in poor condition so he tends to
eat soft foods such as mashed potatoes, mac and cheese, and ice cream. Which
,question is the nurse most likely to ask to identify physiologic changes related to
dietary chagnes?
- do you have any probs with your bowel movements
- are you experiencing weight loss?
- have you ad any changes in ADLs?
- would you like me to make appt with dentist?
are you experiencing weight loss?
nurse assess pt for impaired cognition and finds that the confusion is recent with
rapid onset?
delirium
amnesia
dementia
fluctuating confusion
delirium
66 yr old male admitted with emphysema. symptoms began with SOB and
coughing when he was 55 years old. lungs have now gotten so bad he needs
oxygen at home and breathing treatments. patient is experiencing:
remission of an illness
chronic illness
disease
acute illness
chronic illness
,female pt with history of dementia. tugs at central line at times. alternatives to
restraints: SATA
- move pt room closer to nurses station
- ask nurse assistant to ambulate pt 2-3 times per shift
- provide with rocking chair
- place mitts on hands
- ask provider for sedative
- move pt room closer to nurses station
- ask nurse assistant to ambulate pt 2-3 times per shift
- provide with rocking chair
prescribes one tablet, but nurse administers two. after notifying provider, nurse
monitors patient carefully for untoward effects where there were none. is the pt
likely to be successful in suing the nurse for professional negligence?
no the pt was not harmed
no, nurse notified provider
yes a breach of duty exists
yes foreseeability is present
no the pt was not harmed
which is highest priority for pt at risk for falls in hosp setting
keep all the side rails up
review prescribed meds
assess for fall risk on admission
place the bed in the lowest position
, assess for fall risk on admission
**always assess first, then do
home health nurse saw no smoke detectors. pt tells nurse they can't afford. which
action to implement first?
- purchase on smoke detector for pts home
- notify health care agency social worker to discuss the situation with the pt
- ask the pts family to buy a smoke detector for their fam member
- contact local fire depart to see if they can provide a smoke detector for the pt
contact local fire depart to see if they can provide a smoke detector for the pt
which is the best response by the nurse if a pt fails to follow information or
teaching provided?
- give up because the pt doesn't want to change
- develop a tough approach
- reteach the info because the nurse is the expert
- reassess the importance the pt gives to the behavior and the pts readiness to
change it
- reassess the importance the pt gives to the behavior and the pts readiness to change
it
25) 1. Because a 45-year-old woman is worried that she still has regular menstrual
periods, she asks about menopause. Which answer by the nurse is most
appropriate?
- "Regular menses in a 45-year-old woman should be promptly evaluated by a
gynecologist."
SOLUTIONS GRADED A++
Which learning activity reflects Bloom's affective domain?
A. administering an injection
B. accepting the loss of a limb
C. inserting a catheter
D. choosing high protein foods to promote wound healing
B. accepting the loss of a limb
a client is scheduled to have a diagnostic procedure. which questions by the
nurse will most likely produce a "teachable moment"? SATA
1. have you ever had this procedure before?
2. what are your concerns about this procedure?
3. what would you like to know about the procedure?
4. are you prepared for this procedure?
5. what have you heard or read about the procedure?
2, 3, 5
***think about open ended questions, not ones that give yes/no responses
T/F: bedrest for treatment of certain medical conditions is associated with worse
outcomes than early mobilization.
True
The older patient tells the nurse that his teeth are in poor condition so he tends to
eat soft foods such as mashed potatoes, mac and cheese, and ice cream. Which
,question is the nurse most likely to ask to identify physiologic changes related to
dietary chagnes?
- do you have any probs with your bowel movements
- are you experiencing weight loss?
- have you ad any changes in ADLs?
- would you like me to make appt with dentist?
are you experiencing weight loss?
nurse assess pt for impaired cognition and finds that the confusion is recent with
rapid onset?
delirium
amnesia
dementia
fluctuating confusion
delirium
66 yr old male admitted with emphysema. symptoms began with SOB and
coughing when he was 55 years old. lungs have now gotten so bad he needs
oxygen at home and breathing treatments. patient is experiencing:
remission of an illness
chronic illness
disease
acute illness
chronic illness
,female pt with history of dementia. tugs at central line at times. alternatives to
restraints: SATA
- move pt room closer to nurses station
- ask nurse assistant to ambulate pt 2-3 times per shift
- provide with rocking chair
- place mitts on hands
- ask provider for sedative
- move pt room closer to nurses station
- ask nurse assistant to ambulate pt 2-3 times per shift
- provide with rocking chair
prescribes one tablet, but nurse administers two. after notifying provider, nurse
monitors patient carefully for untoward effects where there were none. is the pt
likely to be successful in suing the nurse for professional negligence?
no the pt was not harmed
no, nurse notified provider
yes a breach of duty exists
yes foreseeability is present
no the pt was not harmed
which is highest priority for pt at risk for falls in hosp setting
keep all the side rails up
review prescribed meds
assess for fall risk on admission
place the bed in the lowest position
, assess for fall risk on admission
**always assess first, then do
home health nurse saw no smoke detectors. pt tells nurse they can't afford. which
action to implement first?
- purchase on smoke detector for pts home
- notify health care agency social worker to discuss the situation with the pt
- ask the pts family to buy a smoke detector for their fam member
- contact local fire depart to see if they can provide a smoke detector for the pt
contact local fire depart to see if they can provide a smoke detector for the pt
which is the best response by the nurse if a pt fails to follow information or
teaching provided?
- give up because the pt doesn't want to change
- develop a tough approach
- reteach the info because the nurse is the expert
- reassess the importance the pt gives to the behavior and the pts readiness to
change it
- reassess the importance the pt gives to the behavior and the pts readiness to change
it
25) 1. Because a 45-year-old woman is worried that she still has regular menstrual
periods, she asks about menopause. Which answer by the nurse is most
appropriate?
- "Regular menses in a 45-year-old woman should be promptly evaluated by a
gynecologist."
