NUR 514: Exam 1 Questions With Complete Solutions
____________ is concrete and based on a set of rules or
principles such as the guidelines in a hospital procedure manual.
Correct Answers Basic critical thinking
-Perceived benefit
-Cognitive and physical ability
-Health and cultural beliefs
-Active participation
-Age and educational level-appropriate methods Correct
Answers Facilitators of learning
(1) attain high-quality, longer lives free of preventable disease,
disability, injury, and premature death
(2) achieve health equity, eliminate disparities, and improve the
health of all groups
(3) create social and physical environments that promote good
health for all
(4) promote quality of life, healthy development, and healthy
behaviors across all life stages Correct Answers Healthy
People 2020
6 Rights of Medication Administration Correct Answers Right
dose
Right time
Right patient
Right route
Right documentation
Right medication
,A client comes to the walk-in clinic with reports of abdominal
pain and diarrhea. While taking the client's vital signs, the nurse
is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation Correct Answers A. Assessment
Rationale: The first step in the nursing process is assessment, the
process of collecting data. All subsequent phases of the nursing
process (options 2, 3, and 4) rely on accurate and complete data.
A dehydrated patient is receiving a hypertonic solution. Which
assessments must be done to avoid adverse risks associated with
these solutions Correct Answers Blood pressure, lung sounds,
and serum sodium levels
A newly admitted patient was found wandering the hallways for
the past two nights. The most appropriate nursing interventions
to prevent a fall for this patient would include:
A. Raise all four side rails when darkness falls.
B. Use an electronic bed monitoring device.
C. Place the patient in a room close to the nursing station.
D. Use a loose-fitting vest-type jacket restraint. Correct
Answers B.
A nurse discovers an electrical fire in a patient's room. Which
action should the nurse take first?
Turn off the oxygen to the unit.
, Evacuate any patients/visitors in immediate danger.
Close all doors and windows.
Use the nearest fire extinguisher to put the fire out. Correct
Answers Evacuate any patients/visitors in immediate danger
A nurse floats to a busy surgical unit and administers a wrong
medication to a patient. This error can be classified as:
A. A poisoning accident.
B. An equipment-related accident.
C. A procedure-related accident.
D. An accident related to time management. Correct Answers
C.
A nursing diagnosis is the same as a medical diagnosis. (T/F)
Correct Answers FALSE:
The nursing diagnosis is the basis for the care plan and will only
refer to the medical diagnosis if the problem in the care plan is
"secondary to (medical diagnosis.)"
A patient comes to the local health clinic and states: "I've
noticed how many people are out walking in my neighborhood.
Is walking good for you?" What is the best response to help the
patient through the stages of change for exercise? Correct
Answers "Yes, walking is great exercise. Do you think you
could go for a 5-minute walk next week?"
The patient's response indicates she is in the contemplative state,
possibly intending to make a behavior change within the next 6
months. The nurse's statement reinforces the behavior and
____________ is concrete and based on a set of rules or
principles such as the guidelines in a hospital procedure manual.
Correct Answers Basic critical thinking
-Perceived benefit
-Cognitive and physical ability
-Health and cultural beliefs
-Active participation
-Age and educational level-appropriate methods Correct
Answers Facilitators of learning
(1) attain high-quality, longer lives free of preventable disease,
disability, injury, and premature death
(2) achieve health equity, eliminate disparities, and improve the
health of all groups
(3) create social and physical environments that promote good
health for all
(4) promote quality of life, healthy development, and healthy
behaviors across all life stages Correct Answers Healthy
People 2020
6 Rights of Medication Administration Correct Answers Right
dose
Right time
Right patient
Right route
Right documentation
Right medication
,A client comes to the walk-in clinic with reports of abdominal
pain and diarrhea. While taking the client's vital signs, the nurse
is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation Correct Answers A. Assessment
Rationale: The first step in the nursing process is assessment, the
process of collecting data. All subsequent phases of the nursing
process (options 2, 3, and 4) rely on accurate and complete data.
A dehydrated patient is receiving a hypertonic solution. Which
assessments must be done to avoid adverse risks associated with
these solutions Correct Answers Blood pressure, lung sounds,
and serum sodium levels
A newly admitted patient was found wandering the hallways for
the past two nights. The most appropriate nursing interventions
to prevent a fall for this patient would include:
A. Raise all four side rails when darkness falls.
B. Use an electronic bed monitoring device.
C. Place the patient in a room close to the nursing station.
D. Use a loose-fitting vest-type jacket restraint. Correct
Answers B.
A nurse discovers an electrical fire in a patient's room. Which
action should the nurse take first?
Turn off the oxygen to the unit.
, Evacuate any patients/visitors in immediate danger.
Close all doors and windows.
Use the nearest fire extinguisher to put the fire out. Correct
Answers Evacuate any patients/visitors in immediate danger
A nurse floats to a busy surgical unit and administers a wrong
medication to a patient. This error can be classified as:
A. A poisoning accident.
B. An equipment-related accident.
C. A procedure-related accident.
D. An accident related to time management. Correct Answers
C.
A nursing diagnosis is the same as a medical diagnosis. (T/F)
Correct Answers FALSE:
The nursing diagnosis is the basis for the care plan and will only
refer to the medical diagnosis if the problem in the care plan is
"secondary to (medical diagnosis.)"
A patient comes to the local health clinic and states: "I've
noticed how many people are out walking in my neighborhood.
Is walking good for you?" What is the best response to help the
patient through the stages of change for exercise? Correct
Answers "Yes, walking is great exercise. Do you think you
could go for a 5-minute walk next week?"
The patient's response indicates she is in the contemplative state,
possibly intending to make a behavior change within the next 6
months. The nurse's statement reinforces the behavior and
