NSG 211 Exam 1 Study |Questions and Answers
1. An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's
room and encourages the client to use the incentive spirom- eter ten times every hour. What is this
action an example of?
A. Nursing Evaluation
B. Nursing Assessment
C. Nursing Intervention
D. Nursing Goal: C. Nursing Intervention
2. The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which client would the nurse most likely expect to facilitate a referral?
A. A 50-year-old client newly diagnosed with diabetes
B. An adult presenting for an influenza vaccination
C. An 80-year-old client who lives with their daughter
D. A teenager seeking information about contraception: A 50-year-old client newly diagnosed
with diabetes
3. The nurse is reviewing a client's health history and the results of the most recent physical
examination. Which of the following data would the nurse identify as being subjective? Select all
that apply
A. "I feel so tired sometimes."
, NSG 211 Exam 1 Study |Questions and Answers
B. "My father died of a heart attack."
C. Pupils equal, round, and reactive to light
D. Lungs clear to auscultation
E. Weight: 145 lbs
F. Client complains of a headache: A. "I feel so tired sometimes."
B. "My father died of a heart attack."
F. Client complains of a headache
4. A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that pain
management will be a major focus of nursing care. How can the nurse best validate this
assumption?
A. Meet with the client's spouse and daughter to discuss the client's pain.
B. Review the client's medication administration record for analgesic use.
C. Ask the client about the most recent experiences of pain.
D. Collaborate with the physician who is treating the client.: C. Ask the client about the most
recent experiences of pain.
5. A nurse has documented the findings of a comprehensive assessment of a new client. What is
the primary rationale that the nurse should identify for accurate and thorough documentation?
A. Guaranteeing a continual assessment process
, NSG 211 Exam 1 Study |Questions and Answers
B. Allowing for drawing interferences and identifying problems
C. Assuring valid conclusions from analyzed data
D. Identifying abnormal data: C. Assuring valid conclusions from analyzed data
6. A client admitted with a small bowel obstruction requires a nasogastric tube to continuous low
wall suction. The nurse monitors gastric output of 250 mL at 0800-0900 and 30 mL at 0900- 1000.
The nurse understands that drainage should taper and not decrease abruptly within an hour.
What is the best action of the nurse?
A. Evaluate output in an hour
B. Intervene by pulling out the nasogastric tube
C. Assess the nasogastric tube for proper functioning
D. Develop a plan of care: C. Assess the nasogastric tube for proper functioning
7. The nurse recognizes the goals and objectives of the Healthy People 2030 guidelines when
creating a plan of care that addresses which client-centered goal(s)? Select all that apply.
A. living a healthy lifestyle
B. disease prevention
C. increasing the longevity of one's life
D. improving one's quality of life
E. providing affordable health care services: A. living a healthy lifestyle
, NSG 211 Exam 1 Study |Questions and Answers
B. disease prevention
C. increasing the longevity of one's life
D. improving one's quality of life
8. Several hours into a shift, the nurse working on a medical-surgical unit observes a change in
the client's mental status. Which action should the nurse take first?
A. Alert the critical assessment team.
B. Notify the health care provider.
C. Conduct a focused assessment.
D. Perform a comprehensive head-to-toe assessment.: C. Conduct a focused assessment.
9. The nurse obtains vital signs on a newly admitted client: temperature 101.1 F (38.4 C), heart
rate 101 bpm, BP 88/56 mm Hg, O2 Saturation 94% on room air. The nurse administers an
antipyretic. What will be the next step of the nursing process?
A. Develop a nursing diagnosis.
B. Perform an assessment.
C. Evaluate an outcome.
D. Implement an intervention.: A. Develop a nursing diagnosis.
1. An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's
room and encourages the client to use the incentive spirom- eter ten times every hour. What is this
action an example of?
A. Nursing Evaluation
B. Nursing Assessment
C. Nursing Intervention
D. Nursing Goal: C. Nursing Intervention
2. The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which client would the nurse most likely expect to facilitate a referral?
A. A 50-year-old client newly diagnosed with diabetes
B. An adult presenting for an influenza vaccination
C. An 80-year-old client who lives with their daughter
D. A teenager seeking information about contraception: A 50-year-old client newly diagnosed
with diabetes
3. The nurse is reviewing a client's health history and the results of the most recent physical
examination. Which of the following data would the nurse identify as being subjective? Select all
that apply
A. "I feel so tired sometimes."
, NSG 211 Exam 1 Study |Questions and Answers
B. "My father died of a heart attack."
C. Pupils equal, round, and reactive to light
D. Lungs clear to auscultation
E. Weight: 145 lbs
F. Client complains of a headache: A. "I feel so tired sometimes."
B. "My father died of a heart attack."
F. Client complains of a headache
4. A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that pain
management will be a major focus of nursing care. How can the nurse best validate this
assumption?
A. Meet with the client's spouse and daughter to discuss the client's pain.
B. Review the client's medication administration record for analgesic use.
C. Ask the client about the most recent experiences of pain.
D. Collaborate with the physician who is treating the client.: C. Ask the client about the most
recent experiences of pain.
5. A nurse has documented the findings of a comprehensive assessment of a new client. What is
the primary rationale that the nurse should identify for accurate and thorough documentation?
A. Guaranteeing a continual assessment process
, NSG 211 Exam 1 Study |Questions and Answers
B. Allowing for drawing interferences and identifying problems
C. Assuring valid conclusions from analyzed data
D. Identifying abnormal data: C. Assuring valid conclusions from analyzed data
6. A client admitted with a small bowel obstruction requires a nasogastric tube to continuous low
wall suction. The nurse monitors gastric output of 250 mL at 0800-0900 and 30 mL at 0900- 1000.
The nurse understands that drainage should taper and not decrease abruptly within an hour.
What is the best action of the nurse?
A. Evaluate output in an hour
B. Intervene by pulling out the nasogastric tube
C. Assess the nasogastric tube for proper functioning
D. Develop a plan of care: C. Assess the nasogastric tube for proper functioning
7. The nurse recognizes the goals and objectives of the Healthy People 2030 guidelines when
creating a plan of care that addresses which client-centered goal(s)? Select all that apply.
A. living a healthy lifestyle
B. disease prevention
C. increasing the longevity of one's life
D. improving one's quality of life
E. providing affordable health care services: A. living a healthy lifestyle
, NSG 211 Exam 1 Study |Questions and Answers
B. disease prevention
C. increasing the longevity of one's life
D. improving one's quality of life
8. Several hours into a shift, the nurse working on a medical-surgical unit observes a change in
the client's mental status. Which action should the nurse take first?
A. Alert the critical assessment team.
B. Notify the health care provider.
C. Conduct a focused assessment.
D. Perform a comprehensive head-to-toe assessment.: C. Conduct a focused assessment.
9. The nurse obtains vital signs on a newly admitted client: temperature 101.1 F (38.4 C), heart
rate 101 bpm, BP 88/56 mm Hg, O2 Saturation 94% on room air. The nurse administers an
antipyretic. What will be the next step of the nursing process?
A. Develop a nursing diagnosis.
B. Perform an assessment.
C. Evaluate an outcome.
D. Implement an intervention.: A. Develop a nursing diagnosis.
